- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT07607431
Risk Factors, Incidence, and Progression of Lymphedema Among Men With Prostate Cancer. The AWARE Cohort (AWARE)
Addressing the Forgotten Sex in Lymphedema Research: Risk Factors, Incidence, and Progression of Lymphedema Among Men With Prostate Cancer. The AWARE Cohort
The goal of this observational study is to examine the development and impact of lymphedema in men treated for prostate cancer. Lymphedema is swelling caused by damage to the lymphatic system and may develop after surgery with lymph node removal or after radiotherapy.
The main questions it aims to answer are:
How many men develop lower limb lymphedema after prostate cancer treatment? Which men are at highest risk of developing lymphedema? How does lymphedema affect quality of life?
Participants will attend follow-up visits every three months for 18 months at one of three Danish hospital sites: Rigshospitalet, Herlev-Gentofte Hospital, or Zealand University Hospital. At each visit, participants will undergo examinations for signs of lymphedema and complete questionnaires about symptoms, quality of life, and daily functioning. Participants who develop signs of lymphedema during the study will be advised to seek assessment and treatment from the hospital's lymphedema therapist.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Type d'étude
Inscription (Réel)
Contacts et emplacements
Lieux d'étude
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-
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Copenhagen, Danemark, 2100
- Rigshospitalet
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Herlev, Danemark, 2730
- Herlev and Gentofte Hospital
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Roskilde, Danemark, 4000
- Zealand University Hospital
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
Méthode d'échantillonnage
Population étudiée
La description
Inclusion criteria
- Age ≥18 years
- Men diagnosed with any stage prostate cancer
- Planned prostatectomy with lymph node removal or radiotherapy
- Able to understand Danish
Exclusion criteria
• History of lymph node dissection/radiotherapy at the level of the pelvic or groin
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
Cohortes et interventions
Groupe / Cohorte |
Intervention / Traitement |
|---|---|
|
Radical Prostatectomy and Radiotherapy
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Participants receive either radical prostatectomy with pelvic lymph node dissection or radiotherapy to the pelvic region as part of standard treatment for prostate cancer.
Treatments are not assigned by the study.
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Incidence of lymphedema
Délai: From initiation of prostate cancer treatment through 18 months follow-up, assessed every 3 months.
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Measured using multiple parameters, including bioimpedance spectroscopy, leg volume measurements, patient-reported symptoms, pitting, and clinical evaluation by a lymphedema therapist or physician.
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From initiation of prostate cancer treatment through 18 months follow-up, assessed every 3 months.
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Depression using the Major Depression Inventory (MDI)
Délai: From initiation of prostate cancer treatment through 18 months follow-up, assessed every 3 months.
|
Depressive symptoms will be assessed using the Major Depression Inventory (MDI).
The MDI total score ranges from 0 to 50, with higher scores indicating more severe depressive symptoms.
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From initiation of prostate cancer treatment through 18 months follow-up, assessed every 3 months.
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Functioning, Disability and Health associated with lymphedema measured by Lymphoedema Functioning, Disability and Health Questionnaire for Lower Limb Lymphoedema
Délai: From initiation of prostate cancer treatment through 18 months follow-up, assessed every 3 months.
|
Lymphedema-related functioning, disability, and health will be assessed using the Lymphoedema Functioning, Disability and Health Questionnaire for Lower Limb Lymphoedema (Lymph-ICF-LL).
Scores range from 0 to 100, with higher scores indicating greater impairments in function, activity limitations, and participation restrictions related to lower limb lymphedema.
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From initiation of prostate cancer treatment through 18 months follow-up, assessed every 3 months.
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Quality of life measured by EORTC QLQ-C30
Délai: From initiation of prostate cancer treatment through 18 months follow-up, assessed every 3 months.
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Health-related quality of life will be assessed using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30).
Scores are transformed to a 0-100 scale.
For global health status and functioning scales, higher scores indicate better health-related quality of life or functioning.
For symptom scales/items, higher scores indicate greater symptom burden.
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From initiation of prostate cancer treatment through 18 months follow-up, assessed every 3 months.
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Urinary dysfunction and sexual function measured with the prostate cancer-specific subscale EORTC QLQ-PR25
Délai: From initiation of prostate cancer treatment through 18 months follow-up, assessed every 3 months.
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Prostate cancer-specific symptoms and functioning, including urinary symptoms and sexual function, will be assessed using the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Prostate Cancer Module (EORTC QLQ-PR25).
Scores are transformed to a 0-100 scale.
For symptom scales/items, higher scores indicate greater symptom burden.
For functioning scales, higher scores indicate better functioning.
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From initiation of prostate cancer treatment through 18 months follow-up, assessed every 3 months.
|
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Physical activity measured by International Physical Activity Questionnaire (IPAQ)
Délai: From initiation of prostate cancer treatment through 18 months follow-up, assessed every 3 months.
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Physical activity will be assessed using the International Physical Activity Questionnaire (IPAQ).
Physical activity will be reported as MET-minutes per week, with higher scores indicating higher levels of physical activity.
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From initiation of prostate cancer treatment through 18 months follow-up, assessed every 3 months.
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Collaborateurs et enquêteurs
Parrainer
Publications et liens utiles
Publications générales
- Jensen S, Roder A, Hayes S, Larsen GS, Fode M, Ostergren PB, Al-Hamadani MMN, Johansen C, Rafn BS. Comprehensive assessment of lower limb edema and its association with quality of life among men with prostate cancer. Support Care Cancer. 2025 Jun 16;33(7):586. doi: 10.1007/s00520-025-09613-4.
- Clinckaert A, Callens K, Cooreman A, Bijnens A, Moris L, Van Calster C, Geraerts I, Joniau S, Everaerts W. The Prevalence of Lower Limb and Genital Lymphedema after Prostate Cancer Treatment: A Systematic Review. Cancers (Basel). 2022 Nov 18;14(22):5667. doi: 10.3390/cancers14225667.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
- Maladies urogénitales
- Maladies génitales
- Tumeurs génitales, homme
- Tumeurs urogénitales
- Tumeurs par site
- Tumeurs
- Maladies génitales, sexe masculin
- Maladies de la prostate
- Maladies urogénitales masculines
- Maladies lymphatiques
- Maladies hémiques et lymphatiques
- Tumeurs prostatiques
- Lymphœdème
- Thérapeutique
- Radiothérapie
Autres numéros d'identification d'étude
- AWARE
- R352-A20774 (Autre subvention/numéro de financement: Danish cancer society)
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Informations sur les médicaments et les dispositifs, documents d'étude
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