Tacrolimus as Prophylaxis of Post-ERCP Pancreatitis
NCT07781722 · Status: NOT_YET_RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 520
Last updated 2026-08-24
Summary
The goal of this clinical trial is to learn if a single intravenous dose of tacrolimus, given before an ERCP procedure (an endoscopic procedure of the bile ducts and pancreas), can prevent post-ERCP pancreatitis (PEP) in adults at moderate-to-high risk of developing this complication.
The main question it aims to answer is:
* Does a single dose of tacrolimus lower the number of participants who develop pancreatitis after ERCP?
Researchers will compare tacrolimus to a placebo (a look-alike solution with no active drug) to see if tacrolimus reduces the occurrence of PEP.
Participants will:
* Receive an intravenous infusion of either tacrolimus or placebo, given over 60 minutes, ending before the start of the ERCP procedure
* Receive standard preventive treatment (a rectal anti-inflammatory medication (NSAID)) in addition to the study infusion
* Be contacted by phone 48 hours after the procedure to check for symptoms
* Complete questionnaires about quality of life and healthcare use, and be followed for 12 weeks after the procedure
* The first 40 enrolled patients will have extra blood samples taken to measure tacrolimus levels.
Conditions
- Post-ERCP Pancreatitis
Interventions
- DRUG
-
A single intravenous dose of tacrolimus, completed before the start of ERCP.
- OTHER
-
NaCl (placebo)
A matching intravenous placebo, identical in appearance and administration to the tacrolimus infusion.
Sponsors & Collaborators
-
Amsterdam UMC, location VUmc
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2026-09-07
- Primary Completion
- 2028-09-07
- Completion
- 2028-12-07
Countries
- Netherlands
Study Locations
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