Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT05064176

Added Value of Reconstructive Lymphatic Surgery to Usual Care in Lymphoedema

Led by Universitaire Ziekenhuizen KU Leuven · Updated on 2024-07-03

180

Participants Needed

3

Research Sites

252 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The primary objective of this research proposal is to investigate * in patients with lymphoedema of the upper limb or lower limb (P) * the added value of reconstructive lymphatic surgery (I) * to the decongestive lymphatic therapy (usual care) (C) * on the lymphoedema-specific quality of life (QoL) (O) * at 18 months post-surgery/ no surgery (T) Consequently, a multicentre pragmatic randomised controlled trial is performed to give an answer on following research question: 'Is, in addition to usual care - i.e. decongestive lymphatic therapy -, reconstructive lymphatic surgery (intervention group) superior to no surgery (control group), for the treatment of upper or lower limb lymphoedema?'

CONDITIONS

Official Title

Added Value of Reconstructive Lymphatic Surgery to Usual Care in Lymphoedema

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Unilateral or bilateral, primary or secondary lymphoedema of the upper or lower limb
  • If cancer-related lymphoedema, approval from oncological specialist with estimated survival of at least 3 years and oncological safety guaranteed (e.g., at least 3 months since radiotherapy/chemotherapy)
  • Lymphoedema stage 1 to 2b
  • Objective diagnosis of lymphoedema: 5% or more volume difference OR 2 minor or 1 major criteria on lymphoscintigraphy OR presence of IndoCyanineGreen dermal backflow
  • Lymph-ICF questionnaire score of 25 or higher
  • History of at least 6 months of decongestive lymphatic therapy until minimal pitting
  • Age 18 years or older
Not Eligible

You will not qualify if you...

  • History of liposuction, lymphovenous anastomosis, or lymph node transfer
  • Pregnant participants
  • Severe obesity with BMI over 35
  • Estimated cancer-related survival less than 3 years or oncological safety not guaranteed (e.g., less than 3 months since radiotherapy/chemotherapy)
  • For lower limb lymphoedema: chronic venous insufficiency stages C4, C5, C6; deep venous thrombosis; post-thrombotic syndrome
  • Allergy to ICG, iodine, penicillin, or sulphonamides
  • Increased thyroid gland activity or benign thyroid tumor
  • Use of heparin or severe kidney failure

AI-Screening

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Trial Site Locations

Total: 3 locations

1

Ghent University Hospital

Ghent, Belgium

Actively Recruiting

2

University Hospitals of Leuven, center for lymphedema

Leuven, Belgium, 3000

Actively Recruiting

3

CHU-UCL Mont-Godinne

Namur, Belgium

Actively Recruiting

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Research Team

N

Nele Devoogdt

CONTACT

T

Tessa De Vrieze

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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