Recruiting NA Pancreatic Fluid Collection

New treatment option for Pancreatic Fluid Collection

Official title Immediate Necrosectomy vs. Step-up Approach for Walled-off Necrosis

ClinicalTrials.gov ID: NCT05451901

What this study is testing

What it's testing
Walled-off necrosis (WON) is a pancreatic fluid collection, which contains necrotic tissue after four weeks of the onset of acute pancreatitis. Interventions are required to manage patients with infected WON, for which endoscopic ultrasonography (EUS)-guided drainage has become a first-line treatment modality.
  • Which group you join is decided by chance.

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 and older

You may be able to join if

  • Patients with WON defined according to the revised Atlanta classification
  • The longest diameter of WON is 4 cm or larger
  • Patients with at least one out of the following conditions; signs of infection, gastrointestinal symptoms, abdominal symptoms, obstructive jaundice
  • Patients who need drainage for WON
  • Age of 18 years or older

You likely can't join if

  • WON inaccessible by EUS-guided approach
  • AXIOS stent has already been placed into the WON prior to the enrollment
  • Severe coagulopathy; Platelet count \ 1.5
  • Patients on antithrombotic agents which cannot be managed according to the "guideline for gastroenterological endoscopy in patients undergoing...
  • Patients who cannot tolerate endoscopic procedures
  • Pregnant women
See the full eligibility criteria
Who can join
  • Patients with WON defined according to the revised Atlanta classification
  • The longest diameter of WON is 4 cm or larger
  • Patients with at least one out of the following conditions; signs of infection, gastrointestinal symptoms, abdominal symptoms, obstructive jaundice
  • Patients who need drainage for WON
  • Age of 18 years or older
  • Patients or their representatives provide informed consent
  • Patients who visit or are hospitalized at the participating institutions
What rules you out
  • WON inaccessible by EUS-guided approach
  • AXIOS stent has already been placed into the WON prior to the enrollment
  • Severe coagulopathy; Platelet count \ 1.5
  • Patients on antithrombotic agents which cannot be managed according to the "guideline for gastroenterological endoscopy in patients undergoing antithrombotic treatment (Dig Endosc. 2014 Jan;26(1):1-14.)"
  • Patients who cannot tolerate endoscopic procedures
  • Pregnant women
  • Patients considered inappropriate for inclusion by investigators

The study team makes the final eligibility decision.

Where it's taking place

  • Bunkyō-Ku, Tokyo, Japan
  • Aichi, Japan
  • Chiba, Japan
  • Gifu, Japan
  • Hyōgo, Japan
  • Kagawa, Japan
  • Kagoshima, Japan
  • Kamogawa, Japan
  • Kanazawa, Japan
  • Kawagoe, Japan
  • Kawasaki, Japan
  • Kobe, Japan
  • Okinawa, Japan
  • Osaka, Japan
  • Ōsaka-sayama, Japan
  • Sapporo, Japan
  • Tokyo, Japan
  • Toyama, Japan

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Bunkyō-Ku, Tokyo, Japan; Aichi, Japan; Chiba, Japan; Gifu, Japan; Hyōgo, Japan; Kagawa, Japan and 12 more location(s). Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.