Synergistic Gut-brain Axis Modulation Via Vagal Stimulation and Support Therapy in Functional Dyspepsia (CONVERGE)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Luca McKerley Coronado
- Phone Number: 857-238-0962
- Email: convergestudy@mgb.org
Study Locations
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02129
- Recruiting
- Massachusetts General Hospital
-
Contact:
- Luca McKerley Coronado
- Phone Number: 857-238-0962
- Email: convergestudy@mgb.org
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Factorial Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Sensory device + Skills Building
|
Sensory vagal nerve stimulation
Skills Building behavioral therapy
|
|
Active Comparator: Sensory device + Health Education
|
Sensory vagal nerve stimulation
Education of FD condition
|
|
Active Comparator: Subsensory device + Skills Building
|
Skills Building behavioral therapy
Subsensory vagal nerve stimulation
|
|
Sham Comparator: Subsensory device + Health Education
|
Education of FD condition
Subsensory vagal nerve stimulation
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Visceral Sensitivity Index (VSI)
Time Frame: 8 weeks (post-treatment)
|
GI-related anxiety; score ranging from score ranging from 0 to 75, with higher scores indicating worse outcomes
|
8 weeks (post-treatment)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Nepean Dyspepsia Index (NDI)
Time Frame: 8 weeks (post-treatment)
|
FD symptoms severity; score ranging from 0 to 100, with higher scores indicating worse outcomes
|
8 weeks (post-treatment)
|
|
Gastric peristaltic velocity
Time Frame: 8 weeks (post-treatment)
|
MRI-derived gastric motility outcome
|
8 weeks (post-treatment)
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2024P000849
- R01DK136243 (U.S. NIH Grant/Contract)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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