Trial Outcomes & Findings for Hypnotherapy for Prevention of Relapse in Ulcerative Colitis: a Randomised, Single-blind, Controlled Clinical Trial (NCT NCT00553163)

NCT ID: NCT00553163

Last Updated: 2019-06-28

Results Overview

The number of patients suffering a relapse was compared between the two treatment groups, and was the primary outcome parameter of this study.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

26 participants

Primary outcome timeframe

1 year

Results posted on

2019-06-28

Participant Flow

We aimed to recruit 66 patients from across London, but after \>3 years could recruit only 26. Reasons for failure to complete recruitment included the relative rarity of this patient-group (ie with inactive ulcerative colitis (UC) for some years while on thiopurine, willing to stop the drug, and with time to complete the intensive programme).

Participant milestones

Participant milestones
Measure
Gut-focussed Hypnotherapy (GFH)
Patients given gut-focussed hypnotherapy (GFH).after withdrawing from thiopurine
Control Educational Sessions
Patients given control educational sessions after withdrawing from thiopurines
Overall Study
STARTED
16
10
Overall Study
COMPLETED
16
10
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Hypnotherapy for Prevention of Relapse in Ulcerative Colitis: a Randomised, Single-blind, Controlled Clinical Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Gut-focussed Hypnotherapy
n=16 Participants
16 Patients with inactive ulcerative colitis given gut-focussed hypnotherapy
Controlled Educational Sessions
n=10 Participants
10 Patients with inactive ulcerative colitis given educational sessions
Total
n=26 Participants
Total of all reporting groups
Age, Continuous
31 years
n=93 Participants
48 years
n=4 Participants
35 years
n=27 Participants
Sex: Female, Male
Female
8 Participants
n=93 Participants
3 Participants
n=4 Participants
11 Participants
n=27 Participants
Sex: Female, Male
Male
8 Participants
n=93 Participants
7 Participants
n=4 Participants
15 Participants
n=27 Participants
Region of Enrollment
United Kingdom
16 participants
n=93 Participants
10 participants
n=4 Participants
26 participants
n=27 Participants

PRIMARY outcome

Timeframe: 1 year

The number of patients suffering a relapse was compared between the two treatment groups, and was the primary outcome parameter of this study.

Outcome measures

Outcome measures
Measure
UC Patients Given Gut-focussed Hypnotherapy
n=16 Participants
Gut-focussed hypnotherapy (GFH). Subjects were seen at 6 face-to-face visits in the 13 week treatment period (weeks 1, 2, 3, 5, 9 and 13).
UC Patients Given Control Educational Sessions
n=10 Participants
Controlled educational sessions:Subjects were seen at 4-weekly intervals (a total of 4 face-to-face visits in the 13 week treatment, at weeks 1, 5, 9 and 13),
Relapse at 1 Year
8 Participants
7 Participants

SECONDARY outcome

Timeframe: 13 weeks

Population: Patients all assessed at 13 weeks (end of treatment phase). 4 hypnotherapy and 1 control patient failed to complete their questionnaires

IBDQ (standard measure of IBD patients' Quality of life (QoL) (Irvine et al 1982 approx). The IBDQ is a validated and reliable tool to measure of health-related quality of life in adult patients with IBD. The questionnaire consists of 32 questions scored in four domains: bowel symptoms, emotional health, systemic systems and social function. Scores range from 1 (poorest QoL) to 7 (best QoL). Higher scores indicate better QoL. Lowest score 7, highest score 224.

