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RecruitingNCT03547232INDOMAPUpdated Jun 15, 2025

Rectal Indomethacin as Early Treatment for Acute Pancreatitis (INDOMAP Trial)

A Phase 4 interventional study of Indomethacin SR and Placebos in Acute Pancreatitis, Complication and Mortality Rate, sponsored by Peking Union Medical College Hospital. Recruiting at 17 sites in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-06-15.

Sponsored by Peking Union Medical College Hospital · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2024; still recruiting 1 year 11 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
1,504
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Acute pancreatitis (AP) is an inflammatory condition of the pancreas following the activated pancreatic enzymes induced by varied causes, with or without other organ(s) dysfunction. The production and release of inflammatory factors is generally considered as the key factor of pathogenesis. Non-steroidal anti-inflammatory drugs (NSAIDs) are the most commonly applied agents for inflammatory diseases. A series studies have proved that indomethacin can reduce the risk of post-endoscopic retrograde cholangiopancreatography (ERCP), but high-quality evidence is still lacking in the field of effectiveness of NSAIDs to treat, rather than prevent, other types of AP. Majority of animal experiments showed that NSAIDs had protective effects for organ functions, but the results of several preliminary clinical studies were inconsistent. Randomized controlled trials are eagerly awaited to elucidate its effects on AP.

02

Conditions studied

  • Acute Pancreatitis
  • Complication
  • Mortality Rate
  • Organ Failure, Multiple

Keywords

  • Acute pancreatitis
  • Indomethacin
  • Prognosis
  • Organ dysfunction
03

In context

Pancreatitis

557 studies on the registry are indexed under Pancreatitis; 164 are open to participants now.

This study's planned enrollment of 1,504 is above the median of 100 across 349 interventional studies indexed under Pancreatitis.

Browse Pancreatitis studies →

Lead sponsor

Peking Union Medical College Hospital is the lead sponsor of 1,155 studies on the registry; 475 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • All patients ages 18-80 years with a diagnosis of AP based on at least 2 of the following criteria:
  • Abdominal pain characteristic of AP
  • Serum amylase and/or lipase ≥ 3 times the
  • Characteristic findings of AP on abdominal CT scan will be screened for study enrollment.

Exclusion criteria

Exclusion Criteria:

  • Onset time >24 hours
  • Presence of renal dysfunction (serum creatinine > 1.5 *normal upper limit)
  • Severe liver dysfunction
  • Active peptic ulcer disease or GI bleeding
  • Pregnancy or breast-feeding
  • to NSAIDs
  • New-onset, exacerbation or uncontrolled hypertension
  • Presence of serious cardiovascular events, including severe heart failure, myocardial infarction (MI) and stroke
  • Mental disability
  • -associated acute pancreatitis
  • Post-ERCP pancreatitis
  • not signed
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,504 participants (estimated)

Study arms

  • Experimental
    Indomethacin group

    Indomethacin SR 50mg q12h from day1 to day 7 plus standard treatment for acute pancreatitis including adequate intravenous fluids, analgesics and early enteral nutrition support if possible.

    Drug: Indomethacin SR

  • Sham comparator
    Standard group

    Similar shape and size suppositories without indomethacin (Placebos) given q12h from admission day 1 to day 7, plus standard treatment for acute pancreatitis including adequate intravenous fluids, analgesics and early enteral nutrition support if possible.

    Drug: Placebos

Interventions

  • Indomethacin SR 50mg given q12h from admission day 1 to day 7

    Also known as: YINDUOMEIXIN

  • DrugPlacebos

    Similar shape and size suppositories (Placebos) without indomethacin given q12h from admission day 1 to day 7

    Also known as: SHAM

06

What researchers measure

Primary outcomes

  1. Occurence rate of organ dysfunction caused by acute pancreatitis

    Accumulation of varied organ dysfunction, especially the cardiovascular, renal and respiratory systems

