Flexitouch Lymphedema System in Treating Stage II Lymphedema in Patients With Breast Cancer
A Pilot, Randomized, Single-Blind Study to Assess the Efficacy of the Flexitouch® Lymphedema System in Reducing Lymphedema in Patients Treated for Breast Cancer
2 other identifiers
interventional
60
1 country
1
Brief Summary
RATIONALE: The Flexitouch lymphedema system may lessen lymphedema caused by treatment for breast cancer. It is not yet known whether the Flexitouch lymphedema system is more effective than complex decongestive therapy in treating lymphedema. PURPOSE: This randomized clinical trial is studying the Flexitouch lymphedema system in treating stage II lymphedema in patients with breast cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable breast-cancer
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2009
CompletedFirst Submitted
Initial submission to the registry
November 23, 2009
CompletedFirst Posted
Study publicly available on registry
November 24, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2011
CompletedMarch 25, 2015
March 1, 2015
1.5 years
November 23, 2009
March 24, 2015
Conditions
Outcome Measures
Primary Outcomes (2)
Upper extremity volume measured by circumferential measurements and by CT imaging
At baseline, monthly for 3 months (circumferential measurements only), and end of study
Signs and symptoms of acute infection
Secondary Outcomes (5)
Weight
At baseline and then monthly for 3 months
BMI
At baseline and then monthly for 3 months
Upper body function, based on the Disability of Arm, Shoulder, and Hand Scale (DASH)
At baseline and then monthly for 3 months
Functional assessment, based on the Functional Assessment of Cancer Therapy Breast + 4 (FACT+4)
At baseline and then monthly for 3 months
Quality of life, based on the Functional Assessment of Cancer Therapy Breast (FACT-B)
At baseline and then monthly for 3 months
Study Arms (3)
Arm I
ACTIVE COMPARATORPatients undergo complex decongestive therapy comprising daily compression garment (sleeve and glove) use, daily manual lymphatic drainage (self-administerd), and nighttime bandaging with low stretch Comprilan bandages.
Arm II
EXPERIMENTALPatients undergo daily compression with garments (sleeve and glove), nighttime bandaging with low stretch Comprilan bandages, and daily Flexitouch treatment over 1 hour every evening.
Arm III
EXPERIMENTALPatients undergo daily compression with garments (sleeve and glove) and daily Flexitouch treatment over 1 hour every evening.
Interventions
Eligibility Criteria
You may qualify if:
- Subjects must have a known, clinical diagnosis of stage II lymphedema as verified by a physician specializing in this disorder
- Subjects must have had a unilateral mastectomy, lymph node (LN) dissection and/or radiation therapy for the treatment of primary breast cancer
- Subjects must have completed their course of adjuvant chemotherapy
- Clinical assessment of lymphedema demonstrating at least 10% difference between the volumes of the affected and opposite limbs at the time of enrollment
- Subjects must be completing phase I of their CDT for their initial onset of lymphedema or for an acute flare of lymphedema
- History of prior trauma and/or surgery in the affected limb other than that for treatment of breast cancer
- Patients with recurrent breast cancer
- History of bilateral breast cancer
- Subjects currently receiving other therapies for lymphedema
- Subjects with renal, liver, and/or heart dysfunction
- Open wounds or web syndrome
- Active/acute infection (cellulitis)
- Acute DVT/Thrombophlebitis
- Decompensated or untreated congestive heart failure
- Pulmonary embolism - Pregnancy as confirmed by urine test; all patients of child bearing potential will be required to have a urine pregnancy test
- +2 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Abramson Cancer Center of The University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Abass Alavi
Abramson Cancer Center at Penn Medicine
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
November 23, 2009
First Posted
November 24, 2009
Study Start
July 1, 2009
Primary Completion
January 1, 2011
Last Updated
March 25, 2015
Record last verified: 2015-03