Use of Functional Magnetic Resonance Imaging (fMRI) to Study Brain Activation in Children With Irritable Bowel Syndrome

NCT ID: NCT00677976

Last Updated: 2020-04-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Total Enrollment

17 participants

Study Classification

OBSERVATIONAL

Study Start Date

2007-06-30

Study Completion Date

2013-06-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of the study is to map regions of brain activation following rectal stimulation in children with irritable bowel syndrome (IBS) and healthy controls.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Our first aim is to compare the brain areas activated rectal stimulation in boys and girls with IBS and healthy children. Our second aim is to compare the anatomic regions of the brain activated during rectal stimulation in pre and post-pubertal male and female subjects between 10-18 yrs of age.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Irritable Bowel Syndrome

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

IBS

Children between the ages of 10 and 18 who meet Rome III criteria for IBS as determined by a pediatric gastroenterologist.

No interventions assigned to this group

Control

Healthy children between the ages of 10 and 18.

No interventions assigned to this group

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Children aged 10 years to 18 years who provide written assent and whose parents provide written permission for participation
* English-speaking
* Subjects in the IBS group will meet Rome III criteria for IBS as determined by a pediatric gastroenterologist.

Exclusion Criteria

* Other pain-related diseases, functional gastrointestinal disorders, or somatization disorder
* Mental retardation or pervasive developmental disorder or epilepsy
* Psychosis
* Genetic or chromosomal disorders
* Currently receiving psychoactive drug treatment
* Patients with pacemakers, metal clips used in previous surgery or other device which are not compatible with MRI scanning
* Inability to lie still in the scanner
* Claustrophobia (Inability to lie still in the scanner)
* Pregnancy
* Subjects who admit to substance abuse during screening
* Orthodontic braces
Minimum Eligible Age

10 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Medical College of Wisconsin

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Manu Sood

Chief, Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Manu Sood, MD

Role: PRINCIPAL_INVESTIGATOR

Medical College of Wisconsin

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States

References

Explore related publications, articles, or registry entries linked to this study.

Drossman DA, Li Z, Andruzzi E, Temple RD, Talley NJ, Thompson WG, Whitehead WE, Janssens J, Funch-Jensen P, Corazziari E, et al. U.S. householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact. Dig Dis Sci. 1993 Sep;38(9):1569-80. doi: 10.1007/BF01303162.

Reference Type BACKGROUND
PMID: 8359066 (View on PubMed)

Talley NJ, Zinsmeister AR, Van Dyke C, Melton LJ 3rd. Epidemiology of colonic symptoms and the irritable bowel syndrome. Gastroenterology. 1991 Oct;101(4):927-34. doi: 10.1016/0016-5085(91)90717-y.

Reference Type BACKGROUND
PMID: 1889716 (View on PubMed)

Rasquin A, Di Lorenzo C, Forbes D, Guiraldes E, Hyams JS, Staiano A, Walker LS. Childhood functional gastrointestinal disorders: child/adolescent. Gastroenterology. 2006 Apr;130(5):1527-37. doi: 10.1053/j.gastro.2005.08.063.

Reference Type BACKGROUND
PMID: 16678566 (View on PubMed)

Hyams JS, Burke G, Davis PM, Rzepski B, Andrulonis PA. Abdominal pain and irritable bowel syndrome in adolescents: a community-based study. J Pediatr. 1996 Aug;129(2):220-6. doi: 10.1016/s0022-3476(96)70246-9.

Reference Type BACKGROUND
PMID: 8765619 (View on PubMed)

Hyams JS, Treem WR, Justinich CJ, Davis P, Shoup M, Burke G. Characterization of symptoms in children with recurrent abdominal pain: resemblance to irritable bowel syndrome. J Pediatr Gastroenterol Nutr. 1995 Feb;20(2):209-14. doi: 10.1097/00005176-199502000-00012.

Reference Type BACKGROUND
PMID: 7714688 (View on PubMed)

Walker LS, Lipani TA, Greene JW, Caines K, Stutts J, Polk DB, Caplan A, Rasquin-Weber A. Recurrent abdominal pain: symptom subtypes based on the Rome II Criteria for pediatric functional gastrointestinal disorders. J Pediatr Gastroenterol Nutr. 2004 Feb;38(2):187-91. doi: 10.1097/00005176-200402000-00016.

Reference Type BACKGROUND
PMID: 14734882 (View on PubMed)

Walker LS, Greene JW. The functional disability inventory: measuring a neglected dimension of child health status. J Pediatr Psychol. 1991 Feb;16(1):39-58. doi: 10.1093/jpepsy/16.1.39.

Reference Type BACKGROUND
PMID: 1826329 (View on PubMed)

Van Ginkel R, Voskuijl WP, Benninga MA, Taminiau JA, Boeckxstaens GE. Alterations in rectal sensitivity and motility in childhood irritable bowel syndrome. Gastroenterology. 2001 Jan;120(1):31-8. doi: 10.1053/gast.2001.20898.

