Indomethacin for Preventing Pancreatitis After ERCP

This study is looking at whether a medication called indomethacin can help prevent pancreatitis (inflammation of the pancreas) after a procedure called ERCP (endoscopic retrograde cholangiopancreatography). You might be eligible if you are 18 or older, are scheduled for a routine biliary ERCP, and have had a previous biliary sphincterotomy (a cut in the bile duct). Participants will receive a single rectal suppository of indomethacin 100 mg right before their ERCP. The main goal is to see how many people develop pancreatitis within 30 days after the ERCP. This trial aims to clarify if indomethacin helps in this specific group of patients.

Study design
This is a randomized study, meaning participants are assigned by chance to receive the indomethacin. The study plans to enroll 860 participants.
What's involved
You would receive a single rectal suppository of indomethacin immediately before your ERCP procedure.
Compensation
Not stated in the trial record.
Follow-up
Researchers will check for pancreatitis within 30 days after your ERCP procedure.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT07661498

Indomethacin for Biliary ERCP Patients

Not Yet Recruiting
PHASE4Ages 18+InterventionalPrevention
University of California, San Francisco
~860 participants
Updated 2026-06-22 on ClinicalTrials.gov
What's tested:indomethacin

At a glance

Recruiting sites
0 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Incidence of Post-ERCP Pancreatitis
Measured over Within 30 days following ERCP Procedure
Pancreatitis Biliary
Pancreatitis Acute Biliary
Pancreatitis
Post-ERCP Pancreatitis
Post-ERCP Acute Pancreatitis
Post-ERCP Adverse Events
1 sites across 1 states
California1
  • Michael Larsen, MD · PRINCIPAL_INVESTIGATOR · University of California, San Francisco

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  • Incidence of Post-ERCP PancreatitisWithin 30 days following ERCP Procedure

    The incidence of post-ERCP pancreatitis (PEP) following biliary ERCP, defined using standard consensus criteria: new or worsened abdominal pain consistent with acute pancreatitis, elevation of serum amylase or lipase to at least three times the upper limit of normal within 24 hours after ERCP, and hospitalization or prolongation of planned admission attributable to pancreatitis. The outcome will be compared between participants receiving prophylactic rectal indomethacin and those receiving placebo.