Drug-Only approach may prevent Post-Procedure pancreatitis without stent risks
NCT ID NCT07117318
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares two ways to prevent pancreatitis after a procedure called ERCP: giving a rectal anti-inflammatory drug (NSAID) alone versus the drug plus placing a small tube (stent) in the pancreas. The trial enrolls about 1,278 high-risk patients aged 18-90 who have not had prior pancreatic stenting. The goal is to see if the drug alone works just as well, avoiding the extra complexity and risks of stent placement.
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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 1,278 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2025
- Expected to finish
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Jun 2028
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 90 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: * 18-90 years old patients with native papilla who planned to undergo ERCP * high-risk patients for post-ERCP pancreatitis must meet one or more following criteria: clinical suspicion of sphincter of Oddi dysfunction, a history of PEP, pancreatic sphincterotomy, precut sphincterotomy, difficult cannulation (\>5 cannulation attempts, or \>5mins cannulation time, or \>1 unintentional pancreatic duct cannulation), or ballon dilatation of an intact biliary sphincter ≤ 1 min, double-wire cannulation. Additionally, patients were considered high-risk if they fulfilled two or more of the following minor criteria: female gender under 50 years old, a history of recurrent pancreatitis (two or more episodes), three or more contrast injections into the pancreatic duct with at least one injection reaching the tail of the pancreas, opacification of pancreatic acini, or brush cytology performed on the pancreatic duct. Exclusion Criteria: * Previous biliary sphincterotomy and papillary large balloon dilation * Planned for placements of pancreatic duct stents (eg. pancreatic duct strictures, planned ampullectomy) * Allergy to NSAIDs * The administration of NSAIDs within 7 days * Not suitable for NSAIDs administration (gastrointestinal hemorrhage within 4 weeks, renal dysfunction \[Cr \>1.4mg/dl=120umol/l\]; presence of coagulopathy before the procedure) * Acute pancreatitis within 7 days before ERCP or acute pancreatitis with obvious Pancreatic edema and peripancreatic fluid collections * Hemodynamical instability * Pregnancy or lactation * high-risk patients with pancreatic duct wire passages
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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
15 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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986 Hospital of Xijing Hospital
RECRUITINGXi'an, Shaanxi, 710000, China
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Affiliated Hangzhou First People's Hospital
NOT_YET_RECRUITINGHangzhou, Zhejiang, 310000, China
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Department of Endoscopy, Eastern Hepatobiliary Hospital, Second Military Medical University
RECRUITINGShanghai, Shanghai Municipality, 201823, China
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Department of Gastroenterology, Fujian Medical University Xiamen Humanity Hospital
RECRUITINGXiamen, Fujian, 361000, China
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Department of Gastroenterology, Huaihe Hospital of Henan University
RECRUITINGKaifeng, Henan, 475000, China
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Department of Gastroenterology, The 960th Hospital of the PLA
RECRUITINGJinan, Shandong, 250000, China
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Department of gastroenterology, Second Affiliated Hospital of Chongqing Medical University
RECRUITINGChongqing, Chongqing Municipality, 400010, China
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Harbin Medical University Affiliated Fourth Hospital
RECRUITINGHarbin, Heilongjiang, 150000, China
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Shandong Provincial Third Hospital
NOT_YET_RECRUITINGJinan, Shandong, 250000, China
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The Second Affiliated Hospital of Harbin Medical University
RECRUITINGHarbin, Heilongjiang, 150000, China
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The Third Xiangya Hospital of Central South University
NOT_YET_RECRUITINGChangsha, Hunan, 410000, China
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The first medical center, Chinese PLA General Hospital
NOT_YET_RECRUITINGBeijing, Beijing Municipality, 100000, China
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Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
RECRUITINGWuhan, Hubei, 430000, China
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Xijing of Digestive Diseases
RECRUITINGXi'an, Shaanxi, China
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the First Affiliated Hospital, Zhejiang University School of Medicine
RECRUITINGHangzhou, Zhejiang, 310000, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can genes predict a dangerous complication of a common procedure?
- Common painkiller may prevent pancreatitis after bile duct procedure
- Simple IV drip may prevent painful complication after common bile duct procedure
- Which drug best prevents pancreatitis in kids after ERCP?
- Less acidic dye may reduce pancreatitis risk after common procedure
- Could a simple pill prevent a painful complication after endoscopy?