Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 and up

Using tributyrin to prevent complications in acute pancreatitis

Official title: Prophylactic Tributyrin Supplementation in Acute Pancreatitis; a Phase IIa (Proof of Concept) Double-blind Randomized Placebo-controlled Food Supplement Trial

Run by St. Antonius Hospital · NCT06147635 · Data updated 2026-11-12

This study is testing if taking tributyrin can help adults with their first episode of acute pancreatitis by improving gut health and reducing complications.

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment92 (estimated)
SponsorSt. Antonius Hospital
Academic / other
Drugs / interventionschemotherapy
Locations2 sites (Delft, South Holland and 1 other locations)
StatusRecruiting
StartedFebruary 12, 2024
Main results expectedOctober 2026
Study endsJanuary 2027
Registry record updatedJune 20, 2024
Trial IDNCT06147635 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults experiencing their first episode of acute pancreatitis within 24 hours of diagnosis.

Probably not a fit

Patients with pancreatitis due to ERCP, malignancy, trauma, or those who are immunocompromised will not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial investigates the effects of tributyrin supplementation in patients experiencing their first episode of acute pancreatitis. Participants will be randomly assigned to receive either tributyrin or a placebo (sunflower oil) for 14 days, with the primary focus on measuring changes in plasma endotoxin levels. The study aims to explore the potential immunomodulatory benefits of tributyrin, a pro-drug of butyrate, in improving gut health and reducing complications associated with acute pancreatitis. A total of 92 adult patients will be enrolled in this Phase IIa double-blind randomized placebo-controlled trial.

Why it matters

Potential benefit: If successful, this approach could reduce the severity of acute pancreatitis and its complications, improving patient outcomes.

How similar studies have gone: While the use of tributyrin in this context is novel, previous studies have indicated the potential benefits of short-chain fatty acids in gut health and immune modulation.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* First episode of acute pancreatitis (AP)
* Able to read and/or understand the study procedures
* Able to give informed consent (or their legal representatives)
* \<24 hours after diagnosis of AP
* \<72 hours after onset of symptoms of AP

Exclusion Criteria:

* Pancreatitis due to endoscopic retrograde cholangiopancreatography (ERCP), malignancy or trauma
* Post-operative pancreatitis
* Intra-operative diagnosis
* Immunocompromised patients (history or current immunosuppressive treatment such as chemotherapy, radiotherapy, longer use of immunosuppressive medication or recent high doses, immunocompromised illness' such as AIDS, leukemia, lymphoma)
* Pregnancy and/or lactation
* Age \<18 years old
* History of recurrent or chronic (MANNHEIM criteria25) pancreatitis (see Appendix 15.1 for definition)

Where it's running

  • St. Antonius Hospital
    Nieuwegein, Utrecht, Netherlands
    Recruiting
  • Reinier de Graaf Gasthuis
    Delft, South Holland, Netherlands
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.