Pneumatic Compression Treatment For Upper Extremity Acquired Lymphedema (PCD-LYMPH)
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Purpose
The purpose of this study is to determine how well different treatments for acquired lymphedema work.
The study will compare 5 different non-invasive treatments for acquired lymphedema of the arm to see which treats lymphedema best.
| Condition | Intervention |
|---|---|
|
Lymphedema |
Other: Exercise, Elevation, and Compression Garment Device: E0650 PCD with non-sequential waveform Device: E0651 PCD with sequential, non-gradient waveform Device: E0652 PCD with sequential, gradient waveform Device: E0652 PCD with peristaltic pulse waveform |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Investigator) Primary Purpose: Treatment |
| Official Title: | Trial to Compare Pneumatic Compression Treatments for Upper Extremity Acquired Lymphedema |
- Arm Volume [ Time Frame: Arm volume will be measured at 2 weeks before treatment starts, day treatment begins, and then 1 month, 3 months, 6 months, and 7 months after treatment starts ] [ Designated as safety issue: No ]
- Infection (cellulitis) [ Time Frame: Presence of infection will be recorded at 2 weeks before treatment starts, day treatment begins, and then 1 month, 3 months, 6 months, and 7 months after treatment starts ] [ Designated as safety issue: No ]
- Quality of Life Survey [ Time Frame: Survey will be given at 2 weeks before treatment starts, day treatment begins, and then 1 month, 3 months, 6 months, and 7 months after treatment starts ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 75 |
| Study Start Date: | August 2009 |
| Estimated Study Completion Date: | August 2011 |
| Estimated Primary Completion Date: | August 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Group A
Exercise, Elevation, and Garment Compression
|
Other: Exercise, Elevation, and Compression Garment
Patients will be asked to daily:
|
|
Active Comparator: Group B
Pneumatic Compression Device (B)
|
Device: E0650 PCD with non-sequential waveform
Use of an E0650 PCD with non-sequential waveform for two hours every day.
Other Name: Brand: Huntleigh Flowtron Hydroven™ 3
|
|
Active Comparator: Group C
Pneumatic Compression Device (C)
|
Device: E0651 PCD with sequential, non-gradient waveform
Use of an E0651 PCD with sequential, non-gradient waveform for two hours every day
Other Name: Brand: Petite Basic System (Model 701A) Lympha Press
|
|
Active Comparator: Group D
Pneumatic Compression Device (D)
|
Device: E0652 PCD with sequential, gradient waveform
Use of an E0652 PCD with sequential, gradient waveform for two hours every day.
Other Name: Brand: Bio Compression Sequential Circulator 3008
|
|
Active Comparator: Group E
Pneumatic Compression Device (E)
|
Device: E0652 PCD with peristaltic pulse waveform
Use the E0652 PCD with peristaltic pulse waveform for two hours every day.
Other Name: NormaTec brand
|
Detailed Description:
This study will compare 5 non-invasive lymphedema treatments.
Patients will be assigned to either:
- A combination of arm exercises, arm elevation, and wearing of a compression garment every day
OR
- One of four possible pneumatic compression devices for just two hours every day.
Pneumatic compression devices are made up of an inflatable sleeve connected to a small controller unit that is plugged into the wall. They feel like having your blood pressure taken.
None of the treatments are experimental. None of the treatments are invasive. All the treatments are considered standard of care and are used in clinics throughout the United States. All of the treatments will be done at home.
The trial will last for 7 and 1/2 months and will require follow-up visits to monitor progress.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients diagnosed with acquired lymphedema of the arm.
Exclusion Criteria:
- Refusal of consent
- Unlikely compliance with the research protocol
- Acute upper extremity DVT
Contacts and Locations| United States, Massachusetts | |
| Children's Hospital Boston at Waltham | |
| Waltham, Massachusetts, United States, 02453 | |
| Principal Investigator: | Arin K Greene, MD, MMSc | Children's Hospital Boston |
More Information
No publications provided
| Responsible Party: | Arin Greene, MD, Children's Hospital Boston, Plastic and Reconstructive Surgery |
| ClinicalTrials.gov Identifier: | NCT00951067 History of Changes |
| Other Study ID Numbers: | AQ-UE-LYMPHEDMA-PCD-RCT |
| Study First Received: | August 3, 2009 |
| Last Updated: | July 27, 2010 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Children's Hospital Boston:
|
Lymphedema Breast Cancer Upper Extremity Arm |
Additional relevant MeSH terms:
|
Lymphedema Lymphatic Diseases |
ClinicalTrials.gov processed this record on May 22, 2013