RCT - Does Treating Incompetent Perforators Reduce Recurrence?
Randomised Controlled Study to Determine Whether Treating Incompetent Perforating Veins at the Time of Endothermal Varicose Vein Surgery for Truncal Reflux Reduces Recurrence After Varicose Vein Treatments.
1 other identifier
interventional
190
1 country
1
Brief Summary
The aim of this randomised case-controlled trial is to investigate whether ablation of incompetent perforating vein in addition to ablation of truncal vein reduces the rate of recurrent varicose veins post-treatment compared with patients who only have ablation of the truncal vein, who are left with untreated incompetent perforating veins.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 2014
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 19, 2013
CompletedFirst Posted
Study publicly available on registry
September 24, 2013
CompletedStudy Start
First participant enrolled
July 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2019
CompletedMay 19, 2014
May 1, 2014
5.2 years
September 19, 2013
May 16, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Differences in the level of significant recurrence between the two treatment pathways
Differences in the level of significant recurrence between the two treatment pathways at each follow up. Significant recurrence would be indicated if the participant demonstrates varicose veins greater than 3mm in diameter, varicose veins associated with thrombophlebitis or skin changes such as venous eczema, red skin or brown skin overlying the veins which require further treatment.
Four weeks, three months, six months, one year, two years, three years, four years and five years post-surgery
Secondary Outcomes (5)
Differences in insignificant recurrence between the two treatment pathways
Four weeks, three months, six months, one year, two years, three years, four years and five years post-surgery
Patient reported symptom severity
Four weeks, three months, six months, one year, two years, three years, four years and five years post-surgery
Patient reported quality of life
Four weeks, three months, six months, one year, two years, three years, four years and five years post-surgery
Patient satisfaction with treatment.
Four weeks, three months, six months, one year, two years, three years, four years and five years post-surgery
Clinician reported severity of symptoms
Four weeks, three months, six months, one year, two years, three years, four years and five years post-surgery
Study Arms (2)
EVLA, phlebectomies & Trlop closure of incompetent perforators
EXPERIMENTALendovenous laser ablation (EVLA) of great saphenous vein (GSV) plus phlebectomies plus TRansluminal Occlusion of Perforators (TRLOP) closure of incompetent perforators.
EVLA & phlebectomies
EXPERIMENTALendovenous laser ablation (EVLA) of great saphenous vein (GSV) + phlebectomies.
Interventions
Endovenous laser ablation of great saphenous vein
removal of incompetent veins
TRansluminal Occlusion of Perforators (TRLOP) closure of incompetent perforators.
Eligibility Criteria
You may qualify if:
- Primary varicose veins caused by great saphenous vein reflux
- At least one incompetent perforating vein refluxing into the varicosities
- Over 18 years of age
You may not qualify if:
- Reflux from pelvic vein origin or small saphenous vein
- Previous varicose vein surgery,
- Incompetent perforators remote from the varicosities treated,
- Deep vein incompetence
- Deep vein obstruction or occlusion
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The Whiteley Clinic
Guildford, GU2 7RF, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Mark S Whiteley, Professor
The Whiteley Clinic
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 19, 2013
First Posted
September 24, 2013
Study Start
July 1, 2014
Primary Completion
September 1, 2019
Study Completion
September 1, 2019
Last Updated
May 19, 2014
Record last verified: 2014-05