Early Phase 1
N=28
Pentoxifylline Treatment of Acute Pancreatitis
Acute Pancreatitis
Bottom Line
View on ClinicalTrials.gov: NCT01292005 ↗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
| Outcome | Result | p-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
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.