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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01798511
Registration number
NCT01798511
Ethics application status
Date submitted
13/02/2013
Date registered
26/02/2013
Date last updated
26/09/2019
Titles & IDs
Public title
Oral Refeeding IntOlerance After Nasogastric Tube Feeding (ORION)
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Scientific title
A Randomized Controlled Trial of Oral Refeeding Intolerance After Nasogastric Tube Feeding
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Secondary ID [1]
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13/NTA/9
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Universal Trial Number (UTN)
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Trial acronym
ORION
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acute Pancreatitis
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Surgery - Nasogastric Tube Feeding
Other interventions - Conventional Nutritonal Management
Experimental: Nasogastric Tube Feeding - Patients who are to have NTF will receive enteral nutrition within 6 hours after randomisation via a nasogastric tube placed into the stomach. A commercially available low fat semi-elemental feed (Peptisorb®, Nutricia Clinical NZ) will be used. The caloric target will be 2000 kcal per day. Enteral tube feeding will be commenced at a rate of 30 mL/h and increased gradually until 100 mL/h over 24-48 h.
Active comparator: Conventional Nutritional Management - Patients who are to have CNM will be on nil-by-mouth regimen until they either develop signs of severe AP (in which case enteral tube feeding will be introduced) or the signs of AP mitigate,in which case clear liquids (as tolerated) followed by oral food (as tolerated) will be introduced.
Treatment: Surgery: Nasogastric Tube Feeding
A nasogastric tube will be placed into the stomach of patients.
Other interventions: Conventional Nutritonal Management
Patients who are to have CNM will be on nil-by-mouth regimen until they either develop signs of severe AP (in which case nasojejunal tube feeding will be introduced) or the signs of AP mitigate (in which case clear liquids (as tolerated) followed by oral food (as tolerated) will be introduced)
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Intervention code [1]
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Treatment: Surgery
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Intervention code [2]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Incidence of oral food intolerance
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Assessment method [1]
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Timepoint [1]
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Participants will be followed for the duration of hospital stay, an expected average of 3 weeks
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Secondary outcome [1]
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Progression of severity
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Assessment method [1]
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Timepoint [1]
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Participants will be followed for the duration of hospital stay, an expected average of 3 weeks
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Secondary outcome [2]
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Pain relapse
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Assessment method [2]
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Timepoint [2]
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Participants will be followed for the duration of hospital stay, an expected average of 3 weeks
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Secondary outcome [3]
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Use of opioids
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Assessment method [3]
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Timepoint [3]
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Participants will be followed for the duration of hospital stay, an expected average of 3 weeks
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Secondary outcome [4]
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Duration of hospital stay
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Assessment method [4]
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Timepoint [4]
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Participants will be followed for the duration of hospital stay, an expected average of 3 weeks
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Eligibility
Key inclusion criteria
* Diagnosis of AP
* Age 18 years or older
* Written informed consent
* Ongoing need for opiates
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* 96 hours after onset of symptoms
* Chronic pancreatitis
* Post-ERCP pancreatitis
* Intraoperative diagnosis
* Pregnancy
* Malignancy
* Received nutrition before randomisation
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Withdrawn
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
1/04/2013
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/04/2020
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Actual
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Sample size
Target
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Auckland, New Zealand
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Acute pancreatitis (AP) is one of the most common diseases in routine clinical practice of surgeons and gastroenterologists throughout the world. The high rate of pain relapse after oral refeeding contributes to high consumption of healthcare resources and prolonged hospital stay in AP patients. The data from the pilot MIMOSA trial suggest that early administration of nasogastric tube feeding may prevent pain relapse after oral refeeding in AP. The potential beneficial effects of enteral tube feeding include induction of postprandial gastrointestinal motility and improving the tolerance of oral refeeding. This may reduce the risk of pain relapse, thereby shortening length of hospital stay and reducing cost of treatment. The primary endpoint of the ORION trial will be the incidence of oral food intolerance. All eligible AP patients will be randomly allocated to either the Early Nasogastric Tube (ENT) group or Conventional Nutritional Management group (CNM) at 24h of hospital admission.
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Trial website
https://clinicaltrials.gov/study/NCT01798511
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Max Petrov, MD, MPH, PhD
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Address
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University of Auckland, New Zealand
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Country
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Phone
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Fax
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Email
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Contact person for public queries
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Address
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Country
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01798511
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