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CompletedNCT05310409PAN-PROMISEUpdated Jul 5, 2023

PAN-PROMISE to Detect Post-ERCP Pancreatitis Symptoms

An observational study in Post-ERCP Acute Pancreatitis, sponsored by University of Pennsylvania. Completed at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-07-05.

Sponsored by University of Pennsylvania · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
700
Ages
18 Years and older
Sex
All
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Study summary

The aim of this study is to use a validated patient-reported outcome measure to evaluate how many patients have symptoms of pancreatitis after ERCP and how it correlates with their quality of life and productivity.

Read the detailed description

This project will measure the impact of a recently validated patient-reported outcome measure for acute pancreatitis, PAN-PROMISE, to detect post-ERCP pancreatitis symptoms and capture its morbidity. The study will compare the change of PAN-PROMISE before and after ERCP to the current standard diagnostic criteria for post-ERCP pancreatitis, the Cotton Consensus Criteria. The main limitations of the Cotton-Consensus Criteria are that it fails to capture outpatient or ambulatory morbidity, uses length of stay to define the severity of pancreatitis without accounting for local or systemic complications for pancreatitis, and it has limited sensitivity in patients with chronic symptoms such as patients with chronic pancreatitis or pancreatic adenocarcinoma. These limitations have impeded the evaluation of potential therapies to prevent post-ERCP pancreatitis. PAN-PROMISE will help capture and quantitate the morbidity related to post-ERCP pancreatitis and thus will enhance our ability to optimize outcomes following ERCP.

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Conditions studied

  • Post-ERCP Acute Pancreatitis
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In context

Lead sponsor

University of Pennsylvania is the lead sponsor of 1,664 studies on the registry; 236 are open to participants now.

Of its 156 completed or terminated interventional studies of FDA-regulated products, 107 (69%) 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
Sampling method
Non-probability sample

Study population

We are enrolling patients who are undergoing ERCP at our two centers.

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

  1. Patients undergoing ERCP
  2. Age >= 18 years old
  3. Intact major papilla

Exclusion criteria

Exclusion Criteria:

  1. Unwillingness or inability to consent for the study
  2. Age \< 18 years
  3. Standard contraindications to ERCP
  4. Intrauterine pregnancy
  5. Prior hepaticojejunostomy in a patient undergoing ERCP for a bile duct indication
  6. Prior pancreaticojejunostomy in a patient undergoing ERCP for a pancreatic duct indication
  7. Low probability of completing the follow-up
  8. Acute pancreatitis (by the Revised Atlanta criteria) in the seven days prior to ERCP.
  9. Patients who do not answer at least 80% of the questions on the baseline and 48-hour follow-up survey.
  10. Patients who could not be contacted via a telephone call to assess for post-ERCP complications at 48-72 hours.
  11. Patients who speak a language other than English, Spanish, Bulgarian, Mandarin, English, French, German, Greek, Hungarian, Italian, Korean, Polish, Portuguese, Romanian, Russian, Turkish, Ukrainian, or Hindi (as the PAN-PROMISE has only been translated and validated in these languages.
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
700 participants (actual)
Target follow-up
6 Months
Patient registry
Yes
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What researchers measure

Primary outcomes

  1. Post-ERCP Pancreatitis

    will define post-ERCP pancreatitis using the Cotton Consensus Criteria with a 3 physician adjudication committee.

    Time frame: 7 days after ERCP

  2. PROM-PEP

    will capture the work abseentism and loss of productivity using the Work-Productivity and Activity Impairment Questionnaire and will express in in 2021 US Dollars.

    Time frame: 30 days

Secondary outcomes

  1. Direct Health Care Costs

    will capture the direct healthcare costs using the Medicare Reimbursement data and express it in 2021 US Dollars.

    Time frame: 30 days

Other outcomes

  1. Quality of Life Assessment

    will capture changes in Quality of Life using the SF-12 instrument.

