Functional Dyspepsia
Conditions
Brief summary
The study aims at evaluating physiological and patient-reported outcomes for a dual intervention approach including a stimulation device and support therapy in patients with functional dyspepsia.
Interventions
DEVICESensory device
Sensory vagal nerve stimulation
BEHAVIORALSkills Building
Skills Building behavioral therapy
BEHAVIORALHealth Education
Education of FD condition
DEVICESubsensory device
Subsensory vagal nerve stimulation
Sponsors
Spaulding Rehabilitation Hospital
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Age 18-65 years old (inclusive) * Ability to give written consent and participate in behavioral intervention in English * Willingness to attend weekly treatment sessions over live video, daily self-administered transcutaneous auricular vagus nerve stimulation (taVNS) sessions, and engage in homework during treatment * Avoidance of alcohol, nicotine, and caffeine for 24 hours prior to study session * Diagnosis according to the Rome IV criteria for both epigastric pain syndrome and postprandial distress syndrome subtypes * Stable medical treatment for functional dyspepsia (FD) during 1 month before the study and during the study period
Exclusion criteria
* Previous receipt of cognitive behavioral therapy (CBT) for gastrointestinal symptoms * Enteral or parenteral feeding * Previous gastrointestinal surgery, electrolyte disturbances, kidney dysfunction, renal insufficiency, or iron overload disorders * Estimated Glomerular Filtration Rate (eGFR) \< 60 * Medications that affect gastrointestinal motility in addition to medications or products containing tetrahydrocannabinol (THC) will be stopped at least 7 days prior to the start of the study and for the duration of the study. However, anti-depressants (SSRI's, TCA's) may be allowed in order to reduce the risk of worsening neuropsychiatric disease, though it will be up to the study team and the Principal Investigator whether subjects on anti-depressants will be able to participate in the study * Intellectual disability by history * Diabetes, mitochondrial disease, severe autonomic dysfunction, and small fiber polyneuropathy * No active clinical acupuncture therapy * Illicit drugs or opioid usage * History of arrhythmias * Current pregnancy/breastfeeding * Contraindications for magnetic resonance imaging (MRI) (implanted ferromagnetic objects, claustrophobia) * Weight \> 450 lbs. (limit of the MRI table) * Allergy to pineapple (used in the test meal during MRI) * Any other condition interfering with study requirements, according to the Investigator
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visceral Sensitivity Index (VSI) | 8 weeks (post-treatment) | GI-related anxiety; score ranging from score ranging from 0 to 75, with higher scores indicating worse outcomes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Gastric peristaltic velocity | 8 weeks (post-treatment) | MRI-derived gastric motility outcome |
| Nepean Dyspepsia Index (NDI) | 8 weeks (post-treatment) | FD symptoms severity; score ranging from 0 to 100, with higher scores indicating worse outcomes |
Countries
United States
Contacts
CONTACTLuca McKerley Coronado
Outcome results
None listed