Radiofrequency Hyperthermia Safety Study

Radiofrequency Hyperthermia Safety Study (RHySS)

This study will include 20 healthy subjects with intact skin on their lower legs that meet inclusion criteria. Participants will serve as their own control, by heating one leg and not the other. The radiofrequency device consists of a 4 by 6 inch heating pad connected to a temperature controller. Subjects will receive weekly treatments for 4 weeks, and will be re-evaluated 4 weeks after the last treatment to assess any tissue changes that continue after the treatments have concluded.

Study Overview

Detailed Description

This study will include 20 healthy subjects with intact skin on their lower legs that meet inclusion criteria below. Participants will serve as their own control, by heating one leg and not the other. The radiofrequency device consists of a 4 by 6 inch heating pad connected to a temperature controller. The pad will be applied to the back of the leg and will covered using a compression stocking. The other leg will receive a pad and compression stocking, but radiofrequency will not be applied (no heating).

At the first visit, subjects will be asked to fill out a healthcare questionnaire. With each weekly treatment, subjects will be evaluated to assess how their legs feel on a scale of 1-10, with 1 being no discomfort and 10 being intense pain. Their legs will be photographed before and after radiofrequency MH to examine any visible changes to the tissue. Study team will then use a PeriScan PIM 3 System Laser Doppler scanning for blood perfusion before the Thermofield treatment. The radiofrequency will be set to achieve 40°C/107.6°F) and maintain this temperature consistently during the application time. This temperature is mild and may feel like a drugstore heating pad. The device will be turned on on one leg and will remain off on the other. The time for the heating will be 36 minutes, during which participants will remain in a reclined position, with their legs elevated. The device takes approximately 6 minutes to achieve a tissue temperature of 40°C, and the treatment time with consistent temperature application will be 30 minutes. Study team will then use a PeriScan PIM 3 System Laser Doppler scanning for blood perfusion after the Thermofield treatment ends. Study team will take thermal imaging photographs of the treatment area following each treatment.

Subjects will receive weekly treatments for 4 weeks, and will be re-evaluated 4 weeks after the last treatment to assess any tissue changes that continue after the treatments have concluded. Subjects will be excluded from the study if they develop any kind of intolerance to the MH treatment, like increased pain or unexpected skin changes. If they receive a significant injury or wound that is not due to the study, such that the skin of the lower leg is no longer intact, they will be excluded from the study.

Study Type

Interventional

Enrollment (Actual)

20

Phase

  • Not Applicable

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

    • North Carolina
      • Winston-Salem, North Carolina, United States, 27157
        • Atrium Health Wake Forest Baptist

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 to 99 years (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • 18 years or older
  • Healthy
  • 20<BMI<40

Exclusion Criteria:

  • Pregnant, nursing or child bearing potential
  • Active infections of the skin in the lower leg
  • Open or healing wounds on the lower leg
  • Autoimmune disorder
  • 40<BMI <20
  • History of blood clots
  • History of lower limb edema
  • Tattoos and metal hardware in the leg

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

  • Primary Purpose: Supportive Care
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Thermofield temperature controlled radiofrequency device
Participants will serve as their own control, by heating one leg and not the other. The radiofrequency device consists of a 4 by 6 inch heating pad connected to a temperature controller. The pad will be applied to the back of the leg and will covered using a compression stocking. The other leg will receive a pad and compression stocking, but radiofrequency will not be applied (no heating).
Study team will use a PeriScan PIM 3 System Laser Doppler to scan for blood perfusion before and after the Thermofield treatment. The PeriScan PIM 3 System is for non-invasive two-dimensional imaging of peripheral tissue.
Other Names:
  • PeriScan PIM 3 System Laser Doppler
The radiofrequency will be set to achieve 42°C/107.6°F) and maintain this temperature consistently during the application time. This temperature is mild and may feel like a drugstore heating pad. The device will be turned on on one leg and will remain off on the other. The time for the heating will be 36 minutes, during which participants will remain in a reclined position, with their legs elevated. The device takes approximately 6 minutes to achieve a tissue temperature of 42°C, and the treatment time with consistent temperature application will be 30 minutes.
Other Names:
  • Thermofield
Study team will take thermal imaging photographs of the treatment area following each treatment.

A survey tool created to collect info from participants including:

  1. Name
  2. Age
  3. Weight/ height
  4. Pregnant or nursing?
  5. History of blood clots?
  6. Any wound healing problems?
  7. Any active open wounds on the legs?
  8. Any autoimmune disorders?
  9. Phone number
  10. Email address

A measurement of the participants calf will be taken as well using a measuring tape.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Mean Temperature Change- Skin Evaluation on Leg With Device
Time Frame: week 1
To help determine safety during and after dermal application for generating elevated temperatures
week 1
Mean Temperature Change- Skin Evaluation on Leg With Device
Time Frame: week 2
To help determine safety during and after dermal application for generating elevated temperatures
week 2
Mean Temperature Change- Skin Evaluation on Leg With Device
Time Frame: week 3
To help determine safety during and after dermal application for generating elevated temperatures
week 3
Mean Temperature Change- Skin Evaluation on Leg With Device
Time Frame: week 4
To help determine safety during and after dermal application for generating elevated temperatures
week 4
Mean Change in Blood Perfusion Assessment - mL/kg/Min
Time Frame: week 1

Demonstrate that the Thermofield device improves blood flow to the tissue region where it has been applied.

