E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Acute pancreatitis |
Pancreatitis aguda |
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E.1.1.1 | Medical condition in easily understood language |
Pancreatitis |
Pancreatitis |
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E.1.1.2 | Therapeutic area | Diseases [C] - Digestive System Diseases [C06] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Evaluate the efficacy of rectal indomethacin on attenuating systemis inflammation in patients with AP who also have SIRS |
Evaluar el efecto de la Indometacina administrada vía rectal en la inflamación sistémica medida por el cambio en la puntuación del Score de SRIS y en los niveles de PCR después de 48 horas de tratamiento en pacientes con PA y SRIS |
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E.2.2 | Secondary objectives of the trial |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patients ages 18 or above admitted to hospital with a diagnosis of Acute pancreatitis (AP) based on at least 2 of the followin criteria: (i)abdominal pain characteristic of AP; (ii) serum amylase and/or lipase>= 3 times the upper limit of normal; and/or (iii) characteristic findings of AP on abdominal CT scan .
Patients with SIRS (<= 2 of the following criteria: temperature <36ºC or >38ºC, heart rate >90/min, respiratory rate >20/min or PaCO2<32 mm Hg , WBC<4,000/mm3, >12,000/mm3 or >10% bands) upon hospital admission or who develop SIRS within 48 hrs of admission. |
Pacientes mayores de 18 años que acudan al hospital con diagnóstico de pancreatitis aguda basado en al menos 2 de los siguientes criterios: (i)Dolor abdominal característico de Pancreatitis aguada (AP); (ii) amilasa y/or lipasa>= 3 veces del límite superior de normalidad; y/o (iii) Hallazgos característicos de AP en las pruebas de imagen.
Pacientes con SIRS (<= 2 de los siguientes criterios: temperatura <36ºC o >38ºC, frcuencia cardiaca >90/min, frecuencia respiratoria >20/min or PaCO2<32 mm Hg , Leucocitos<4,000/mm3, >12,000/mm3 or >10%formas inmaduras) al ingreso o quienes lo desarrollen en las primeras 24 h |
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E.4 | Principal exclusion criteria |
More than 48 hrs since the onset of abdominal paien, absence of SIRS within 48 hrs of presentation, presence of OF, presence of renal dysfunction, active peptic ulcer disease, use of daily NSAIDs within 1 week of presentation and or allergy to NSAIDs. |
Mas de 48 horas desde el inicio del dolor abdominal, ausencia de SRIS en las primeras 48 horas, presencia de FO, presencia de fallo renal, úlcera peptica activa, uso diario de AINEs dentro de la primera semana de presentación del cuadro y/o alergia a los mismos. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Reduction in systemic inflammation as measured by change in the mean SIRS score prior to and at 48 hrs following initiation of the intervention. |
Reducción dela inflamación sistémica medida como un cambio en la media de la puntuación SRIS antes y a las 48 h del inicio del tratamiento |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 1 |