Outcome measures

Outcome measures
Measure
UC Patients Given Gut-focussed Hypnotherapy
n=12 Participants
Gut-focussed hypnotherapy (GFH). Subjects were seen at 6 face-to-face visits in the 13 week treatment period (weeks 1, 2, 3, 5, 9 and 13).
UC Patients Given Control Educational Sessions
n=9 Participants
Controlled educational sessions:Subjects were seen at 4-weekly intervals (a total of 4 face-to-face visits in the 13 week treatment, at weeks 1, 5, 9 and 13),
Inflammatory Bowel Disease Questionnaire (IBDQ) at Week 13
195 units on a scale
Interval 114.0 to 212.0
192 units on a scale
Interval 170.0 to 212.0

SECONDARY outcome

Timeframe: 13 weeks

Population: 4 hypnotherapy and 1 control patient failed to complete their questionnaires

Measure of anxiety, HADS Hospital anxiety and depression scale. HADS questionnaire consists of a 14 question validated questionnaire, developed to measure anxiety and depression in the hospital setting. Each item is answered by the patient on a four point (0-3) response category so the possible scores range from 0 (minimum) to 21 (maximum) for anxiety and 0 (minimum) to 21 (maximum) for depression. Higher scores indicate worse outcome,

Outcome measures

Outcome measures
Measure
UC Patients Given Gut-focussed Hypnotherapy
n=12 Participants
Gut-focussed hypnotherapy (GFH). Subjects were seen at 6 face-to-face visits in the 13 week treatment period (weeks 1, 2, 3, 5, 9 and 13).
UC Patients Given Control Educational Sessions
n=9 Participants
Controlled educational sessions:Subjects were seen at 4-weekly intervals (a total of 4 face-to-face visits in the 13 week treatment, at weeks 1, 5, 9 and 13),
Hospital Anxiety and Depression Score-Anxiety, (HADSA) at Week 13
7 score on a scale
Interval 3.0 to 11.0
10 score on a scale
Interval 4.0 to 14.0

SECONDARY outcome

Timeframe: 13 weeks

Population: 4 hypnotherapy and 1 control patient failed to complete their questionnaires

Measure of depression. Each item is answered by the patient on a four point (0-3) response category so the possible scores range from 0 to 21 for anxiety and 0 to 21 for depression. Each item is answered by the patient on a four point (0-3) response category so the possible scores range from 0 (minimum) to 21 (maximum) for anxiety and (minimum) to 21 (maximum) for depression. Higher scores worse outcome.

Outcome measures

Outcome measures
Measure
UC Patients Given Gut-focussed Hypnotherapy
n=12 Participants
Gut-focussed hypnotherapy (GFH). Subjects were seen at 6 face-to-face visits in the 13 week treatment period (weeks 1, 2, 3, 5, 9 and 13).
UC Patients Given Control Educational Sessions
n=9 Participants
Controlled educational sessions:Subjects were seen at 4-weekly intervals (a total of 4 face-to-face visits in the 13 week treatment, at weeks 1, 5, 9 and 13),
Hospital Anxiety and Depression Score-Depression (HADSD)
1.5 units on a scale
Interval 0.0 to 8.0
4 units on a scale
Interval 0.0 to 8.0

SECONDARY outcome

Timeframe: 13 weeks

Population: 4 hypnotherapy and 1 control patient failed to complete their questionnaires

Measure of recent psychological stress. THE PSQ R consists of a 30 question questionnaires: recent, in which the statements used apply to the last month in which used statements apply to the last two years (Appendix 1.3). The score for both recent and general stress levels were stated as the PSQ index ranging from 0 (non-stressed) to 0.99 (highly stressed). Higher scores indicate worse outcome.

Outcome measures

Outcome measures
Measure
UC Patients Given Gut-focussed Hypnotherapy
n=12 Participants
Gut-focussed hypnotherapy (GFH). Subjects were seen at 6 face-to-face visits in the 13 week treatment period (weeks 1, 2, 3, 5, 9 and 13).
UC Patients Given Control Educational Sessions
n=9 Participants
Controlled educational sessions:Subjects were seen at 4-weekly intervals (a total of 4 face-to-face visits in the 13 week treatment, at weeks 1, 5, 9 and 13),
Perceived Stress Questionnaire-Recent (PSQ-R)
0.3 units on a scale
Interval 0.1 to 0.6
0.4 units on a scale
Interval 0.1 to 0.7

Adverse Events

Gut-focussed Hypnotherapy (GFH)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Controlled Educational Sessions

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Prof D S Rampton

Barts Health NHS Trust

Phone: +442035943300

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place