Laser Doppler scanning will be done on the skin before and after application of the hyperthermia device to quantitatively measure changes in blood perfusion after treatment. Blood perfusion via laser Doppler will also be used to asses increases or decreases in blood perfusion that would indicate harm, such as decreased perfusion - Blood flow is usually given in units mL/(100 g * min)

week 1
Blood Perfusion Assessment - mL/kg/Min
Time Frame: week 2

Demonstrate that the Thermofield device improves blood flow to the tissue region where it has been applied.

Laser Doppler scanning will be done on the skin before and after application of the hyperthermia device to quantitatively measure changes in blood perfusion after treatment. Blood perfusion via laser Doppler will also be used to asses increases or decreases in blood perfusion that would indicate harm, such as decreased perfusion - Blood flow is usually given in units mL/(100 g * min)

week 2
Blood Perfusion Assessment - mL/kg/Min
Time Frame: week 3

Demonstrate that the Thermofield device improves blood flow to the tissue region where it has been applied.

Laser Doppler scanning will be done on the skin before and after application of the hyperthermia device to quantitatively measure changes in blood perfusion after treatment. Blood perfusion via laser Doppler will also be used to asses increases or decreases in blood perfusion that would indicate harm, such as decreased perfusion - Blood flow is usually given in units mL/(100 g * min)

week 3
Blood Perfusion Assessment - mL/kg/Min
Time Frame: week 4

Demonstrate that the Thermofield device improves blood flow to the tissue region where it has been applied.

Laser Doppler scanning will be done on the skin before and after application of the hyperthermia device to quantitatively measure changes in blood perfusion after treatment. Blood perfusion via laser Doppler will also be used to asses increases or decreases in blood perfusion that would indicate harm, such as decreased perfusion - Blood flow is usually given in units mL/(100 g * min)

week 4
Blood Perfusion Assessment - mL/kg/Min
Time Frame: week 8

Demonstrate that the Thermofield device improves blood flow to the tissue region where it has been applied.

Laser Doppler scanning will be done on the skin before and after application of the hyperthermia device to quantitatively measure changes in blood perfusion after treatment. Blood perfusion via laser Doppler will also be used to asses increases or decreases in blood perfusion that would indicate harm, such as decreased perfusion - Blood flow is usually given in units mL/(100 g * min)

week 8
Change in Comfort Level Scores of Participants Receiving Hyperthermia Treatment
Time Frame: week 1
A pain score/ 'How are you feeling?' survey will be used at each session before and after hyperthermia treatment. The scale of 0 meaning non pain/ feel fine to 10 being the maximum pain/ not feeling well will be used.
week 1
Change in Comfort Level Scores of Participants Receiving Hyperthermia Treatment
Time Frame: week 2
A pain score/ 'How are you feeling?' survey will be used at each session before and after hyperthermia treatment. The scale of 0 meaning non pain/ feel fine to 10 being the maximum pain/ not feeling well will be used.
week 2
Change in Comfort Level Scores of Participants Receiving Hyperthermia Treatment
Time Frame: week 3
A pain score/ 'How are you feeling?' survey will be used at each session before and after hyperthermia treatment. The scale of 0 meaning non pain/ feel fine to 10 being the maximum pain/ not feeling well will be used.
week 3
Change in Comfort Level Scores of Participants Receiving Hyperthermia Treatment
Time Frame: week 4
A pain score/ 'How are you feeling?' survey will be used at each session before and after hyperthermia treatment. The scale of 0 meaning non pain/ feel fine to 10 being the maximum pain/ not feeling well will be used.
week 4
Change in Comfort Level Scores of Participants Receiving Hyperthermia Treatment
Time Frame: week 8
A pain score/ 'How are you feeling?' survey will be used at each session before and after hyperthermia treatment. The scale of 0 meaning non pain/ feel fine to 10 being the maximum pain/ not feeling well will be used.
week 8
Safety: Number of Blister Formations
Time Frame: From week 1 through week 8
Cumulative number of blisters formed across all participants during weekly sessions from week 1 to 8 is reported in the data table.
From week 1 through week 8
Safety: Significant Changes in Redness
Time Frame: from week 1 through week 8
Number of participants with significant changes in redness that required intervention.
from week 1 through week 8

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of Participants Who Attended the Session
Time Frame: week 1
The number of participants who attend hyperthermia sessions will be documented.
week 1
Number of Participants Who Attended the Session
Time Frame: week 2
The number of participants who attend hyperthermia sessions will be documented.
week 2
Number of Participants Who Attended the Session
Time Frame: week 3
The number of participants who attend hyperthermia sessions will be documented.
week 3
Number of Participants Who Attended the Session
Time Frame: week 4
The number of participants who attend hyperthermia sessions will be documented.
week 4

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Collaborators

Investigators

  • Principal Investigator: Nicole Levi, PhD, Atrium Health Wake Forest Baptist

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)

June 27, 2022

Primary Completion (Actual)

October 23, 2023

Study Completion (Actual)

October 23, 2023

Study Registration Dates

First Submitted

May 18, 2022

First Submitted That Met QC Criteria

May 26, 2022

First Posted (Actual)

June 1, 2022

Study Record Updates

Last Update Posted (Actual)

May 3, 2024

Last Update Submitted That Met QC Criteria

May 2, 2024

Last Verified

May 1, 2024

More Information

Terms related to this study

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.

No

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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