ClinicalTrials.gg
RecruitingNCT05720338Updated Sep 15, 2026

Is Intraperitoneal Drainage Necessary Following Distal Pancreatectomy?

A Phase 3 interventional study of 19 French Blake Drain in Cyst of Pancreas, Pancreatectomy and Pancreas Neoplasm, sponsored by Case Comprehensive Cancer Center. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-15.

Sponsored by Case Comprehensive Cancer Center · Phase 3, Interventional, and Supportive care

From the registry’s dates

  • Started Apr 2023; still recruiting 3 years 6 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
234
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 54 studies in Pancreatic Cyst with a site in United States — 20 open to participants now, 23 under way, 1 of them phase 3. Pancreatic Cyst · United States.

Planned enrollment
5th of 22
234 · median 53
Started
2023
with 2 others
Phase 3
3 of 54
1 open now
Primary completion
2026-12
later than 7 of 22 live
Registered
45th of 54
by date

Among the 54 studies in Pancreatic Cyst with a site in United States, this one is the 5th largest by planned enrollment of the 22 interventional ones that give a count, is one of 3 that started in 2023, is one of 3 in phase 3, reaches primary completion later than 7 of the 22 other live ones, and was the 45th registered.

Pancreatic Cyst

97 studies on the registry are indexed under Pancreatic Cyst; 37 are open to participants now.

This study's planned enrollment of 234 is above the median of 84 across 38 interventional studies indexed under Pancreatic Cyst.

Browse Pancreatic Cyst studies →

Open to participants now

20 of the 54 studies in Pancreatic Cyst with a site in United States are open now, in 12 countries. Each count lists the studies.

All 20 open studies →

Who these studies take

Of the 33 Pancreatic Cyst studies recruiting now, 25 (76%) set no upper age limit and 0 (0%) stop at 75 or younger; 2 take children under 18; 7 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →
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02

Study summary

The goal of this clinical trial is to analyze if intraperitoneal drainage is necessary following distal pancreatectomy. This study aims to determine whether the omission of routine intraperitoneal drainage in the setting of reinforced staple technology is non-inferior to routine intraperitoneal drainage with respect to a composite post-operative complications of Grade B or C Postoperative pancreatic fistula (POPF), readmission, or organ space surgical site infection following a distal pancreatectomy.

Read the detailed description

Pancreatic resections are commonly performed across the United States, yet still represent one of the most morbid abdominal operations in the country, with postoperative mortality as high as 7.7%. Distal pancreatectomy (DP) represents one of the most common approaches to pancreatic resection and is typically used for tumors of the pancreatic body or tail. This operation is known to have a high historic morbidity, with reports of overall morbidity between 12-52%. Common complications include intraabdominal abscess and surgical site infection. Postoperative pancreatic fistula (POPF) represents the most common complication following partial pancreatic resection, with rates reported with rates as high as 30% in multiple large retrospective studies. Multiple strategies to prevent postoperative pancreatic leak following distal pancreatectomy have been studied. One of the outstanding questions that remains is regarding the need for routine intraperitoneal drainage following DP, particularly since the advent of reinforced staple technology. This study aims to determine if intraperitoneal drainage is necessary following DP. This study will compare groups using a composite endpoint of complications.

03

Conditions studied

  • Cyst of Pancreas
  • Pancreatectomy
  • Pancreas Neoplasm

Keywords

  • Pancreatic neoplasm
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Subjects must be undergoing a scheduled distal pancreatectomy (with or without concurrent splenectomy)
  • Age ≥18 years
  • Subjects must have the ability to understand and the willingness to sign a written document.

