Phosphate in Acute Pancreatitis Study

This study at Duke University Hospital is looking into whether giving phosphate through an IV can help adults with acute pancreatitis (inflammation of the pancreas). Researchers want to see if low phosphate levels make pancreatitis worse and if giving Sodium Phosphate or Potassium Phosphate can make the illness less severe. They are also trying to figure out the best dose and if this treatment is practical to use. You might be able to join if you are 18 or older and come to the emergency department with acute pancreatitis symptoms, like severe abdominal pain or high lipase/amylase levels. The study will measure your serum phosphorus levels and how severe your disease is to see if the treatment is successful. The current status of the study is unclear.

Study design
This is a two-phase pilot study involving 100 adult patients with acute pancreatitis. The first phase is observational, and the second phase involves a treatment group.
What's involved
If you are in the treatment group, you would receive continuous intravenous infusions of Sodium Phosphate or Potassium Phosphate for up to 72 hours. Your serum phosphorus levels will be measured during your hospitalization, up to about 7 days.
Compensation
Not stated in the trial record.
Follow-up
Your disease severity and serum phosphorus levels will be measured during hospitalization, up to approximately 7 days.

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NCT07681050

Phosphate in Acute Pancreatitis

Recruiting
PHASE2Ages 18+InterventionalTreatment
Duke University
~100 participants
Updated 2026-07-17 on ClinicalTrials.gov
What's tested:Sodium PhosphatePotassium Phosphate

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Serum Phosphorus Levels
Measured over During hospitalization, up to approximately 7 days
+1 more outcome measured
Pancreatitis
1 sites across 1 states
North Carolina1
  • Samuel Francis, MD · PRINCIPAL_INVESTIGATOR · Duke University Hospital

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Eligibility criteria

Inclusion

Age 18 years or older
Presenting to the emergency department (ED) with acute pancreatitis meeting 2 or more characteristics of: (1) typical, persistent, severe upper abdominal pain, (2) lipase or amylase levels at least three times greater than the upper limit of normal, and/or (3) characteristic findings on abdominal imaging)
Trial treatment can be initiated within 24 hours of hospital admission
Consent can be obtained from the patient or their legal representative

Exclusion

Hyperkalemia
Hypercalcemia or significant hypocalcemia
Severe renal impairment (eGFR \<30 mL/min/1.73m2) or end-stage renal disease
  • Serum Phosphorus LevelsDuring hospitalization, up to approximately 7 days

    Serum phosphorus levels measured in a control (observational) group of patients with acute pancreatitis. This will be determined utilizing the Revised Atlanta Classification.

  • Disease Severity as measured by the Revised Atlanta Classification (RAC)During hospitalization, up to approximately 7 days

    The RAC is categorized into three levels based on the absence or presence of organ failure and local or systemic complications: Mild = No organ failure and no local or systemic complications, Moderately Severe = Transient organ failure (resolving within 48 hours) OR local/systemic complications without persistent organ failure, Severe = Persistent organ failure (lasting more than 48 hours) that can involve a single or multiple organ systems.