ClinicalTrials.gg
Enrolling by invitationNCT06936800PBPEPUpdated Apr 20, 2025

Pinaverium Bromide Preventing Post Extracorporeal Shock Wave Lithotripsy Pancreatitis and Painful (PBPEP)

An interventional study of Pinaverium bromide and Placebo for control group in Chronic Pancreatitis and Pancreatic Duct Stones, sponsored by Yanqing Li. Enrolling by invitation at 1 site in China. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2025-04-20.

Sponsored by Yanqing Li · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
288
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Where this study stands

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

Among 46 studies in Pancreatitis, Chronic with a site in China — 15 open to participants now, 19 under way, none of them phase 3. Pancreatitis, Chronic · China.

Planned enrollment
7th of 19
288 · median 204
Started
2025
with 10 others
No phase
14 of 46
4 open now
Primary completion
2027-12
later than 11 of 18 live
Registered
35th of 46
by date
Lead sponsor
1 of 46
Yanqing Li

Among the 46 studies in Pancreatitis, Chronic with a site in China, this one is the 7th largest by planned enrollment of the 19 interventional ones that give a count, is one of 11 that started in 2025, is one of 14 with no phase, reaches primary completion later than 11 of the 18 other live ones, and was the 35th registered.

Pancreatitis, Chronic

264 studies on the registry are indexed under Pancreatitis, Chronic; 76 are open to participants now.

Browse Pancreatitis, Chronic studies →

Open to participants now

15 of the 46 studies in Pancreatitis, Chronic with a site in China are open now. Recruiting first, the newest first:

9 more — sign in →

All 15 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 49 Pancreatitis, Chronic studies recruiting now, 31 (63%) set no upper age limit and 12 (24%) stop at 75 or younger; 8 take children under 18; 11 take healthy volunteers.

This study: 18 Years to 85 Years · all sexes · no healthy volunteers.

The full table on the hub →

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02

Study summary

This study aims to evaluate whether perioperative pinaverium bromide (a calcium antagonist) reduces post-ESWL complications (pancreatitis, abdominal pain, infection) in chronic pancreatitis patients with pancreatic duct stones ≥5mm. A single-center, randomized, double-blind, placebo-controlled design will be used, with 288 participants allocated to either pinaverium bromide (100mg tid) or placebo before and after p-ESWL.

Read the detailed description
  1. Background:

    • Chronic pancreatitis (CP) has a global incidence of 9.62/100,000, often complicated by pancreatic duct stones (90% of CP patients).
    • p-ESWL is first-line for stones >5 mm but carries risks: pancreatitis (4.35%), abdominal pain (42.65%), and other complications (6.73% overall).
    • Pinaverium bromide relaxes the sphincter of Oddi, reduce intestinal spasms and may mitigate post-ESWL complications.
  2. Objectives:

    • Primary: Reduce post-p-ESWL pancreatitis incidence (per Atlanta 2012 criteria).
    • Secondary: Decrease abdominal pain, other complications (bleeding, perforation, infection), and drug-related adverse events.
  3. Methods:

    • Design: Single-center, randomized, double-blind, placebo-controlled.
    • Sample size estimation This study used a comparative method of two sample rates in a superior efficacy clinical trial, with a unilateral test level of α=0.025 and a confidence level of 1- β=0.8. Based on the previous research on complications of lithotripsy conducted by our center, the incidence of abdominal pain in patients after the first P-ESWL surgery was approximately 42.65%. According to literature research results, pinaverium bromide can improve the relaxation of the Oddi's sphincter by 30-40%. Previous studies have shown that pinaverium bromide can control postoperative abdominal pain at around 18.75%. In this study, it is assumed that pinaverium bromide can reduce the incidence of abdominal pain after ESWL by 25%, from 42.65% to 17.65%, with a cut-off value of 10%, Nt:Nc=1:1. Based on Pearson chi square test, the required sample size was calculated to be 137 cases/group, totaling 274 cases.

    Considering a rejection rate of 5%, the final required sample size is calculated to be 144 cases/group, totaling 288 cases.

    • Intervention: Experimental Group Protocol

    Preoperative Preparation:

    Fasting: 12 hours before ESWL. Water restriction: 4 hours before surgery.

