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Acute Pancreatitis Due to GallstonesPhase 3OSOPOLARNCT04924868

Ursodeoxycolic Acid for the Prevention of Relapsing Complications After Gallstone Acute Pancreatitis

A Phase 3 study testing Ursodeoxycholic Acid in people with Acute Pancreatitis Due to Gallstones, run by Hospital General Universitario de Alicante at 18 sites in Spain.

Recruiting

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

Sites and contacts
Official record
Search all trials

Trial summary

Acute pancreatitis is a common disease (3rd cause of hospital admission for digestive causes), which is associated with significant patient suffering, a 2-4% probability of death and considerable healthcare costs. Sixty percent of acute pancreatitis are due to the presence of stones in the gallbladder. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Acute Pancreatitis Due to Gallstones
What is being tested?
Ursodeoxycholic Acid
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
332 participants
Where
18 sitesSpain
Study dates
10 Nov 2021to 1 Jul 2027
Phase
Phase 3
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18 years old or older
  • Hospital admission due to acute pancreatitis (definition: at least 2 of the following criteria: A) Typical pancreatitis pain, B) Amylase and/or lipase higher than 3 times the upper level of normality, C) Imaging compatible with acute pancreatitis
  • Presence of gallstones according to any imaging technique
  • Patient informed consent

Who cannot join

  • Cholecystectomy and/or endoscopic retrograde cholangio-pancreatography and / or endoscopic cholecystostomy prior to recruitment
  • Recurrent acute pancreatitis (1 or more previous episodes of pancreatitis of any origin)
  • Current waiting list for cholecystectomy for acute biliary pancreatitis at that center less than 30 days
  • Randomization more than 3 days after hospital discharge for acute pancreatitis
  • Ursodeoxycholic acid (UDCA) consumption in the last 5 years or previous UDCA failure to dissolve lithiasis
  • Allergy, intolerance or presence of contraindications to UDCA (contraindicated in patients with active gastric or duodenal ulcer, liver or intestinal disorders that interfere with the enterohepatic circulation of bile salts and lactation)
Show all 15Show fewer
  • Presence of choledocholithiasis diagnosed by imaging tests prior to randomization
  • Active alcoholism greater than or equal to 5 daily alcoholic drinks in men or 3 in women or high clinical suspicion of clinically significant alcoholism
  • Recent history of significant therapeutic non-compliance or social problem that makes follow-up difficult
  • Hypertriglyceridemia greater than 400 mg / dL during admission or history of poorly controlled severe hypertriglyceridemia
  • Chronic pancreatitis (pancreatic calcifications and / or Wirsung duct 4 or more mm)
  • Pancreatic cystic lesions not attributed to the pancreatitis itself
  • Wirsung duct stenosis
  • Primary hyperparathyroidism
  • Pregnancy

