Comparison of the Therapeutic Effect of Acupressure Therapy and Iberogast ® (STW-5) in Children With Functional Nausea

Sponsor
University Hospital, Basel, Switzerland (Other)
Overall Status
Completed
CT.gov ID
NCT02660970
Collaborator
(none)
56
1
4
56.5
1

Study Details

Study Description

Brief Summary

Functional gastrointestinal disorders are common disorders that are characterized by persistent and recurring GI symptoms. These occur as a result of abnormal functioning of the GI tract and are not caused by structural or biochemical abnormalities. As a result, medical tests- such as blood tests and endoscopic exams- have essentially normal/negative (non-disease) results. More than 20 functional GI disorders have been identified. They can affect any part of the GI tract. One of the most common functional disorders is nausea and dyspepsia (pain or discomfort in the upper abdominal area, feeling of fullness, bloating). Any chronic illness, including functional nausea, will affect a person's health-related quality of life (general well-being, ability to carry out everyday activities), additional psychosocial disturbances and amplify the experienced illness.

The majority of children suffering from functional nausea in Europe are treated with Iberogast®. a herbal mixture, whose effect was demonstrated in several studies. Since Iberogast® is not available in the United States of America, children there receive an acupressure therapy. The American gastroenterologists refer hereby to several studies, which have shown, that the positive effect of such therapies in patients with chemotherapy-induced nausea is even greater than a therapy with ondansetron. Since acupressure is able to reduce somatic nausea, it is also believed to decrease functional nausea, but it has never been investigated. Therefore, there are no data. That's why Investigators want to compare the efficacy of these two therapies, that is, Iberogast® and acupressure

Condition or Disease Intervention/Treatment Phase
  • Other: Acupressure
  • Other: Placebo-band
  • Drug: Iberogast
  • Other: Placebo-drops
N/A

Detailed Description

Functional gastrointestinal disorders are common disorders that are characterized by persistent and recurring GI symptoms. These occur as a result of abnormal functioning of the GI tract and are not caused by structural or biochemical abnormalities. As a result, medical tests- such as blood tests and endoscopic exams- have essentially normal/negative (non-disease) results. More than 20 functional GI disorders have been identified. They can affect any part of the GI tract. One of the most common functional disorders is nausea and dyspepsia (pain or discomfort in the upper abdominal area, feeling of fullness, bloating). Any chronic illness, including functional nausea, will affect a person's health-related quality of life (general well-being, ability to carry out everyday activities), additional psychosocial disturbances and amplify the experienced illness.

However, the majority of children suffering from functional Nausea in Europe get treated with Iberogast®: A herbal mixture, whose effect was demonstrated in several studies [10, 11]. Since Iberogast® is not available in the United States of America, children receive there an acupressure therapy. The American gastroenterologists refer hereby to several studies, which have shown, that the effect of such therapies in patient with chemotherapy-induced nausea is even greater than the taking of ondansetron [12,13 ]. Since acupressure is capable to reduce somatic nausea, it is also believed to decrease functional nausea, but it has never been investigated, therefore no data are available. That's why Investigators plan to compare the efficiency of these two therapies.

Furthermore Investigators want to measure the cognitive performance before and after the intervention to proof a possible effect on the 'gut-brain-axis'. For this purpose the participants have to do the 'Flanker Task', a standardised test on the computer.

Study Design

Study Type:
Interventional
Actual Enrollment :
56 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Care Provider, Investigator)
Primary Purpose:
Treatment
Official Title:
Comparison of the Therapeutic Effect of Acupressure Therapy and Iberogast ® (STW-5) in Children With Functional Nausea - a Randomized Clinical Trial With Sham-conditions
Actual Study Start Date :
Jan 1, 2016
Actual Primary Completion Date :
Sep 16, 2020
Actual Study Completion Date :
Sep 16, 2020

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Acupressure

Children will have to wear a 'seasickness-band', which has the effect of acupressure

Other: Acupressure
Children will have to wear a 'seasickness-band', which has the effect of acupressure
Other Names:
  • Seasickness-Band
  • Placebo Comparator: Placebo-band

    Children will have to wear a 'placebo-wristband'

    Other: Placebo-band
    Children will have to wear a 'placebo-wristband'

    Active Comparator: Iberogast

    Children will have to take Iberogast drops

    Drug: Iberogast
    Children will have to take Iberogast drops

    Placebo Comparator: Placebo-drops

    Children will have to take placebo-drops

    Other: Placebo-drops
    Children will have to take placebo-drops

    Outcome Measures

    Primary Outcome Measures

    1. comparison in the levels of nausea as assessed by visual analog scales (VAS) [4 weeks]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    6 Years to 18 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Functional nausea (normal endoscopy findings)
    Exclusion Criteria:
    • Gastrointestinal infection less than 2 weeks ago

    • Known chronic gastrointestinal disease

    • Use of drugs 2 weeks prior to starting the study

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Department of Pedriatric Gastroenterology, University Children's Hospital Basel Basel Basel Stadt Switzerland 4031

    Sponsors and Collaborators

    • University Hospital, Basel, Switzerland

    Investigators

    • Principal Investigator: Raoul Furlano, MD, Dr, University Children's Hospital

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    University Hospital, Basel, Switzerland
    ClinicalTrials.gov Identifier:
    NCT02660970
    Other Study ID Numbers:
    • EKNZ 2015-322
    First Posted:
    Jan 21, 2016
    Last Update Posted:
    Oct 6, 2020
    Last Verified:
    Oct 1, 2020
    Keywords provided by University Hospital, Basel, Switzerland
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Oct 6, 2020