Can a simple scope procedure stop recurrent pancreatitis? SHARP trial results are in
NCT ID NCT03609944
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether a procedure called ERCP with sphincterotomy can lower the risk of repeat pancreatitis attacks in people with pancreas divisum, a condition where the pancreas ducts don't join normally. 181 adults who had at least two pancreatitis episodes were randomly assigned to get the real procedure or a sham procedure. Researchers tracked participants for up to 48 months to see if the procedure reduced the number of future pancreatitis attacks.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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181 people
The number who actually took part.
- Started
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Sep 2018
- Finished
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Aug 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Patient must consent to be in the study and must have signed and dated an approved consent form. 2. \>18 years 3. Two or more episodes of acute pancreatitis, with each episode meeting two of the following three criteria: * abdominal pain consistent with acute pancreatitis (acute onset of a persistent, severe, epigastric pain often radiating to the back) * serum lipase activity (or amylase activity) at least three times greater than the upper limit of normal * characteristic findings of acute pancreatitis on CECT, MRI or transabdominal ultrasonography 4. At least one episode of acute pancreatitis within 24 months of enrollment 5. Pancreas divisum confirmed by prior MRCP that is reviewed by an abdominal radiologist at the recruiting site. 6. By physician assessment, there is no certain explanation for recurrent acute pancreatitis. 7. Subjects must be able to fully understand and participate in all aspects of the study, including completion of questionnaires and telephone interviews, in the opinion of the clinical investigator Exclusion Criteria: 1. Prior minor papilla therapy (endoscopic or surgical) 2. Calcific chronic pancreatitis, defined as parenchymal or ductal calcifications identified on computed tomography or magnetic resonance imaging scan that is reviewed by an expert radiologist at the recruiting site. 3. Main pancreatic duct stricture\* 4. Presence of a structural etiology for acute pancreatitis, such as anomalous pancreatobiliary union, periampullary mass, or pancreatic mass lesion on imaging\* 5. Presence of a local complication from acute pancreatitis which requires pancreatogram 6. Regular use of opioid medication for abdominal pain for the past three months 7. Medication as the etiology for acute pancreatitis by physician assessment 8. TWEAK score ≥ 4
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215, United States
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Cedars-Sinai
Los Angeles, California, 90048, United States
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Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, 03756, United States
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Emory University Hospital
Atlanta, Georgia, 30322, United States
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Health Sciences Centre
Winnipeg, Manitoba, R3A 1R9, Canada
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Indiana University
Indianapolis, Indiana, 46202, United States
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Keck Hospital of USC
Los Angeles, California, 90033, United States
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Medical University of South Carolina
Charleston, South Carolina, 29407, United States
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Methodist Dallas Medical Center
Dallas, Texas, 75203, United States
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Northwestern University
Chicago, Illinois, 60611, United States
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Oregon Health and Science University
Portland, Oregon, 97202, United States
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Saint Luke's Hospital System
Kansas City, Missouri, 64111, United States
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The Ohio State University - Wexner Medical Center
Columbus, Ohio, 43210, United States
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UCSF Medical Center
San Francisco, California, 94143, United States
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University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205, United States
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University of Minnesota
Minneapolis, Minnesota, 55455, United States
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University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213, United States
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University of Rochester
Rochester, New York, 14627, United States
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University of Virginia
Charlottesville, Virginia, 22908, United States
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Virginia Mason Hospital & Seattle Medical Center
Seattle, Washington, 98101, United States
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Yale School of Medicine
New Haven, Connecticut, 06520, United States
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