| Unique ID issued by UMIN | UMIN000059673 |
|---|---|
| Receipt number | R000066590 |
| Scientific Title | Exploratory Clinical Trial of Low Frequency Therapy for Primary Sclerosing Cholangitis |
| Date of disclosure of the study information | 2025/11/25 |
| Last modified on | 2025/11/06 22:04:25 |
Exploratory Clinical Trial of Low Frequency Therapy for Primary Sclerosing Cholangitis
LUNCH trial
Exploratory Clinical Trial of Low Frequency Therapy for Primary Sclerosing Cholangitis
LUNCH trial
| Japan |
Primary sclerosing cholangitis
| Hepato-biliary-pancreatic medicine |
Others
YES
Primary sclerosing cholangitis (PSC) is a progressive chronic intrahepatic biliary stasis disease with poor prognosis caused by fibrous stenosis of intrahepatic and extrahepatic bile ducts of unknown cause. On the other hand, the vagus nerve plays a role in regulating inflammatory responses and immune function, in addition to modulating many physiological responses, making vagus nerve stimulation a promising new treatment for a variety of diseases. Recently, transcutaneous auricular vagus nerve stimulation (taVNS) has been investigated. In this study, we aim to evaluate the efficacy, safety, and incidence of adverse events in improving liver injury/serum hepatobiliary enzyme abnormalities by administering taVNS to patients with PSC.
Efficacy
Changes in serum ALP levels and Anali score* from study start to 52 weeks post-test
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
| Device,equipment |
Treatment of transcutaneous auricular vagus nerve stimulation: taVNS
| 18 | years-old | <= |
| Not applicable |
Male and Female
1) Patients who are 18 years of age or older at the time of obtaining consent
2) Patients who have been diagnosed with PSC based on clinical symptoms or pathological examination
3) Patients whose serum alkaline phosphatase (ALP) level is 1.5 times or more than the upper limit of normal, or whose Anali score is 1 or more.
4) Those who have been evaluated by MRCP (or US/CT if MRCP imaging is difficult) within 6 months.
5) Those who, after receiving sufficient explanation for participation in this study, are able to actively understand the consent document and give written consent of their own free will.
1) Patients with chronicizing diseases other than PSC (viral hepatitis, metabolic-related liver diseases, alcoholic liver disorders, primary cholestatic cholangitis, Wilson's disease, etc.)
2) Patients with a certain degree of advanced liver damage (serum *AST or ALTNote) exceeding 10 times the upper limit of normal
3) Patients with a history of progressive brain lesions
4) Patients receiving concomitant vagus nerve stimulation therapy
5) Patients with a history of severe cardiovascular disease
6) Pregnant or lactating women
7) Patients with skin hypersensitivity and a history of skin manifestations due to metal or other substances
8) Patients with difficulty in oral intake
9) Patients with severe renal dysfunction (estimated glomerular filtration rate (eGFR) < 30 ml/min)
10) Patients with a cardiac pacemaker or an implantable cardioverter-defibrillator
11) Other subjects who are deemed inappropriate as research subjects by the Principal Investigator or the Principal Investigator.
*AST, aspartate aminotransferase; ALT, alanine aminotransferase
20
| 1st name | Masaki |
| Middle name | |
| Last name | Kuwatani |
Hokkaido University Hospital
Department of Gastroenterology and Hepatology
060-8648
West 5, North 14, Kita-ku, Sapporo, Hokkaido
0117161161
mkuwatan@med.hokudai.ac.jp
| 1st name | Masaki |
| Middle name | |
| Last name | Kuwatani |
Hokkaido University Hospital
Department of Gastroenterology and Hepatology
060-8648
West 5, North 14, Kita-ku, Sapporo, Hokkaido
0117161161
mkuwatan@med.hokudai.ac.jp
Hokkaido University
Masaki Kuwatani
Self funding
Self funding
Japan
Ethical Review Board for Life Science and Medical Research, Hokkaido University Hospital
West 5, North 14, Kita-ku, Sapporo, Hokkaido
0117161161
recjimu@huhp.hokudai.ac.jp
NO
| 2025 | Year | 11 | Month | 25 | Day |
Unpublished
Preinitiation
| 2025 | Year | 09 | Month | 17 | Day |
| 2025 | Year | 09 | Month | 17 | Day |
| 2025 | Year | 11 | Month | 25 | Day |
| 2030 | Year | 03 | Month | 31 | Day |
| 2025 | Year | 11 | Month | 06 | Day |
| 2025 | Year | 11 | Month | 06 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066590