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Acute PancreatitisEFFORTNCT04761523

The Effect of Dietary Fat Content on the Recurrence of Pancreatitis

A study testing Dietary intervention: reduced fat diet and Dietary intervention: standard healthy diet in people with Acute Pancreatitis, run by University of Pecs at 1 site in Hungary.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This trial aims to test the effects of two different diets on the recurrence of acute pancreatitis, and acute pancreatitis associated mortality. Read more about this study

Who is it for?
Ages 14 years and older
Conditions the study is for
Acute Pancreatitis
What is being tested?
Dietary intervention: reduced fat diet and Dietary intervention: standard healthy diet
Could I receive a placebo?
No, everyone receives an active treatment
How many people
384 participants
Where
1 siteHungary
Study dates
1 May 2022to 31 Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 14 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Individuals with at least two episodes of acute pancreatitis in the 2 years preceding the inclusion with
  • The last episode being idiopathic, who are
  • Older than 14 years.

Who cannot join

  • Individuals already receiving regular nutritional guidance (with medical indication),
  • Individuals in critical condition or in terminal stage of cancer (with an expected survival <2 years) ,
  • Individuals undergoing treatment for active malignancy,
  • Individuals with uncontrolled diabetes mellitus (admitted lack of compliance with antidiabetic therapy / HbA1c >6.5% / indication of uncontrolled diabetes mellitus in last 24 months' anamnesis / newly discovered diabetes mellitus)
  • Individuals with known cholecystolithiasis
  • Individuals who are pregnant or nursing
Show all 9Show fewer
  • Individuals with a BMI < 18.5
  • Individuals who are regularly receiving systemic corticosteroids
  • Individuals consuming more alcohol than: 5 units per day or 15 units per week for men; 4 units per day or 8 units per week for women.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Péter Hegyi, MD, PhD, DSc contact

+36703751031

hegyi2009@gmail.com

Félix Márk Juhász, MD contact

+36203733370

flixjuhsz@gmail.com

Hungary1 site, 1 recruiting
  • Division of Pancreatic Diseases, Heart and Vascular Center, Semmelweis University

    Budapest

    Péter Hegyi, Prof.

    Recruiting

Other trials in Hungary

About this study

Official title: The Effect of Dietary Fat Content on the Recurrence of Pancreatitis (EFFORT): Protocol of a Multicentre Randomized Controlled Trial

This trial aims to test the effects of two different diets on the recurrence of acute pancreatitis, and acute pancreatitis associated mortality.

Read the detailed description

Around 20% of patients with acute pancreatitis (AP) will go on to have acute recurrent pancreatitis (ARP) and 10% progress to chronic pancreatitis (CP). While interventions to avoid recurrences exist for the two most common causes - removal of the cholecyst in the case of biliary, and alcohol seccation in the case of alcoholic - a method to prevent idiopathic pancreatitis is not yet known. Although none of the guidelines suggest the administration of low fat diet, it is recommended by physicians to all pancreatitis patients are. Our aim is to conduct a randomized controlled trial, to assess the problem of dietary fat reduction on the recurrence of acute pancreatitis Patients, who had at least two acute pancreatitis episodes in the preceding 2 year will be approached to participate in the study and to either to be randomized to the 'reduced fat diet' (15% fat, 65% carbohydrate, 20% protein) or to the 'standard healthy diet' (30% fat, 50% carbohydrate, 20% protein; based on WHO recommendations) group. During the 2 year long followup, participants will receive repeated dietary intervention at 3, 6, 12, 18, 24 months, they will completer food frequency questionnaires and their data regarding mortality, BMI, cardiovascular parameters and serum lipid values will be recorded The EFFORT trial will determine the effect of modified dietary fat content on the recurrence of AP, mortality, serum lipids and weight loss in idiopathic cases.

Being tested
Dietary intervention: reduced fat diet, Dietary intervention: standard healthy diet
Keywords
acute pancreatitis, dietary fat, low-fat diet, pancreatitis recurrence
Medical subject headings
Pancreatitis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Dietary intervention: reduced fat dietBehavioural

    Participants will receive a dietary intervention, and will be proposed to adhere to a diet with a 15% fat, 65% carbohydrate, 20% protein content.

