- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04116099
CVR Registry Evaluating Flexitouch Plus and Conservative Care vs Conservative Care Only for Treatment of Lymphedema
March 30, 2022 updated by: Tactile Medical
An Observational Registry Evaluating the Flexitouch® Plus in Vascular Clinic Patients With Lower Extremity Lymphedema
Subjects with lower extremity lymphedema will be prescribed, per standard of care, to either Flexitouch Plus with conservative care or conservative care only and be followed for 12 months.
Study Overview
Status
Terminated
Conditions
Intervention / Treatment
Detailed Description
Conservative care treatment for lymphedema may include use of compression, manual lymphatic drainage (MLD, performed either by a therapist or self-MLD), exercises and skin care.
Subjects presenting to a vein clinic (Center for Vein Restoration or CVR) with lymphedema of the lower extremity/ies may receive a standard-of-care prescription for conservative care or for the Flexitouch Plus pneumatic compression device along with conservative care.
Subjects will be followed (by phone and in clinic) for 12 months after initiating treatment for venous- and lymphedema-related complications, unscheduled visits, changes in quality of life measures and edema measures, skin changes, and changes to wounds (if present).
Study Type
Observational
Enrollment (Actual)
63
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Maryland
-
Glen Burnie, Maryland, United States, 21061
- Center for Vein Restoration - Glen Burnie
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Greenbelt, Maryland, United States, 20770
- Center for Vein Restoration - Greenbelt
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Silver Spring, Maryland, United States, 20903
- Center for Vein Restoration - Silver Spring
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
The study population will be drawn from vascular patients with lower extremity lymphedema that is unilateral or bilateral.
Description
Inclusion Criteria:
- Male or female 18 years of age or older.
- Diagnosis of lower extremity lymphedema (including primary, secondary, chronic venous insufficiency (CVI)-related, unilateral, or bilateral).
- Clinical Etiology Anatomy Pathophysiology (CEAP) Classification of C3 or higher.
- Willing to comply with prescribed care, protocol requirements, and study-related visits.
- Willing and able to provide consent to participate.
Exclusion Criteria:
- BMI > 50.
- Significant venous reflux disease, as determined by the investigator (e.g., indicated for venous intervention, post intervention with inadequate venous function, or ultrasound evidence of deep venous obstruction).
- Unresolved healing at the surgical site following a venous intervention (e.g., ablation, stenting, or venoplasty).
- Heart failure (acute pulmonary edema, decompensated acute heart failure).
- Acute venous disease (< 6 weeks) such as acute thrombophlebitis, acute deep venous thrombosis, or acute pulmonary embolism.
- Significant peripheral artery disease (ankle-brachial index (ABI) < 0.6, critical limb ischemia including ischemic rest pain, arterial wounds or gangrene).
- Active skin or limb infection/ inflammatory disease (acute cellulitis, other uncontrolled skin or untreated inflammatory skin disease).
- Active cancer (cancer that is currently under treatment, but not yet in remission).
- Poorly controlled kidney disease (glomerular filtration rate < 30 mls per minute), hypoproteinemia, pulmonary hypertension, hypothyroidism, cyclic edema, or Munchausen Syndrome.
- Any circumstance where increased lymphatic or venous return is undesirable.
- Currently pregnant or trying to become pregnant (for Flexitouch Plus and conservative care group).
- Current participation in any drug or other device clinical studies.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Conservative care alone
Conservative care alone which may include graduated compression, manual lymphatic drainage (MLD) performed by a licensed therapist, self-MLD, and instruction on exercise and skin care.
|
May include graduated compression, MLD performed by a licensed therapist, self-MLD, and instruction on exercise and skin care.
|
Flexitouch Plus and conservative care
Flexitouch Plus and conservative care which includes Flexitouch Plus treatment as well as conservative care measures which may include graduated compression, manual lymphatic drainage (MLD) performed by a licensed therapist, self-MLD, and instruction on exercise and skin care.
|
May include graduated compression, MLD performed by a licensed therapist, self-MLD, and instruction on exercise and skin care.
Flexitouch Plus treatment.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Complications
Time Frame: 12 months
|
To evaluate the Flexitouch Plus and conservative care, compared to conservative care alone, in vascular patients with lower extremity lymphedema after 12 months of treatment based upon the number of lymphedema and venous-related complications.
|
12 months
|
Number of unscheduled visits
Time Frame: 12 months
|
To evaluate the Flexitouch Plus and conservative care, compared to conservative care alone, in vascular patients with lower extremity lymphedema after 12 months of treatment based upon the number of lymphedema and venous-related unscheduled follow-up visits (non-routine clinic, hospital, urgent care, and emergency room visits).
|
12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Quality of life changes: Short-Form 12 (SF-12)
Time Frame: 6 months
|
To evaluate the effectiveness of the Flexitouch Plus and conservative care, compared to conservative care alone, in vascular patients with lower extremity lymphedema after 6 months of treatment based upon changes in the SF-12.
