Could an arthritis drug tame pancreatitis inflammation?
NCT ID NCT03684278
First seen Jun 26, 2026 · Last updated Jul 07, 2026 · Updated 2 times
Summary
This study tests whether a single infusion of infliximab, a drug used for arthritis and Crohn's disease, can reduce inflammation in adults with acute pancreatitis. About 290 participants will receive either a low dose, a high dose, or a placebo. The main goal is to see if infliximab lowers C-reactive protein levels, a marker of inflammation, over two weeks.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Infliximab (Remicade), an anti-inflammatory drug given as a single infusion
- What this could lead to
- If it works, this could point toward a new treatment to reduce severe inflammation in acute pancreatitis, potentially preventing complications.
- What could go wrong
- This is a mid-stage trial with only 290 people, so results may not apply to everyone. Infliximab can increase infection risk, and it's being tested for a new use.
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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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 240 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2019
- Expected to finish
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Mar 2027
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 to 85 years
- 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.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult patients attending Accident and Emergency (A\&E) at or admitted to recruiting hospitals via a GP with a new diagnosis of AP established by two of the following three criteria: (1) typical continuous upper abdominal pain; (2) amylase and/or lipase three or more times the upper limit of normal; (3) characteristic findings on abdominal imaging (if undertaken urgently by CT or MRI) * Patients in whom trial treatment can be started within 36 hours of admission to hospital with a new diagnosis of acute pancreatitis allowing 120 min for preparation of trial medication * Patients from whom appropriate consent is obtained (from the patient or their legal representative). Exclusion Criteria: * Age \<18 or \>85 * Patients with a bodyweight over 200 kg * Known previous AP within the last 30 days or chronic pancreatitis * Multiple sclerosis, systemic vasculitis, Guillain-Barré syndrome or other demyelinating disorder * Known epilepsy * Moderate to severe heart failure and/or coronary disease (NYHA III/IV) * Severe respiratory conditions including cystic fibrosis, severe asthma and severe chronic obstructive pulmonary disease (COPD) * On home oxygen or home mechanical ventilation * Jaundice (serum bilirubin \>50 µmol/L), and/or known advanced liver disease, on waiting list for liver transplantation or considered unsuitable for transplantation * Known cancer for which chemotherapy and/or radiotherapy ongoing/completed in last 6 months * Known haematological malignancy * Known end-stage cancer requiring palliative care * Known established infection prior to or suspected infection, including COVID-19, at the time of AP onset * Known history of tuberculosis, or household contact with those with tuberculosis or opportunistic infection * Known history of infective hepatitis * Rare diseases or inborn errors of metabolism that significantly increase the risk of infections, including severe combined immunodeficiency (SCID) and homozygous sickle cell disease * Known live vaccine or infectious agent within one month of admission * Known immunosuppressive or biologic therapy within one month of admission * Known hypersensitivity to infliximab or to inactive components of REMICADE® or to any murine proteins * Known pregnancy or lactation at admission * Females of childbearing potential who do not agree to use adequate contraception up to 6 months after infliximab infusion * Known participation in investigational medicinal product study within last three months.
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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
8 sites. 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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Aberdeen Royal Infirmary
RECRUITINGAberdeen, Aberdeenshire, AB25 2ZN, United Kingdom
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Aintree University Hospital
RECRUITINGLiverpool, Merseyside, L9 7AL, United Kingdom
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Arrowe Park Hospital
WITHDRAWNUpton, Wirral, CH49 5PE, United Kingdom
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Charing Cross Hospital
TERMINATEDLondon, Greater London, W6 8RF, United Kingdom
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John Radcliffe Hospital
RECRUITINGOxford, Oxfordshire, OX3 9DU, United Kingdom
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Queen's Medical Centre
TERMINATEDNottingham, Nottinghamshire, NG7 2UH, United Kingdom
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Royal Cornwall Hospital
WITHDRAWNTruro, Cornwall, TR1 3LJ, United Kingdom
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Royal Devon and Exeter Hospital
RECRUITINGExeter, Devon, EX2 5DW, United Kingdom
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Royal Liverpool University Hospital
RECRUITINGLiverpool, Merseyside, L7 8XP, United Kingdom
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St James's University Hospital
RECRUITINGLeeds, West Yorkshire, LS9 7TF, United Kingdom
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St Mary's Hospital
TERMINATEDLondon, Greater London, W2 1NY, United Kingdom
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University College London Hospital
RECRUITINGLondon, Greater London, NW1 2BU, United Kingdom
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University Hospital of Wales
RECRUITINGCardiff, Cardiff, CF14 4XW, United Kingdom
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Whiston Hospital
TERMINATEDWhiston, Merseyside, L35 5DR, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a vast image library unlock better pancreatic diagnoses?
- Can a single infusion prevent organ failure in severe pancreatitis?
- Blood cell ratios may flag dangerous pancreatitis early
- A simple IV fluid choice could tame pancreatitis severity
- Can we predict acute pancreatitis outcomes?
- Ancient herbal combo could speed healing in pancreatitis