A 4-Hour IV drip could stop a common Post-ERCP complication
NCT ID NCT07776561
First seen Aug 20, 2026 · Last updated Aug 21, 2026 · Updated 1 time
Summary
This trial tests whether giving a rapid, short course of IV fluids (Lactated Ringer's) along with a rectal anti-inflammatory drug (indomethacin) can prevent pancreatitis, a common and serious complication after ERCP, a procedure used to diagnose and treat bile duct issues. The study enrolls 1,300 adults undergoing ERCP, randomly assigning half to receive the aggressive short hydration and the other half to standard low-volume fluids, with everyone getting indomethacin. The goal is to see if the short hydration reduces the rate of post-ERCP pancreatitis while allowing patients to be discharged the same day.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Short-stay aggressive hydration with Lactated Ringer's solution plus rectal indomethacin
- What this could lead to
- If effective, this short hydration regimen could become a standard way to prevent post-ERCP pancreatitis, allowing more patients to go home the same day.
- What could go wrong
- The trial is still testing the approach, and the short hydration window may not be as protective as longer regimens. Risks include fluid overload, especially in patients with heart or kidney issues.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 1,300 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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Jun 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age over 18 years * Undergoing ERCP * Able to provide informed consent Exclusion Criteria: * Unable to give consent * Clinical signs/symptoms of congestive cardiac failure (pitting oedema, NYHA class ≥ 2, or oxygen saturation ≤ 90%) * Respiratory failure (pre-procedure SpO2 \< 90% on room air, or requirement for non-invasive/mechanical ventilation) * Contraindication to rectal NSAIDs (allergy; active gastrointestinal bleeding) * Estimated GFR (MDRD) ≤ 30 mL/min * Altered biliary or duodenal anatomy (e.g. prior biliary/pancreatic surgery, Roux-en-Y reconstruction) * Known hypo- or hypernatraemia (serum sodium \< 130 or \> 150 mmol/L) * Pregnancy * Severe liver disease (cirrhosis with ascites) * Previous sphincterotomy (unless undergoing pancreatic duct intervention) * Acute pancreatitis * Chronic pancreatitis (unless undergoing a pancreatic duct intervention) * Sphincter of Oddi dysfunction * Pancreatic mass causing biliary obstruction
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Westmead Hospital
RECRUITINGWestmead, New South Wales, 2145, Australia
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- One-Time drug infusion may shield the pancreas after ERCP
- Could a simple phosphate IV ease severe pancreatitis?