Effect of taVNS on Abdominal Pain and Other Symptoms in Constipation-predominant Irritable Bowel Syndrome
The Efficacy and Mechanisms of Transcutaneous Auricular Vagus Nerve Stimulation on Abdominal Pain and Other Symptoms in Patients With Constipation-predominant Irritable Bowel Syndrome
1 other identifier
interventional
42
1 country
1
Brief Summary
This study aims to investigate the effects and possible mechanisms of transcutaneous auricular vagal nerve stimulation (taVNS) on abdominal pain and other symptoms in patients with IBS-C.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Mar 2020
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 15, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
December 15, 2020
CompletedFirst Submitted
Initial submission to the registry
May 21, 2022
CompletedFirst Posted
Study publicly available on registry
May 26, 2022
CompletedMay 31, 2022
May 1, 2022
10 months
May 21, 2022
May 25, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
Change in аbdominal pain between sham and active taVNS
Weekly average of daily patient-assessed abdominal pain using the visual analog scale (VAS). VAS ranges from 0 to 10, with 0 indicating no abdominal pain and 10 indicating the maximal pain. Efficacy is evaluated as an improvement of ≥ 30%.
4 weeks
Secondary Outcomes (6)
Change in IBS symptom severity scale (IBS-SSS) between sham and active taVNS
4 weeks
Change in IBS quality of life (IBS-QOL) between sham and active taVNS
4 weeks
Change in Bristol stool form scale (BSFS) between sham and active taVNS
4 weeks
Change in Self-Rating Anxiety Scale (SAS) score between sham and active taVNS
4 weeks
Change in Self-Rating Depression Scale (SDS) score between sham and active taVNS
4 weeks
- +1 more secondary outcomes
Other Outcomes (1)
Change in autonomic function assessed by the spectral parameters of heart rate variability between sham and active stimulation
4 weeks
Study Arms (2)
taVNS treatment
EXPERIMENTALThe taVNS treatment is performed at auricular cymba concha. The stimulation parameters are set as follows: train on-time of 2 seconds and off-time of a 3-second pulse width of 0.5 ms, pulse frequency of 25 Hz, and amplitude of 0-2 milliamp (at the maximum level tolerated by the subject).
sham-taVNS treatment
SHAM COMPARATORSham-taVNS is performed with the same parameters as taVNS except that electrical stimulation is applied at the elbow area.
Interventions
Eligibility Criteria
You may qualify if:
- willing to sign a written informed consent form
- met the Rome IV diagnostic criteria for IBS-C
You may not qualify if:
- history of previous abdominal surgery (other than appendectomy)
- presence of carcinoma
- any organic diseases causing constipation or neurologic diseases such as multiple sclerosis, rachischisis, Parkinson's disease, or spinal cord injury
- taking antidepressant agents including tricyclic antidepressants and selective serotonin reuptake inhibitors
- serious concomitant disease of the heart, liver, kidney, or diabetes
- pregnancy or lactation
- participating in another trial or enrolled in a trial during the past month
- allergic reaction to surface electrodes
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Tongji Universitylead
- Shanghai East Hospitalcollaborator
Study Sites (1)
Shanghai East Hospital, Tongji University School of Medicine
Shanghai, 200120, China
Related Publications (1)
Shi X, Hu Y, Zhang B, Li W, Chen JD, Liu F. Ameliorating effects and mechanisms of transcutaneous auricular vagal nerve stimulation on abdominal pain and constipation. JCI Insight. 2021 Jul 22;6(14):e150052. doi: 10.1172/jci.insight.150052.
PMID: 34138761RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Junior Physician
Study Record Dates
First Submitted
May 21, 2022
First Posted
May 26, 2022
Study Start
March 1, 2020
Primary Completion
December 15, 2020
Study Completion
December 15, 2020
Last Updated
May 31, 2022
Record last verified: 2022-05