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CompletedNCT03063398PAPPEIUpdated Jul 16, 2024

Post Acute Pancreatitis Pancreatic Exocrine Insufficiency

An observational study in Acute Pancreatitis, sponsored by Ohio State University. Completed at 3 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-07-16.

Sponsored by Ohio State University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
196
Ages
18 Years and older
Sex
All
01

Study summary

This study is a proposed a comprehensive prospective assessment of exocrine pancreatic insufficiency (EPI), nutritional status, and quality of life (QOL) during the early re-feeding phase, at 3 months, and 12 months following an AP attack.

Read the detailed description

This study is a proposed a comprehensive prospective assessment of exocrine pancreatic insufficiency (EPI), nutritional status, and quality of life (QOL) during the early re-feeding phase, at 3 months, and 12 months following an AP attack. A blood sample will be collected for measurement of nutritional markers and a fecal sample for elastase-1, and data regarding demographics, etiology, history of previous pancreatitis episodes, and their hospital course (imaging findings, interventions, length of stay, intensive care admission, and severity based on the Revised Atlanta Classification) will be obtained from medical records at hospital discharge. Subsequently, each subject will be prospectively followed at 3 months and 1 year after hospital discharge. In each follow-up, he/she will be asked to answer a questionnaire focusing on symptoms of exocrine pancreatic insufficiency and quality of life. Furthermore, blood and stool samples will be collected at the 3 and 12-month follow up for measurement of nutritional markers and fecal elastase-1 levels.

Based on available literature and our own data, we hypothesize that a significant fraction of AP patients develop EPI that may persist up to 1 year after the discharge, and result in nutritional deficiencies and impaired QOL. This study will help to clarify the incidence, natural history and duration of EPI, as well as identify subgroups of patients at high risk of EPI after AP. It will serve as the basis for the design of future randomized controlled trials of pancreatic enzyme replacement following AP. This is a novel proposal by an investigator with extensive experience and a well-established record in AP research from an internationally known pancreas center of excellence. The methodological strength of our proposal lies on its prospective nature, the 1-year follow up with serial assessments of EPI, nutritional status and QOL, and the detailed phenotypical characterization of the AP patient cohort.

Primary endpoints

  • Measure the incidence of exocrine pancreatic insufficiency at 12 months after an attack of AP.

Secondary endpoints

  • Identify subgroups of patients at risk for EPI at 12 months after an attack of AP based on severity classification, etiology, and demographics.
  • Measure the incidence of transient (present at 3 but no at 12 months) and persistent (present both at 3 and 12 months after AP) exocrine pancreatic insufficiency following an AP attack.
  • Measure the incidence of nutritional deficiencies, and impaired quality of life at 3 and 12 months from an attack of AP.
  • Assess whether EPI is associated with nutritional deficiencies or impaired quality of life at 3 and 12 months from an AP attack.
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Conditions studied

  • Acute Pancreatitis

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03

In context

Pancreatitis

759 studies on the registry are indexed under Pancreatitis; 181 are open to participants now.

This study's enrollment of 196 is close to the median of 179 across 282 observational studies indexed under Pancreatitis.

Browse Pancreatitis studies →

Lead sponsor

Ohio State University is the lead sponsor of 661 studies on the registry; 148 are open to participants now.

Of its 66 completed or terminated interventional studies of FDA-regulated products, 49 (74%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Men and women, at least 18 years of age, admitted at the University of Pittsburgh Medical Center with an AP attack defined as the presence of 2 or more of the following criteria:

  • Abdominal pain consistent with the disease,
  • Serum amylase and/or lipase greater than three times the upper limit of normal, and or
  • Characteristic findings from abdominal imaging (i.e. demonstrating pancreatic edema, peripancreatic fat stranding or complications or acute pancreatitis)

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Men and women, at least 18 years of age, admitted at the University of Pittsburgh Medical Center with an AP attack defined as the presence of 2 or more of the following criteria:

    • Abdominal pain consistent with the disease,
    • Serum amylase and/or lipase greater than three times the upper limit of normal, and or
    • Characteristic findings from abdominal imaging (i.e. demonstrating pancreatic edema, peripancreatic fat stranding or complications or acute pancreatitis)

Exclusion criteria

Exclusion Criteria:

  • Known or newly diagnosed chronic pancreatitis based on cross sectional imaging findings
  • Pre-existing exocrine pancreatic insufficiency (meaning EPI present before the onset of AP; development of EPI during early refeeding is not an exclusion criterion)
  • History of gastric or pancreatic resection
  • History of small bowel disease (celiac disease, or Crohn's disease)
  • History of pancreatic malignancy
  • History of gastroparesis
  • History of cystic fibrosis
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
196 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Patients after acute pancreatitis

    Such patients will be followed and assessed for the development of Exocrine Pancreatic Insufficiency. 'No intervention, this is an observational study.

