In patients with predicted severe acute necrotising pancreatitis, infected pancreatic necrosis occurred in 15.7% with thymosin α1 and 18.1% with placebo, a non-significant difference (p = 0.48).
In plain wordsIn people with severe acute pancreatitis, thymosin α1 did not lower infected pancreatic necrosis compared with placebo.
- Peptide
- Thymosin alpha-1
- Outcome
- No significant changeInfected pancreatic necrosis during index admission
- Study
n = 508
- Comparator
- Placebo (normal saline)
- Analysis
- Primary
- Outcome group
- Infection and antimicrobial activity · Gastrointestinal
- Studied dose
- 1.6 mg every 12 h for 7 days, then 1.6 mg once a day for 7 days · subcutaneous · 14 daysAs given in this study (human).
Measurements
- IPN incidence
- 15.7%
- Tα1 group
- IPN incidence
- 18.1%
- placebo group
Source sentences
During the index admission, 40/254(15.7%) patients in the Tα1 group developed IPN compared with 46/254 patients (18.1%) in the placebo group (difference -2.4% [95% CI - 7.4 to 5.1%]; p = 0.48).
2 context sentences(design, population, supporting numbers)
We conducted a multicentre, double-blind, randomised, placebo-controlled trial involving ANP patients with an Acute Physiology and Chronic Health Evaluation II (APACHE II) score ≥ 8 and a computed tomography (CT) severity score ≥ 5 admitted within 7 days of the advent of symptoms.
Enrolled patients were assigned to receive a subcutaneous injection of Tα1 1.6 mg every 12 h for the first 7 days and 1.6 mg once a day for the subsequent 7 days or matching placebos (normal saline).