RecruitingNot ApplicableNCT04937309

Efficacy and Safety of Non Invasive Vagal Stimulation to Prevent Chemotherapy-induced Nausea

Efficacy and Safety of Non Invasive Vagal Stimulation to Prevent Chemotherapy-induced Nausea in Patients With Breast Cancer Receiving Anthracycline and Cyclophosphamide Chemotherapy


Sponsor

University Hospital, Tours

Enrollment

338 participants

Start Date

Jun 23, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

Despite pharmaceutical innovations, chemotherapy induced nausea is frequent and largely participating to alter our patients quality of life. Non invasive vagal stimulation is approved in other health issues, for example in headache or gastroparesis, with a reported benefit on nausea. This study aims to analyse if a non invasive vagal stimulation could better prevent chemotherapy induced nausea, in addition to standard treatment, in breast cancer patients treated with cyclophosphamide and anthracycline.


Eligibility

Min Age: 18 Years

Inclusion Criteria5

  • Eastern Cooperative Oncology Group (ECOG) status 0 to 2
  • patient with breast cancer planned to receive Anthracycline and Cyclophosphamide chemotherapy
  • informed consent
  • compliance expected
  • social security affiliation

Exclusion Criteria17

  • nausea or vomiting 24h or less, before inclusion
  • Antiemetic drug intake in the last 72h before inclusion
  • Central nervous system metastasis
  • Daily alcohol intake
  • Prior chemotherapy
  • Cardiac arrythmia, severe heart failure
  • Device for sleep apnea
  • History of arterial or venous thrombosis, or thrombophlebitis
  • Vagotomy
  • Vagal stimulation ongoing
  • Skin disease on the stimulation zone
  • Cochlear implant next to the stimulation zone
  • Unable to use the vagal stimulation device due to left ear unusual shape
  • Pregnant or breastfeeding women, or women of childbearing age without effective contraception
  • Documented allergy or contraindication to one of the antiemesis drugs required in the study
  • Protected adults (individuals under guardianship by court order)
  • Unable to read or write

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Interventions

DEVICEnon invasive auricular vagal stimulation

Stimulation twice a day, beginning the day before until the fourth day after chemotherapy, for the three first chemotherapy cycles

DRUGusual medical treatment

Standard anti emetic treatments to prevent emesis due to chemotherapy

DEVICEsham stimulation

Stimulation twice a day, beginning the day before until the fourth day after chemotherapy, for the three first chemotherapy cycles, with a sham device


Locations(8)

CH BLOIS

Blois, France

Chru Morvan

Brest, France

CORT37

Chambray-lès-Tours, France

Ch Chateauroux

Châteauroux, France

Clinique Victor Hugo

Le Mans, France

Ch Orleans

Orléans, France

Ch Chinon

Saint-Benoît-la-Forêt, France

CHRU Bretonneau

Tours, France

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NCT04937309


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