Page last updated: 2024-10-31

neostigmine and Acute Necrotizing Pancreatitis

neostigmine has been researched along with Acute Necrotizing Pancreatitis in 1 studies

Neostigmine: A cholinesterase inhibitor used in the treatment of myasthenia gravis and to reverse the effects of muscle relaxants such as gallamine and tubocurarine. Neostigmine, unlike PHYSOSTIGMINE, does not cross the blood-brain barrier.
neostigmine : A quaternary ammonium ion comprising an anilinium ion core having three methyl substituents on the aniline nitrogen, and a 3-[(dimethylcarbamoyl)oxy] substituent at position 3. It is a parasympathomimetic which acts as a reversible acetylcholinesterase inhibitor.

Research

Studies (1)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's1 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Schneider, L1
Jabrailova, B1
Soliman, H1
Hofer, S1
Strobel, O1
Hackert, T1
Büchler, MW1
Werner, J1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Curative Effect and Security of Neostigmine Treatment of Acute Pancreatitis Combined With Intra-abdominal Hypertension[NCT02543658]Phase 280 participants (Actual)Interventional2015-09-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Days in Hospital

Days in hospital within 6 months after randomisation (NCT02543658)
Timeframe: From randomisation to 6 months

Interventiondays (Median)
Neostigmine20
Conservative Treatment19

Days in ICU

Days in ICU within 6 months after randomisation (NCT02543658)
Timeframe: From randomisation to 6 months

Interventiondays (Median)
Neostigmine12
Conservative Treatment12

Death of 90 Days

Death during from randomization to 90 days after onset. (NCT02543658)
Timeframe: From randomization to 90 days after onset.

InterventionParticipants (Count of Participants)
Neostigmine10
Conservative Treatment11

Medical Expenses

Medical expenses within 6 months after randomisation (NCT02543658)
Timeframe: From randomisation to 6 months

Interventionthousand(RMB) (Median)
Neostigmine95.3
Conservative Treatment102.3

New-onset Abdominal Compartment Syndrom

Abdominal compartment syndrome is defined as a sustained IAP>20 mmHg (with or without an APP<60 mmHg) that is associated with new organ dysfunction/failure (NCT02543658)
Timeframe: From randomization to discharge or death, assessed up to 4 weeks

InterventionParticipants (Count of Participants)
Neostigmine2
Conservative Treatment4

New-onset Organ Failure

Incidence of organ failure from randomization to discharge or death, assessed up to 3 months (NCT02543658)
Timeframe: From randomization to discharge or death, assessed up to 3 months

InterventionParticipants (Count of Participants)
Neostigmine12
Conservative Treatment16

Number of Participants With Adverse Effects on the Cardiovascular System

Due to that neostigmine has an inhibitory effect on the cardiovascular system, new-onset cardiovascular failure after grouping is considered as a possible adverse event related to neostigmine.Cardiovascular failure was defined as circulatory systolic blood pressure <90 mm Hg, despite adequate fluid resuscitation, or need for inotropic catecholamine support (NCT02543658)
Timeframe: From randomization to 7 days

InterventionParticipants (Count of Participants)
Neostigmine8
Conservative Treatment4

Number of Participants With Deterioration of IAH

IAP rebound ≥ 5mmHg or increase ≥ 20mmHg within 1-7 days after grouping (NCT02543658)
Timeframe: From randomization to 7 days

InterventionParticipants (Count of Participants)
Neostigmine4
Conservative Treatment8

Timing of Enteral Nutrition

From date of randomization to enteral nutrition, assessed up to 30 days (NCT02543658)
Timeframe: Start time of enteral nutrition after randomization, assessed up to 30 days

Interventiondays (Median)
Neostigmine3
Conservative Treatment4

Percent Change of IAP After Treatment

Monitor the intra-abdominal pressure within 1 to 7 days after randomization, and calculate the percent change compared with that before randomization (NCT02543658)
Timeframe: From randomization to 7 days after treatment,Measured IAP every 6 hours

,
Interventionpercent change of IAP (Median)
percent change of IAP at 24 hourspercent change of IAP at 7 days
Conservative Treatment-5.4-20.0
Neostigmine-18.7-27.2

The Change of Stool Volume at 1-7 Days After Randomization

After randomization, the change of stool volume (ML) was calculated every 24 hours.For example, the amount of stool volume decreased or increased in 24 hours after grouping compared to before grouping. (NCT02543658)
Timeframe: From randomization to 7 days

,
Interventionml/day (Median)
The change of stool volume at 24 hoursThe change of stool volume at 7th day
Conservative Treatment60370
Neostigmine8701025

Other Studies

1 other study available for neostigmine and Acute Necrotizing Pancreatitis

ArticleYear
Pharmacological cholinergic stimulation as a therapeutic tool in experimental necrotizing pancreatitis.
    Pancreas, 2014, Volume: 43, Issue:1

    Topics: Animals; Cholinergic Agents; Disease Models, Animal; Enzyme-Linked Immunosorbent Assay; Glycodeoxych

2014