- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04203069
Auto-Adjustable MOBIDERM® Autofit NIGHT-time Compression Armsleeve in the Upper Limb LYMphedema in Maintenance Phase (LYMphoNIGHT)
Multicenter, Controlled, Randomized, Open Label, Clinical Study to Assess the Efficacy of Auto-Adjustable MOBIDERM® Autofit NIGHT-time Compression Armsleeve in the Management of Upper Limb LYMphedema in Maintenance Phase: LYMphoNIGHT Study
This study aims to assess Auto-Adjustable MOBIDERM® Autofit Armsleeve effect on upper limb volume excess after 3 months of maintenance phase treatment in patients with secondary upper limb lymphedema following breast cancer.
Half of the patient will wear a day-time and night time compression garment (MOBIDERM Autofit) for 3 months during the maintenance phase, while the other half will only wear day-time compression garment.
Study Overview
Status
Conditions
Detailed Description
The gold standard treatment to achieve volume reduction of lymphedema is based on a Decongestive Lymphedema Therapy (DLT).that consists in 2 consecutive phases: the initial intensive phase which aim is to obtain maximal reduction of lymphedema volume and a second, the maintenance phase which aim is to maintain the initial volumetric reduction achieved during phase 1 as long as possible. The second maintenance phase mostly based on patient self-management of his treatment, is not strictly codified, but includes compression therapy, nutritional recommendations, skin cares, physical exercises and manual lymphatic drainage.
24 hours compression using garments or bandages seems to be crucial for long term management of lymphedema.
Garment and bandages prescriptions for daily treatment are a common practice in the maintenance phase but are often unsuitable for night treatment, as bandages are effective when well applied but are highly dependent on the patients' skills, and garments, due to their nature, can be poorly tolerated leading to low adherence from patients to self-management care. In the end, there is an unmet medical need for night treatment during maintenance phase. .
In this context THUASNE developed a specific night-time garment, for lymphedema maintenance phase. It is a standard Auto-Adjustable Armsleeve using the MOBIDERM® technology.
MOBIDERM® AUTOFIT is a standard self-adjusting compressive MOBIDERM® sleeve, with mitten.
Several small rigid straps are placed throughout the product to facilitate the passage of the arm, to adapt the garment to the morphology of each patient and to tighten it.
A first pilot randomized controlled study demonstrated some benefit to use MOBIDERM Autofit during night-time as an adjuvant treatment to daily compressive garment.
The objective of this new study is to confirm, using a more robust methodology, the effect of Auto-Adjustable MOBIDERM® Autofit Armsleeve on maintenance phase treatment, worn during the night, within the period at risk for the so called rebound effect as reported in several observational studies.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: ISABELLE QUERE, PUPH, MD
- Phone Number: +33467337028
- Email: i-quere@chu-montpellier.fr
Study Contact Backup
- Name: ASTRID PICOLET
- Phone Number: +33640392490
- Email: astrid.picolet@thuasne.fr
Study Locations
-
-
-
Grenoble, France
- Recruiting
- Chu Grenoble
-
Principal Investigator:
- Sophie BLAISE, MD
-
Montpellier, France
- Recruiting
- CHU Montpellier
-
Principal Investigator:
- Isabelle QUERE, PUPH, MD
-
Mulhouse, France
- Not yet recruiting
- Ghr Mulhouse
-
Principal Investigator:
- Amer HAMADE, MD
-
Nice, France
- Recruiting
- CHU Nice
-
Principal Investigator:
- Pascal GIORDANA, MD
-
Nîmes, France
- Recruiting
- Nimes
-
Principal Investigator:
- Eve VERNHET, MD
-
Toulouse, France
- Not yet recruiting
- CHU Toulouse
-
Principal Investigator:
- Julie MALLOIZEL, MD
-
Tours, France, 37044
- Not yet recruiting
- CHRU Tours
-
Sub-Investigator:
- Loic VAILLANT, PUPH,MD
-
Principal Investigator:
- Valerie TAUVERON, MD
-
-
-
-
-
Ankara, Turkey
- Recruiting
- Turkey
-
Principal Investigator:
- Pinar BORMAN, MD
-
Sub-Investigator:
- Burcu CAKIT, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Women responding positively to the lymphedema reduction phase defined by a ≥ 30% decrease in lymphedema volume at the end of DLT
- Unilateral secondary upper limb lymphedema of stage II or III according to the criteria defined by the International Society of Lymphology, following breast cancer
