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Early Phase 1 N=28 Randomized Double-blind Treatment

Pentoxifylline Treatment of Acute Pancreatitis

Acute Pancreatitis

Enrolled (actual)
28
Serious AEs
0.0%
Results posted
Dec 2013
Primary outcome: Primary: Change in C-Reactive Protein (CRP) — 48.4; 60.6; 62; 154 mg/L — p=0.62

Study Design & Population

Study type
Interventional
Phase
Early Phase 1
Interventions
Pentoxifylline (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Mayo Clinic
Primary completion
Jul 2012

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in C-Reactive Protein (CRP)
48.4; 60.6; 62; 154 0.62
PRIMARY
Change in Tumor Necrosis Factor (TNF)-Alpha
0; -0.05; 0.2; -0.3 0.72
PRIMARY
Change in Interleukin (IL) IL-6
2.1; 0.7; -8.6; -2.9 0.58
PRIMARY
Changes in Interleukin (IL) IL-8
-3.0; -1.7; 0.35; -1.9 0.90
SECONDARY
Number Of Subjects With New Onset Organ Failure During Hospitalization
0; 3 0.09
SECONDARY
Number Of Subjects With New Onset Pancreatic Necrosis During Hospitalization
0; 2 0.22
SECONDARY
Number of Patients With Lengthy Hospital Stays
2; 8; 0; 5 0.04 sig
SECONDARY
Length of Hospital Stay
3; 5 0.06
SECONDARY
Length of Intensive Care Unit (ICU) Stay
0; 0 0.03 sig
SECONDARY
Number of Subjects Who Needed an Intensive Care Unit Stay
0; 4 0.04 sig

Summary

The purpose of this study is to determine the effects (good and bad) of giving a drug called pentoxifylline to patients with acute pancreatitis, to see if it can improve blood tests associated with inflammation (tissue damage). Pentoxifylline is approved by the US Food and Drug Administration (FDA) for treatment of circulation problems, but its use in this study is investigational, which means that the FDA has not approved it for the treatment of pancreatitis. However, the FDA has allowed the use of pentoxifylline in this research study.

Eligibility Criteria

Inclusion Criteria

  • Predicted Severe Acute Pancreatitis
  • Enrollment within 72 hours of diagnosis
  • Ability to give informed consent
  • Age >17 years

Exclusion Criteria

  • Moderate or severe congestive heart failure
  • History of seizure disorder or demyelinating disease
  • Nursing mothers
  • Pregnancy
  • History of prior tuberculosis or risk factors for tuberculosis
  • Evidence of immunosuppression (malignancy, chronic renal failure, chemotherapy within 60 days, ongoing steroid treatment*, and HIV)- (*the exception of prednisone use will be allowed to participate).
  • Evidence of chronic pancreatitis from history and examination (however, "acute on chronic pancreatitis" diagnosis is allowed)
  • Evidence of active or pending hemorrhage.
  • Paralytic ileus with vomiting
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01292005). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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