Comparative Study to Evaluate Microbial Versus Porcine Pancreatic Enzyme Therapy in Chronic Pancreatitis
Starting soon · Phase 3 · Has a placebo group
Conditions studied: Pancreatitis, Chronic, Exocrine Pancreatic Insufficiency (EPI)
In brief
Background: Chronic pancreatitis (CP) is a progressive inflammatory disorder causing irreversible pancreatic damage, eventually resulting in pancreatic exocrine insufficiency (PEI). This may lead to malabsorption, malnutrition, weight loss, and impaired quality of life. Pancreatic enzyme replacement therapy (PERT) is the standard treatment for PEI and is predominantly derived from porcine sources. However, religious, ethical, dietary, and supply-related concerns highlight the need for effective non-porcine alternatives. Microbial (fungal)-based pancreatic enzymes have shown promising safety and efficacy in preliminary studies, but evidence in CP remains limited. Objective: To compare the efficacy and safety of non-porcine microbial (fungal)-based pancreatin with standard porcine-based pancreatin in patients with PEI secondary to CP. Methods: This investigator-initiated, randomized, double-blind, single-center, non-inferiority trial will enroll 134 adults with CP-associated PEI (defined as having a fecal elastase \<100 µg/g). After a two-week washout period, participants will be randomized 1:1 to receive either microbial-based or porcine-based pancreatin for 12 weeks. The primary outcome is the change from baseline in the Pancreatic Exocrine Insufficiency Questionnaire (PEI-Q) score at 12 weeks. Secondary outcomes include nutritional status, anthropometric measures, gastrointestinal symptoms, pain scores, stool consistency, glycaemic parameters, laboratory markers, and quality of life. Discussion: This study aims to evaluate whether microbial-based pancreatin is non-inferior to porcine-based therapy and may provide a culturally acceptable and sustainable alternative for managing CP-related PEI.
Key facts
- Study ID
- NCT07697352
- Run by
- Asian Institute of Gastroenterology, India
- People needed
- 134
- Starts
- 2026-08-01
- Expected to finish
- 2027-09-01
- Last updated by the study team
- 2026-07-13
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- CP fulfilling the M-ANNHEIM criteria 11 with documented PEI (defined as fecal elastase <100 µg/g stool on the background of morphological changes of CP).
- Willingness to undergo a 2-week wash-out period without pancreatic enzyme therapy before enrolment.
- Willing and able to provide written informed consent.
You may not qualify if…
- Major psychiatric illness impairing study participation.
- Systemic illness affecting digestion or study outcomes.
- Any condition deemed unsuitable for study participation by the investigator.
- Concurrent acute exacerbation of the CP at the time of screening.
Full record on ClinicalTrials.gov
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