Trial locations and contacts

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

18 sites in 1 country

Spain18 sites, 18 recruiting
  • Hospital General Universitario de Alicante

    Alicante, Alicante, 03010

    Alicia Vaillo, 0034 661302932, vailloalicia@gmail.com

    Enrique de Madaria, Medicine

    Recruiting
  • Hospital Clínico Universitario de Valencia

    Alicante, Valencia, 46010

    Isabel Pascual Moreno, Medicine, isabel.pascual-moreno@uv.es

    Isabel Pascual Moreno, Medicine

    Recruiting
  • Hospital Univerisitario Vall D´Hebron

    Barcelona, Barcelona, 08035

    Francesc Xa Molero Richard, Medicine, xavier.molero@vhir.org

    Francesc Xa Molero Richard, Medicine

    Not yet recruiting
  • Hospital Universitario de Cruces

    Bilbao, Vizcaya, 48903

    Emma Martínez Moneo, EMMA.MARTINEZMONEO@osakidetza.eus

    Emma Martínez Moneo, Medicine

    Recruiting
  • Hospital General Universitario de Elche

    Elche, Alicante, 03203

    Irene Pascual Sánchez, irenepascuals@gmail.com

    Irene Pascual Sánchez, Medicine

    Not yet recruiting
  • Hospital Clínio San Cecilio

    Granada, Granada, 18016

    Antonio M Caballero, Medicine, ogy1492@hotmail.com

    Antonio M Caballero, Medicine

    Not yet recruiting
  • Hospital de Bellvitge

    L'Hospitalet de Llobregat, Barcelona, 08907

    Silvia Salord Vila, Medicine, ssalord@bellvitgehospital.cat

    Silvia Salord Vila, Medicine

    Not yet recruiting
  • Hospital Ramon y Cajal

    Madrid, Madrid

    Ana García García De Paredes, Medicine, anaggparedes@gmail.com

    Ana García García de Paredes

    Recruiting
  • Hospital Costa del Sol,

    Marbella, Málaga, 29603

    Robin Rivera Irigoin, Medicine, robinriverai@yahoo.es

    Robin Rivera Irigoin, Medicine

    Recruiting
  • Complejo Hospitalario de Ourense

    Ourense, Ourense, 32005

    Maria Francisco González, mariamedico@hotmail.com

    Maria Francisco González, Medicine

    Not yet recruiting
  • Hospital Universitario Central de Asturias.

    Oviedo, Principality of Asturias, 33011

    Maria Eu Lauret Braña, meugelb@hotmail.com

    Maria Eu Lauret Braña, Medicine

    Recruiting
  • Clinica Unversidad de Navarra

    Pamplona, Navarre, 31008

    Cristina Carretero Ribón, Medicine, ccarretero@unav.es

    Cristina Carretero Ribón, Medicine

    Recruiting
  • Consorci Corporació Sanitària Parc Taulí de Sabadell

    Sabadell, Barcelona, 08208

    Laura Pa Llovet Soto, Medicine, laura.llovet@gmail.com

    Laura Pa Llovet Soto, Medicine

    Not yet recruiting
  • Hospital Universitario Marqués de Valdecilla

    Santander, Cantabria, 39008

    Claudia Sánchez Marín, claudiasanchez370@gmail.com

    Claudia Sánchez Marín, Medicine

    Not yet recruiting
  • Hospital Clínico Universitario de Santiago

    Santiago de Compostela, A coruña, 15706

    Juan En Domínguez Muñoz, Medicine, juanenrique.dominguez@usc.es

    Juan En Domínguez Muñoz

    Not yet recruiting
  • Hospital Clínico Universitario de Valladolid

    Valladolid, Valladolid, 47003

    Maria Lo Ruíz Rebollo, 983 42 00 00, mlruizr@saludcastillayleon.es

    Maria Lo Ruíz Rebollo

    Recruiting
  • Hospital Clínico Lozano Blesa

    Zaragoza, Zaragoza, 50009

    Guillermo García Rayado, Medicine, guillermogarcia7@hotmail.com

    Guillermo García Rayado, Medicine

    Recruiting
  • Hospital Universitario Miguel Servet

    Zaragoza, Zaragoza, 50009

    Vanesa Bernal Monterde, vbernalm@gmail.com

    Vanesa Bernal Monterde, Medicine

    Not yet recruiting

Other trials in Spain

About this study

Official title: Ursodeoxycolic Acid for the Prevention of Relapsing Complications After Gallstone Acute Pancreatitis, a Double-blind Multicenter Randomized-controlled Trial. OSOPOLAR Trial

Acute pancreatitis is a common disease (3rd cause of hospital admission for digestive causes), which is associated with significant patient suffering, a 2-4% probability of death and considerable healthcare costs. Sixty percent of acute pancreatitis are due to the presence of stones in the gallbladder. The risk of suffering another acute biliary pancreatitis (ABP, that is to say, pancreatitis due to gallstones) or of other biliary complications in the following weeks or months is high (20% or greater) if measures are not taken to avoid it, being surgical removal of the gallbladder the most effective. Unfortunately, most Spanish centers have a surgical waiting list that makes gallbladder surgery unfeasible in a period of less than weeks or months, which is why readmission for biliary problems derived from the stones is a common problem. This, of course, causes danger and great stress and anger for patients affected by these complications on the waiting list, damaging their relationship with the health system and it is linked to increased cost. In addition, there is a very vulnerable group, those patients who due to age or serious diseases cannot undergo gallbladder surgery but have a high probability of suffering biliary problems due to the stones they have.

