Subsensory Sacral Nerve Stimulation for Irritable Bowel Syndrome

NCT ID: NCT01948973

Last Updated: 2018-05-17

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

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2018-03-31

Brief Summary

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Sacral nerve stimulation (SNS) has become a well-established treatment for patients with fecal incontinence since 1995. The mechanism of action of SNS is still not fully understood but recent studies have shown changes in both colonic motility and rectal sensibility. We have previously shown IBS patients to benefit from sacral nerves stimulation. With the present study, we aim to evaluate if subsensory sacral nerve stimulation is as effective as suprasensory sacral nerve stimulation.

Detailed Description

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Twenty four patients with IBS-D or IBS-M according to the ROME III criteria, will be enrolled in the study.

Having meet inclusion criteria, the patients are randomised to receive either OFF-subsensory or subsensory-OFF stimulation in a 2+2-week period followed by 2 weeks of suprasensory stimulation. Hereby rendering a percutaneous nerve evaluation (PNE) test of a total of 6 weeks.

During the PNE test the effect of the stimulation is evaluated by specific IBS symptom and quality of life questionnaires (GSRS-IBS and IBS-IS) and bowel habit diaries.

Conditions

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Irritable Bowel Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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OFF, subsensory, suprasensory

Here the stimulator is turned OFF for the first 2 weeks, then set subsensory (90% of sensory threshold) for the next 2 weeks and finally set suprasensory for the last 2 weeks.

Group Type ACTIVE_COMPARATOR

Subsensory

Intervention Type DEVICE

The stimulation is here set to 90% of the sensory threshold

OFF

Intervention Type DEVICE

The stimulation is here turned OFF

Suprasensory

Intervention Type DRUG

The stimulation is here set suprasensory

Subsensory, OFF, suprasensory

Here the stimulator is set subsensory (90% of sensory threshold), then turned OFF for the next 2 weeks and finally set suprasensory in the last 2 weeks.

Group Type ACTIVE_COMPARATOR

Subsensory

Intervention Type DEVICE

The stimulation is here set to 90% of the sensory threshold

OFF

Intervention Type DEVICE

The stimulation is here turned OFF

Suprasensory

Intervention Type DRUG

The stimulation is here set suprasensory

Interventions

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Subsensory

The stimulation is here set to 90% of the sensory threshold

Intervention Type DEVICE

OFF

The stimulation is here turned OFF

Intervention Type DEVICE

Suprasensory

The stimulation is here set suprasensory

Intervention Type DRUG

Other Intervention Names

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Device: External pacemaker, model 3625, Medtronic Inc. Device: External pacemaker, model 3625, Medtronic Inc. Device: External pacemaker, model 3625, Medtronic Inc.

Eligibility Criteria

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Inclusion Criteria

* Patients aged over 18
* Patients who are psychologically stable and suitable for intervention and able to provide informed consent.
* Patients who are diagnosed with IBS-D or IBS-M according to the Rome III criteria
* Minimum average of 40 points in the symptom quistionnaire evaluated at baseline

Exclusion Criteria

* Overt bowel diseases including inflammatory bowel disease
* Pregnant or breast feeding
* Patients who are considered unable to follow the planned programme of the study, including mentally illness or physiological instability
* Patients who are on medication with known influence on gastrointestinal motility including those for thyroid disease, diabetes mellitus, celiac disease and neurological disease
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medtronic

INDUSTRY

Sponsor Role collaborator

University of Aarhus

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janne Fassov, PhD

Role: PRINCIPAL_INVESTIGATOR

Surgical Research Unit, Department of Surgery P, Aarhus University Hospital

Locations

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Surgical Research Unit, Department of Surgery P, Aarhus University Hospital

Aarhus, , Denmark

Site Status

Countries

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Denmark

References

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Fassov J, Hoyer KL, Lundby L, Laurberg S, Scott SM, Krogh K. Long-term efficacy and safety of sacral neuromodulation for diarrhoea-predominant and mixed irritable bowel syndrome. Tech Coloproctol. 2025 Jan 4;29(1):41. doi: 10.1007/s10151-024-03066-3.

Reference Type DERIVED
PMID: 39754648 (View on PubMed)

Other Identifiers

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1-10-72-170-13

Identifier Type: OTHER

Identifier Source: secondary_id

1-10-72-170-13, JLF

Identifier Type: -

Identifier Source: org_study_id

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