September 16, 2026 · Gut · DOI: 10.1136/gutjnl-2026-338802

Impact of non-enteric-coated pancreatic enzyme replacement therapy (NEPERT) on pain in patients with chronic pancreatitis: a double-blind, parallel-group, placebo-controlled, randomised trial

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The authors aimed to evaluate the effect of non-enteric-coated pancreatic enzyme replacement therapy (NEPERT) on pain in patients with chronic pancreatitis (CP) through a randomized, double-blind, placebo-controlled trial. The study found no significant differences in pain improvement between the NEPERT and placebo groups at both 12 and 24 weeks, although a higher proportion of participants in the NEPERT group reported painful days at 12 weeks. Overall, NEPERT did not demonstrate efficacy in reducing pain compared to placebo in this patient population.

Rupjyoti Talukdar, Abdul Rasheed, Misbah Unnisa, Chandana Vuyyala, Rajesh Goud, Manohar Reddy, Jahangeer Basha, Chandan Peddapulla, Manu Tandan, Nageshwar D Reddy

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