Radiofrequency Hyperthermia Safety Study
Primary Purpose
Chronic Pain, Soft Tissue Injuries, Wound Heal
Status
Recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Laser Doppler
Radiofrequency Heating System
Thermal Imaging
Healthcare Questionnaire & Measurement
Sponsored by
About this trial
This is an interventional supportive care trial for Chronic Pain focused on measuring mild hyperthermia
Eligibility Criteria
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
Sites / Locations
- Atrium Health Wake Forest BaptistRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Thermofield temperature controlled radiofrequency device
Arm Description
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).
Outcomes
Primary Outcome Measures
Safety during and after dermal application for generating elevated temperatures - skin evaluations
To demonstrate that application of the Thermofield temperature controlled radiofrequency device is safe for dermal application for generating elevated temperatures.
Digital photographs will be taken of the skin before and after application of the radiofrequency device. Observations of blister formation will be recorded. Redness will be scored using digital colorimetry in the pre-treatment versus post-treatment photographs. Changes in redness will be measured and reported.
Safety during and after dermal application for generating elevated temperatures - skin evaluations
To demonstrate that application of the Thermofield temperature controlled radiofrequency device is safe for dermal application for generating elevated temperatures.
Digital photographs will be taken of the skin before and after application of the radiofrequency device. Observations of blister formation will be recorded. Redness will be scored using digital colorimetry in the pre-treatment versus post-treatment photographs. Changes in redness will be measured and reported.
Safety during and after dermal application for generating elevated temperatures - skin evaluations
To demonstrate that application of the Thermofield temperature controlled radiofrequency device is safe for dermal application for generating elevated temperatures.
Digital photographs will be taken of the skin before and after application of the radiofrequency device. Observations of blister formation will be recorded. Redness will be scored using digital colorimetry in the pre-treatment versus post-treatment photographs. Changes in redness will be measured and reported.
Safety during and after dermal application for generating elevated temperatures - skin evaluations
To demonstrate that application of the Thermofield temperature controlled radiofrequency device is safe for dermal application for generating elevated temperatures.
Digital photographs will be taken of the skin before and after application of the radiofrequency device. Observations of blister formation will be recorded. Redness will be scored using digital colorimetry in the pre-treatment versus post-treatment photographs. Changes in redness will be measured and reported.
Safety during and after dermal application for generating elevated temperatures - skin evaluations
To demonstrate that application of the Thermofield temperature controlled radiofrequency device is safe for dermal application for generating elevated temperatures.
Digital photographs will be taken of the skin before and after application of the radiofrequency device. Observations of blister formation will be recorded. Redness will be scored using digital colorimetry in the pre-treatment versus post-treatment photographs. Changes in redness will be measured and reported.
Safety during and after dermal application for generating elevated temperatures - Blood Perfusion Assessment
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)
Safety during and after dermal application for generating elevated temperatures - Blood Perfusion Assessment
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)
Safety during and after dermal application for generating elevated temperatures - Blood Perfusion Assessment
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)
Safety during and after dermal application for generating elevated temperatures - Blood Perfusion Assessment
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)
Safety during and after dermal application for generating elevated temperatures - Blood Perfusion Assessment
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)
Comfort level scores of participants receiving hyperthermia treatment
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.
Comfort level scores of participants receiving hyperthermia treatment
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.
Comfort level scores of participants receiving hyperthermia treatment
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.
Comfort level scores of participants receiving hyperthermia treatment
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.
Comfort level scores of participants receiving hyperthermia treatment
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.
Secondary Outcome Measures
The number of times that participants attend hyperthermia sessions
The number of times that participants attend hyperthermia sessions will be documented.
The number of times that participants attend hyperthermia sessions
The number of times that participants attend hyperthermia sessions will be documented.
The number of times that participants attend hyperthermia sessions
The number of times that participants attend hyperthermia sessions will be documented.
The number of times that participants attend hyperthermia sessions
The number of times that participants attend hyperthermia sessions will be documented.
The number of times that participants attend hyperthermia sessions
The number of times that participants attend hyperthermia sessions will be documented.
Full Information
NCT ID
NCT05399771
First Posted
May 18, 2022
Last Updated
July 5, 2023
Sponsor
Wake Forest University Health Sciences
Collaborators
Thermofield
1. Study Identification
Unique Protocol Identification Number
NCT05399771
Brief Title
Radiofrequency Hyperthermia Safety Study
Official Title
Radiofrequency Hyperthermia Safety Study (RHySS)
Study Type
Interventional
2. Study Status
Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 27, 2022 (Actual)
Primary Completion Date
April 2024 (Anticipated)
Study Completion Date
April 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Wake Forest University Health Sciences
Collaborators
Thermofield
4. Oversight
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
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
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.
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.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Pain, Soft Tissue Injuries, Wound Heal, Blood Flow
Keywords
mild hyperthermia
7. Study Design
Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
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 no the other.
Masking
None (Open Label)
Allocation
N/A
Enrollment
20 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Thermofield temperature controlled radiofrequency device
Arm Type
Experimental
Arm Description
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).
Intervention Type
Device
Intervention Name(s)
Laser Doppler
Other Intervention Name(s)
PeriScan PIM 3 System Laser Doppler
Intervention Description
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.
Intervention Type
Device
Intervention Name(s)
Radiofrequency Heating System
Other Intervention Name(s)
Thermofield
Intervention Description
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.