Reference Type BACKGROUND
PMID: 11208711 (View on PubMed)

Di Lorenzo C, Youssef NN, Sigurdsson L, Scharff L, Griffiths J, Wald A. Visceral hyperalgesia in children with functional abdominal pain. J Pediatr. 2001 Dec;139(6):838-43. doi: 10.1067/mpd.2001.118883.

Reference Type BACKGROUND
PMID: 11743510 (View on PubMed)

Hobson AR, Aziz Q. Brain imaging and functional gastrointestinal disorders: has it helped our understanding? Gut. 2004 Aug;53(8):1198-206. doi: 10.1136/gut.2003.035642. No abstract available.

Reference Type BACKGROUND
PMID: 15247191 (View on PubMed)

Aziz Q, Andersson JL, Valind S, Sundin A, Hamdy S, Jones AK, Foster ER, Langstrom B, Thompson DG. Identification of human brain loci processing esophageal sensation using positron emission tomography. Gastroenterology. 1997 Jul;113(1):50-9. doi: 10.1016/s0016-5085(97)70079-9.

Reference Type BACKGROUND
PMID: 9207261 (View on PubMed)

Schnitzler A, Ploner M. Neurophysiology and functional neuroanatomy of pain perception. J Clin Neurophysiol. 2000 Nov;17(6):592-603. doi: 10.1097/00004691-200011000-00005.

Reference Type BACKGROUND
PMID: 11151977 (View on PubMed)

Willis WD, Westlund KN. Neuroanatomy of the pain system and of the pathways that modulate pain. J Clin Neurophysiol. 1997 Jan;14(1):2-31. doi: 10.1097/00004691-199701000-00002.

Reference Type BACKGROUND
PMID: 9013357 (View on PubMed)

Wilder-Smith CH, Schindler D, Lovblad K, Redmond SM, Nirkko A. Brain functional magnetic resonance imaging of rectal pain and activation of endogenous inhibitory mechanisms in irritable bowel syndrome patient subgroups and healthy controls. Gut. 2004 Nov;53(11):1595-601. doi: 10.1136/gut.2003.028514.

Reference Type BACKGROUND
PMID: 15479679 (View on PubMed)

Sidhu H, Kern M, Shaker R. Absence of increasing cortical fMRI activity volume in response to increasing visceral stimulation in IBS patients. Am J Physiol Gastrointest Liver Physiol. 2004 Aug;287(2):G425-35. doi: 10.1152/ajpgi.00490.2003.

Reference Type BACKGROUND
PMID: 15246969 (View on PubMed)

Lawal A, Kern M, Sanjeevi A, Hofmann C, Shaker R. Cingulate cortex: a closer look at its gut-related functional topography. Am J Physiol Gastrointest Liver Physiol. 2005 Oct;289(4):G722-30. doi: 10.1152/ajpgi.00016.2005.

Reference Type BACKGROUND
PMID: 16160081 (View on PubMed)

Drossman DA, Ringel Y, Vogt BA, Leserman J, Lin W, Smith JK, Whitehead W. Alterations of brain activity associated with resolution of emotional distress and pain in a case of severe irritable bowel syndrome. Gastroenterology. 2003 Mar;124(3):754-61. doi: 10.1053/gast.2003.50103.

Reference Type BACKGROUND
PMID: 12612913 (View on PubMed)

Derbyshire SW. A systematic review of neuroimaging data during visceral stimulation. Am J Gastroenterol. 2003 Jan;98(1):12-20. doi: 10.1111/j.1572-0241.2003.07168.x.

Reference Type BACKGROUND
PMID: 12526930 (View on PubMed)

Lawal A, Kern M, Sidhu H, Hofmann C, Shaker R. Novel evidence for hypersensitivity of visceral sensory neural circuitry in irritable bowel syndrome patients. Gastroenterology. 2006 Jan;130(1):26-33. doi: 10.1053/j.gastro.2005.10.020.

Reference Type BACKGROUND
PMID: 16401465 (View on PubMed)

Verne GN, Himes NC, Robinson ME, Gopinath KS, Briggs RW, Crosson B, Price DD. Central representation of visceral and cutaneous hypersensitivity in the irritable bowel syndrome. Pain. 2003 May;103(1-2):99-110. doi: 10.1016/s0304-3959(02)00416-5.

Reference Type BACKGROUND
PMID: 12749964 (View on PubMed)

Whitehead WE, Palsson OS. Is rectal pain sensitivity a biological marker for irritable bowel syndrome: psychological influences on pain perception. Gastroenterology. 1998 Nov;115(5):1263-71. doi: 10.1016/s0016-5085(98)70099-x.