Ursodeoxycholic acid (UDCA) is very safe drug which is used to dissolve gallstones, but its role in preventing biliary complications after ABP has not been studied adequately so it is not frequently used. Our objective is to investigate if UDCA is useful in this scenario, which would avoid suffering and adverse consequences for the patient and reduce the consumption of resources.

Being tested
Ursodeoxycholic Acid, Placebo
Keywords
Acute pancreatitis, Gallstones, Ursodeoxycholic Acid, Randomized Controlled Trial
Medical subject headings
Pancreatitis, Gallstones

What participants receive

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

  • Ursodeoxycholic AcidDrug

    Ursodeoxycholic Acid will be administered to patients in the UDCA group as a prophylactic measure of future complications associated to gallstones

  • PlaceboDrug

    Placebo: composition per 100g: colloidal silica 1.95g and cellulose microcrystalline 98.05g.

Study groups in NCT04924868
Study groupRoleWhat they receive
UDCA (Ursodeoxycholic Acid) groupActive comparatorPatients receiving Ursodeoxycholic Acid, capsules containing 300 mg, 10 mg/Kg per day: Patients 40 to 70 kg: 2 capsules/day >70 to 100 Kg: 3 capsules/day >100 kg: 4 capsules/day
Receives: Drug: Ursodeoxycholic Acid
Placebo groupPlacebo comparatorCapsules containing placebo, indistinguishable from active treatment.
Receives: Drug: Placebo

What is being measured

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

  1. Complication due to gallstones

    Composite endpoint: incidence of any of the following: acute pancreatitis, acute cholangitis, acute cholecystitis, biliary colic (with or without choledocholithiasis) Definitions are provided in "Secondary Outcome Measures"

    Measured: From recruitment to cholecystectomy or up to 1 year after recruitment if cholecystectomy is not performed

Secondary outcomes (17)
  1. Relapse of acute pancreatitis

    New episode of acute pancreatitis after recruitment Definition of acute pancreatitis (revised Atlanta classification): 2 or more of the following criteria: A) Typical pancreatitis pain, B) Amylase and/or lipase higher than 3 times the upper level of normality, C) Imaging compatible with acute pancreatitis

    Measured: From recruitment to cholecystectomy or up to 1 year after recruitment if cholecystectomy is not performed

  2. Incidence of acute cholangitis

    Acute cholangitis after recruitment

    Acute cholangitis definition (Tokyo 2018 guidelines):

    1. Systemic inflammation: A-1. Fever and/or shaking chills; A-2. Laboratory data: evidence of inflammatory response B. Cholestasis: B-1. Jaundice; B-2. Laboratory data: abnormal liver function tests C. Imaging: C-1. Biliary dilatation; C-2. Evidence of the etiology on imaging (stricture, stone, stent etc.) Suspected diagnosis: one item in A + one item in either B or C Definite diagnosis: one item in A, one item in B and one item in C

    Measured: From recruitment to cholecystectomy or up to 1 year after recruitment if cholecystectomy is not performed

  3. Incidence of acute cholecystitis

    Acute cholecystitis after recruitment

    Acute cholecystitis definition (Tokyo 2018 guidelines):

    1. Local signs of inflammation: (1) Murphy's sign, (2) RUQ mass/pain/tenderness B. Systemic signs of inflammation: (1) Fever, (2) elevated CRP, (3) elevated WBC count C. Imaging findings: Imaging findings characteristic of acute cholecystitis Suspected diagnosis: one item in A + one item in B Definite diagnosis: one item in A + one item in B + C

    Measured: From recruitment to cholecystectomy or up to 1 year after recruitment if cholecystectomy is not performed

  4. Incidence of biliary colic, with or without choledocholithiasis

    Biliary colic after recruitment Biliary colic definition: typical biliary colic pain. Choledocholithiasis: presence of stones or biliary sludge in the common bile duct according to imaging or endoscopic retrograde cholangio-pancreatography

    Measured: From recruitment to cholecystectomy or up to 1 year after recruitment if cholecystectomy is not performed