- Affected arm that fits with one of the 6 standard sizes of the Auto-Adjustable MOBIDERM® Autofit armsleeve provided
- Signed informed consent prior to any study-mandated procedure
- Affiliated to the General regime of the Social Security or covered by a similar health insurance system
Non-inclusion criteria :
- Stage I lymphedema or located in several places
- Active cellulitis / Infectious dermo-hypodermatitis
- Lymphedema associated with active cancer needing acute chemotherapy
- Motor and sensitive neurological deficiency / psychiatric or addictive disorders
- Post-operative edema (i.e acute edema occurring during the days following breast cancer-related surgery)
- Patients for whom compression is contraindicated, such as untreated infections, skin irritation, thrombosis, presence of skin lesions on the armsleeve placement
- Pregnant or breastfeeding patient
- Previous history of hypersensitivity to MOBIDERM® technology or lymphatrex garment General conditions
- Participation to any other clinical study which has an impact on the different endpoints
- Unlikely to be followed up to 3 months with clinical assessment as per investigator's judgment
- Vulnerable patient according to the article L.1121-6 of the French Public Health Code, the adults being the object of a legal protective measure or enable to express their consent according to the article L.1121-8 of French Public Health Code
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Placebo Comparator: Control group : Day-time compression sleeve
Control group : Patients will wear the Day-time compression sleeve : THUASNE lymphatrex (± mitten) during 90 days.
|
In the control group, patients wear only day-time compression garment : lymphatrex during 3 months. The protocol will require 3 visits during the maintenance phase. Visit 1 at day 0 (until 5 days after the end of hospital): includes the inclusion visit with the reception of devices and some evaluations (clinical examination, lymphedema volume, questionnaires, ultrasound on a patients sub-group). Visit 2 at 30 days after the inclusion : includes some evaluations (clinical examination, lymphedema volume, questionnaires, ultrasound on a patients sub-group) Visite 3 at 90 days after the inclusion : includes some evaluations (clinical examination, lymphedema volume, questionnaires, ultrasound on a patients sub-group). |
Experimental: Day-time compression sleeve and Night-time MOBIDERM Autofit
Intervention group : Patients will wear the Day-time compression sleeve : THUASNE lymphatrex (± mitten) + night-time Auto-Adjustable MOBIDERM® Autofit Armsleeve device with the possibility to wear an additional MOBIDERM® glove if a patient has a finger edema during 90 days.
|
In the intervention group, patients wear a day-time compression garment : lymphatrex and the night-time compression garment : MOBIDERM AUTOFIT during 3 months. The protocol will require 3 visits during the maintenance phase. Visit 1 at day 0 (until 5 days after the end of hospital): includes the inclusion visit with the reception of devices and some evaluations (clinical examination, lymphedema volume, questionnaires, ultrasound on a patients sub-group). Visit 2 at 30 days after the inclusion : includes some evaluations (clinical examination, lymphedema volume, questionnaires, ultrasound on a patients sub-group) Visite 3 at 90 days after the inclusion : includes some evaluations (clinical examination, lymphedema volume, questionnaires, ultrasound on a patients sub-group). |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The volume excess variation
Time Frame: 90 days
|
The primary endpoint of this study is to compare the volume excess variation of the upper limb between both groups from D0 to D90.
Volume excess is defined as the volumetric difference between the affected upper limb compared to the contralateral upper limb, calculated with truncated cone formula.
|
90 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The quality of life (QoL): LYMQOL ARM self-questionnaire
Time Frame: 30 and 90 days
|
The evolution of QoL is measured by LYMQOL ARM self-questionnaire and specific questions.
This tool was designed as patient-completed questionnaire.
The questions cover four domains : symptoms, body image/appearance, function, mood.
Each item in each domain was scored : not at all (1), a little (2), Quite a bit (3), A lot (4).
