Effects of VNS on RT-induced Inflammation and Prognosis of Patients With NSCLC
Effects of Transcutaneous Auricular Vagal Nerve Stimulation on Radiotherapy-induced Inflammation and Prognosis of Patients With Lung Cancer
Lung cancer (LC) remains a leading cause of death among cancers worldwide. Though radiotherapy is one of the most frequently used treatments, it increases side-effects (pain, fatigue) and inflammation, possibly leading to further tumorigenesis of surviving cancer cells. The purpose of this study is to test the effects of transcutaneous auricular VNS vagal nerve stimulation (taVNS), known to reduce inflammation, on radiotherapy-induced inflammation and other side-effects in LC patients undergoing radiotherapy.
In this feasibility study 12 patients with NSCLC stage III (A/B) receiving radiotherapy will be enrolled. Our primary endpoint is the effect of vagus nerve stimulation (VNS) on inflammatory levels (such as CRP and cytokines), immunological factors (neutrophils, monocytes, lymphocytes) and the tumor marker CEA. Our secondary endpoint is the psychological well-being and quality of life of the patients during their radiotherapy treatment.
研究概览
研究类型
注册 (预期的)
阶段
- 不适用
联系人和位置
学习地点
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Brussels、比利时
- 招聘中
- UZ Brussels
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接触：
- Reijmen, Dra
- 电话号码：+32498254615
- 邮箱：eva.nina.reijmen@vub.be
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Patients >18 years old
- Patients with non-small cell lung cancer stage III (A or B)
- Patients receiving radiotherapy or chemoradiotherapy
- Patients with an HRV < 70 msec
Exclusion Criteria:
- Patients with an active implantable medical device, such as a pacemaker, hearing aid implant or any other implanted electronic device
- Patients with an implanted or wearable defibrillator.
- Patients with myocardial disease
- Patients with arrhythmias
- Patients with an implanted metallic or electronic device in their head.
- Pregnant or breastfeeding women
学习计划
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：三倍
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：taVNS
Treatment will be carried out twice a day (once before the RT session and 8h later) during 7 weeks.
Each treatment takes 30 minutes.
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The transcutaneous auricular vagus nerve stimulator Parasym consists of a stimulation unit and a dedicated ear electrode.
The stimulation unit, having approximately the size of a common mobile phone, sends out the electrical impulses.
It is connected with the ear electrode, which patients wear like an earphone.
The patient can regulate and adapt the intensity of the stimulation (current intensity) according to his/her individual sensitivity, which can vary from day to day or even over the period of the therapy.
Standard treatment for included patients
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假比较器：Control
Treatment will be carried out twice a day (once before the RT session and 8h later) during 7 weeks.
Each treatment takes 30 minutes.
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Standard treatment for included patients
Sham Earclip electrodes are electrodes that appear identical to functioning electrodes, however do not deliver any stimulation due to removed wiring.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Cancer prognosis: tumor marker
大体时间：7 weeks
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CEA (µg/mL)
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7 weeks
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Cancer prognosis: inflammatory level
大体时间：7 weeks
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CRP (mg/mL)
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7 weeks
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Cancer prognosis: inflammatory level
大体时间：7 weeks
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cytokines: IL1, IL2, IL6 and IL8 (pg/mL)
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7 weeks
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Cancer prognosis: immunological factors
大体时间：7 weeks
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neutrophil count (x10³/mm³)
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7 weeks
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Health related Quality of Life
大体时间：7 weeks
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To assess the psychological well-being and quality of life of the patients during their radiotherapy treatment the EORTC QLQ-C30 questionnaire will be used.
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7 weeks
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合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.