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Duodenum-preserving head resection versus pancreatico-duodenectomy for chronic pancreatitis of the head
ISRCTN ISRCTN38973832
ClinicalTrials.gov identifier
Public title Duodenum-preserving head resection versus pancreatico-duodenectomy for chronic pancreatitis of the head
Scientific title Duodenum-preserving head resection versus pancreatico-duodenectomy for chronic pancreatitis of the head: a randomised controlled multicentre trial
Acronym ChroPac
Serial number at source SDGC 01/2009
Study hypothesis The two-sided null-hypothesis states that both surgical interventions lead to the same average quality of life (QoL) scores during 24 months after surgery. The two-sided alternative-hypothesis states that the two interventions perform differently in terms of the primary efficacy endpoint.
Lay summary
Ethics approval Ethics Committee of the University of Heidelberg, approved on 20/04/2009 (ref: S-029/2009)
Study design Prospective randomised controlled observer and patient blinded multicentre surgical trial with two parallel study groups
Countries of recruitment Germany, Netherlands, Slovenia, United Kingdom
Disease/condition/study domain Chronic pancreatitis
Participants - inclusion criteria 1. Patients (no age or gender restrictions) with chronic pancreatitis of the head and pain, eligible for elective surgical resection
2. Ability of subject to understand character and individual consequences of the clinical trial
3. Written informed consent
Participants - exclusion criteria Participation in another intervention-trial with interference of intervention and outcome of this study
Anticipated start date 18/05/2009
Anticipated end date 30/06/2013
Status of trial Ongoing
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 200
Interventions Experimental intervention:
Any surgical technique that removes inflamed pancreatic tissue of the head without resection of the duodenum (e.g. Beger, Frey or Berne procedure).

Control intervention:
Pylorus preserving/classic Whipple procedure.
Primary outcome measure(s) Average QoL during 24 months after surgery, measured 6, 12 and 24 months after surgery by the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for Cancer patients (EORTC QLQ-C30) scale "physical functioning". The primary efficacy analysis will be conducted for the intention-to-treat population. An analysis of covariance (ANCOVA) model will be applied for the intervention group comparison adjusting for age, centre and EORTC QLQ-C30 scale "physical functioning" before surgery. The level of significance is set at 5% (two-sided) and sample size is determined to assure a power of 1-beta = 90%.
Secondary outcome measure(s) Exploratory analyses
Sources of funding German Research Council (Deutsche Forschungsgemeinschaft [DFG]) (Germany) (ref: ChroPac SE 1682/2-1)
Trial website
Publications 2010 protocol in http://www.ncbi.nlm.nih.gov/pubmed/20429912
Contact name Dr  Christoph  Seiler
  Address Im Neuenheimer Feld 110
  City/town Heidelberg
  Zip/Postcode 69120
  Country Germany
  Tel +49 (0)6221 56 6986
  Fax +49 (0)6221 56 6988
  Email Christoph.Seiler@med.uni-heidelberg.de
Sponsor Study Centre of the German Surgical Society (SDGC) (Germany)
  Address Klinik für Allgemein-, Viszeral- und Transplantationschirurgie
Universität Heidelberg
Im Neuenheimer Feld 110
  City/town Heidelberg
  Zip/Postcode 69120
  Country Germany
  Tel +49 (0)6221 56 6986
  Fax +49-(0)6221 56 6988
  Email Markus.Buechler@med.uni-heidelberg.de
  Sponsor website: http://www.klinikum.uni-heidelberg.de/Studienzentrum-der-Deutschen-Gesellschaft-fuer-Chirurgie-SDGC.6107.0.html
Date applied 21/04/2009
Last edited 29/07/2010
Date ISRCTN assigned 30/04/2009
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