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Comparative Trial in Compression Therapy in Leg Lymphedema

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00665379
First Posted: April 23, 2008
Last Update Posted: May 22, 2012
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by (Responsible Party):
R.J. Damstra, Nij Smellinghe Hosptial
  Purpose
The purpose of this trial is to study the effect of the 3M Coban 2 Layer Compression System (hereafter C2L) in the treatment of leg lymphedema compared to the traditional treatment with Trico bandages.

Condition Intervention
Leg Lymphedema Other: Regular Compression therapy (Trico bandages) Other: New Compression therapy (C2L bandages)

Study Type: Interventional
Study Design: Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Prospective, Randomized Controlled Trial Comparing the Effect of 3M Coban 2 Layer Compression System Versus Trico Bandages in the Treatment of Leg Lymphedema.

Resource links provided by NLM:


Further study details as provided by R.J. Damstra, Nij Smellinghe Hosptial:

Primary Outcome Measures:
  • volume decrease in relation to interface pressure after application of two types of bandages. [ Time Frame: enrollment of 30 patients ]

Secondary Outcome Measures:
  • Pressure drop after 2 hours and 24 hours of bandaging [ Time Frame: after application, at 2 hours and 24 hours after application of bandage ]

Enrollment: 30
Study Start Date: April 2008
Study Completion Date: May 2009
Primary Completion Date: April 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: 1
Regular compression therapy with non elastic trico bandaging
Other: Regular Compression therapy (Trico bandages)
Application of marketed Trico compression bandages used for treatment by trained specialists with assessment of the subbandage pressure and volume reduction. The bandages are applicated in patients with leg lymphedema at t=0 hour, t=2 hours. Comparison is made at t=2 hours, t= 24 hours
Other Name: trico bandages
Active Comparator: 2
New two layer compression bandage coban 2
Other: New Compression therapy (C2L bandages)
Application of marketed compression bandages C2L used for treatment by trained specialists with assessment of the subbandage pressure and volume reduction. he bandages are applicated in patients with leg lymphedema at t=0 hour, t=2 hours. Comparison is made at t=2 hours, t= 24 hours
Other Name: coban 2

Detailed Description:

The goal of this prospective, randomized, controlled trial with CE marked product is to study the effectiveness (volume reduction) of 24-hour compression therapy for lymphedema, comparing C2L and Trico bandaging. Therefore 30 patients with leg lymphedema are included.

Application of marketed compression bandages (C2L or Trico bandages) used for treatment by trained specialists with assessment of the subbandage pressure and volume reduction.

Measurements are carried out at:

Volumetry:

Measurements after 0h, 2h and 24 h by using classic water displacement apparatus.

Pressure:

Measurements after 0h, 2h (pre and post bandage change) and 24 h;

  • supine and standing to calculate the SSI;
  • supine with and without dorsal flexion.

for the pressure measurement a Kikuhime (large pads) dice is used. At each new bandaging to document the SSI and the effect of dorsiflexion in the supine position

  • The subbandage pressure is measured on the medial aspect of the lower leg at the transition of the gastrocnemius muscle into the Achilles' tendon (B1) (Partsch H. et al. Dermatol Surg 2006; 32: 224-233).
  • Fix the sensor (sensor and tube sheathed with Cellona Soft Padding)

Statistical analysis; Analysis of variance (ANOVA) comparing volume, supine subbandage pressure with and without dorsiflexion, and SSI for the used bandages

  Eligibility

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Gender: male or female
  • More than 18 years of age
  • Patients with distal lymphedema of the leg requiring multilayer lymphedema bandaging of the leg
  • The patient is able to understand the study and is willing to give written informed consent to the study

Exclusion Criteria:

  • Allergy against one of the used materials
  • Proximal lymphedema (involvement of thigh, genitalia)
  • Severe systemic diseases causing peripheral oedema
  • Acute superficial or deep vein thrombosis
  • Arterial occlusive disease (stadium II, III or IV) or arm/leg blood pressure index (ALPI)<0,8
  • Local infection in the therapy area
  • Auto-immunological disorders or vasculitis
  • Use of systemic corticosteroids
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00665379


Locations
Netherlands
Nij Smellinghe hospital
Drachten, Friesland, Netherlands, 9202NN
Sponsors and Collaborators
Nij Smellinghe Hosptial
Investigators
Principal Investigator: RJ Damstra, MD Nij Smellinghe Hospital
Study Director: H Partsch, PhD Private practice, wien
  More Information

Responsible Party: R.J. Damstra, MD PhD, Nij Smellinghe Hosptial
ClinicalTrials.gov Identifier: NCT00665379     History of Changes
Other Study ID Numbers: NS1NL
First Submitted: April 17, 2008
First Posted: April 23, 2008
Last Update Posted: May 22, 2012
Last Verified: May 2012

Keywords provided by R.J. Damstra, Nij Smellinghe Hosptial:
leg lymphedema
volume measurement
compression therapy
interface pressure
static stiffness index (SSI)
volume change

Additional relevant MeSH terms:
Lymphedema
Lymphatic Diseases