    Medication:

    Oral pinaverium bromide tablets (100mg tid) administered:

    One day before surgery On the day of surgery One day post-surgery

    Postoperative Monitoring:

    Maintain fasting for 24 hours post-surgery.

    Blood tests at 6h and 24h to assess:

    Amylase, lipase, CBC, PCT, CRP Document abdominal pain scores. If abdominal pain worsens or recurs, perform imaging (e.g., abdominal CT). Control Group Protocol

    Preoperative Preparation:

    Identical to the experimental group (fasting 12h, water restriction 4h before ESWL).

    Placebo Administration:

    Oral placebo (2 tablets tid) given:

    One day before surgery On the day of surgery One day post-surgery

    Postoperative Monitoring:

    Identical to the experimental group (fasting, blood tests, pain scoring, and imaging if needed).

    Endpoint evaluation:

    Patients will be closely monitored during and after surgery, with a mandatory hospital stay of at least 48 hours. Endpoint events, including ESWL-related complications (acute pancreatitis, stone street, bleeding, infection, perforation, or others), will be recorded.

    Outcomes: Pancreatitis incidence, pain scores, complications, lab markers (amylase, CRP), and imaging.

    Statistical Methods Principle: All data were analyzed based on the intention-to-treat (ITT) principle.

    Continuous variables were compared using Student's t-test or Mann-Whitney U test, as appropriate.

    Categorical variables were analyzed using the chi-square test or Fisher's exact test, depending on data distribution.

    A P-value \< 0.05 was considered statistically significant.

  4. Eligibility Criteria

Inclusion:

Age 18-85, CP with ≥5mm pancreatic duct stones (head predominance).

Exclusion:

  1. Requirement for repeat ESWL during the study period.
  2. Acute pancreatitis within 3 days prior to ESWL.
  3. Poor cardiopulmonary function with anesthesia intolerance.
  4. Severe liver disease (e.g., hepatic failure, liver abscess, cirrhosis, ascites).
  5. Anticoagulant therapy within 3 days or coagulopathy.
  6. Suspected or confirmed pancreatic tumor.
  7. Arteriosclerosis or abdominal aortic aneurysm obstructing shockwave transmission.
  8. Pregnancy or lactation.
  9. Allergy to pinaverium bromide
  10. Chronic pinaverium bromide use with discontinuation \<3 days before ESWL
  11. Declined study participation

Termination Criteria:

  1. Inability to complete the ESWL procedure due to any reason after initiation.
  2. Non-compliance with the trial protocol by the patient.
  3. Voluntary withdrawal from the study. 5. Study Arms

    • Experimental: Pinaverium bromide (100mg tid) pre-/post-ESWL.
    • Control: Placebo controlled. 6. Primary Outcome Measures
    • Incidence and severity of post-p-ESWL pancreatitis (Atlanta 2012 criteria). 7. Secondary Outcome Measures
    • Abdominal pain (frequency, duration, scores).
    • Other complications (infection, bleeding, stone street).
    • Drug-related adverse events (e.g., diarrhea, rash). 8. Timeframe
    • Enrollment: April 2025-April 2027.
    • Completion: December 2027. 9. Contacts and Locations
    • Principal Investigator: [Yanqing Li]
    • Site: Qilu Hospital of Shandong University, China.
03

Conditions studied

  • Chronic Pancreatitis
  • Pancreatic Duct Stones

Browse trials for

Keywords

  • chronic pancreatitis
  • pancreatic duct stones
  • ESWL
  • Pinaverium bromide
  • Post-ESWL pancreatitis
04

Who can participate

Ages eligible
18 Years to 85 Years
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

  1. Gender is not limited, age range is 18-85 years old (inclusive);
  2. Perform P-ESWL treatment for painful chronic pancreatitis with positive pancreatic duct stones ≥ 5mm, mainly located in the head or body of the pancreas.