This survey includes 12 questions to measure physical and mental health from the patient's point of view.
The questionnaire includes eight health domains: physical functioning, physical health problems, bodily pain, general health, vitality, social functioning, emotional health problems, and mental health.
The scoring mechanism uses T scores for all surveys using means and standard deviations from the 1998 US general population.
A higher score represents better function.
|
6 months
|
Quality of life changes: Quality of Life with Venous Insufficiency (CIVIQ-20)
Time Frame: 6 months
|
To evaluate the effectiveness of the Flexitouch Plus and conservative care, compared to conservative care alone, in vascular patients with lower extremity lymphedema after 6 months of treatment based upon changes in the CIVIQ-20, which is a survey specific to assess patient-perceived quality of life with chronic venous disorders.
The instrument reviews four dimensions - psychological (range 9-45), pain (range 4-20), physical (range 4-20), and social (range 3-15).
A global index score can be obtained by adding up the scores of all 20 items (range 20-100).
A low score corresponds to greater patient comfort.
|
6 months
|
Quality of life changes: Lymphedema Quality of Life Tool (LYMQOL)
Time Frame: 6 months
|
To evaluate the effectiveness of the Flexitouch Plus and conservative care, compared to conservative care alone, in vascular patients with lower extremity lymphedema after 6 months of treatment based upon changes in the LYMQOL, used to assess lymphedema symptom changes.
LYMQOL includes sub-scores for function (range 8-32), appearance (range 7-28), symptoms (range 5-20), and mood (range 6-24) where lower scores represent a better outcome.
It also includes an overall QOL sub-score (range 0-10) where a higher score represents a better outcome.
|
6 months
|
Quality of life changes: Clinical Global Impression of Change - Global Improvement (CGI-I)
Time Frame: 6 months
|
To evaluate the effectiveness of the Flexitouch Plus and conservative care, compared to conservative care alone, in vascular patients with lower extremity lymphedema after 6 months of treatment based upon a clinician's response to one question at the 6 month follow-up visit pertaining to overall clinical improvement (range 1-7).
A lower score signifies greater improvement.
|
6 months
|
Quality of life changes: Patient Global Impression of Change (PGIC)
Time Frame: 6 months
|
To evaluate the effectiveness of the Flexitouch Plus and conservative care, compared to conservative care alone, in vascular patients with lower extremity lymphedema after 6 months of treatment based upon the patient's response to one question at the 6 month follow-up visit pertaining to overall status change (range 1-7).
A lower score signifies greater improvement.
|
6 months
|
Edema measures
Time Frame: 6 months
|
To evaluate the effectiveness of the Flexitouch Plus and conservative care, compared to conservative care alone, in vascular patients with lower extremity lymphedema after 6 months of treatment based upon changes in edema measures on affected/ most affected leg.
|
6 months
|
Presence and severity of skin changes
Time Frame: 6 months
|
To evaluate the effectiveness of the Flexitouch Plus and conservative care, compared to conservative care alone, in vascular patients with lower extremity lymphedema after 6 months of treatment based upon skin changes on affected/ most affected leg.
|
6 months
|
Wound area
Time Frame: 6 months
|
To evaluate the effectiveness of the Flexitouch Plus and conservative care, compared to conservative care alone, in vascular patients with lower extremity lymphedema after 6 months of treatment based upon percent wound area reduction in subjects presenting with wounds.
|
6 months
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Flexitouch Plus treatment satisfaction
Time Frame: 6 months
|
To evaluate Flexitouch Plus treatment satisfaction after 6 months of treatment.
|
6 months
|
Call volume
Time Frame: 12 months
|
Assess subject call volume for conservative care subjects compared to subjects using the Flexitouch Plus and conservative care.
|
12 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Peter Pappas, Center for Vein Restoration
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
October 10, 2019
Primary Completion (Actual)
November 24, 2021
Study Completion (Actual)
November 24, 2021
Study Registration Dates
First Submitted
September 11, 2019
First Submitted That Met QC Criteria
October 3, 2019
First Posted (Actual)
October 4, 2019
Study Record Updates
Last Update Posted (Actual)
March 31, 2022
Last Update Submitted That Met QC Criteria
March 30, 2022
Last Verified
March 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 5020 (South African Clinical Trials Registry)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
Yes
product manufactured in and exported from the U.S.
Yes
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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