Efficacy and Safety of Non Invasive Vagal Stimulation to Prevent Chemotherapy-induced Nausea

NCT ID: NCT04937309

Last Updated: 2023-05-11

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

338 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-24

Study Completion Date

2024-05-01

Brief Summary

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Despite pharmaceutical innovations, chemotherapy induced nausea is frequent and largely participating to alter our patients quality of life.

Non invasive vagal stimulation is approved in other health issues, for example in headache or gastroparesis, with a reported benefit on nausea.

This study aims to analyse if a non invasive vagal stimulation could better prevent chemotherapy induced nausea, in addition to standard treatment, in breast cancer patients treated with cyclophosphamide and anthracycline.

Detailed Description

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Despite pharmaceutical innovations, chemotherapy induced nausea is frequent and largely participating to alter our patients quality of life.

Non invasive vagal stimulation is approved in other health issues, for example in headache or gastroparesis, with a reported benefit on nausea.

This study aims to analyse if a non invasive vagal stimulation could better prevent chemotherapy induced nausea, in addition to standard treatment, in breast cancer patients treated with cyclophosphamide and anthracycline.

Conditions

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Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

one control arm and one intervention arm
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
sham

Study Groups

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intervention

standard anti emetic treatment use of non invasive vagal stimulation twice a day from the day before chemotherapy till 4 days after, with a transcutaneous auricular device. This stimulation is to be done for the three first cycles of chemotherapy.

Group Type EXPERIMENTAL

non invasive auricular vagal stimulation

Intervention Type DEVICE

Stimulation twice a day, beginning the day before until the fourth day after chemotherapy, for the three first chemotherapy cycles

usual medical treatment

Intervention Type DRUG

Standard anti emetic treatments to prevent emesis due to chemotherapy

control

standard anti emetic treatment use of non invasive vagal stimulation twice a day from the day before chemotherapy till 4 days after, with a transcutaneous auricular sham device. This "stimulation" is to be done for the three first cycles of chemotherapy.

Group Type SHAM_COMPARATOR

usual medical treatment

Intervention Type DRUG

Standard anti emetic treatments to prevent emesis due to chemotherapy

sham stimulation

Intervention Type DEVICE

Stimulation twice a day, beginning the day before until the fourth day after chemotherapy, for the three first chemotherapy cycles, with a sham device

Interventions

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non invasive auricular vagal stimulation

Stimulation twice a day, beginning the day before until the fourth day after chemotherapy, for the three first chemotherapy cycles

Intervention Type DEVICE

usual medical treatment

Standard anti emetic treatments to prevent emesis due to chemotherapy

Intervention Type DRUG

sham stimulation

Stimulation twice a day, beginning the day before until the fourth day after chemotherapy, for the three first chemotherapy cycles, with a sham device

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Eastern Cooperative Oncology Group (ECOG) status 0 to 2
* patient with breast cancer planned to receive Anthracycline and Cyclophosphamide chemotherapy
* informed consent
* compliance expected
* social security affiliation

Exclusion Criteria

* nausea or vomiting 24h or less, before inclusion
* Antiemetic drug intake in the last 72h before inclusion
* Central nervous system metastasis
* Daily alcohol intake
* Prior chemotherapy
* Cardiac arrythmia, severe heart failure
* Device for sleep apnea
* History of arterial or venous thrombosis, or thrombophlebitis
* Vagotomy
* Vagal stimulation ongoing
* Skin disease on the stimulation zone
* Cochlear implant next to the stimulation zone
* Unable to use the vagal stimulation device due to left ear unusual shape
* Pregnant or breastfeeding women, or women of childbearing age without effective contraception
* Documented allergy or contraindication to one of the antiemesis drugs required in the study
* Protected adults (individuals under guardianship by court order)
* Unable to read or write
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Tours

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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CH BLOIS

Blois, , France

Site Status ACTIVE_NOT_RECRUITING

Chru Morvan

Brest, , France

Site Status RECRUITING

CORT37

Chambray-lès-Tours, , France

Site Status RECRUITING

Ch Chateauroux

Châteauroux, , France

Site Status RECRUITING

Clinique Victor Hugo

Le Mans, , France

Site Status RECRUITING

Ch Orleans

Orléans, , France

Site Status ACTIVE_NOT_RECRUITING

Ch Chinon

Saint-Benoît-la-Forêt, , France

Site Status RECRUITING

CHRU Bretonneau

Tours, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Mathilde CANCEL, MD

Role: CONTACT

02 47 47 99 19

Facility Contacts

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Laura DEIANA

Role: primary

Tevy SAN

Role: primary

François CHRISTIANN

Role: primary

Hugues BOURGEOIS

Role: primary

Marion STACOFFE

Role: primary

Mathilde CANCEL, MD

Role: primary

Other Identifiers

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DR210090_SILENCE

Identifier Type: -

Identifier Source: org_study_id

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