Exclusion criteria

Exclusion Criteria:

  1. Requiring repeat ESWL during the study period.
  2. Acute pancreatitis within 3 days prior to ESWL.
  3. Severe cardiac/pulmonary dysfunction precluding anesthesia tolerance.
  4. Advanced liver disease (e.g., liver failure, cirrhosis, ascites, abscess).
  5. Anticoagulant use within 3 days or coagulopathy.
  6. Suspected or confirmed pancreatic .
  7. Arteriosclerosis or aortic aneurysm along shockwave transmission path.
  8. Pregnancy or lactation.
  9. Known allergy to pinaverium bromide.
  10. Chronic pinaverium bromide use with \<3-day .
  11. Declined participation.
Terms in these criteria, in plain language(2)

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
288 participants (estimated)

Study arms

  • Experimental
    Pinaverium Bromide

    Preoperative, intraoperative, and postoperative oral administration of 100mg tid of povidone bromide in p-ESWL

    Drug: Pinaverium bromide

  • Placebo comparator
    Placebo

    Preoperative, intraoperative, and postoperative oral administration of 100mg tid of placebo in p-ESWL

    Drug: Placebo for control group

Interventions

  • Preoperative, intraoperative, and postoperative oral administration of 100mg povidonium bromide in P-ESWL

  • DrugPlacebo for control group

    Preoperative, intraoperative, and postoperative oral placebo 100mg for P-ESWL

06

What researchers measure

Primary outcomes

  1. Incidence and grading of pancreatitis after P-ESWL (mild, moderate, and severe)

    The definition of postoperative pancreatitis after P-ESWL is based on the 2012 Atlanta criteria. If at least two of the following three criteria are met, the diagnosis can be made: abdominal pain consistent with pancreatitis; Within 24 hours after surgery, amylase or lipase should be at least 3 times the normal upper limit; Imaging examination shows characteristic features of pancreatitis

    Time frame: 24-48 hours after pancreatic ESWL procedure

Secondary outcomes

  1. Incidence of abdominal painful after P-ESWL

    Using the Adult Abdominal Pain NRS Rating Scale (NRS) to record the post-ESWL painful.

    Time frame: 24-48 hours after pancreatic ESWL procedure

Other outcomes

  1. Incidence of other adverse events of p-ESWL

    Including bleeding, perforation, infection, steinstrasse. 1. Clinical evidence of bleeding Mild: hemoglobin drop \<3 g, no transfusion Moderate: Transfusion of ≤ 4 units, no angiographic intervention, or surgery Severe: Transfusion of≥ 5 units or intervention (angiographic or surgical) 2. Infection Mild: \> 38 °C for 24-48 hours Moderate:Requires \> 3 days of hospital treatment Severe: Abscess, septic shock, or intervention (percutaneous drainage or surgery) 3. Steinstrasse Mild: Severe abdominal pain without other post-ESWL complications Moderate: Combined with other complications, or requires \> 3 days of hospital treatment Severe: Combined with other complications; hospitalization for \> 10 days, or surgery 4. Perforation Mild: Possible, or very slight leak of fluid, treatable with fluids and suction for ≤3days Moderate: Any definite perforation treated medically for 4-10 days Severe: Medical treatment for \> 10 days or intervention (percutaneous or surgical)

    Time frame: 24-48 hours after pancreatic ESWL procedure

07

Study locations

1 site
  • Department of Gastroenterology, Qilu hospital of Shandong University
    Jinan, Wenhuaxi Road 107, China
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 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

Started Mar 2025 (actual). Primary completion is estimated for Dec 2027, 33 months after the start.

Of 46 non-industry interventional studies with no phase under Pancreatitis, Chronic, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 64. This study's planned 33 months is close to that.

Counting every sponsor, half of 49 studies reached it within 32 months; a quarter within 18 and three quarters within 64.

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

Registered
Mar 29, 2025
First posted
Apr 20, 2025
StartActual
Mar 1, 2025
Primary completionEst.
Dec 30, 2027
CompletionEst.
Dec 30, 2027
Last update
Apr 20, 2025
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 Apr 20, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06936800
Lead sponsor
Yanqing Li
Responsible party
Yanqing Li (Department of Gastroenterology, Qilu hospital of Shandong University, Shandong University) — Sponsor-investigator
First posted
Apr 20, 2025
Start date
Mar 1, 2025
Primary completion
Dec 30, 2027 (estimated)
Completion
Dec 30, 2027 (estimated)
Last update
Apr 20, 2025

Oversight

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

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