Actively Recruiting

Phase Not Applicable
Age: 18Years - 90Years
All Genders
ID07071441

Rectal Indomethacin Versus Diclofenac for Prevention of Post-ERCP Pancreatitis A Multicenter, Double-blind, Randomized Controlled Trial

Led by Air Force Military Medical University, China · Updated on 2025-12-03

4050

Participants Needed

20

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are investigating whether 100mg of rectal indomethacin is more effective than the same dose of rectal diclofenac in preventing pancreatitis after an endoscopic retrograde cholangiopancreatography (ERCP) procedure. Pancreatitis is a serious and common complication of ERCP, linked to occasional deaths, longer hospital stays, and higher healthcare costs. Previous studies showed that both 100mg indomethacin and diclofenac could reduce post-ERCP pancreatitis, but it is unclear which drug is superior. The study is a multicenter, randomized, double-blind trial where patients receive either 100mg rectal indomethacin or 100mg rectal diclofenac within 30 minutes before their ERCP procedure, provided they have no contraindications. The trial aims to enroll enough participants to determine if indomethacin is better than diclofenac at preventing post-ERCP pancreatitis. Participants will be monitored for 30 days after the procedure to assess the rate of post-ERCP pancreatitis and its severity, as well as other complications like perforation, infection, bleeding, NSAID-related side effects, and mortality. Safety and adverse events will be closely followed, and the overall impact of the two drugs on preventing pancreatitis will be evaluated over this period.

CONDITIONS

Brief Title

Indomethacin vs Diclofenac for Preventing PEP

Who Can Participate

Age: 18Years - 90Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients aged 18 to 90 years
  • Planned to undergo ERCP with a native papilla
Not Eligible

You will not qualify if you...

  • Previous biliary sphincterotomy or papillary large balloon dilation
  • Planned placement of pancreatic duct stents (e.g., pancreatic duct strictures, planned ampullectomy)
  • Allergy to NSAIDs
  • Use of NSAIDs within 7 days prior to study
  • Unsuitable for NSAID use due to recent gastrointestinal bleeding, renal dysfunction (creatinine >1.4 mg/dl), or coagulopathy
  • Acute pancreatitis within 7 days before ERCP or acute pancreatitis with obvious pancreatic edema and peripancreatic fluid collections
  • Hemodynamic instability
  • Pregnancy or lactation
  • Unable to provide informed consent

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Single day

Participants receive a single dose of either 100mg rectal indomethacin or 100mg rectal diclofenac within 30 minutes before the ERCP procedure to prevent post-ERCP pancreatitis.

1 visit (in-person) at the time of ERCP procedure

Follow-up

Duration - 30 days

Participants are monitored for adverse events and rates of post-ERCP pancreatitis and related complications.

Follow-up visits or contacts as needed over 30 days

Trial Site Locations

Total: 20 locations

1

The first medical center, Chinese PLA General Hospital

Beijing, Beijing Municipality, China, 100000

Actively Recruiting

2

The Second Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China, 404100

Actively Recruiting

3

Department of Gastroenterology, Hongai Hospital

Xiamen, Fujian, China, 361000

Actively Recruiting

4

Harbin Medical University Affiliated Fourth Hospital

Harbin, Heilongjiang, China, 150000

Actively Recruiting

5

Zhaolei181220@163.Com

Harbin, Heilongjiang, China, 150000

Actively Recruiting

6

Huaihe Hospital of Henan University

Kaifeng, Hennan, China, 475000

Actively Recruiting

7

Renmin hospital of Wuhan University

Wuhan, Hubei, China, 430000

Actively Recruiting

8

Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China, 430000

Actively Recruiting

9

The Third Xiangya Hospital of Central South University

Changsha, Hunan, China, 410000

Not Yet Recruiting

10

Jilin Miniciple People'S Hospital

Jilin City, Jilin, China, 132000

Actively Recruiting

11

Qinghai University Affiliated Hospital

Xining, Qinghai, China, 810000

Not Yet Recruiting

12

986 Hospital of Xijing Hospital

Xi'an, Shaanxi, China, 710000

Actively Recruiting

13

Second Affiliated Hospital of Xi'an Jiaotong University

Xi'an, Shaanxi, China, 710000

Actively Recruiting

14

Xijing Hospital of Digestive Diseases

Xi'an, Shaanxi, China, 710000

Actively Recruiting

15

Shandong Provincial Third Hospital

Jinan, Shandong, China, 250000

Not Yet Recruiting

16

The 960th Hospital of the PLA

Jinan, Shandong, China, 250000

Actively Recruiting

17

Eastern Hepatobiliary Surgery Hospital

Shanghai, Shanghai Municipality, China, 200000

Actively Recruiting

18

Affiliated Hangzhou First People's Hospital

Hangzhou, Zhejiang, China, 310000

Not Yet Recruiting

19

the First Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang, China, 310000

Actively Recruiting

20

the second Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang, China, 310000

Not Yet Recruiting

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Research Team

Y

Yanglin Pan, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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Published Research Related To This Trial

Non-steroidal anti-inflammatory drugs, intravenous fluids, pancreatic stents, or their combinations for the prevention of post-endoscopic retrograde cholangiopancreatography pancreatitis: a systematic review and network meta-analysis.

Venkata S Akshintala, Christina J Sperna Weiland, Furqan A Bhullar...

https://pubmed.ncbi.nlm.nih.gov/34214449

Rectal diclofenac versus indomethacin for prevention of post-ERCP pancreatitis (DIPPP): a multicentre, double-blind, randomised, controlled trial.

Xiaoyu Kang, Mingxing Xia, Jun Wang...

https://pubmed.ncbi.nlm.nih.gov/40113243

Routine pre-procedural rectal indometacin versus selective post-procedural rectal indometacin to prevent pancreatitis in patients undergoing endoscopic retrograde cholangiopancreatography: a multicentre, single-blinded, randomised controlled trial.

Hui Luo, Lina Zhao, Joseph Leung...

https://pubmed.ncbi.nlm.nih.gov/27133971