Intervention Type
Device
Intervention Name(s)
Thermal Imaging
Intervention Description
Study team will take thermal imaging photographs of the treatment area following each treatment.
Intervention Type
Other
Intervention Name(s)
Healthcare Questionnaire & Measurement
Intervention Description
A survey tool created to collect info from participants including:
Name
Age
Weight/ height
Pregnant or nursing?
History of blood clots?
Any wound healing problems?
Any active open wounds on the legs?
Any autoimmune disorders?
Phone number
Email address
A measurement of the participants calf will be taken as well using a measuring tape.
Primary Outcome Measure Information:
Title
Safety during and after dermal application for generating elevated temperatures - skin evaluations
Description
To demonstrate that application of the Thermofield temperature controlled radiofrequency device is safe for dermal application for generating elevated temperatures.
Digital photographs will be taken of the skin before and after application of the radiofrequency device. Observations of blister formation will be recorded. Redness will be scored using digital colorimetry in the pre-treatment versus post-treatment photographs. Changes in redness will be measured and reported.
Time Frame
week 1
Title
Safety during and after dermal application for generating elevated temperatures - skin evaluations
Description
To demonstrate that application of the Thermofield temperature controlled radiofrequency device is safe for dermal application for generating elevated temperatures.
Digital photographs will be taken of the skin before and after application of the radiofrequency device. Observations of blister formation will be recorded. Redness will be scored using digital colorimetry in the pre-treatment versus post-treatment photographs. Changes in redness will be measured and reported.
Time Frame
week 2
Title
Safety during and after dermal application for generating elevated temperatures - skin evaluations
Description
To demonstrate that application of the Thermofield temperature controlled radiofrequency device is safe for dermal application for generating elevated temperatures.
Digital photographs will be taken of the skin before and after application of the radiofrequency device. Observations of blister formation will be recorded. Redness will be scored using digital colorimetry in the pre-treatment versus post-treatment photographs. Changes in redness will be measured and reported.
Time Frame
week 3
Title
Safety during and after dermal application for generating elevated temperatures - skin evaluations
Description
To demonstrate that application of the Thermofield temperature controlled radiofrequency device is safe for dermal application for generating elevated temperatures.
Digital photographs will be taken of the skin before and after application of the radiofrequency device. Observations of blister formation will be recorded. Redness will be scored using digital colorimetry in the pre-treatment versus post-treatment photographs. Changes in redness will be measured and reported.
Time Frame
week 4
Title
Safety during and after dermal application for generating elevated temperatures - skin evaluations
Description
To demonstrate that application of the Thermofield temperature controlled radiofrequency device is safe for dermal application for generating elevated temperatures.
Digital photographs will be taken of the skin before and after application of the radiofrequency device. Observations of blister formation will be recorded. Redness will be scored using digital colorimetry in the pre-treatment versus post-treatment photographs. Changes in redness will be measured and reported.
Time Frame
week 8
Title
Safety during and after dermal application for generating elevated temperatures - Blood Perfusion Assessment
Description
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)
Time Frame
week 1
Title
Safety during and after dermal application for generating elevated temperatures - Blood Perfusion Assessment
Description
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)
Time Frame
week 2
Title
Safety during and after dermal application for generating elevated temperatures - Blood Perfusion Assessment
Description
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)
Time Frame
week 3
Title
Safety during and after dermal application for generating elevated temperatures - Blood Perfusion Assessment
Description
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)
Time Frame
week 4
Title
Safety during and after dermal application for generating elevated temperatures - Blood Perfusion Assessment
Description
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)
Time Frame
week 8
Title
Comfort level scores of participants receiving hyperthermia treatment
Description
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.
Time Frame
week 1
Title
Comfort level scores of participants receiving hyperthermia treatment
Description
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.
Time Frame
week 2
Title
Comfort level scores of participants receiving hyperthermia treatment
Description
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.
Time Frame
week 3
Title
Comfort level scores of participants receiving hyperthermia treatment
Description
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.
Time Frame
week 4
Title
Comfort level scores of participants receiving hyperthermia treatment
Description
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.
Time Frame
week 8
Secondary Outcome Measure Information:
Title
The number of times that participants attend hyperthermia sessions
Description
The number of times that participants attend hyperthermia sessions will be documented.
Time Frame
week 1
Title
The number of times that participants attend hyperthermia sessions
Description
The number of times that participants attend hyperthermia sessions will be documented.
Time Frame
week 2
Title
The number of times that participants attend hyperthermia sessions
Description
The number of times that participants attend hyperthermia sessions will be documented.
Time Frame
week 3
Title
The number of times that participants attend hyperthermia sessions
Description
The number of times that participants attend hyperthermia sessions will be documented.
Time Frame
week 4
Title
The number of times that participants attend hyperthermia sessions
Description
The number of times that participants attend hyperthermia sessions will be documented.
Time Frame
week 8
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
99 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
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
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Caleb Suggs, BS
Phone
336.713.4339
Email
csuggs@wakehealth.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nicole Levi, PhD
Organizational Affiliation
Atrium Health Wake Forest Baptist
Official's Role
Principal Investigator
Facility Information:
Facility Name
Atrium Health Wake Forest Baptist
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27157
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Caleb Suggs, BS
Phone
336-713-4339
Email
csuggs@wakehealth.edu
First Name & Middle Initial & Last Name & Degree
Nicole Levi, PhD
12. IPD Sharing Statement
Plan to Share IPD
No
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Radiofrequency Hyperthermia Safety Study
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