Rectal Indomethacin as Early Treatment for Acute Pancreatitis (INDOMAP Trial)

NCT ID: NCT03547232

Last Updated: 2025-06-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

1504 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-01

Study Completion Date

2028-12-01

Brief Summary

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Acute pancreatitis (AP) is an inflammatory condition of the pancreas following the activated pancreatic enzymes induced by varied causes, with or without other organ(s) dysfunction. The production and release of inflammatory factors is generally considered as the key factor of pathogenesis. Non-steroidal anti-inflammatory drugs (NSAIDs) are the most commonly applied agents for inflammatory diseases. A series studies have proved that indomethacin can reduce the risk of post-endoscopic retrograde cholangiopancreatography (ERCP), but high-quality evidence is still lacking in the field of effectiveness of NSAIDs to treat, rather than prevent, other types of AP. Majority of animal experiments showed that NSAIDs had protective effects for organ functions, but the results of several preliminary clinical studies were inconsistent. Randomized controlled trials are eagerly awaited to elucidate its effects on AP.

Detailed Description

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Conditions

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Acute Pancreatitis Complication Mortality Rate Organ Failure, Multiple

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Indomethacin group

Indomethacin SR 50mg q12h from day1 to day 7 plus standard treatment for acute pancreatitis including adequate intravenous fluids, analgesics and early enteral nutrition support if possible.

Group Type EXPERIMENTAL

Indomethacin SR

Intervention Type DRUG

Indomethacin SR 50mg given q12h from admission day 1 to day 7

Standard group

Similar shape and size suppositories without indomethacin (Placebos) given q12h from admission day 1 to day 7, plus standard treatment for acute pancreatitis including adequate intravenous fluids, analgesics and early enteral nutrition support if possible.

Group Type SHAM_COMPARATOR

Placebos

Intervention Type DRUG

Similar shape and size suppositories (Placebos) without indomethacin given q12h from admission day 1 to day 7

Interventions

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Indomethacin SR

Indomethacin SR 50mg given q12h from admission day 1 to day 7

Intervention Type DRUG

Placebos

Similar shape and size suppositories (Placebos) without indomethacin given q12h from admission day 1 to day 7

Intervention Type DRUG

Other Intervention Names

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YINDUOMEIXIN SHAM

Eligibility Criteria

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Inclusion Criteria

* All patients ages 18-80 years with a diagnosis of AP based on at least 2 of the following criteria:
* Abdominal pain characteristic of AP
* Serum amylase and/or lipase ≥ 3 times the upper limit of normal
* Characteristic findings of AP on abdominal CT scan will be screened for study enrollment.

Exclusion Criteria

* Onset time \>24 hours
* Presence of renal dysfunction (serum creatinine \> 1.5 \*normal upper limit)
* Severe liver dysfunction
* Active peptic ulcer disease or GI bleeding
* Pregnancy or breast-feeding
* Hypersensitivity to NSAIDs
* New-onset, exacerbation or uncontrolled hypertension
* Presence of serious cardiovascular events, including severe heart failure, myocardial infarction (MI) and stroke
* Mental disability
* Malignancy-associated acute pancreatitis
* Post-ERCP pancreatitis
* Informed consent not signed
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking Union Medical College Hospital

OTHER

Sponsor Role lead

Responsible Party

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DONG WU

Professor of Gastroenterology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dong Wu, M.D.

Role: STUDY_CHAIR

Peking Union Medical College Hospital

Zhitao Lu, M.D.

Role: PRINCIPAL_INVESTIGATOR

Baoding Seventh Hospital

Yanfeng Wang, M.D.

Role: PRINCIPAL_INVESTIGATOR

Liangxiang Hospital

Shanshan Yu, M.D.

Role: PRINCIPAL_INVESTIGATOR

Guiyang Second People's Hospital

Na Wu, M.D.

Role: PRINCIPAL_INVESTIGATOR

Dengzhou People's Hospital

Mei Liu, M.D.

Role: PRINCIPAL_INVESTIGATOR

Affiliated Hospital of Qinghai University

Xiao Fan, M.D.