Specific questions are about patient's perception of benefit.
|
30 and 90 days
|
The range of motion
Time Frame: 30 and 90 days
|
The evolution of range of motion of the arm is measured by joint movements : Antepulsion (flexion), retropulsion (extension), total abduction, adduction, lateral rotation (external rotation), medial rotation (internal rotation)
|
30 and 90 days
|
The volume excess variation
Time Frame: 30 days
|
Volume excess is defined as the volumetric difference between the affected upper limb compared to the contralateral upper limb, calculated with truncated cone formula.
|
30 days
|
Patient's opinion on Global Impression of Change (PGI-C)
Time Frame: 30 and 90 days
|
Patient's opinion on Global Impression of Change about her general condition is measured by the modified PGI-C questionnaire (Patient's opinion on Global Impression of Change).
The scale has 7 levels from "no change or condition has got worsed"(worse outcome) to "a great deal better, and a considerable improvement that has made all the difference ( better outcome)".
Intermediate levels are: "almost the same, hardly any change at all"; "a little better, but no noticeable change", "somewhat better, but the change has not made any real difference"; "moderately better, and a slight but noticeable change"; "better, and a definite improvement that has made a real and worthwhile difference.
|
30 and 90 days
|
Doctors' opinion on improving the patient's health condition (Clinical Global Improvement Impression)
Time Frame: 30 and 90 days
|
Doctors' opinion on improving the patient's health condition caused by lymphedema is measured by the CGI-I modified questionnaire (Clinical Global Improvement Impression).
This questionnaire allows doctors to evaluate the improvement of patients.
The scale has 7 levels from "very strongly improved"(better outcome) to "very strongly aggravated"(worse outcome).Intermediate levels are: " Significantly improved " ; " Slightly improved " ; " No improvement " ; " Slightly aggravated " ; " Seriously aggravated ".
|
30 and 90 days
|
Doctors' opinion on severity about the lymphedema (CGI-S)
Time Frame: 30 and 90 days
|
Doctors' opinion on severity about the lymphedema is measured by CGI-S.
This questionnaire assesses the severity of lymphedema.
This scale has 7 levels from "normal, not sick at all" (better outcome) to " among the most severely ill patients "(worse outcome).
Intermediate levels are: " borderline ill " ; " slightly ill " ; " moderately ill " ; " clearly ill " ; " severely ill ".
|
30 and 90 days
|
number of days/nights : The compliance to treatment
Time Frame: 30 and 90 days
|
The compliance to treatment (day-time and night-time only for Intervention Group) is reported by the physician in the e-CRF according to the patient diary.
The compliance is measured in number of days and or nights (groupe I) when the device was worn and the average wearing time was : Full day/night, >50% of the day/night,<50% of the day/night
|
30 and 90 days
|
The evolution of quality of sleep: Jenkins self-questionnaire
Time Frame: 30 and 90 days
|
The evolution of quality of sleep is measured by Jenkins self-questionnaire.
This scale is composed of four questions about the quality of sleep.
|
30 and 90 days
|
The satisfaction about the device: questionnaire
Time Frame: 90 days
|
Patient's satisfaction with regards to MOBIDERM® Autofit for patients from intervention group only by a satisfaction questionnaire.
This questionnaire is focused on the product positioning and the comfort.
|
90 days
|
Number and type of serious and non-serious Adverse Device Effects
Time Frame: 90 days
|
Number and type of serious and non-serious Adverse Device Effects (ADE) with a focus on cutaneous ADE will be reported during the study.
|
90 days
|
The elastometry
Time Frame: 30 and 90 days
|
To compare the evolution of skin thickness, elasticity, suppleness on a subgroup of patients by ultrasound.
|
30 and 90 days
|
The percentage of patients presenting with a failure of maintenance
Time Frame: 30 and 90 days
|
Percentage of patients presenting with a failure of maintenance phase, defined by a volume increase ≥ 30% of the volume reduction observed during intensive phase of decongestive lymphedema therapy (DLT)
|
30 and 90 days
|
The satisfaction about the daytime device: questionnaire
Time Frame: 90 days
|
Patient's satisfaction with regards to daytime device for all patients by a satisfaction questionnaire.
This questionnaire is focused on the product positioning and the comfort.
|
90 days
|
The quality of life (QoL): EQ-5D-5L self-questionnaire
Time Frame: 30 and 90 days
|
The evolution of QoL is measured by EQ5D 5L self-questionnaire.
