Nicotine Gum Recovery After Colorectal Surgery

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01662115
Recruitment Status : Terminated (Study has been terminated due linability to recruit the targeted participants. Aimed for 300 participants and only 4 were enrolled after 1 year.)
First Posted : August 10, 2012
Results First Posted : August 22, 2017
Last Update Posted : August 22, 2017
Information provided by (Responsible Party):
Eric Weiss, The Cleveland Clinic

Brief Summary:
The purpose of this study is to evaluate whether the use of nicotine gum in the postoperative period influences surgical outcome in patients undergoing colorectal surgery.

Condition or disease Intervention/treatment Phase
Post-operative Ileus Drug: Nicotine gum Other: Regular chewing gum Phase 4

Detailed Description:
The main hypothesis of this study is that use of nicotine gum after colorectal surgery will accelerate recovery of bowel function. Eligible patients include all patients undergoing segmental small bowel or large bowel resection with a planned primary anastomosis, planned removal of the nasogastric tube at the end of the surgery, and administration of clear liquids on post-operative day one. Patients who have an ileostomy or colostomy created will be excluded. Patients enrolled in the study will be randomized to one of three groups: nicotine gum, regular gum, or no gum. Patients randomized to nicotine gum or regular gum will chew the gum three times a day for 1 week. The main outcome measure is time to first bowel movement or flatus.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 4 participants
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Single (Investigator)
Primary Purpose: Treatment
Official Title: Does Nicotine Gum Enhance Bowel Recovery After Colorectal Surgery?
Study Start Date : August 2012
Actual Primary Completion Date : June 2014
Actual Study Completion Date : June 2014

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Active Comparator: Nicotine gum
100 subjects who will actually get the intervention medication
Drug: Nicotine gum
Patients will chew nicotine gum 3 times a day until discharge or 7 days, whichever comes first
Other Name: Nicorrete gum

Sham Comparator: regular chewing gum
100 subjects who will be part of a control group
Other: Regular chewing gum
Patients will chew regular sugar-free gum 3 times a day until discharge or 7 days, whichever comes first
Other Name: Sugarlees chewing gum

No Intervention: No gum
100 subjects who will not get neither the intervention nor the placebo gum.

Primary Outcome Measures :
  1. Bowel Function Recovery [ Time Frame: 7 days ]
    Time to first bowel movement or flatus

Secondary Outcome Measures :
  1. Hospital Stay [ Time Frame: 30 days ]
    Length of postoperative hospital stay

  2. Post-operative Vomiting [ Time Frame: 30 days ]
    Episodes of vomiting

  3. Use of NG Tubes [ Time Frame: 30 days ]
    Nasogastric tube (re)insertions

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 85 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Able to freely give written informed consent to participate in the study and have signed the Informed Consent Form;
  • Due to undergo small and/or large partial bowel resection via laparotomy or laparoscopy;

Exclusion Criteria:

  • Prior intestinal surgery
  • Mentally incompetent or unable or unwilling to provide informed consent or comply with study procedures
  • American Society of Anesthesiologists (ASA) Class IV or V;
  • History of abdominal carcinomatosis;
  • History of radiation enteritis;
  • Children < 18 or adults > 85 years of age
  • Pregnant women
  • Current cigarette, cigar smokers and chewers of tobacco. ex smokers who quit less than 3 months ago.
  • Patients requiring postoperative ventilation, pressor requirement or ICU stay
  • Patients with prior cardiovascular disorders

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01662115

United States, Florida
Cleveland Clinic Florida
Weston, Florida, United States, 33331
Sponsors and Collaborators
The Cleveland Clinic
Principal Investigator: ERIC G WEISS, MD Cleveland Clinic Florida

Responsible Party: Eric Weiss, DIO and Chairman of Graduate Medical Education at Cleveland Clinic Florida,, The Cleveland Clinic Identifier: NCT01662115     History of Changes
Other Study ID Numbers: CRS-2012-05
First Posted: August 10, 2012    Key Record Dates
Results First Posted: August 22, 2017
Last Update Posted: August 22, 2017
Last Verified: August 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Eric Weiss, The Cleveland Clinic:

Additional relevant MeSH terms:
Ganglionic Stimulants
Autonomic Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Nicotinic Agonists
Cholinergic Agonists
Cholinergic Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action