Reference Type BACKGROUND
PMID: 9797383 (View on PubMed)

Gregory LJ, Yaguez L, Williams SC, Altmann C, Coen SJ, Ng V, Brammer MJ, Thompson DG, Aziz Q. Cognitive modulation of the cerebral processing of human oesophageal sensation using functional magnetic resonance imaging. Gut. 2003 Dec;52(12):1671-7. doi: 10.1136/gut.52.12.1671.

Reference Type BACKGROUND
PMID: 14633941 (View on PubMed)

Devinsky O, Morrell MJ, Vogt BA. Contributions of anterior cingulate cortex to behaviour. Brain. 1995 Feb;118 ( Pt 1):279-306. doi: 10.1093/brain/118.1.279.

Reference Type BACKGROUND
PMID: 7895011 (View on PubMed)

Paus T. Primate anterior cingulate cortex: where motor control, drive and cognition interface. Nat Rev Neurosci. 2001 Jun;2(6):417-24. doi: 10.1038/35077500.

Reference Type BACKGROUND
PMID: 11389475 (View on PubMed)

Rainville P, Duncan GH, Price DD, Carrier B, Bushnell MC. Pain affect encoded in human anterior cingulate but not somatosensory cortex. Science. 1997 Aug 15;277(5328):968-71. doi: 10.1126/science.277.5328.968.

Reference Type BACKGROUND
PMID: 9252330 (View on PubMed)

Andresen V, Bach DR, Poellinger A, Tsrouya C, Stroh A, Foerschler A, Georgiewa P, Zimmer C, Monnikes H. Brain activation responses to subliminal or supraliminal rectal stimuli and to auditory stimuli in irritable bowel syndrome. Neurogastroenterol Motil. 2005 Dec;17(6):827-37. doi: 10.1111/j.1365-2982.2005.00720.x.

Reference Type BACKGROUND
PMID: 16336498 (View on PubMed)

Lorenz J, Minoshima S, Casey KL. Keeping pain out of mind: the role of the dorsolateral prefrontal cortex in pain modulation. Brain. 2003 May;126(Pt 5):1079-91. doi: 10.1093/brain/awg102.

Reference Type BACKGROUND
PMID: 12690048 (View on PubMed)

Vogt BA, Wiley RG, Jensen EL. Localization of Mu and delta opioid receptors to anterior cingulate afferents and projection neurons and input/output model of Mu regulation. Exp Neurol. 1995 Oct;135(2):83-92. doi: 10.1006/exnr.1995.1069.

Reference Type BACKGROUND
PMID: 7589327 (View on PubMed)

Kern MK, Jaradeh S, Arndorfer RC, Jesmanowicz A, Hyde J, Shaker R. Gender differences in cortical representation of rectal distension in healthy humans. Am J Physiol Gastrointest Liver Physiol. 2001 Dec;281(6):G1512-23. doi: 10.1152/ajpgi.2001.281.6.G1512.

Reference Type BACKGROUND
PMID: 11705757 (View on PubMed)

Berman S, Munakata J, Naliboff BD, Chang L, Mandelkern M, Silverman D, Kovalik E, Mayer EA. Gender differences in regional brain response to visceral pressure in IBS patients. Eur J Pain. 2000;4(2):157-72. doi: 10.1053/eujp.2000.0167.

Reference Type BACKGROUND
PMID: 10957697 (View on PubMed)

Naliboff BD, Berman S, Chang L, Derbyshire SW, Suyenobu B, Vogt BA, Mandelkern M, Mayer EA. Sex-related differences in IBS patients: central processing of visceral stimuli. Gastroenterology. 2003 Jun;124(7):1738-47. doi: 10.1016/s0016-5085(03)00400-1.

Reference Type BACKGROUND
PMID: 12806606 (View on PubMed)

Houghton LA, Lea R, Jackson N, Whorwell PJ. The menstrual cycle affects rectal sensitivity in patients with irritable bowel syndrome but not healthy volunteers. Gut. 2002 Apr;50(4):471-4. doi: 10.1136/gut.50.4.471.

Reference Type BACKGROUND
PMID: 11889064 (View on PubMed)

Berkley KJ. Sex differences in pain. Behav Brain Sci. 1997 Sep;20(3):371-80; discussion 435-513. doi: 10.1017/s0140525x97221485.

Reference Type BACKGROUND
PMID: 10097000 (View on PubMed)

Houghton LA, Jackson NA, Whorwell PJ, Morris J. Do male sex hormones protect from irritable bowel syndrome? Am J Gastroenterol. 2000 Sep;95(9):2296-300. doi: 10.1111/j.1572-0241.2000.02314.x.

Reference Type BACKGROUND
PMID: 11007231 (View on PubMed)

Chang L, Heitkemper MM. Gender differences in irritable bowel syndrome. Gastroenterology. 2002 Nov;123(5):1686-701. doi: 10.1053/gast.2002.36603.