  5. Effectiveness of ursodeoxycholic acid in treating gallstones

    Decrease or elimination of gallstones according to ultrasonography

    Measured: Abdominal ultrasonography will be performed at 6 and 12 months after recruitment unless cholecystectomy is performed

  6. EORTC-QLQ C30 questionnaire

    EORTC-QLQ C30 questionnaire as a measure of Quality of Life

    Measured: Measurement at 1, 3, 6, 9 and 12 months after recruitment

  7. Hospital stay during follow-up

    Number of days admitted due to symptomatic gallstone disease

    Measured: From recruitment to cholecystectomy or up to 1 year after recruitment if cholecystectomy is not performed

  8. Intensive care unit stay during follow-up

    Number of days admitted in the intensive care unit due to symptomatic gallstone disease

    Measured: From recruitment to cholecystectomy or up to 1 year after recruitment if cholecystectomy is not performed

  9. Adverse events

    Adverse events due to ursodeoxycolic acid or placebo

    Measured: From recruitment to cholecystectomy or up to 1 year after recruitment if cholecystectomy is not performed

  10. Number of visits to emergency room or hospital admissions due to symptomatic gallstone disease

    Number of visits to emergency room or hospital admissions due to symptomatic gallstone disease

    Measured: From recruitment to cholecystectomy or up to 1 year after recruitment if cholecystectomy is not performed

  11. Need for endoscopic retrograde cholangio-pancreatography (ERCP) during follow-up

    Need for ERCP due to choledocholithiasis or acute cholangitis

    Measured: From recruitment to cholecystectomy or up to 1 year after recruitment if cholecystectomy is not performed

  12. Need for gallbladder endoscopic or percutaneous drainage during follow-up

    Need for gallbladder endoscopic or percutaneous drainage due to acute cholecystitis or cholangitis

    Measured: From recruitment to cholecystectomy or up to 1 year after recruitment if cholecystectomy is not performed

  13. Need for drainage of collections and abscesses

    Need for drainage of collections and abscesses (liver abscess, symtomatic pancreatic or peripancreatic collections not related to the index acute pancreatitis)

    Measured: From recruitment to cholecystectomy or up to 1 year after recruitment if cholecystectomy is not performed

  14. Incidence of organ failure during follow-up

    Organ failure definition (revised Atlanta classification): PaO2/FIO2<300, Creatinine >=1.9 mg/dl and/or systolic blood pressure <90mmHg despite fluid resuscitation

    Measured: From recruitment to cholecystectomy or up to 1 year after recruitment if cholecystectomy is not performed

  15. Mortality

    Death during follow-up

    Measured: From recruitment to cholecystectomy or up to 1 year after recruitment if cholecystectomy is not performed

  16. Need for urgent cholecystectomy

    Need for urgent cholecystectomy for acute gallbladder complication, mainly acute cholecystitis

    Measured: From recruitment to cholecystectomy or up to 1 year after recruitment if cholecystectomy is not performed

  17. Need for surgical necrosectomy

    Need for surgical necrosectomy, mainly after infection of pancreatic necrosis (not related to the index acute pancreatitis)

    Measured: From recruitment to cholecystectomy or up to 1 year after recruitment if cholecystectomy is not performed

Timeline

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

  1. First posted14 Jun 2021
  2. Study start10 Nov 2021
  3. Primary completion1 Jul 2027 (estimated)
  4. Study completion1 Jul 2027 (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 3
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
332 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04924868
Sponsor's protocol ID
2020/159
Other IDs
2020-005901-16
Acronym
OSOPOLAR
Status last verified
Mar 2025
First submitted
8 Jun 2021
Last updated
20 Mar 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ursodeoxycholic Acid in people with Acute Pancreatitis Due to Gallstones, run by Hospital General Universitario de Alicante at 18 sites in Spain.

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 4 inclusion and 15 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 20 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 18 sites in Spain. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

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 Alicia Vaillo ((+34) 661302932, vailloalicia@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Complication due to gallstones (time frame: From recruitment to cholecystectomy or up to 1 year after recruitment if cholecystectomy is not performed). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 20 Mar 2025.

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