The purpose of this clinical trial is to evaluate the clinical efficacy and safety of a capsule containing enteric-coated porcine pancreatin microfilm tablets in comparison with placebo in the treatment of pancreatic exocrine insufficiency due to chronic pancreatitis. MedDRA version: 7.0 Level: LLT Classification code 10033622
Conditions
Interventions
Trade Name: Panzytrat 25.000
Product Name: Panzytrat 25.000
Product Code: Pancreatin
Pharmaceutical Form: Capsule*
INN or Proposed INN: Pancreatin
Concentration unit: IU international unit(s)
Concentr
Sponsors
Axcan Pharma S.A.
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients must meet ALL of the following criteria: 1. Male or female, Caucasian, aged 18-75 years. A female of childbearing potential may be enrolled, provided she has a negative pregnancy test at Screening and is routinely using adequate contraception prior to and during the trial and agrees not to attempt to become pregnant during the trial. A female of non-childbearing potential will be defined as one who has been postmenopausal for at least one year or has been surgically sterilised at least three months prior to the start of the trial or had a hysterectomy. 2. Chronic pancreatitis documented by a score of 4 or more added-up using the following scoring system (modified according to Layer et al (1994) : 4 pancreatic calcification documented by any imaging procedure; 4 typical histological changes; 3 characteristic findings on endoscopic retrograde cholangiopancreatography (ERCP) or endosonography. 2 pancreatic exocrine insufficiency (steatorrhoea by abnormal qualitative or quantitative faecal fat excretion >7 g/day or abnormal direct function test result (secretin-pancreozymin or cholecystokinin test) or pancreolauryl test = 20% or faecal elastase: one test result =65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Selected patients must not meet any of the following exclusion criteria: 1. Patients with acute pancreatitis or with an acute attack of chronic pancreatitis at Screening or within the last two weeks before Screening. 2. Any malignant tumour, e.g., pancreatic carcinoma or recurrence of a malignant tumour within the last 5 years. 3. Any obstructive disease of the biliary tract (e.g., obstructive icterus). 4. Resection of the head of the pancreas or gastric resection of any operation which destroyed the physiological gastrointestinal junction. 5. Other causes for exocrine pancreatic insufficiency than chronic pancreatitis, e.g., cystic fibrosis, primary sclerosing cholangitis, haemochromatosis, isolated enzyme deficiency, deficiency in activation of enzymes in the small intestine. 6. Inflammatory disease of the intestine. 7. History of strictures in the gastrointestinal tract. 8. Peptic ulcer or gastrointestinal bleeding within the last 12 months. 9. Patients with ASAT/SGOT and/or ALAT/SGPT greater than three times the upper limit of the laboratory reference range or any clinically significant laboratory abnormality that in the opinion of the investigator would interfere with the conduct of the study. 10. Patients with a history or clinical evidence of any relevant cardiac, cardio- or cerebrovascular, renal, pulmonary, endocrine, neurologic, infectious, other gastrointestinal, haematological, oncological or psychiatric disease or emotional problems, which, in the opinion of the investigator, would pose a significant risk for the patient, invalidate the giving of Informed Consent or limit the ability of the patients to comply with study requirements or interfere otherwise with the conduct of the study. The same applies for immunocompromised patients and/or neutropenic patients. 11. Patients with a known hypersensitivity and/or contraindication to pork or porcine pancreatin or other components of the study medication or other cross-allergies. 12. INR = 1.7 13. Bilirubin = 34 µmol/L 14. Albumin = 35 g/L 15. Patients unwilling or unable to tolerate discontinuation of their previous pancreatic enzyme substitution (see Section 4.6 Prior and Concomitant Therapy). 16. Patients who have donated 450 mL or more blood during the last three months before Screening. 17. Patients who have received an investigational drug within 30 days prior to entering the active treatment phase. 18. Patients who are unwilling or unable to provide informed Consent or to participate satisfactorily for the entire trial period. 19. Patients admitting to alcohol abuse within 6 months of the screening date or with a positive alcohol breath test at Screening.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary objective is to evaluate the difference between 13C-exhalation (in terms of cumulative percentage of 13C-dose exhaled per hour after six hours starting with the end of the test meal) as a marker of lipid digestion and absorption during treatment with Panzytrat 25.000 and placebo.;Secondary Objective: The trial has the following secondary objectives: - to evaluate the difference between 13C-exhalation (in terms of cumulative percentage of 13C-dose exhaled per hour in 1h-intervals, for eight hours) during treatment with Panzytrat 25.000 and placebo - to evaluate the difference between the maximum percentages of 13C-dose exhaled per hour within eight hours during treatment with Panzytrat 25.000 and placebo - to assess the safety and tolerability of trial medication versus placebo using the following safety parameters, vital signs, physical examinations, ECG, number of patients inside and outside the normal ranges of laboratory parameters, and incidence and type of adverse events. ;Primary end point(s): The primary objective is to evaluate the difference between 13C-exhalation (in terms of cumulative percentage of 13C-dose exhaled per hour after six hours starting with the end of the test meal) as a marker of lipid digestion and absorption during treatment with Panzytrat 25.000 and placebo. | — |
Countries
Germany
Outcome results
None listed