Auricular Neurostimulation for Chemotherapy Induced Nausea and Vomiting
- Conditions
- Chemotherapy-induced Nausea and Vomiting
- Interventions
- Device: Sham percutaneous neurostimulationDevice: Auricular percutaneous neurostimulation
- Registration Number
- NCT05143554
- Lead Sponsor
- Medical College of Wisconsin
- Brief Summary
This study evaluates the efficacy of auricular percutaneous electrical nerve field stimulator in children, adolescents and young adults with chemotherapy induced nausea and vomiting.
- Detailed Description
Chemotherapy induced nausea and vomiting (CINV) is a difficult to treat and potentially debilitating complication of chemotherapy. Nausea and vomiting are one of the most prevalent and problematic side effects associated with chemotherapy treatment, effecting numerous patients.
Autonomic nervous system (ANS) and the vagus nerve are important modulators of nausea and vomiting and are responsible for conveying visceral sensory information to the central nervous system responsible for nausea and vomiting. The aim of the study is to determine if stimulating a branch of the vagus nerve in the outer ear would reduce the frequency and severity of nausea and vomiting for patients undergoing chemotherapy treatment.
Subjects will be randomized to receive active vs sham (non-active) neurostimulation therapy which would be applied for maximum of 5 days at the onset of inpatient admission for moderate to severe emetogenic chemotherapy cycle. They will then cross over to the other group (active vs sham) during the admission of the following identical chemotherapy cycle. Nausea, vomiting, the need for additional antiemetic support and potential side effects will be monitored during the entire study.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 50
- Subjects who are scheduled to be admitted for chemotherapy administration and who will have at least one additional cycle of the same chemotherapy
- Chemotherapy regimens must include moderate and/or severe emetogenic chemotherapy
- Significant developmental delays that would prohibit participation
- Infection or severe dermatological condition of ear
- Uncontrolled or severe infection
- No implanted electrical device is permitted
- Pregnancy
- Severe cardiopulmonary disease
- Diagnosis of hemophilia or other bleeding disorders
- Diagnosis psoriasis vulgaris
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Sham percutaneous neurostimulation Sham percutaneous neurostimulation Subject randomized to maximum of 5 days of active vs sham neurostimulation therapy with moderate to severe emetogenic chemotherapy admission . With the next scheduled identical chemotherapy cycle, each subject will cross over to the other one (active vs sham) Active percutaneous neurostimulation Auricular percutaneous neurostimulation Subject randomized to maximum of 5 days of active vs sham neurostimulation therapy with moderate to severe emetogenic chemotherapy admission . With the next scheduled identical chemotherapy cycle, each subject will cross over to the other one (active vs sham)
- Primary Outcome Measures
Name Time Method Baxter Retching Faces Scale From the date of baseline assessment up to 7 days after completion of intervention ( day 13) Nausea severity assessed by pictorial nausea faces scale 0-10 (0=no nausea; 10= worse possible nausea) multiple times during hospitalization until discharge
Change in Rhodes Index of Nausea, Vomiting and Retching (INVR) From the date of baseline assessment and during the intervention (up to day 5) Short 8 item questionnaire to assess severity of nausea, vomiting and retching symptoms
Assessment of Rescue Medication From the date of baseline assessment up to 7 days after completion of intervention ~ day 13 Number of rescue medications to be assessed on daily basis.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Children's Wisconsin Hospital
🇺🇸Milwaukee, Wisconsin, United States