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Tacrolimus as Prophylaxis of Post-ERCP Pancreatitis
Sponsor: Amsterdam UMC, location VUmc
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.
Official title: Tacrolimus as Prophylaxis of Post-ERCP Pancreatitis: a DPSG (Dutch Pancreatitis Study Group) Multicenter, Double-blind, Randomized, Placebo-controlled Study.
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
520
Start Date
2026-09-07
Completion Date
2028-12-07
Last Updated
2026-08-24
Healthy Volunteers
Yes
Conditions
Interventions
Tacrolimus
A single intravenous dose of tacrolimus, completed before the start of ERCP.
NaCl (placebo)
A matching intravenous placebo, identical in appearance and administration to the tacrolimus infusion.
Locations (1)
Amsterdam UMC, Location VUmc
Amsterdam, Netherlands