Longevity of Microwave Thermolysis and Botulinum Toxin A for Treatment of Axillary Hyperhidrosis
Longevity of Microwave Thermolysis and Botulinum Toxin A for Treatment of Axillary Hyperhidrosis: a Randomized Intra-individual Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
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-
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Copenhagen, Denmark, 2400
- Department of Dermatology, Bispebjerg Hospital
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subject has provided written informed consent
- Subject is 18 years of age or older
- A unilateral HDSS score of 3 or 4 for each axilla
- A gravimetric measurement of at least 50 mg/5 min for women and 100 mg/5 min for men in at least one axilla. The contralateral axilla should not be below 40 mg (women) and 80 mg (men).
- Women of childbearing potential must be confirmed not pregnant by a negative u-HCG prior to study treatment and must use a safe contraceptive method at baseline.
Exclusion Criteria:
- Subjects with generalized hyperhidrosis
- Medical condition or medications that may alter perspiration (e.g. metabolic, immunological or infectious diseases, antidepressants, opioids, adrenergic/cholinergic drugs)
- Daily use of systemic or topical antibiotics and/or steroids in axillae at the time of inclusion
- Topical treatments for axillary hyperhidrosis (anti-perspirants are allowed except for visit days)
- Abnormal skin (e.g. rash, infection, dermatitis) in the axilla at the time of inclusion
- Breast tissue in the axillae
- Treatment with Isotretinoin within the past 6 months
- Axillary laser or IPL treatment within the past 6 months
- Botulinum toxin-injections in the axillae within the past 12 months prior to baseline
- Known allergies to botulinum toxin, iodine, lidocaine or adrenaline
- Prior axillary surgery
- Limited motion in the shoulder joint or neurologic deficit in upper limb
- History of diseases resulting in muscle weakness (ALS, Lou Gehrig's), dysphagia (Myasthenia Gravis or Lambert Eaton Syndrome) or respiratory compromise
- Axillary lymph node enlargement or -removal or lymphedema in either upper limb
- History of hidradenitis suppurativa or history of reoccurring infections/abscesses
- History of breast cancer
- Electronic device implant
- If female; lactating, pregnant or planning on becoming pregnant during the study
- Non-eligibility at the discretion of the investigator (e.g. non-compliance, unavailability or other reasons the subject is not believed to be able to comply with the clinical trial protocol)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Active Comparator: Botulinum toxin A
One treatment with standard dosage (50-100 units) of botulinum toxin A in one axilla
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Baseline treatment with microwave thermolysis in one axilla and botulinum toxin A in the contralateral axilla, as allocated by randomization
Other Names:
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Active Comparator: Microwave thermolysis
One standard treatment (energy level 5) with microwave thermolysis in one axilla
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Baseline treatment with microwave thermolysis in one axilla and botulinum toxin A in the contralateral axilla, as allocated by randomization
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Subjective change in axillary sweat
Time Frame: Baseline - 6 months
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Unilateral sweat change from baseline to 6 months follow-up assessed by Hyperhidrosis Disease Severity Scale
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Baseline - 6 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Objective change in axillary sweat
Time Frame: Baseline - 6 months
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Unilateral sweat change from baseline to 6 months follow-up assessed by gravimetric test
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Baseline - 6 months
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Patient Satisfaction
Time Frame: Baseline - 6 months - 12 months
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Unilateral patient satisfaction 6 and 12 months after treatments assessed on a 3-point Likert Scale (unsatisfied - neutral - satisfied)
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Baseline - 6 months - 12 months
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Adverse reactions
Time Frame: Baseline - 12 months
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Unilateral evaluation of adverse reactions after treatments
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Baseline - 12 months
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Merete Haedersdal, MD PhD DMSc, Bispebjerg Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Sweat Gland Diseases
- Skin Diseases
- Hyperhidrosis
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Peripheral Nervous System Agents
- Cholinergic Agents
- Membrane Transport Modulators
- Acetylcholine Release Inhibitors
- Neuromuscular Agents
- Botulinum Toxins
- Botulinum Toxins, Type A
- abobotulinumtoxinA
Other Study ID Numbers
Other Study ID Numbers
- MWT-BTXA
- 2021-000877-10 (EudraCT Number)
- H-21013548 (Other Identifier: The Regional Health Research Ethics Committee)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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