Therapeutic Oxygen for Gastrointestinal Atony (TOGA)
TOGA
1 other identifier
interventional
17
1 country
1
Brief Summary
This study is a non invasive study to see if 100% oxygen therapy will help to resolve an intestinal obstruction.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1
Started Jan 2018
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 28, 2017
CompletedFirst Posted
Study publicly available on registry
December 29, 2017
CompletedStudy Start
First participant enrolled
January 25, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 17, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
October 17, 2019
CompletedDecember 12, 2019
December 1, 2019
1.7 years
November 28, 2017
December 10, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Changes in Diameter of Colon
X-ray of kidney, ureter and bladder (KUB) to determine maximal cecal diameter, maximal mid-transverse colon diameter, maximal mid-sigmoid colon diameter.
6 - 24 hours
Changes in Diameter of the Small Bowel
X-ray of kidney, ureter and bladder (KUB) to determine maximal cecal diameter, maximal mid-transverse colon diameter, maximal mid-sigmoid colon diameter.
6 - 24 hours
Secondary Outcomes (7)
Demonstrates No Resolution of Ileus
24 - 30 hours after initial TOGA
Worsening of Ileus
24 - 30 hours after initial TOGA
Need for endoscopic or surgical intervention
24 - 30 hours after initial TOGA
Length of Hospital Stay
up to 100 weeks
Patient Complaints
Up to 48 hours
- +2 more secondary outcomes
Study Arms (1)
Hospitalized Ileus or Pseudo-Obstruction Patient
EXPERIMENTALHospitalized inpatient diagnosed with ileus, bowel obstruction or colonic pseudo-obstruction \[clinician interpretation or small bowel diameter ≥3.5 cm, cecal diameter ≥ 9 cm, sigmoid colon diameter ≥ 6 cm\] provided with 100% oxygen via non-rebreather face mask, for 6 hours
Interventions
To provide hospitalized ileus or pseudo-obstruction patient with 100% oxygen via non-rebreather face mask, for 6 hours
Eligibility Criteria
You may qualify if:
- patient or health proxy has been adequately informed of risks and benefits and agrees to his/her participation in the study.
- patient is a hospitalized inpatient diagnosed with ileus, bowel obstruction or colonic pseudo-obstruction \[clinician interpretation or small bowel diameter ≥3.5 cm, cecal diameter ≥ 9 cm, sigmoid colon diameter ≥ 6 cm\].
- patient is clinically and hemodynamically stable
- patient does not require supplemental oxygen greater than 2 liters per minute via nasal cannula
- patient does not have any respiratory contraindications to 100% oxygen
- failure to respond to non-surgical/non-endoscopic therapy for at least 24 hours, therapy at discretion of treating physician \[to eliminate patients with trivial ileus not requiring advanced intervention\]
You may not qualify if:
- patient is not expected to survive in the short term.
- patient is a pregnant or lactating woman.
- patient presents with severe or unstable psychiatric disorders.
- patient is participating in concomitant research studies that would interfere with this study.
- patient is an alcohol or drug abuser.
- respirator support required.
- unable to tolerate 100% oxygen for respiratory reasons or any other reasons.
- perforation of the viscus.
- inability to obtain informed consent.
- hypoxemia, as in room air oxygen saturation less than 90%.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Florida
Gainesville, Florida, 32610, United States
Related Publications (1)
Weiner B, Forsmark C, Khular V, Bauman A, Sutchu S, Banerjee D, Westerveld D, Zhang W, Jacobson M, Grajo J. TOGA Therapeutic Oxygen for Gastrointestinal Atony. Gastro Hep Adv. 2024 Jan 3;3(3):402-409. doi: 10.1016/j.gastha.2023.12.013. eCollection 2024.
PMID: 39131150DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Brian C. Weiner, MD
University of Florida
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 28, 2017
First Posted
December 29, 2017
Study Start
January 25, 2018
Primary Completion
October 17, 2019
Study Completion
October 17, 2019
Last Updated
December 12, 2019
Record last verified: 2019-12