Reference Type BACKGROUND
PMID: 12404243 (View on PubMed)

Petersen S, Bergstrom E, Brulin C. High prevalence of tiredness and pain in young schoolchildren. Scand J Public Health. 2003;31(5):367-74. doi: 10.1080/14034940210165064.

Reference Type BACKGROUND
PMID: 14555373 (View on PubMed)

Groholt EK, Stigum H, Nordhagen R, Kohler L. Recurrent pain in children, socio-economic factors and accumulation in families. Eur J Epidemiol. 2003;18(10):965-75. doi: 10.1023/a:1025889912964.

Reference Type BACKGROUND
PMID: 14598927 (View on PubMed)

Perquin CW, Hunfeld JA, Hazebroek-Kampschreur AA, van Suijlekom-Smit LW, Passchier J, Koes BW, van der Wouden JC. The natural course of chronic benign pain in childhood and adolescence: a two-year population-based follow-up study. Eur J Pain. 2003;7(6):551-9. doi: 10.1016/S1090-3801(03)00060-0.

Reference Type BACKGROUND
PMID: 14575668 (View on PubMed)

Chitkara DK, Rawat DJ, Talley NJ. The epidemiology of childhood recurrent abdominal pain in Western countries: a systematic review. Am J Gastroenterol. 2005 Aug;100(8):1868-75. doi: 10.1111/j.1572-0241.2005.41893.x.

Reference Type BACKGROUND
PMID: 16086724 (View on PubMed)

Hunfeld JA, Perquin CW, Hazebroek-Kampschreur AA, Passchier J, van Suijlekom-Smit LW, van der Wouden JC. Physically unexplained chronic pain and its impact on children and their families: the mother's perception. Psychol Psychother. 2002 Sep;75(Pt 3):251-60. doi: 10.1348/147608302320365172.

Reference Type BACKGROUND
PMID: 12396752 (View on PubMed)

Caviness VS Jr, Kennedy DN, Richelme C, Rademacher J, Filipek PA. The human brain age 7-11 years: a volumetric analysis based on magnetic resonance images. Cereb Cortex. 1996 Sep-Oct;6(5):726-36. doi: 10.1093/cercor/6.5.726.

Reference Type BACKGROUND
PMID: 8921207 (View on PubMed)

Reiss AL, Abrams MT, Singer HS, Ross JL, Denckla MB. Brain development, gender and IQ in children. A volumetric imaging study. Brain. 1996 Oct;119 ( Pt 5):1763-74. doi: 10.1093/brain/119.5.1763.

Reference Type BACKGROUND
PMID: 8931596 (View on PubMed)

Giedd JN, Snell JW, Lange N, Rajapakse JC, Casey BJ, Kozuch PL, Vaituzis AC, Vauss YC, Hamburger SD, Kaysen D, Rapoport JL. Quantitative magnetic resonance imaging of human brain development: ages 4-18. Cereb Cortex. 1996 Jul-Aug;6(4):551-60. doi: 10.1093/cercor/6.4.551.

Reference Type BACKGROUND
PMID: 8670681 (View on PubMed)

Burgund ED, Kang HC, Kelly JE, Buckner RL, Snyder AZ, Petersen SE, Schlaggar BL. The feasibility of a common stereotactic space for children and adults in fMRI studies of development. Neuroimage. 2002 Sep;17(1):184-200. doi: 10.1006/nimg.2002.1174.

Reference Type BACKGROUND
PMID: 12482076 (View on PubMed)

Kang HC, Burgund ED, Lugar HM, Petersen SE, Schlaggar BL. Comparison of functional activation foci in children and adults using a common stereotactic space. Neuroimage. 2003 May;19(1):16-28. doi: 10.1016/s1053-8119(03)00038-7.

Reference Type BACKGROUND
PMID: 12781724 (View on PubMed)

Duke PM, Litt IF, Gross RT. Adolescents' self-assessment of sexual maturation. Pediatrics. 1980 Dec;66(6):918-20.

Reference Type BACKGROUND
PMID: 7454482 (View on PubMed)

Liu X, Li SJ, Shaker R, Silverman A, Kern M, Ward DB, Li W, Xu Z, Chelimsky G, Sood MR. Reduced Functional Connectivity Between the Hypothalamus and High-order Cortical Regions in Adolescent Patients With Irritable Bowel Syndrome. J Pediatr Gastroenterol Nutr. 2017 Nov;65(5):516-519. doi: 10.1097/MPG.0000000000001611.

Reference Type DERIVED
PMID: 29064927 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

CHW 06/163

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Studying Motor Neuron Tests
NCT01517087 COMPLETED
Defining Central Circuits of Pain
NCT00112333 COMPLETED NA
31P-MRS and Huntington Disease
NCT01359774 COMPLETED NA