Gastrointestinal Motility in Patients With Neuroendocrine Tumors
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Purpose
We will study the total gastrointestinal transit time (GITT), gastric emptying and small intestine motility in NET patients before and after treated with somatostatin analogues and compare these to healthy subjects. For this we will use radio-opaque markers and the newly developed Motility Tracking System (MTS).
Hypothesis: Patients with NET and carcinoid syndrome have decreased GITT, gastric emptying and small bowel transit time and an increase in phase III MMC activity compared to healthy subjects. Treatment with somatostatin analogues increase transit times and decrease phase III MMC activity and improves the clinical symptoms.
| Condition | Intervention |
|---|---|
|
Neuroendocrine Tumor |
Device: Magnetic Tracking System (MTS) and radio-opaque markers |
| Study Type: | Observational |
| Official Title: | Gastrointestinal Motility in Patients With Neuroendocrine Tumors-Effects of Sandostatin LAR |
- Gastrointestinal transit time in NET patients [ Time Frame: End of the study ] [ Designated as safety issue: No ]
- Gastric emptying in NET patients [ Time Frame: End of the study ] [ Designated as safety issue: No ]
- Small intestinal transit time [ Time Frame: End of the study ] [ Designated as safety issue: No ]
- Small intestinal velocity [ Time Frame: End of the study ] [ Designated as safety issue: No ]
- Changes in carcinoid symptoms and biomarkers [ Time Frame: End of the study ] [ Designated as safety issue: No ]
Biospecimen Retention: Samples With DNA
Blood samples wich are destroyed after analysis
| Enrollment: | 13 |
| Study Start Date: | September 2008 |
| Study Completion Date: | May 2010 |
| Primary Completion Date: | May 2010 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
| Patients with NET and diarrhea. |
Device: Magnetic Tracking System (MTS) and radio-opaque markers
MTS: A small magnetic pill (6x15mm) is swallowed by the patient and the movement of this pill is registered by a sensor (coordinates x,y,z angles θ, φ) and depicted af graphs on a computer screen. For determination of GITT a capsule containing 10 radio-opaque markers is ingested every day for six days, on day seven an abdominal x-ray is performed.
|
Eligibility| Ages Eligible for Study: | 30 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
We are scheduling 12 subjects (30-80 years of age) with NET and carcinoid syndrome with diarrhea. Patients are recruited through the Department of Medicine V, Aarhus University Hospital.
Inclusion Criteria:
- NET confirmed by histology
- Diarrhea, (at least 3 loose or watery bowel movements per day) as part of carcinoid syndrome.
- Newly referred patients without previous somatostatin analogue treatment or
- NET patients who are pausing somatostatin analogue treatment due to other treatment or examination.
Exclusion Criteria:
- Subjects unable to understand the information
- Severe diabetes with late complications or known metabolic disorder
- Inflammatory bowel disease
- Known clinically significant stenosis of the bowel
- Bile acid malabsorption due to intestinal surgery
- Small bowl bacterial overgrowth
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Henning Grønbæk, M.D., Ph.D., Medical Department V, Aarhus University Hospital |
| ClinicalTrials.gov Identifier: | NCT00789841 History of Changes |
| Other Study ID Numbers: | M-20080121 |
| Study First Received: | November 11, 2008 |
| Last Updated: | October 25, 2010 |
| Health Authority: | Denmark: National Board of Health |
Keywords provided by University of Aarhus:
|
Neuroendocrine tumor Carcinoid syndrome Motility Transit time |
Additional relevant MeSH terms:
|
Neuroendocrine Tumors Neuroectodermal Tumors Neoplasms, Germ Cell and Embryonal |
Neoplasms by Histologic Type Neoplasms Neoplasms, Nerve Tissue |
ClinicalTrials.gov processed this record on May 19, 2013