Supermicrosurgery for Breast Cancer Survivors With Lymphedema.
Primary Purpose
Secondary Lymphedema, Breast Cancer
Status
Recruiting
Phase
Not Applicable
Locations
Norway
Study Type
Interventional
Intervention
Surgery
Compression and drainage therapy
Sponsored by
About this trial
This is an interventional treatment trial for Secondary Lymphedema focused on measuring Lymphovenous bypass, Lymphovenous anastomosis, Supermicrosurgery, Lymphangiography, MD Anderson Lymphedema Stage
Eligibility Criteria
Inclusion Criteria:
- Unilateral lymphedema of the arm secondary to breast cancer treatment. Stage 1-3 operable lymphedema.
Exclusion Criteria:
- Frequent or severe cellulitis. All other lymphedema.
Sites / Locations
- Sykehuset TelemarkRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Surgery
Compression
Arm Description
Lymphovenous anastomosis
Conservative treatment with physiotherapy and compression
Outcomes
Primary Outcome Measures
Volume
Volume of arm as described by submersion and circumference measures
Secondary Outcome Measures
Health related quality of life ULL27
To be measured by questionnaire "Upper Limb Lymphedema score 27" (ULL27) by Professor Robert Launois at REES France. The scale measures health related quality of life in patients with upper limb lymphedema.
Construction: 27 questions rated from 1 (lowest quality of life) to 5 highest quality of life.
Dimensions: There are 3 dimensions assessing symptoms, self value, everyday social life. Total score 27-135 Symptom score: 18-90 Self value: 5-25 Social life: 4-20 Question 20 and 22 are part of the self value dimension and are control questions with reverse scores, i.e 1 represents highest quality of life and 5 represents lowest quality of life. The scores for question 20 and 22 are later reversed when adding the total score.
Full Information
NCT ID
NCT03578380
First Posted
June 12, 2017
Last Updated
April 15, 2023
Sponsor
Sykehuset Telemark
Collaborators
University of Oslo, Ohio State University
1. Study Identification
Unique Protocol Identification Number
NCT03578380
Brief Title
Supermicrosurgery for Breast Cancer Survivors With Lymphedema.
Official Title
Supermicrosurgery for Breast Cancer Survivors With Lymphedema. -Prospective Randomized Clinical and Patient-reported Outcomes.
Study Type
Interventional
2. Study Status
Record Verification Date
December 2022
Overall Recruitment Status
Recruiting
Study Start Date
January 26, 2016 (Actual)
Primary Completion Date
December 31, 2024 (Anticipated)
Study Completion Date
December 31, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sykehuset Telemark
Collaborators
University of Oslo, Ohio State University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
A randomised prospective investigation of volume and quality of life results with lymphovenous anastomosis in patients with unilateral arm lymphedema after breast cancer using Indocyanine Green lymphangiography and MD Anderson Staging.
Detailed Description
This is a randomized study comparing lymphovenous anastomosis versus conservative (compression) treatment for lymphoedema after breast cancer surgery - 50 patients to be included in each study arm. The primary endpoint is volume change measured by submersion and changes in arm circumference at defined levels from the wrist. Secondary endpoint is health related quality of life measured by questionnaire Short Form 36 (SF-36), Hospital Anxiety Depression Score (HADS), Fatigue Questionnaire (FQ) and a disease-specific questionnaire, Upper Limb Lymphedema score (ULL27).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Secondary Lymphedema, Breast Cancer
Keywords
Lymphovenous bypass, Lymphovenous anastomosis, Supermicrosurgery, Lymphangiography, MD Anderson Lymphedema Stage
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
100 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Surgery
Arm Type
Experimental
Arm Description
Lymphovenous anastomosis
Arm Title
Compression
Arm Type
Active Comparator
Arm Description
Conservative treatment with physiotherapy and compression
Intervention Type
Procedure
Intervention Name(s)
Surgery
Intervention Description
Lymphovenous anastomosis
Intervention Type
Other
Intervention Name(s)
Compression and drainage therapy
Intervention Description
Treatment with compression stockings and manual drainage (massage therapy)
Primary Outcome Measure Information:
Title
Volume
Description
Volume of arm as described by submersion and circumference measures
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Health related quality of life ULL27
Description
To be measured by questionnaire "Upper Limb Lymphedema score 27" (ULL27) by Professor Robert Launois at REES France. The scale measures health related quality of life in patients with upper limb lymphedema.
Construction: 27 questions rated from 1 (lowest quality of life) to 5 highest quality of life.
Dimensions: There are 3 dimensions assessing symptoms, self value, everyday social life. Total score 27-135 Symptom score: 18-90 Self value: 5-25 Social life: 4-20 Question 20 and 22 are part of the self value dimension and are control questions with reverse scores, i.e 1 represents highest quality of life and 5 represents lowest quality of life. The scores for question 20 and 22 are later reversed when adding the total score.
Time Frame
12 months
10. Eligibility
Sex
All
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Unilateral lymphedema of the arm secondary to breast cancer treatment. Stage 1-3 operable lymphedema.
Exclusion Criteria:
Frequent or severe cellulitis. All other lymphedema.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Lars Johan Sandberg, MD
Phone
+4735003456
Email
johansandberg@hotmail.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lars Johan Sandberg, MD
Organizational Affiliation
Sykehuset Telemark
Official's Role
Principal Investigator
Facility Information:
Facility Name
Sykehuset Telemark
City
Skien
State/Province
Telemark
ZIP/Postal Code
NO-3710
Country
Norway
Individual Site Status
Recruiting
12. IPD Sharing Statement
Plan to Share IPD
No
IPD Sharing Plan Description
There is no plan to share IPD with other researchers
Learn more about this trial
Supermicrosurgery for Breast Cancer Survivors With Lymphedema.
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