Can a Peripheral Opioid Antagonist Break the Cycle of Recurrent Acute Pancreatitis? Insights from the PAMORA-RAP Trial

Highlights

The PAMORA-RAP trial provides evidence for the first pharmacological intervention to prevent recurrent acute pancreatitis. Key highlights include:

  • Naldemedine (0.2 mg daily) was associated with a 46% reduction in the risk of acute pancreatitis recurrence compared to placebo (HR 0.54; 95% CI, 0.29-1.01; p = 0.05).
  • Participants who remained on treatment for at least one year experienced a statistically significant reduction in recurrence risk (HR 0.49; 95% CI, 0.24-0.97; p = 0.04).
  • The treatment was safe and well-tolerated, with no significant differences in gastrointestinal adverse events or quality-of-life scores compared to the placebo group.

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