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Rectal Indomethacin to Prevent Acute Pancreatitis in EUS-FNA of Pancreatic Cysts


2022-09-26


2025-07


2025-12


600

Study Overview

Rectal Indomethacin to Prevent Acute Pancreatitis in EUS-FNA of Pancreatic Cysts

The aim of this randomized trial is to compare the rate of post-procedure pancreatitis in patients undergoing EUS-FNA of pancreatic cysts; patients will receive either a single dose of indomethacin or placebo administered rectally, during EUS-FNA.

Pancreatic cysts are pre-malignant lesions and are being increasingly diagnosed on cross-sectional imaging. Endoscopic ultrasound (EUS) is performed to further evaluate pancreatic cysts, and fine needle aspiration (FNA) is conducted to obtain a sample of the cystic fluid for analysis and examination for malignant cells. Acute pancreatitis is a complication of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) of pancreatic cysts, which can lead to significant morbidity and substantial health care costs. The aim of this randomized trial is to compare the rate of post-procedure pancreatitis in patients undergoing EUS-FNA of pancreatic cysts; patients will receive either a single dose of indomethacin or placebo administered rectally, during EUS-FNA.

  • Pancreatic Cyst
  • Pancreatitis, Acute
  • PROCEDURE: EUS-guided fine needle aspiration of pancreatic cysts
  • 22.085.04
  • 1894054 (OTHER Identifier) (OTHER: Orlando Health IRB)

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2022-10-04  

N/A  

2024-01-29  

2022-10-04  

N/A  

2024-01-31  

2022-10-10  

N/A  

2024-01  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Diagnostic


Allocation:
Randomized


Interventional Model:
Parallel


Masking:
Triple


Arms and Interventions

Participant Group/ArmIntervention/Treatment
ACTIVE_COMPARATOR: Rectal Indomethacin

Patients assigned to the Indomethacin group will receive100 mg of indomethacin administered per rectal route (two tablets of 50 mg indomethacin suppositories)

PROCEDURE: EUS-guided fine needle aspiration of pancreatic cysts

  • Patients with pancreatic cysts requiring fine needle aspiration will be enrolled in this randomized trial
PLACEBO_COMPARATOR: Placebo

Patients assigned to the Placebo group will receive two glycerin suppositories.

PROCEDURE: EUS-guided fine needle aspiration of pancreatic cysts

  • Patients with pancreatic cysts requiring fine needle aspiration will be enrolled in this randomized trial
Primary Outcome MeasuresMeasure DescriptionTime Frame
Rate of post-procedure pancreatitis following EUS-guided fine needle aspiration of pancreatic cystsPost-procedure pancreatitis is defined as the development of new or increased abdominal pain consistent with acute pancreatitis, and elevated amylase or lipase at least three times the upper limit of normal .30 days
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Rate of procedure-related adverse eventsRate of adverse events resulting from EUS-FNA30 days
Disease-related adverse eventsAny adverse event occurring as a result of underlying pancreatic cyst30 days
Rate of mild, moderate and severe pancreatitis post-FNARate of mild, moderate and severe pancreatitis post-FNA30 days
Length of hospitalization in any patient hospitalized with any adverse eventLength of hospitalization in any patient hospitalized with any adverse event30 days
Length of hospitalization in any patient hospitalized with acute pancreatitisLength of hospitalization in any patient hospitalized with acute pancreatitis30 days

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: Barbara J Broome

Phone Number: 321-841-7031

Email: barbara.broome@orlandohealth.com

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • Age ≥ 18 years
  • Suspected or confirmed pancreatic cyst seen on imaging, requiring EUS-FNA

  • Exclusion Criteria:

  • Unable to obtain consent from the participant or the participant's legally authorized representative (LAR)
  • Intrauterine pregnancy
  • Hypersensitivity reaction to Aspirin or NSAIDs
  • Patients with known history of chronic pancreatitis
  • Patients with known renal failure

Collaborators and Investigators

This is where you will find people and organizations involved with this study.


    • PRINCIPAL_INVESTIGATOR: Ji Young Bang, MD MPH, Orlando Health, Digestive Health Institute

    Publications

    The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

    General Publications

    No publications available