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

NCT ID: NCT05572788

Condition: Pancreatic Cyst
Pancreatitis, Acute

Conditions: Official terms:
Cysts
Pancreatic Cyst
Pancreatitis

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Diagnostic

Masking: Triple (Participant, Care Provider, Outcomes Assessor)

Intervention:

Intervention type: Procedure
Intervention name: EUS-guided fine needle aspiration of pancreatic cysts
Description: Patients with pancreatic cysts requiring fine needle aspiration will be enrolled in this randomized trial
Arm group label: Placebo
Arm group label: Rectal Indomethacin

Summary: 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.

Detailed description: 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.

Criteria for eligibility:
Criteria:
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

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Orlando Health

Address:
City: Orlando
Zip: 32806
Country: United States

Status: Recruiting

Contact:
Last name: Ji Young Bang, MD, MPH

Phone: 321-841-2431
Email: jiyoung.bang@orlandohealth.com

Contact backup:
Last name: Barbara J Broome

Phone: 321-841-7031
Email: barbara.broome@orlandohealth.com

Start date: September 26, 2022

Completion date: December 2025

Lead sponsor:
Agency: Orlando Health, Inc.
Agency class: Other

Source: Orlando Health, Inc.

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05572788

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