Trial Outcomes & Findings for Endoscopic Botulinum Toxin Injection in the Prevention of Postoperative Pancreatic Fistula Following Distal Pancreatectomy (NCT NCT04965311)

NCT ID: NCT04965311

Last Updated: 2025-05-13

Results Overview

Defined by standard biochemical definitions of POPF per the International Study Group of Pancreatic Fistula (ISGPF) criteria.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

4 participants

Primary outcome timeframe

Up to postoperative day 30

Results posted on

2025-05-13

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment of POPF (Botulinum Toxin Type A)
Patients receive botulinum toxin type A via endoscopic injection into intraduodenal sphincter of Oddi segment between 7-14 days prior to planned distal pancreas resection. Botulinum Toxin Type A: Given via endoscopic injection into intraduodenal sphincter of Oddi segment
Overall Study
STARTED
4
Overall Study
COMPLETED
4
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Endoscopic Botulinum Toxin Injection in the Prevention of Postoperative Pancreatic Fistula Following Distal Pancreatectomy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment of POPF (Botulinum Toxin Type A)
n=4 Participants
Patients receive botulinum toxin type A via endoscopic injection into intraduodenal sphincter of Oddi segment between 7-14 days prior to planned distal pancreas resection. Botulinum Toxin Type A: Given via endoscopic injection into intraduodenal sphincter of Oddi segment
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=99 Participants
Age, Categorical
>=65 years
1 Participants
n=99 Participants
Age, Continuous
58.75 years
n=99 Participants
Sex: Female, Male
Female
3 Participants
n=99 Participants
Sex: Female, Male
Male
1 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
Race (NIH/OMB)
White
3 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Region of Enrollment
United States
4 participants
n=99 Participants

PRIMARY outcome

Timeframe: Up to postoperative day 30

Defined by standard biochemical definitions of POPF per the International Study Group of Pancreatic Fistula (ISGPF) criteria.

Outcome measures

Outcome measures
Measure
Treatment of POPF (Botulinum Toxin Type A)
n=4 Participants
Patients receive botulinum toxin type A via endoscopic injection into intraduodenal sphincter of Oddi segment between 7-14 days prior to planned distal pancreas resection. Botulinum Toxin Type A: Given via endoscopic injection into intraduodenal sphincter of Oddi segment
Number of Participants With Clinically Relevant Postoperative Pancreatic Fistula (POPF)
0 Participants

SECONDARY outcome

Timeframe: Prior to surgery up to 30 days post surgery (up to 3 months)

Using the safety analysis set, the rate of serious adverse events following endoscopic BTX injection into the sphincter of Oddi as a single agent will be determined for participants undergoing distal pancreas resections. The 95% confidence interval will be reported with the point estimate of serious adverse events (SAE) rate.

Outcome measures

Outcome measures
Measure
Treatment of POPF (Botulinum Toxin Type A)
n=4 Participants
Patients receive botulinum toxin type A via endoscopic injection into intraduodenal sphincter of Oddi segment between 7-14 days prior to planned distal pancreas resection. Botulinum Toxin Type A: Given via endoscopic injection into intraduodenal sphincter of Oddi segment
Rate of Serious Adverse Event
1 Participants

SECONDARY outcome

Timeframe: Prior to surgery up to 30 days post surgery (up to 3 months)

Outcome measures

Outcome measures
Measure
Treatment of POPF (Botulinum Toxin Type A)
n=4 Participants
Patients receive botulinum toxin type A via endoscopic injection into intraduodenal sphincter of Oddi segment between 7-14 days prior to planned distal pancreas resection. Botulinum Toxin Type A: Given via endoscopic injection into intraduodenal sphincter of Oddi segment
Number of Participants With Any POPF
0 Participants

Adverse Events

Treatment of POPF (Botulinum Toxin Type A)

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Treatment of POPF (Botulinum Toxin Type A)
n=4 participants at risk
Patients receive botulinum toxin type A via endoscopic injection into intraduodenal sphincter of Oddi segment between 7-14 days prior to planned distal pancreas resection. Botulinum Toxin Type A: Given via endoscopic injection into intraduodenal sphincter of Oddi segment
Renal and urinary disorders
Inpatient Hospitalization
25.0%
1/4 • Number of events 1 • Prior to surgery up to 30 days post surgery

Other adverse events

Adverse event data not reported

Additional Information

Dr. Brett Sheppard

OHSU Knight Cancer Institute

Phone: 503-494-9169

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place