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Gut decontamination by rifaximin in patients with predicted severe acute pancreatitis

Impact of gut decontamination by rifaximin in patients with predicted severe acute pancreatitis: A pilot study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2021/11/037721
Enrollment
100
Registered
2021-11-01
Start date
Unknown
Completion date
Unknown
Last updated
2022-02-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K858- Other acute pancreatitis

Interventions

Intervention1: Standard therapy and Oral Rifaximin: Standard therapy and Oral Rifaximin( 550 mg BD) for 14 days Control Intervention1: Standard Therapy: Standard therapy for sever acute pancreatitis

Sponsors

Department of gastroenterology and heaptology
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Patients with a diagnosis of Predicted acute pancreatitis as per Atlanta classification presenting within seven days of pain onset Patients with a diagnosis of Predicted acute pancreatitis as per Atlanta classification presenting within seven days of pain onset Age >18 years With one of the following: 1.Predicted Severe acute pancreatitis indicated by 3 or more points according to Imrie score 2.Atlanta classifification 3.and/or CECT Abdomen findings of Balthazar grade D or E

Exclusion criteria

Exclusion criteria: 1.Previous history of allergy to Rifaximin 2.Patient with pancreatic malignancy 3.Postoperative pancreatitis after pancreatic surgery Bacteriologically proved infected necrosis at the time of randomization

Design outcomes

Primary

MeasureTime frame
1. Development of infection of pancreatic necrosis documented by : â?¢Presence of gas on CECT or â?¢by positive culture from fine needle aspiration(FNA) in peri-pancreatic collection or â?¢Clinical deterioration or fever(38.5oC or 100.3oF) in absence of other explainable cause of infection (ie Pulmonary, UTI or Line infections) 2. Mortality Timepoint: 1.Time of discharge 2.till 12 weeks

Secondary

MeasureTime frame
1.Duration of ICU or Hospital stay 2.Development of organ failure Timepoint: 1. At discharge

Countries

India

Contacts

Public ContactPreetam Nath

Kalinga institute of medical sciences

preetam.nath@kims.ac.in9438870743

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026