Exclusion criteria

Exclusion Criteria:

  • Patients \< 18 years old
  • Patients who are pregnant
  • Patients with a history of previous pancreatic surgery
  • Patients with a history of prior gastric resection, gastric bypass or sleeve gastrectomy
  • Patients with prior cystogastrostomy procedure
  • Patients who have failed prior endoscopic intervention or ultrasound due to esophageal or other gastrointestinal stricture
  • Patients with Type 3 or Type 4 Paraesophageal Hernia noted either on pre-operative imaging or intra-operatively
  • Patients undergoing concurrent resection of organs other than the pancreas or spleen or gallbladder
  • Patients who undergo oversewing of the pancreatic transection margin
  • Patients with unexpected intraoperative bleeding or adhesive disease which deem it unsafe to proceed without an intraabdominal drain
  • Patients who are unable to provide
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 3
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
234 participants (estimated)

Study arms

  • Active comparator
    Standard of care

    Intraperitoneal drain will be placed near the pancreatic resection margin, which is the routine standard of care.

    Device: 19 French Blake Drain

  • No intervention
    Omitting Standard of Care

    No intraperitoneal drain will be placed in the participants, which omits the routine standard of care.

Interventions

  • Device19 French Blake Drain

    19 French Blake Intraperitoneal Drain will be placed near the pancreatic resection margin

    Also known as: Intraperitoneal drain

06

What researchers measure

Primary outcomes

  1. Composite endpoint comparison

    Comparison between groups using a composite endpoint of complications that includes presence of Grade B POPF

    Time frame: Within 90 days of surgery

  2. Composite endpoint comparison

    Comparison between groups using a composite endpoint of complications that includes presence of Grade C POPF

    Time frame: Within 90 days of surgery

  3. Composite endpoint comparison

    Comparison between groups using a composite endpoint of complications that includes Readmission

    Time frame: Within 90 days of surgery

  4. Composite endpoint comparison

    Comparison between groups using a composite endpoint of complications that includes presence of Organ Space Surgical Site Infection

    Time frame: Within 90 days of surgery

Secondary outcomes

  1. Rates of endoscopic drainage vs percutaneous drainage of Grade B POPF

    Rates of drainage based off of the Grade B Postoperative pancreatic fistula

    Time frame: 90-day post operative time point

  2. Quality of Life Score

    Post-operative Quality of Life score using the PROMIS-10 Global Health

    Time frame: At day 14 postoperative

  3. Quality of Life Score

    Post-operative Quality of Life score using the PROMIS-10 Physical Function

    Time frame: At day 14 postoperative

  4. Quality of Life Score

    Post-operative Quality of Life score using the original Drain Quality of Life scale

    Time frame: At day 14 postoperative

  5. Quality of Life Score

    Post-operative Quality of Life score using the PROMIS-10 Global Health

    Time frame: At day 90 postoperative

  6. Quality of Life Score

    Post-operative Quality of Life score using the PROMIS-10 Physical Function

    Time frame: At day 90 postoperative

  7. Quality of Life Score

    Post-operative Quality of Life score using the original Drain Quality of Life scale

    Time frame: At day 90 postoperative

  8. Hospital Length of Stay

    Measurement of the difference in Hospital Length-of-Stay based on intraperitoneal drainage after DP

    Time frame: 90-day post operative time point

  9. Cost analysis for overall healthcare costs

    Cost analysis for overall healthcare costs associated with both methods of postoperative care

    Time frame: At day 90 postoperative

07

Study locations

1 of 1 sites recruiting
  • Cleveland Clinic Taussig Cancer Institute, Case Comprehensive Cancer Center
    Cleveland, Ohio 44195, United States
    Recruiting
    • Robert Simon, MD · Contact
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Apr 2023 (actual). Primary completion is estimated for Dec 2026, 44 months after the start.

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

Registered
Jan 27, 2023
First posted
Feb 9, 2023
StartActual
Apr 13, 2023
Primary completionEst.
Dec 31, 2026
CompletionEst.
Jul 31, 2027
Last update
Sep 15, 2026
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 Sep 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05720338
Responsible party
Sponsor
First posted
Feb 9, 2023
Start date
Apr 13, 2023
Primary completion
Dec 31, 2026 (estimated)
Completion
Jul 31, 2027 (estimated)
Last update
Sep 15, 2026

Study contacts

Robert Simon, MD
Contact
TaussigResearch@ccf.org
1-866-223-8100
Robert Simon, MD
principal investigator · Cleveland Clinic Taussig Cancer institute, Case Comprehensive Cancer Center

Oversight

FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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