About this trial
The specific aim of this study is to compare simultaneous assessment of gastric emptying and gastric accommodation in response to a caloric meal In patients who have previously undergone activation of left cervical VNS for the treatment of medication-resistant depression. Our hypothesis is that cervical VNS increases gastric accommodation and accelerates gastric emptying compared to a bank of healthy control data.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participant must be at least 18 years old.
Participant must have the capacity to provide written informed consent and Health Insurance Portability and Accountability Act (HIPAA) authorization.
Participant is diagnosed with drug Resistant Epilepsy and previously underwent implantation of VNS.
Participant is diagnosed with treatment-refractory depression and previously underwent implantation of VNS.
Disqualifiers
Participant has a prior implantable stimulation device other than a VNS device for the clinical indication of refractory focal Epilepsy or for depression.
Participant currently uses or during the study is expected to use short-wave diathermy, microwave, diathermy, or therapeutic ultrasound diathermy.
Participant has a diagnosis of Substance Use Disorder as defined by DSM-5 without sustained remission of 12 months or longer.
Patient participated in another drug or device trial within the preceding 30 days (other than REVEAL studies).
Trial design
Single group
Treatments tested in this trial
Vagal nerve stimulant
DeviceVagus nerve stimulation involves using a device to stimulate the vagus nerve with electrical impulses. The implanted electrodes transmit electrical impulses travel to areas of the brain to treat conditions (intractable epilepsy, depression) and also send electrical impulses to the stomach.
Treatment groups
Trial outcomes
Primary outcomes
Gastric emptying T1/2
time to empty 50% of the whole stomach contents
Gastric accommodation
gastric delta volume (postprandial minus fasting) for the whole stomach
Secondary outcomes
Gastric emptying lag time
time to empty 10% of the whole stomach
Gastric emptying 25%
time to empty 25% of the whole stomach
Gastric emptying at 2 hours
% emptied from the whole stomach at 2h
Gastric emptying at 4 hours
% emptied from the whole stomach at 4h
Sponsors and contacts
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Mayo Clinic
Lead sponsor
University of Minnesota
Collaborator