Status:

RECRUITING

Cognitive-behavioral Therapy for the Diseases Associated With Esophageal-brain-gut Axis Communication Abnormalities.

Lead Sponsor:

Hualien Tzu Chi General Hospital

Conditions:

Gut-Brain Disorders

GERD Without Erosive Esophagitis

Eligibility:

All Genders

18-75 years

Phase:

NA

Brief Summary

Gastroesophageal reflux disease (GERD) is a challenging gastrointestinal disorder, and proton pump inhibitors (PPIs) are typically the first line of treatment. However, up to 40% of GERD patients expe...

Detailed Description

All participants will undergo questionnaire assessments and heart rate variability (HRV) measurements prior to treatment. The questionnaires include the Gastroesophageal Reflux Disease Questionnaire (...

Eligibility Criteria

Inclusion

  • Age between 18 and 75 years, with clear consciousness and willingness to sign the informed consent form.
  • Subjects with chronic esophageal symptoms related to disorders of the brain-gut axis communication (such as heartburn, acid reflux, sensation of a foreign body in the throat, difficulty swallowing, and chest pain or discomfort).

Exclusion

  • Esophageal strictures, or history of surgery on the esophagus, gastrointestinal tract, or throat.
  • Structural esophageal diseases (such as diverticula, esophageal rings, etc.), infectious esophagitis, erosive esophagitis, eosinophilic esophagitis.
  • Non-erosive gastroesophageal reflux disease or significant esophageal motility disorders.
  • History of or current diagnosis of malignancies in the esophagus, gastrointestinal tract, or other organs.
  • Significant endocrine or rheumatic immune diseases that may affect gastrointestinal motility.
  • Continuous use of medications that may affect esophageal motility within the past month (such as anticholinergics, opioid-like agents, nitrates, calcium channel blockers, etc.).
  • Use of or currently taking antidepressants, selective serotonin reuptake inhibitors, or other psychotropic medications within the past three months.
  • Pregnant or breastfeeding women.
  • Individuals with mental illness or those who are unable to cooperate.
  • Known allergy to tricyclic antidepressants.
  • Known allergy to selective serotonin reuptake inhibitors.
  • Known allergy to any component of proton pump inhibitors.

Key Trial Info

Start Date :

April 2 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2025

Estimated Enrollment :

120 Patients enrolled

Trial Details

Trial ID

NCT06939465

Start Date

April 2 2024

End Date

December 31 2025

Last Update

April 29 2025

Active Locations (1)

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1

Hualien Tzu Chi Hospital,Buddhist Tzu Chi Medical Foundation

Hualien City, Taiwan