  • Dietary intervention: standard healthy dietBehavioural

    Participants will receive a dietary intervention, and will be proposed to adhere to a diet with a 30% fat, 50% carbohydrate, 20% protein content.

Study groups in NCT04761523
Study groupRoleWhat they receive
Reduced fat armActive comparatorDaily calorie intake will be composed of 15% fat, 65% carbohydrates, 20% proteins
Receives: Behavioral: Dietary intervention: reduced fat diet
Standard healthy diet armActive comparatorDaily calorie intake will be composed of 30% fat, 50% carbohydrates and 20% proteins.
Receives: Behavioral: Dietary intervention: standard healthy diet

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Occurrence of recurrent acute pancreatitis and/or all-cause mortality

    The recurrence of acute pancreatitis (given as a rate of event) AND/OR all-cause mortality.

    Measured: Data will be recorded during the 3-6-12-18-24 months followup visits

Secondary outcomes (34)
  1. Proportion of pancreas specific mortality

    Mortality of a pancreatic cause

    Measured: Data will be recorded during the 3-6-12-18-24 months followup visits

  2. Proportion of cardiosvascular cause mortality

    Mortality of a cardiovascular cause.

    Measured: Data will be recorded during the 3-6-12-18-24 months followup visits

  3. Proportion of newly diagnosed chronic pancreatitis patients

    Newly diagnosed chronic pancreatitis.

    Measured: Data will be recorded during the 3-6-12-18-24 months followup visits

  4. Changes in BMI

    Changes in BMI compared to baseline both in total and percentage

    Measured: Data will be recorded az baseline, and during the 3-6-12-18-24 months followup visits

  5. Serum total cholesterol

    Serum total cholesterol absolute value

    Measured: Data will be recorded during the 3-6-12-18-24 months followup visits

  6. Change in serum total cholesterol

    Serum total cholesterol compared to baseline

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

  7. Serum triglyceride

    Serum triglyceride absolute value

    Measured: Data will be recorded during the 3-6-12-18-24 months followup visits

  8. Change in serum triglyceride

    Serum triglyceride compared to baseline

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

  9. Serum high density liporpotein(HDL)-cholesterol

    Serum high density liporpotein(HDL)-cholesterol absolute value

    Measured: Data will be recorded during the 3-6-12-18-24 months followup visits

  10. Change in serum high density liporpotein(HDL)-cholesterol

    Serum high density liporpotein(HDL)-cholesterol compared to baseline

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

  11. Serum low density liporpotein(LDL)-cholesterol

    Serum low density liporpotein(LDL)-cholesterol absolute value

    Measured: Data will be recorded during the 3-6-12-18-24 months followup visits

  12. Change in serum low density liporpotein(LDL)-cholesterol

    Serum low density liporpotein(LDL)-cholesterol compared to baseline

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

  13. Systolic blood pressure value

    Systolic blood pressure absolute value

    Measured: Data will be recorded during the 3-6-12-18-24 months followup visits

  14. Change in systolic blood pressure

    Systolic blood pressure compared to baseline

    Measured: Data will be recorded az baseline, and during the 3-6-12-18-24 months followup visits

  15. Diastolic blood pressure

    Diastolic blood pressure absolute value

    Measured: Data will be recorded during the 3-6-12-18-24 months followup visits

  16. Change in siastolic blood pressure

    Diastolic blood pressure compared to baseline

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

  17. Adherence to dietary recommendations as determined by the result of the food frequency questionnaire

    Adherence to dietary recommendations as determined by the result of the food frequency questionnaire

