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Table 1 The primary and secondary endpoints of the WONDER-01 trial

From: WONDER-01: immediate necrosectomy vs. drainage-oriented step-up approach after endoscopic ultrasound-guided drainage of walled-off necrosis—study protocol for a multicentre randomised controlled trial

Primary endpoint

Secondary endpoints

Time from randomisation to clinical successa

Incidence of procedure-related adverse events graded by the AGREE classification [25] as well as the ASGE lexicon guideline [26]

Clinical success is defined as (1) a decrease in a WON size to 3 cm or less and (2) an improvement of at least two out of the three inflammatory markers (i.e. body temperature, white blood cell count, and C-reactive protein)

Mortality from any cause

Technical success rate of the initial EUS-guided drainage

Incidence of a biliary stricture and gastrointestinal obstruction

Number of interventions

Total procedure time

Time requiring endoscopic and/or percutaneous drainage

Length of hospitalisation

 

Length of ICU stay

 

Duration of antibiotics administration

 

Total costs of interventions and hospitalisation

 

Incidence of WON recurrence

 

Time from clinical success to WON recurrence

 

Incidence of a pancreatic pseudocyst

 

Incidence of new-onset diabetes

 

Incidence of clinical symptoms associated with pancreatic exocrine insufficiency

 

Incidence of pancreatic cancer

 

Incidence of sarcopenia

 

Changes in the morphology and volume of the pancreas

  1. aPatients who do not undergo clinical success within 6 months of the randomisation will be treated as cases with clinical failure
  2. Abbreviations: ASGE American Society for Gastrointestinal Endoscopy, EUS Endoscopic ultrasound; ICU, Intensive care unit, WON Walled-off necrosis