Rectal Indomethacin And Oral Tacrolimus Versus Combination To Prevent Post-ERCP Pancreatitis

Overview

About this study

This research is being done to see if using oral tacrolimus before endoscopy, can prevent pancreatitis that may occur after ERCP (a type of gastrointestinal endoscopy).

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

* Any patient who is undergoing endoscopic retrograde cholangiopancreatography (ERCP) at any of the participating centers, is at least 18 years old and provides informed consent can be included in the study.

Exclusion Criteria:

* Unwillingness or inability to consent for the study.
* Pregnancy
* Breastfeeding mother
* Chronic calcific pancreatitis
* ERCP for biliary stent exchange or removal
* ERCP in a patient with prior biliary sphincterotomy, but without anticipated pancreatogram.
* Biliary intervention in a patient with pancreas divisum.
* Standard contraindications to tacrolimus or NSAID use.
* Current tacrolimus or immune modulator use.
* Chronic kidney disease with glomerular filtration rate (GFR) \< 30 or acute kidney injury.
* Absence of rectum.
* Acute pancreatitis within 30 days of ERCP.
* Pancreatic head malignancy.
* Sphincter of Oddi dysfunction (Type 3).

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Samuel Han

Open for enrollment

Contact information:

Elizabeth Lemke

(507) 266-3317

lemke.elizabeth@mayo.edu

More information

Publications

Publications are currently not available
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CLS-20597220

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