Timing of percutaneous endoscopic gastrostomy tube placement in patients with amyotrophic lateral sclerosis: sooner or later?

ISRCTN ISRCTN63827964
DOI https://doi.org/10.1186/ISRCTN63827964
Protocol serial number NL857 (NTR871)
Sponsor Academic Medical Centre (AMC) (The Netherlands)
Funder Prinses Beatrix Fonds (The Netherlands)
Submission date
08/02/2007
Registration date
08/02/2007
Last edited
20/08/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nervous System Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr M M van der Graaff
Scientific

Academic Medical Centre
Department of Neurology
P.O. Box 22660
Amsterdam
1100 DD
Netherlands

Phone +31 (0)20 566 3647
Email m.m.vandergraaff@amc.uva.nl

Study information

Primary study designInterventional
Study designRandomised, active-controlled, parallel group, multicentre trial
Secondary study designRandomised controlled trial
Scientific titleEarlier PEG placement in ALS patients with dysphagia: effects on survival, nutritional and functional status, and quality of life
Study objectivesEarly Percutaneous Endoscopic Gastrostomy (PEG) placement in Amyotrophic Lateral Sclerosis (ALS) patients with dysphagia is associated with longer survival, better nutritional and functional status, and better quality of life.
Ethics approval(s)Approval received from the Medical Ethical Committee of Academic Medical Centre on the 19th March 2003 (ref: MEC 02/184).
Health condition(s) or problem(s) studiedAmyotrophic Lateral Sclerosis (ALS), Dysphagia
InterventionArm one: patients receive a PEG within one month after inclusion
Arm two: patients wait untill either VC falls below 55%, or Hillel score is four or five, or any other moment that they decide for themselves to have a PEG placed

Effects of these two strategies on survival, nutritional and functional status, and quality of life are investigated. Follow-up is in 15 months.
Intervention typeOther
Primary outcome measure(s)

Survival.

Key secondary outcome measure(s)

1. Vital capacity
2. Body Mass Index (BMI)
3. Triceps skinfold
4. ALS Functional Rating Scale (ALSFRS)
5. Visual Analogue Scale for Quality of Life (VAS QoL)
6. Short Form health survey (SF 36)

Completion date01/01/2008

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexNot Specified
Target sample size at registration20
Key inclusion criteria1. Patients with possible, probable, probable laboratory supported, or definite ALS
2. Dysphagia Hillel score seven or eight (ALS Severity Scale [ALSSS] dysphagia subscale)
3. Vital Capacity (VC) more than 65%
4. Aged more than 18 years and less than 85 years
5. Informed consent
Key exclusion criteria1. Contra-indications for PEG
Date of first enrolment04/08/2004
Date of final enrolment01/01/2008

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Academic Medical Centre
Amsterdam
1100 DD
Netherlands

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Editorial Notes

20/08/2021: Proactive update review. No publications found. Search options exhausted.