    Time frame: 30 days

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Study locations

2 sites
  • University of California, San Francisco
    San Francisco, California 94143, United States
  • University of Pennsylvania Health System
    Philadelphia, Pennsylvania 19104, United States
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References and documents

Publications

  • Masci E, Toti G, Mariani A, Curioni S, Lomazzi A, Dinelli M, Minoli G, Crosta C, Comin U, Fertitta A, Prada A, Passoni GR, Testoni PA. Complications of diagnostic and therapeutic ERCP: a prospective multicenter study. Am J Gastroenterol. 2001 Feb;96(2):417-23. doi: 10.1111/j.1572-0241.2001.03594.x. PubMed 11232684 ↗
  • Artifon EL, Chu A, Freeman M, Sakai P, Usmani A, Kumar A. A comparison of the consensus and clinical definitions of pancreatitis with a proposal to redefine post-endoscopic retrograde cholangiopancreatography pancreatitis. Pancreas. 2010 May;39(4):530-5. doi: 10.1097/MPA.0b013e3181c306c0. PubMed 20093992 ↗
  • Thiruvengadam NR, Forde KA, Ma GK, Ahmad N, Chandrasekhara V, Ginsberg GG, Ho IK, Jaffe D, Panganamamula KV, Kochman ML. Rectal Indomethacin Reduces Pancreatitis in High- and Low-Risk Patients Undergoing Endoscopic Retrograde Cholangiopancreatography. Gastroenterology. 2016 Aug;151(2):288-297.e4. doi: 10.1053/j.gastro.2016.04.048. Epub 2016 May 20. PubMed 27215656 ↗
  • de-Madaria E, Sanchez-Marin C, Carrillo I, Vege SS, Chooklin S, Bilyak A, Mejuto R, Mauriz V, Hegyi P, Marta K, Kamal A, Lauret-Brana E, Barbu ST, Nunes V, Ruiz-Rebollo ML, Garcia-Rayado G, Lozada-Hernandez EE, Pereira J, Negoi I, Espina S, Hollenbach M, Litvin A, Bolado-Concejo F, Vargas RD, Pascual-Moreno I, Singh VK, Mira JJ. Design and validation of a patient-reported outcome measure scale in acute pancreatitis: the PAN-PROMISE study. Gut. 2021 Jan;70(1):139-147. doi: 10.1136/gutjnl-2020-320729. Epub 2020 Apr 3. PubMed 32245906 ↗
  • Thiruvengadam NR, Kouanda A, Kalluri A, Schaubel D, Saumoy M, Forde K, Song J, Faggen A, Davis BG, Onwugaje KC, Cote G, Arain MA, Kochman ML. A Prospective Cohort Study Evaluating PAN-PROMISE, a Patient-reported Outcome Measure to Detect Post-ERCP Morbidity. Clin Gastroenterol Hepatol. 2023 May;21(5):1233-1242.e14. doi: 10.1016/j.cgh.2022.08.034. Epub 2022 Sep 6. PubMed 36075501 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2020 to primary completion in Aug 2021, 10 months.

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

Registered
Mar 25, 2022
First posted
Apr 4, 2022
StartActual
Sep 15, 2020
Primary completionActual
Aug 1, 2021
CompletionActual
Jan 1, 2023
Last update
Jul 5, 2023
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 5, 2023, 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
NCT05310409
Responsible party
Sponsor
First posted
Apr 4, 2022
Start date
Sep 15, 2020
Primary completion
Aug 1, 2021
Completion
Jan 1, 2023
Last update
Jul 5, 2023

Study contacts

Michael L Kochman, MD
principal investigator · University of Pennsylvania
Mustafa Arain, MD
principal investigator · University of California, San Francisco
Nikhil R Thiruvengadam, MD
principal investigator · Loma Linda University School of Medicine.

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2023. You cannot join it, but the record below documents what was studied.

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