Chronic pancreatitis and primary sclerosing cholangitis MedDRA version: 15.0 Level: PT Classification code 10033649 Term: Pancreatitis chronic System Organ Class: 10017947 - Gastrointestinal disorders MedDRA version: 15.0 Level: PT Classification code 10008609 Term: Cholangitis sclerosing System Organ Class: 10019805 - Hepatobiliary disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1 – male or female between 18 and 75 years at screening 2 – diagnosis of chronic pancreatitis or primary sclerosing cholangitis for at least 1 year 3 – written informed consent 4 – awareness of the protocol and willingness to adhere to protocol requests Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 140 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 60
Exclusion criteria
Exclusion criteria: Exclusion criteria 1 – acute pancreatitis at enrollement or needing of surgery 2 – acute cholangitis at enrollment or needing of surgery 3 – primary biliary cirrhosis 4 - Hyperthyroidism 5 – pregnancy and brestfeeding 6 – hypersensibility to fluimucil or its components 7 – peptic ulcers 8 – arterial hypertension 9 – laboratory findings at screening considered significantly abnormal from the physician 10 – withdraw of informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: a. Evaluate effect of NAC on quality of life of patients affected by chronic pancreatitis at EORTC-QLQ C30 and PAN28 questionnaire b. Evaluate effect of NAC on quality of life of patients affected by primary sclerosing cholangitis at EORTC-QLQ C30 and BIL21 questionnaire;Secondary Objective: A – evaluate effect of NAC on pancreatic function measured by blood, fecal , sweet, breath markers and correlate them to clinical outcome B – evaluate effect of NAC on hepatic cholestasis and necrosis evaluated by serum analisis and correlate them to clinical outcome C – evaluate effect of NAC in mucus composition, ROS production by lynphocytes;Primary end point(s): a. Evaluate effect of NAC on quality of life of patients affected by chronic pancreatitis at EORTC-QLQ C30 and PAN28 questionnaire b. Evaluate effect of NAC on quality of life of patients affected by primary sclerosing cholangitis at EORTC-QLQ C30 and BIL21 questionnaire;Timepoint(s) of evaluation of this end point: week 0/4/12/16 | — |
Secondary
| Measure | Time frame |
|---|---|
| Timepoint(s) of evaluation of this end point: week 0/4/12/16;Secondary end point(s): A - In patients with chronic pancreatitis,analize effect of NAC on pancreatic function evaluated by levels of amilases, lipases, fecal elastasis and mixed triglicerid breath test (MTG breath test) B – in patient wth primary sclerosing cholangitis, analize the effect of NAC by alchaline phosphatase, g-glutmil transpeptidase, alanin amino transferase C – efficacy of NAC in modulate electrolytes in sweet test D – evaluate whether sweet electrolytes modulation is associated to better clinical outcome E - Evaluate whether NAC modulates quality of pancreatic mucus F - Evaluate whether NAC modulate ROS in peripheral blood lynphocytes | — |
Countries
Italy
Contacts
Policlinico Gemelli