The Role of Neuromodulators in Refractory Functional Dyspepsia

NCT ID: NCT05099913

Last Updated: 2022-03-31

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

220 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-01

Study Completion Date

2022-12-30

Brief Summary

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The study was designed to investigate the effect of central neuromodulators on refractory functional dyspepsia

Detailed Description

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Functional dyspepsia (FD) is a prevalent disease combined with emotional disorders. Antidepressants are beneficial in the treatment of refractory FD, while for the long-term use of antidepressants, it could lead to withdrawal syndrome or other adverse events.

Refractory FD patients were unsatisfied with the regular first-line anti-acid treatment. However, many patients were worried about taking antidiepressants, even though guideline has recommended antidepressant use in FD. In our study, we would use low-dose and short-term antidepressant in refractory FD patients, and investigate whether short-term antidepressants application would improve therapeutic efficacy and minimize antidepressant withdrawal of FD patients.

Conditions

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Dyspepsia Functional Gastrointestinal Disorders Antidepressant Discontinuation Syndrome Antidepressant Drug Adverse Reaction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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2-week group

Patients were treated with antidepressants for 10-14 days combined with first-class medication(anti-acid drugs, prokinetics), followed by on demand.

Group Type EXPERIMENTAL

Deanxit

Intervention Type DRUG

Central neuromodulators was applied in refractory FD patients for different time

4-week group

Patients were treated with antidepressants for 4 weeks combined with first-class medication(anti-acid drugs, prokinetics).

Group Type EXPERIMENTAL

Deanxit

Intervention Type DRUG

Central neuromodulators was applied in refractory FD patients for different time

Interventions

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Deanxit

Central neuromodulators was applied in refractory FD patients for different time

Intervention Type DRUG

Other Intervention Names

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Flupentixol and Melitracen

Eligibility Criteria

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Inclusion Criteria

* 18-70 years old;
* education level higher than middle school;
* met the Rome IV criteria for FD; absence of abnormalities on physical examination, laboratory tests (including a routine blood test, blood glucose, and liver function examination), and abdominal imaging and GI endoscopy within 6 months;
* absence of Helicobacter pylori infection;
* signed written informed consent for participation in the study.

Exclusion Criteria

* evidence of organic digestive diseases;
* diabetes, cancer and other diseases might affect GI function;
* pregnancy, lactation or breastfeeding;
* a history of allergic reaction to any of the drugs used in the study;
* participation in other clinical trials in the previous 3 months.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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RenJi Hospital

OTHER

Sponsor Role lead

Responsible Party

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Shengliang Chen

professor, chief physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Shengliang Chen

Shanghai, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Shengliang Chen, PhD

Role: CONTACT

13916084817

Facility Contacts

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Shengliang Chen

Role: primary

02158752345

References

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Yu YY, Fang DC, Fan LL, Chang H, Wu ZL, Cao Y, Lan CH. Efficacy and safety of esomeprazole with flupentixol/melitracen in treating gastroesophageal reflux disease patients with emotional disorders. J Gastroenterol Hepatol. 2014 Jun;29(6):1200-6. doi: 10.1111/jgh.12552.

Reference Type RESULT
PMID: 24955450 (View on PubMed)

Wang L, Zhong Z, Hu J, Rong X, Liu J, Xiao S, Liu Z. Sertraline plus deanxit to treat patients with depression and anxiety in chronic somatic diseases: a randomized controlled trial. BMC Psychiatry. 2015 Apr 14;15:84. doi: 10.1186/s12888-015-0449-2.

Reference Type RESULT
PMID: 25879863 (View on PubMed)

Luo L, Du L, Shen J, Cen M, Dai N. Benefit of small dose antidepressants for functional dyspepsia: Experience from a tertiary center in eastern China. Medicine (Baltimore). 2019 Oct;98(41):e17501. doi: 10.1097/MD.0000000000017501.

Reference Type RESULT
PMID: 31593119 (View on PubMed)

Fava GA, Gatti A, Belaise C, Guidi J, Offidani E. Withdrawal Symptoms after Selective Serotonin Reuptake Inhibitor Discontinuation: A Systematic Review. Psychother Psychosom. 2015;84(2):72-81. doi: 10.1159/000370338. Epub 2015 Feb 21.

Reference Type RESULT
PMID: 25721705 (View on PubMed)

Fava GA, Cosci F. Understanding and Managing Withdrawal Syndromes After Discontinuation of Antidepressant Drugs. J Clin Psychiatry. 2019 Nov 26;80(6):19com12794. doi: 10.4088/JCP.19com12794.

Reference Type RESULT
PMID: 31774947 (View on PubMed)

Wang QQ, Cheng L, Wu BY, Xu P, Qiu HY, Wang B, Yan XJ, Chen SL. Short-course antidepressant therapy reduces discontinuation syndrome while maintaining treatment efficacy in patients with refractory functional dyspepsia: A randomized controlled trial. Front Psychiatry. 2022 Dec 8;13:1063722. doi: 10.3389/fpsyt.2022.1063722. eCollection 2022.

Reference Type DERIVED
PMID: 36569610 (View on PubMed)

Other Identifiers

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RJYYXHNK

Identifier Type: -

Identifier Source: org_study_id

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