    Diagnostic Test: No intervention, this is an observational study

Interventions

  • Diagnostic testNo intervention, this is an observational study

    Assessment for exocrine pancreatic insufficiency

06

What researchers measure

Primary outcomes

  1. Exocrine pancreatic insufficiency at 12 months

    Fecal elastase-1 levels EPI below 200 mcg/g stool,

    Time frame: 12 months

07

Study locations

3 sites
  • Johns Hopkins Medical Institutions
    Baltimore, Maryland 21225, United States
  • The Ohio State University
    Columbus, Ohio 43210, United States
  • UPMC Presbyterian
    Pittsburgh, Pennsylvania 15213, United States
08

References and documents

Publications

  • Bejjani J, Culp S, Nikahd M, Phillips AE, Singh V, Roberts KM, Abu-El-Haija M, Krishna SG, Ramsey ML, Lahooti A, Lee PJ, Hart PA, Papachristou GI. Symptom Burden After Acute Pancreatitis and Its Correlation With Exocrine Pancreatic Function: A Multicenter Prospective Study. Clin Transl Gastroenterol. 2025 Feb 1;16(2):e00799. doi: 10.14309/ctg.0000000000000799. PubMed 39679584 ↗
  • Phillips AE, Bejjani J, Culp S, Chennat J, Lee PJ, Machicado JD, Singh VK, Afghani E, Ramsey ML, Paragomi P, Stello K, Nikahd M, Hart PA, Papachristou GI. Prevalence of exocrine pancreatic insufficiency at 12 months after acute pancreatitis: a prospective, multicentre, longitudinal cohort study. EClinicalMedicine. 2024 Aug 2;75:102774. doi: 10.1016/j.eclinm.2024.102774. eCollection 2024 Sep. PubMed 39210941 ↗
  • Bejjani J, Papachristou GI, Dungan K, Evans Phillips A, Singh V, Toledo FG, Han S, Krishna SG, Lahooti A, Lee PJ, Machicado JD, Nikahd M, Paragomi P, Ramsey M, Yadav D, Culp S, Hart PA. Incident diabetes following acute pancreatitis in a multicenter prospective observational cohort. Pancreatology. 2023 Dec;23(8):900-903. doi: 10.1016/j.pan.2023.10.009. Epub 2023 Oct 10. PubMed 37839923 ↗
  • Paragomi P, Phillips AE, Machicado JD, Lahooti A, Kamal A, Afghani E, Pothoulakis I, Reynolds SL, Mays M, Conwell DL, Lara LF, Singh VK, Papachristou GI. Post-Acute Pancreatitis Pancreatic Exocrine Insufficiency: Rationale and Methodology of a Prospective, Observational, Multicenter Cohort Study. Pancreas. 2021 Feb 1;50(2):147-152. doi: 10.1097/MPA.0000000000001743. PubMed 33565790 ↗

Individual participant data

Plan to share: Undecided — In the future, the data may be shared with other entities. If so, the research data/documents will be coded and subject identifiers removed prior to access by the external persons.

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2017 to primary completion in Feb 2023, 67 months.

Of 120 non-industry observational studies under Pancreatitis, half reached primary completion within 42 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 127. This study's 67 months is above that.

Counting every sponsor, half of 125 studies reached it within 42 months; a quarter within 20 and three quarters within 127.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 2, 2017
First posted
Feb 24, 2017
StartActual
Jun 21, 2017
Primary completionActual
Feb 1, 2023
CompletionActual
Jun 30, 2024
Last update
Jul 16, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03063398
Collaborators
AbbVie
Responsible party
George Papachristou (Principal Investigator, Ohio State University) — Principal investigator
First posted
Feb 24, 2017
Start date
Jun 21, 2017
Primary completion
Feb 1, 2023
Completion
Jun 30, 2024
Last update
Jul 16, 2024

Study contacts

Georgios I Papachristou, MD
principal investigator · Ohio State University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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