The Pancreatic Enzymes after Gastrectomy Trial

2022-501944-14-00 Protocol PANEM Therapeutic confirmatory (Phase III) Ongoing, recruiting

Start 2 Oct 2023 · Status Ongoing, recruiting · 1 EU/EEA countries · 12 sites · Protocol PANEM

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruiting
Participants planned 188
Countries 1
Sites 12

Patients after gastrectomy (total and partial)

Can enzyme supplementation with every meal after gastrectomy lead to improved disease specific quality of life at 6 months after gastrectomy?

Key facts

Sponsor
University of Leipzig
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Digestive System Diseases [C06]
Trial duration
2 Oct 2023 → ongoing
Decision date (initial)
2023-04-24
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

Can enzyme supplementation with every meal after gastrectomy lead to improved disease specific quality of life at 6 months after gastrectomy?

Conditions and MedDRA coding

Patients after gastrectomy (total and partial)

VersionLevelCodeTermSystem organ class
20.0 PT 10061965 Gastrectomy 100000004865

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. • Gastrectomy (total and partial) • Age 18 or older

Exclusion criteria 1

  1. • Indication for pancreas enzyme therapy • Gastrectomy with palliative intention • UICC (Union for International Cancer Control) Stage IV gastric malignancy • Malnutrition of other aetiology • Life expectancy < 12 months • Known lactose intolerance • Known hereditary galactose intolerance • Patients on alpha-glucosidase inhibitors (AGIs) • Acute pancreatitis • Acute episode of chronic pancreatitis • Known hypersensitivity to moulds (mould allergy) or any other ingredient of NORTASE®

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Disease specific quality of life (QOL) at 6 months according to the physical sub-score of the EORTC-QLQ-C30

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Nortase®

PRD2642815 · Product

Active substance
Amylase
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
15 Other
Max total dose
2700 Other
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
A09AA02 — MULTIENZYMES (LIPASE, PROTEASE ETC.)
Marketing authorisation
7736.00.00
MA holder
REPHA GMBH BIOLOGISCHE ARZNEIMITTEL
MA country
Germany
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
For blinding, study specific secondary packaging and labelling will be performed.

Placebo 1

Placebo to Test

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

University of Leipzig

Sponsor organisation
University of Leipzig
Address
Ritterstraße 26, Zentrum Zentrum
City
Leipzig
Postcode
04109
Country
Germany

Scientific contact point

Organisation
University of Leipzig
Contact name
legal representative

Public contact point

Organisation
University of Leipzig
Contact name
legal representative

Locations

1 EU/EEA country · 12 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ongoing, recruiting 188 12
Rest of world 0

Investigational sites

Germany

12 sites · Ongoing, recruiting
Universitaetsklinikum Heidelberg AöR
Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Im Neuenheimer Feld 672, Neuenheim, Heidelberg
Klinikum Nuernberg
Klinik für Allgemein- Viszeral- und Thoraxchirurgie, Prof.-Ernst-Nathan-Strasse 1, St. Johannis, Nuremberg
Medical Center - University Of Freiburg
Klinik für Allgemein- und Viszeralchirurgie, Hugstetter Strasse 55, Stuehlinger, Freiburg Im Breisgau
KEM I Evang. Kliniken Essen-Mitte gGmbH
Klinik für Internistische Onkologie, Henricistrasse 92, Huttrop, Essen
Klinikum St. Georg gGmbH
Klinik für Allgemein-, Viszeral-, Thorax- und Gefäßchirurgie, Delitzscher Strasse 141, Eutritzsch, Leipzig
Carl-Thiem-Klinikum Cottbus gGmbH
Klinik für Gastrenterologie und Rheumatologie, Thiemstrasse 111, Spremberger Vorstadt, Cottbus
University Of Leipzig
Klinik für Onkologie, Gastroenterologie, Hepatologie, Pneumologie und Infektiologie, Liebigstrasse 20, Zentrum-Suedost, Leipzig
Universitaetsklinikum Jena KöR
Klinik für Allgemein-, Viszeral- und Gefäßchirurgie, Am Klinikum 1, Lobeda, Jena
Universitaetsklinikum Ulm AöR
Klinik für Allgemein- und Viszeralchirurgie, Albert-Einstein-Allee 23, Eselsberg, Ulm
Sana Kliniken Leipziger Land GmbH
Klinik für Allgemein-, Viszeral-, MIC- und Gefäßchirurgie, Rudolf-Virchow-Strasse 2, 04552, Borna
University Medical Center Hamburg-Eppendorf
Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Martinistrasse 52, Eppendorf, Hamburg
Universitaetsklinikum Tuebingen AöR
Klinik für Allgemeine-, Viszerale-, und Transplantationschirurgie Tübingen, Hoppe-Seyler-Strasse 3, Nordstadt, Tuebingen

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2023-10-02 2024-01-24

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 7 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) PANEM_protocol_p 4
Recruitment arrangements (for publication) PANEM_recruitment 1
Subject information and informed consent form (for publication) PANEM_subject information and informed consent form_1 2
Subject information and informed consent form (for publication) PANEM_subject information and informed consent form_1 4
Subject information and informed consent form (for publication) PANEM_subject information and informed consent form_2 1
Summary of Product Characteristics (SmPC) (for publication) PANEM_SmPC 1
Summary of Product Characteristics (SmPC) (for publication) PANEM_SmPC 2

Application history

11 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-01-20 Germany Acceptable
2023-04-21
2023-04-24
2 SUBSTANTIAL MODIFICATION SM-1 2023-09-26 Germany Acceptable
2023-10-26
2023-11-10
3 SUBSTANTIAL MODIFICATION SM-2 2023-12-18 Germany Acceptable 2024-01-10
4 SUBSTANTIAL MODIFICATION SM-3 2024-04-26 Germany Acceptable
2024-05-31
2024-06-06
5 NON SUBSTANTIAL MODIFICATION NSM-1 2024-07-12 Germany Acceptable
2024-05-31
2024-07-12
6 SUBSTANTIAL MODIFICATION SM-5 2024-08-19 Germany Acceptable 2024-09-04
7 SUBSTANTIAL MODIFICATION SM-6 2025-01-14 Germany Acceptable 2025-02-07
8 SUBSTANTIAL MODIFICATION SM-7 2025-04-16 Germany Acceptable 2025-05-23
9 SUBSTANTIAL MODIFICATION SM-8 2025-10-08 Germany Acceptable 2025-10-23
10 SUBSTANTIAL MODIFICATION SM-9 2026-01-26 Germany Acceptable
2026-02-11
2026-02-12
11 SUBSTANTIAL MODIFICATION SM-10 2026-03-24 Germany Acceptable 2026-04-15