    Measured: Data will be recorded during the 3-6-12-18-24 months followup visits

  18. Adverse effects

    Adverse effects given as rate of events

    Measured: Data will be recorded during the 3-6-12-18-24 months followup visits

  19. Serum albumin value

    Serum albumin absolute value

    Measured: Data will be recorded during the 3-6-12-18-24 months followup visits

  20. Change in serum albumin value

    Serum albumin value compared to baseline

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

  21. Proportion of current smokers

    Current smoking at each visit

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

  22. Quality of life questionnaire on mobility, self-care, usual activities, pain/discomfort and anxiety/depression

    Quality of life assessed by the EQ-5D-5L questionnaire

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

  23. Muscle strength

    Muscle strength using a handgrip dynamometer

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

  24. Vitamin A value

    Vitamin A absolute value

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

  25. Change in vitamin A value

    Change in vitamin A value compared to baseline

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

  26. Vitamin D value

    Vitamin D absolute value

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

  27. Change in vitamin D value

    Change in vitamin D value compared to baseline

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

  28. Vitamin E value

    Vitamin E absolute value

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

  29. Change in vitamin E value

    Change in vitamin E value compared to baseline

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

  30. Vitamin K value

    Vitamin K absolute value

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

  31. Change in vitamin K value

    Change in vitamin K value compared to baseline

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

  32. Change in smoking

    Change in smoking compared to baseline

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

  33. Change in quality of life

    Change in quality of life assessed by the EQ-5D-5L questionnaire compared to baseline

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

  34. Change in muscle strength

    Change in muscle strength using a handgrip dynamometer compared to baseline

    Measured: Data will be recorded at baseline, and during the 3-6-12-18-24 months followup visits

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Feb 2021
  2. Study start1 May 2022
  3. Primary completion31 Dec 2024 (estimated)
  4. Study completion31 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Care provider, Outcomes assessor
Enrolment
384 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04761523
Sponsor's protocol ID
40304-11/2020/EÜIG
Acronym
EFFORT
Status last verified
Nov 2022
First submitted
15 Feb 2021
Last updated
15 Nov 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Spanier BW, Dijkgraaf MG, Bruno MJ. Epidemiology, aetiology and outcome of acute and chronic pancreatitis: An update. Best Pract Res Clin Gastroenterol. 2008;22(1):45-63. doi: 10.1016/j.bpg.2007.10.007.

    PubMed 18206812
  • Sankaran SJ, Xiao AY, Wu LM, Windsor JA, Forsmark CE, Petrov MS. Frequency of progression from acute to chronic pancreatitis and risk factors: a meta-analysis. Gastroenterology. 2015 Nov;149(6):1490-1500.e1. doi: 10.1053/j.gastro.2015.07.066. Epub 2015 Aug 20.

    PubMed 26299411
  • Working Group IAP/APA Acute Pancreatitis Guidelines. IAP/APA evidence-based guidelines for the management of acute pancreatitis. Pancreatology. 2013 Jul-Aug;13(4 Suppl 2):e1-15. doi: 10.1016/j.pan.2013.07.063.

    PubMed 24054878
  • Tenner S, Baillie J, DeWitt J, Vege SS; American College of Gastroenterology. American College of Gastroenterology guideline: management of acute pancreatitis. Am J Gastroenterol. 2013 Sep;108(9):1400-15; 1416. doi: 10.1038/ajg.2013.218. Epub 2013 Jul 30.

    PubMed 23896955
  • Crockett SD, Wani S, Gardner TB, Falck-Ytter Y, Barkun AN; American Gastroenterological Association Institute Clinical Guidelines Committee. American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis. Gastroenterology. 2018 Mar;154(4):1096-1101. doi: 10.1053/j.gastro.2018.01.032. Epub 2018 Feb 3. No abstract available.

    PubMed 29409760
  • Prizment AE, Jensen EH, Hopper AM, Virnig BA, Anderson KE. Risk factors for pancreatitis in older women: the Iowa Women's Health Study. Ann Epidemiol. 2015 Jul;25(7):544-8. doi: 10.1016/j.annepidem.2014.12.010. Epub 2015 Jan 7.