Role: PRINCIPAL_INVESTIGATOR

Second People Hospital of Nanyang

Zuoyan Wu, MD

Role: PRINCIPAL_INVESTIGATOR

Peking University Sixth Hospital

Ruifeng Wang, MD

Role: PRINCIPAL_INVESTIGATOR

Harbin Medical University

Baofeng Zhu, MD

Role: PRINCIPAL_INVESTIGATOR

Nantong First People's Hospital

Yan Shi, MD

Role: PRINCIPAL_INVESTIGATOR

The Second People's Hospital of Huai'an

Ming Sun, MD

Role: PRINCIPAL_INVESTIGATOR

Suqian People's Hospital

Wei Huang, MD

Role: PRINCIPAL_INVESTIGATOR

Wuxi Third People's Hospital

Shicheng Zheng, MD

Role: PRINCIPAL_INVESTIGATOR

West China Longquan Hospital Sichuan University

Jianzhong Yang, MD

Role: PRINCIPAL_INVESTIGATOR

First Affiliated Hospital of Xinjiang Medical University

Daoyuan Jing, MD

Role: PRINCIPAL_INVESTIGATOR

Jinhua Municipal Central Hospital

Hong Liu, MD

Role: PRINCIPAL_INVESTIGATOR

Lishui Municipal Central Hospital

Locations

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Peking University Sixth Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Peking Union Medical College Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Liangxiang Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Guiyang Second People's Hospital

Guiyang, Guizhou, China

Site Status RECRUITING

Baoding Seventh Hospital

Baoding, Hebei, China

Site Status RECRUITING

Fourth Affiliated Hospital of Harbin Medical University

Harbin, Heilongjiang, China

Site Status RECRUITING

Dengzhou People's Hospital

Dengzhou, Henan, China

Site Status RECRUITING

Second People Hospital of Nanyang

Nanyang, Henan, China

Site Status RECRUITING

The Second People's Hospital of Huai'an

Huaian, Jiangsu, China

Site Status RECRUITING

Nantong First People's Hospital

Nantong, Jiangsu, China

Site Status RECRUITING

Suqian People's Hospital

Suqian, Jiangsu, China

Site Status RECRUITING

Wuxi Third People's Hospital

Wuxi, Jiangsu, China

Site Status RECRUITING

Qinghai University Affiliated Hospital

Xining, Qinghai, China

Site Status RECRUITING

West China Longquan Hospital Sichuan University

Chengdu, Sichuan, China

Site Status RECRUITING

The First Affiliated Hospital of Xinjiang Medical University

Ürümqi, Xinjiang, China

Site Status RECRUITING

Jinhua Municipal Central Hospital

Jinhua, Zhejiang, China

Site Status RECRUITING

Lishui Municipal Central Hospital

Lishui, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Dong Wu, M.D.

Role: CONTACT

8618612671010

Facility Contacts

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Zuoyan Wu, MD

Role: primary

Dong Wu, M.D.

Role: primary

Yanfeng Wang, M.D.

Role: primary

Shanshan Yu, M.D.

Role: primary

Zhitao Lu, M.D.

Role: primary

Ruifeng Wang, MD

Role: primary

Na Wu, M.D.

Role: primary

Xiao Fan, M.D.

Role: primary

Yan Shi, MD

Role: primary

Baofeng Zhu, MD

Role: primary

Ming Sun, MD

Role: primary

Wei Huang, MD

Role: primary

Mei Liu, M.D.

Role: primary

Shicheng Zheng, MD

Role: primary

Jianzhong Yang, MD

Role: primary

Daoyuan Jing, MD

Role: primary

Hong Liu, MD

Role: primary

References

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Gorsky VA, Agapov MA, Khoreva MV, Leonenko IV. The effect of lornoxicam on TLR2 and TLR4 messenger RNA expression and tumor necrosis factor-alpha, interleukin-6, and interleukin-8 secretion in patients with systemic complications of acute pancreatitis. Pancreas. 2015 Jul;44(5):824-30. doi: 10.1097/MPA.0000000000000344.

Reference Type BACKGROUND
PMID: 25872171 (View on PubMed)

Related Links

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https://www.ncbi.nlm.nih.gov/pubmed/?term=25872171

A small sample study of NSAIDs for treatment of acute pancreatitis

Other Identifiers

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I-23PJ1671

Identifier Type: -

Identifier Source: org_study_id

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