This tool was designed as patient-completed questionnaire.
The questions cover five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression.
Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems.
|
30 and 90 days
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: ISABELLE QUERE, PUPH,MD, University Hospital, Montpellier
Publications and helpful links
General Publications
- Quere I, Presles E, Coupe M, Vignes S, Vaillant L, Eveno D, Laporte S, Leizorovicz A; POLIT Study investigators. Prospective multicentre observational study of lymphedema therapy: POLIT study. J Mal Vasc. 2014 Jul;39(4):256-63. doi: 10.1016/j.jmv.2014.05.004. Epub 2014 Jun 12.
- Mestre S, Calais C, Gaillard G, Nou M, Pasqualini M, Ben Amor C, Quere I. Interest of an auto-adjustable nighttime compression sleeve (MOBIDERM(R) Autofit) in maintenance phase of upper limb lymphedema: the MARILYN pilot RCT. Support Care Cancer. 2017 Aug;25(8):2455-2462. doi: 10.1007/s00520-017-3652-5. Epub 2017 Mar 9.
- Brown JC, Cheville AL, Tchou JC, Harris SR, Schmitz KH. Prescription and adherence to lymphedema self-care modalities among women with breast cancer-related lymphedema. Support Care Cancer. 2014 Jan;22(1):135-43. doi: 10.1007/s00520-013-1962-9. Epub 2013 Sep 7.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- EC29
- ANSM (Other Identifier: 2022-A02513-40)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
Clinical Trials on Lymphedema of Upper Arm
-
Assiut UniversityWithdrawnLymphedema | Lymphedema of Upper Arm | Mastectomy; Lymphedema
-
Stanford UniversityCelltaxis LLCRecruitingLymphedema of Upper ArmUnited States
-
Massachusetts General HospitalHeinz Family FoundationRecruitingBreast Cancer | Lymphedema | Edema | Lymphedema of Upper Arm | Breast Cancer Lymphedema | Breast Cancer Metastatic | Lymphedema of Upper Limb | Breast Cancer Stage | Lymphedema Arm | Edema Arm | Lymphedema of the HandsUnited States
-
Lymphatica Medtech SATerminatedLymphedema of Upper Limb | Lymphedema, Secondary | Lymphedema, Lower Limb | Lymphedema of Leg | Lymphedema ArmSwitzerland
-
CEN BiotechmediCompletedLymphedema of Upper ArmFrance
-
Maastricht University Medical CenterRadboud University Medical Center; Erasmus Medical CenterRecruitingLymphedema of Upper Limb | Lymphedema, Secondary | Lymphedema, Lower Limb | Lymphedema of Leg | Lymphedema ArmNetherlands
-
Institute of Technology, SligoSligo General HospitalUnknownLymphedema of Upper Arm
-
Duke UniversityCompletedMelanoma | Breast Cancer | Lymphedema of Upper Arm | Thoracic CancerUnited States
-
Marmara UniversityUnknownLymphedema of Upper ArmTurkey
-
Dokuz Eylul UniversityCompletedLymphedema of Upper ArmTurkey
Clinical Trials on Control group : Day-time compression sleeve
-
University of AlbertaAlberta Health services; Canadian Breast Cancer FoundationCompletedBreast Neoplasms | LymphedemaCanada
-
AHS Cancer Control AlbertaCross Cancer InstituteCompletedBreast Cancer | LymphedemaCanada
-
Chinese University of Hong KongRecruitingObesity | Gastro Esophageal Reflux DiseaseChina
-
Seoul National University Bundang HospitalCompleted
-
University of Alabama at BirminghamRecruiting
-
Rory NewlandsCompletedDomestic ViolenceUnited States
-
The University of Tennessee, KnoxvilleNational Institute of Mental Health (NIMH)Completed
-
University of California, San DiegoSalk Institute for Biological StudiesRecruitingDiabetes Mellitus, Type 2 | Diabetes type2 | Time Restricted FeedingUnited States
-
First Affiliated Hospital of Wannan Medical CollegeRecruitingTime-restricted Enteral Nutrition Versus Continuous Enteral Nutrition in Patients With Severe StrokeStroke | Time Restricted FeedingChina
-
Assuta Medical CenterRecruiting