    Time frame: 1 week

Secondary outcomes

  1. Occurence rate of pancreatic necrosis

    Accumulation of the key local complication of acute pancreatitis

    Time frame: 1 month

  2. Incidence rate of ICU admission

    Evaluation of critical severe acute pancreatitis

    Time frame: 1 month

  3. Mortality

    The number of deaths during a particular period of time

    Time frame: 1 month

Other outcomes

  1. Hospitalization cost

    Expense of acute pancreatitis

    Time frame: 1 month

07

Study locations

17 of 17 sites recruiting
  • Peking University Sixth Hospital
    Beijing, Beijing 100191, China
    Recruiting
    • Zuoyan Wu, MD · Contact
  • Peking Union Medical College Hospital
    Beijing, Beijing 100730, China
    Recruiting
    • Dong Wu, M.D. · Contact
  • Liangxiang Hospital
    Beijing, Beijing 102401, China
    Recruiting
    • Yanfeng Wang, M.D. · Contact
  • Guiyang Second People's Hospital
    Guiyang, Guizhou 550005, China
    Recruiting
    • Shanshan Yu, M.D. · Contact
  • Baoding Seventh Hospital
    Baoding, Hebei 071000, China
    Recruiting
    • Zhitao Lu, M.D. · Contact
  • Fourth Affiliated Hospital of Harbin Medical University
    Harbin, Heilongjiang 150001, China
    Recruiting
    • Ruifeng Wang, MD · Contact
  • Dengzhou People's Hospital
    Dengzhou, Henan 411381, China
    Recruiting
    • Na Wu, M.D. · Contact
  • Second People Hospital of Nanyang
    Nanyang, Henan 473012, China
    Recruiting
    • Xiao Fan, M.D. · Contact
  • The Second People's Hospital of Huai'an
    Huaian, Jiangsu 223300, China
    Recruiting
    • Yan Shi, MD · Contact
  • Nantong First People's Hospital
    Nantong, Jiangsu 226001, China
    Recruiting
    • Baofeng Zhu, MD · Contact
  • Suqian People's Hospital
    Suqian, Jiangsu 223800, China
    Recruiting
    • Ming Sun, MD · Contact
  • Wuxi Third People's Hospital
    Wuxi, Jiangsu 214043, China
    Recruiting
    • Wei Huang, MD · Contact
  • Qinghai University Affiliated Hospital
    Xining, Qinghai 810001, China
    Recruiting
    • Mei Liu, M.D. · Contact
  • West China Longquan Hospital Sichuan University
    Chengdu, Sichuan 610041, China
    Recruiting
    • Shicheng Zheng, MD · Contact
  • The First Affiliated Hospital of Xinjiang Medical University
    Ürümqi, Xinjiang 830054, China
    Recruiting
    • Jianzhong Yang, MD · Contact
  • Jinhua Municipal Central Hospital
    Jinhua, Zhejiang 321000, China
    Recruiting
    • Daoyuan Jing, MD · Contact
  • Lishui Municipal Central Hospital
    Lishui, Zhejiang 323000, China
    Recruiting
    • Hong Liu, MD · Contact
08

References and documents

Publications

  • Gorsky VA, Agapov MA, Khoreva MV, Leonenko IV. The effect of lornoxicam on TLR2 and TLR4 messenger RNA expression and tumor necrosis factor-alpha, interleukin-6, and interleukin-8 secretion in patients with systemic complications of acute pancreatitis. Pancreas. 2015 Jul;44(5):824-30. doi: 10.1097/MPA.0000000000000344. PubMed 25872171 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Dec 2024 (actual). Primary completion is estimated for Jun 2028, 42 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
May 24, 2018
First posted
Jun 6, 2018
StartActual
Dec 1, 2024
Primary completionEst.
Jun 1, 2028
CompletionEst.
Dec 1, 2028
Last update
Jun 15, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03547232
Responsible party
DONG WU (Professor of Gastroenterology, Peking Union Medical College Hospital) — Principal investigator
First posted
Jun 6, 2018
Start date
Dec 1, 2024
Primary completion
Jun 1, 2028 (estimated)
Completion
Dec 1, 2028 (estimated)
Last update
Jun 15, 2025

Study contacts

Dong Wu, M.D.
Contact
dongwu@pumc.edu.cn
8618612671010
Dong Wu, M.D.
study chair · Peking Union Medical College Hospital
Zhitao Lu, M.D.
principal investigator · Baoding Seventh Hospital
Yanfeng Wang, M.D.
principal investigator · Liangxiang Hospital
Shanshan Yu, M.D.
principal investigator · Guiyang Second People's Hospital
Na Wu, M.D.
principal investigator · Dengzhou People's Hospital
Mei Liu, M.D.
principal investigator · Affiliated Hospital of Qinghai University
Xiao Fan, M.D.
principal investigator · Second People Hospital of Nanyang
Zuoyan Wu, MD
principal investigator · Peking University Sixth Hospital
Ruifeng Wang, MD
principal investigator · Harbin Medical University
Baofeng Zhu, MD
principal investigator · Nantong First People's Hospital
Yan Shi, MD
principal investigator · The Second People's Hospital of Huai'an
Ming Sun, MD
principal investigator · Suqian People's Hospital
Wei Huang, MD
principal investigator · Wuxi Third People's Hospital
Shicheng Zheng, MD
principal investigator · West China Longquan Hospital Sichuan University
Jianzhong Yang, MD
principal investigator · First Affiliated Hospital of Xinjiang Medical University
Daoyuan Jing, MD
principal investigator · Jinhua Municipal Central Hospital
Hong Liu, MD
principal investigator · Lishui Municipal Central Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Indomethacin

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