Anti-inflammatory Effect of Peroperative Stimulation of the Vagus Nerve

NCT ID: NCT02524626

Last Updated: 2023-02-10

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

PHASE3

Total Enrollment

130 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-07-01

Study Completion Date

2019-12-31

Brief Summary

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Hypothesis:

Electrical stimulation of the abdominal vagus nerve has anti-inflammatory effects which lead to a faster postoperative recovery after abdominal surgery.

Aims:

In the present study, the investigators want evaluate the anti-inflammatory effect of peroperative electrical stimulation of the vagus nerve. In addition, the investigators want to determine whether vagus nerve stimulation leads to a faster postoperative recovery. To this end, the following aims are formulated:

1. to determine whether vagus nerve stimulation leads to an improvement in gastrointestinal transit using radiological testing
2. to evaluate whether electrical stimulation of the vagus nerve leads to clinical improvement (daily questionnaire)
3. to show that electrical stimulation of the intra-abdominal vagus nerve reduces the inflammatory response to abdominal surgery

Detailed Description

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Conditions

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Postoperative Ileus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Sham stimulation

no stimulation of vagus nerve

Group Type SHAM_COMPARATOR

Sham stimulation

Intervention Type PROCEDURE

Sham stimulation

Vagus stimulation

Stimulation of the vagus nerve at the beginning and the end of the surgery

Group Type ACTIVE_COMPARATOR

Vagus stimulation

Intervention Type PROCEDURE

Vagus stimulation

Interventions

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Sham stimulation

Sham stimulation

Intervention Type PROCEDURE

Vagus stimulation

Vagus stimulation

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* patients with ovarium, pancreas or colorectal carcinoma eligible for resection

Exclusion Criteria

* preoperative therapeutic abdominal radiation shorter than 2 weeks prior to surgery
* evident intra-abdominal inflammation (diagnosed by imaging and/or laboratory test results, including abscess or cholecystitis)
* American Society of Anesthesiologists physical-health status classification (ASA-PS) \> 3
* poorly regulated diabetes (\> 200 mg/dl (= 11 mmol/l)
* surgery due to chronic pancreatitis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universitaire Ziekenhuizen KU Leuven

OTHER

Sponsor Role collaborator

KU Leuven

OTHER

Sponsor Role lead

Responsible Party

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Guy Boeckxstaens

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Guy Boeckxstaens, M.D.

Role: PRINCIPAL_INVESTIGATOR

Catholic University Leuven

Locations

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University Hospitals Leuven

Leuven, , Belgium

Site Status

Countries

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Belgium

References

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Kalff JC, Buchholz BM, Eskandari MK, Hierholzer C, Schraut WH, Simmons RL, Bauer AJ. Biphasic response to gut manipulation and temporal correlation of cellular infiltrates and muscle dysfunction in rat. Surgery. 1999 Sep;126(3):498-509.

Reference Type BACKGROUND
PMID: 10486602 (View on PubMed)

Kalff JC, Schraut WH, Simmons RL, Bauer AJ. Surgical manipulation of the gut elicits an intestinal muscularis inflammatory response resulting in postsurgical ileus. Ann Surg. 1998 Nov;228(5):652-63. doi: 10.1097/00000658-199811000-00004.

Reference Type BACKGROUND
PMID: 9833803 (View on PubMed)

Other Identifiers

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S56309

Identifier Type: -

Identifier Source: org_study_id

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