The ElectRx Study - A Neurotechnology Approach to the Treatment of IBD
Study Details
Study Description
Brief Summary
The purpose of this study is to evaluate the safety of vagal nerve neuromodulation in a cohort of patients operated on for Crohn's disease, in a prospective, single centre, cohort study.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Outcome Measures
Primary Outcome Measures
- Safety and efficacy based on endoscopic recurrence [6 months post-operation]
Recurrence defined as the presence of any aphthous ulcers, and severe recurrence defined as an endoscopic Rutgeerts score ≥ 2 (5 aphthous ulcers or larger ulcers confined to the anastomosis)
Secondary Outcome Measures
- Endoscopic recurrence [18 months post-operation]
Recurrence defined as the presence of any aphthous ulcers, and severe recurrence defined as an endoscopic Rutgeerts score ≥ 2 (5 aphthous ulcers or larger ulcers confined to the anastomosis)
- Clinical recurrence [6 months and 18 months post-operation]
Defined as recurrence of symptoms consistent with recurrent disease, necessitating new treatment, or Crohn's Disease Activity Index (CDAI) > 150
- Surgical recurrence [6 and 18 months post-operation]
Defined as the need for further intestinal surgery due to Crohn's disease
Eligibility Criteria
Criteria
Inclusion Criteria:
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All patients aged 18 years or older with Crohn's disease who undergo resection with an endoscopically accessible primary anastomosis which results in macroscopic normality.
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Patients having a reversal of a temporary ileostomy created after previous surgery for Crohn's disease may be enrolled provided that the reversal of the ileostomy results in a primary anastomosis and macroscopic normality of the remaining bowel.
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Patients with co-existing perianal disease may be included provided the resection has led to a primary anastomosis and macroscopic normality of the intestine.
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Patients must have proven history of Crohn's disease based on (clinical, radiologic, endoscopic and histologic criteria).
Exclusion Criteria:
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Patients with anastomosis which is endoscopically inaccessible by standard colonoscopy.
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Patients in whom there is persisting macroscopic abnormality post-surgical resection.
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Patients with Crohn's disease who have an end stoma (ileostomy or colostomy).
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Patients for whom endoscopy is not suitable due to co-morbidities or unwell clinical state
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Inability to give informed consent.
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Inability to obtain access to the anastomosis at colonoscopy.
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Suspected perforation of the gastrointestinal tract.
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Patients who are pregnant or breastfeeding.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Austin Health | Melbourne | Victoria | Australia | 3084 |
Sponsors and Collaborators
- Austin Health
- Florey Institute of Neuroscience and Mental Health
- University of Melbourne
- Bionics Institute
- University of Queensland Diamantina Institute
Investigators
- Principal Investigator: Peter De Cruz, MBBS PhD FRACP, Austin Health, Melbourne
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HREC/52390/Austin-2019