Trial intelligence / Profile preview

Rectal Indomethacin vs IV Ketorolac for Post-ERCP Pancreatitis Prophylaxis in Pediatrics

NCT05664074Phase 4

Key facts

Status
Completed
Start
Nov 2022
Primary completion
Feb 2025
Countries
1
Modality
Small Molecules
Conditions
acute pancreatitis (AP)
01

Overview

Phase 4, randomised trial in acute pancreatitis (AP) comparing Rectal indomethacin with IV ketorolac (2 arms). Primary endpoints: Post-ERCP Pancreatitis at 2 weeks, Post-ERCP Pancreatitis: Pancreatic Duct Injections at 2 weeks and 5 more. Started Nov 2022; status: completed.

02

Design

2 arms
Study design
Randomized
  • Rectal indomethacin

    Rectal indomethacin dosed by weight (25 mg to 100 mg)

  • IV ketorolac

    IV ketorolac dosed by weight (0.5 mg/kg, max 15 mg)

03

Who it enrols

Pediatric patients undergoing ERCP, excluding those weighing <10 kg, at low risk (prior biliary sphincterotomy), high risk for bleeding, with recent GI bleeding, acute pancreatitis, peptic ulcer disease, kidney disease, or using NSAIDs/Lithium.

04

Endpoints

Primary

  • Post-ERCP Pancreatitis

  • Post-ERCP Pancreatitis: Pancreatic Duct Injections

  • Post-ERCP Pancreatitis: Native Papilla

  • Post-ERCP Pancreatitis: Pancreatic Sphincterotomy

  • Post-ERCP Pancreatitis: Opti-Ray Amount

Secondary

  • Pain Assessed by FLACC or NRS Scoring Post ERCP: PACU

  • Pain Assessed by FLACC or NRS Scoring Post ERCP: Evening

  • Pain Assessed by FLACC or NRS Scoring Post ERCP: Morning

  • Laboratory Markers Associated With PEP (Lipase)

  • Laboratory Markers Associated With PEP (Amylase)

  • Length of Stay

  • Severity of Pancreatitis

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