Page last updated: 2024-10-29

indomethacin and Inflammatory Response Syndrome, Systemic

indomethacin has been researched along with Inflammatory Response Syndrome, Systemic in 4 studies

Indomethacin: A non-steroidal anti-inflammatory agent (NSAID) that inhibits CYCLOOXYGENASE, which is necessary for the formation of PROSTAGLANDINS and other AUTACOIDS. It also inhibits the motility of POLYMORPHONUCLEAR LEUKOCYTES.
indometacin : A member of the class of indole-3-acetic acids that is indole-3-acetic acid in which the indole ring is substituted at positions 1, 2 and 5 by p-chlorobenzoyl, methyl, and methoxy groups, respectively. A non-steroidal anti-inflammatory drug, it is used in the treatment of musculoskeletal and joint disorders including osteoarthritis, rheumatoid arthritis, gout, bursitis and tendinitis.

Research Excerpts

ExcerptRelevanceReference
" The aim of this study was to compare the efficacy of rectal indomethacin vs placebo in reducing the systemic inflammatory response syndrome (SIRS) score in a high-risk AP population for clinical progression."9.41Rectal Indomethacin Does Not Mitigate the Systemic Inflammatory Response Syndrome in Acute Pancreatitis: A Randomized Trial. ( Conwell, DL; de-Madaria, E; Greer, P; Hart, PA; Hinton, A; Lee, PJ; Machicado, JD; Mounzer, R; Papachristou, GI; Paragomi, P; Pothoulakis, I; Whitcomb, DC; Yadav, D, 2021)
" The aim of this study was to compare the efficacy of rectal indomethacin vs placebo in reducing the systemic inflammatory response syndrome (SIRS) score in a high-risk AP population for clinical progression."5.41Rectal Indomethacin Does Not Mitigate the Systemic Inflammatory Response Syndrome in Acute Pancreatitis: A Randomized Trial. ( Conwell, DL; de-Madaria, E; Greer, P; Hart, PA; Hinton, A; Lee, PJ; Machicado, JD; Mounzer, R; Papachristou, GI; Paragomi, P; Pothoulakis, I; Whitcomb, DC; Yadav, D, 2021)
" The aim of the study is to verify the efficacy of the pharmacological blockade of the systemic inflammatory response syndrome (SIRS) in serious blunt chest injuries, and to identify whether the administration of indomethacin as a cyclooxygenase inhibitor could prevent a multiorgan dysfunction (MODS) and a multiorgan failure (MOF)."5.11Systemic inflammatory response syndrome (SIRS) in serious chest injuries: is a pharmacological blockade effective? ( Cervinka, V; Havlícek, K; Motycka, V; Siller, J, 2005)
" The aim is also to find out if the administration of indomethacin as a cyclooxygenase inhibitor could prevent multiorgan dysfunction (MODS) and multiorgan failure (MOF)."5.10[Pharmacologic prevention of SIRS (systemic inflammatory response syndrome) in severe thoracic injuries]. ( Fortová, M; Grofová, Z; Havlícek, K; Motycka, V; Siller, J; Vanác, J, 2003)
"126 patients with blunt chest injuries were evaluated during 33 months."2.72[SIRS and serious blunt thoracic injuries]. ( Fortová, M; Grofová, Z; Havlícek, K; Linda, B; Motycka, V; Siller, J, 2006)

Research

Studies (4)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's3 (75.00)29.6817
2010's0 (0.00)24.3611
2020's1 (25.00)2.80

Authors

AuthorsStudies
Machicado, JD1
Mounzer, R1
Paragomi, P1
Pothoulakis, I1
Hart, PA1
Conwell, DL1
de-Madaria, E1
Greer, P1
Yadav, D1
Whitcomb, DC1
Lee, PJ1
Hinton, A1
Papachristou, GI1
Motycka, V3
Havlícek, K3
Siller, J3
Grofová, Z2
Vanác, J1
Fortová, M2
Cervinka, V1
Linda, B1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Randomized Controlled Pilot Trial of Indomethacin in Acute Pancreatitis[NCT02692391]Phase 342 participants (Actual)Interventional2013-07-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

C-Reactive Protein (CRP) Levels.

CRP levels at 48 hours after enrollment minus CRP levels at enrollment (baseline). A negative number indicates a better outcome (less inflammation). (NCT02692391)
Timeframe: 48 hours

Interventionmg/dL (Mean)
Placebo-1.43
Indomethacin Suppository-2.08

Mortality

Enrolled subjects that died. A death indicates a worse outcome. (NCT02692391)
Timeframe: 1 month

InterventionParticipants (Count of Participants)
Placebo1
Indomethacin Suppository0

Number of Participants Who Development of Organ Failure

Including respiratory, renal and cardiovascular failures defined as modified Marshal score of equal and greater than 2. The minimum and maximum values in the modified Marshal score for each organ failure range from 0 to 4 with a higher value representing worse outcomes. (NCT02692391)
Timeframe: 7 days

InterventionParticipants (Count of Participants)
Placebo6
Indomethacin Suppository3

Systemic Inflammatory Response Syndrome (SIRS) Score

SIRS is a simple clinical score, ranging from 0-4, that utilizes objective, routine clinical parameters (body temperature, heart rate, respiratory rate or arterial carbon dioxide tension and white blood count) that directly reflect the underlying inflammatory response. A lower change in SIRS score (negative number) indicates a better outcome (less inflammation). (NCT02692391)
Timeframe: The change in the SIRS score (48 hours - baseline)

Interventionscore on a scale (Mean)
Placebo-0.96
Indomethacin Suppository-1

Trials

4 trials available for indomethacin and Inflammatory Response Syndrome, Systemic

ArticleYear
Rectal Indomethacin Does Not Mitigate the Systemic Inflammatory Response Syndrome in Acute Pancreatitis: A Randomized Trial.
    Clinical and translational gastroenterology, 2021, 10-27, Volume: 12, Issue:11

    Topics: Administration, Rectal; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Disease Progression; F

2021
[Pharmacologic prevention of SIRS (systemic inflammatory response syndrome) in severe thoracic injuries].
    Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti, 2003, Volume: 82, Issue:9

    Topics: Cyclooxygenase Inhibitors; Humans; Indomethacin; Multiple Organ Failure; Premedication; Systemic Inf

2003
Systemic inflammatory response syndrome (SIRS) in serious chest injuries: is a pharmacological blockade effective?
    Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 2005, Volume: 11, Issue:4

    Topics: Adult; Aged; Dose-Response Relationship, Drug; Drug Administration Schedule; Female; Follow-Up Studi

2005
[SIRS and serious blunt thoracic injuries].
    Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti, 2006, Volume: 85, Issue:8

    Topics: Adult; Cyclooxygenase Inhibitors; Humans; Indomethacin; Injury Severity Score; Middle Aged; Respirat

2006