    PubMed 25656921
  • Setiawan VW, Pandol SJ, Porcel J, Wei PC, Wilkens LR, Le Marchand L, Pike MC, Monroe KR. Dietary Factors Reduce Risk of Acute Pancreatitis in a Large Multiethnic Cohort. Clin Gastroenterol Hepatol. 2017 Feb;15(2):257-265.e3. doi: 10.1016/j.cgh.2016.08.038. Epub 2016 Sep 5.

    PubMed 27609706
  • Oskarsson V, Sadr-Azodi O, Discacciati A, Orsini N, Wolk A. Overall diet quality and risk of recurrence and progression of non-gallstone-related acute pancreatitis: a prospective cohort study. Eur J Nutr. 2018 Oct;57(7):2537-2545. doi: 10.1007/s00394-017-1526-8. Epub 2017 Aug 30.

    PubMed 28856418
  • Cuevas A, Miquel JF, Reyes MS, Zanlungo S, Nervi F. Diet as a risk factor for cholesterol gallstone disease. J Am Coll Nutr. 2004 Jun;23(3):187-96. doi: 10.1080/07315724.2004.10719360.

    PubMed 15190042
  • Thomas T, Mah L, Barreto SG. Systematic review of diet in the pathogenesis of acute pancreatitis: a tale of too much or too little? Saudi J Gastroenterol. 2012 Sep-Oct;18(5):310-5. doi: 10.4103/1319-3767.101124.

    PubMed 23006458
  • Lindkvist B, Appelros S, Regner S, Manjer J. A prospective cohort study on risk of acute pancreatitis related to serum triglycerides, cholesterol and fasting glucose. Pancreatology. 2012 Jul-Aug;12(4):317-24. doi: 10.1016/j.pan.2012.05.002. Epub 2012 May 10.

    PubMed 22898632
  • Cappell MS. Acute pancreatitis: etiology, clinical presentation, diagnosis, and therapy. Med Clin North Am. 2008 Jul;92(4):889-923, ix-x. doi: 10.1016/j.mcna.2008.04.013.

    PubMed 18570947
  • Biczo G, Vegh ET, Shalbueva N, Mareninova OA, Elperin J, Lotshaw E, Gretler S, Lugea A, Malla SR, Dawson D, Ruchala P, Whitelegge J, French SW, Wen L, Husain SZ, Gorelick FS, Hegyi P, Rakonczay Z Jr, Gukovsky I, Gukovskaya AS. Mitochondrial Dysfunction, Through Impaired Autophagy, Leads to Endoplasmic Reticulum Stress, Deregulated Lipid Metabolism, and Pancreatitis in Animal Models. Gastroenterology. 2018 Feb;154(3):689-703. doi: 10.1053/j.gastro.2017.10.012. Epub 2017 Oct 23.

    PubMed 29074451
  • Zhang X, Cui Y, Fang L, Li F. Chronic high-fat diets induce oxide injuries and fibrogenesis of pancreatic cells in rats. Pancreas. 2008 Oct;37(3):e31-8. doi: 10.1097/MPA.0b013e3181744b50.

    PubMed 18815536
  • Czako L, Szabolcs A, Vajda A, Csati S, Venglovecz V, Rakonczay Z Jr, Hegyi P, Tiszlavicz L, Csont T, Posa A, Berko A, Varga C, Varga Ilona S, Boros I, Lonovics J. Hyperlipidemia induced by a cholesterol-rich diet aggravates necrotizing pancreatitis in rats. Eur J Pharmacol. 2007 Oct 15;572(1):74-81. doi: 10.1016/j.ejphar.2007.05.064. Epub 2007 Jun 13.

    PubMed 17628538

Questions about this trial

What is this clinical trial studying?

A study testing Dietary intervention: reduced fat diet and Dietary intervention: standard healthy diet in people with Acute Pancreatitis, run by University of Pecs at 1 site in Hungary.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 15 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Hungary. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Péter Hegyi, MD, PhD, DSc (+36703751031, hegyi2009@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Occurrence of recurrent acute pancreatitis and/or all-cause mortality (time frame: Data will be recorded during the 3-6-12-18-24 months followup visits). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04761523, which also lists 26 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Nov 2022.

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