Detection of Flap Ischemia Using Interstitial Glucose Monitor
Postoperative Monitoring of Tissue Perfusion in Microvascular Free Flaps Using Continuous Interstitial Glucose Monitoring Device: A Pilot Study
1 other identifier
interventional
30
1 country
1
Brief Summary
A simple device that objectively assesses flap perfusion - either as a stand-alone tool or an adjunct to the current monitoring method - would be a tremendous improvement in detection of early postoperative flap ischemia and, in turn, increase flap salvage and survival. In this study, the investigators aim to examine the accuracy and reliability of measuring interstitial glucose levels using Continuous Glucose Monitoring (CGM) technology as an objective method of detecting postoperative flap tissue ischemia in patients undergoing free flap-based reconstructive surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for early_phase_1
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
Study Start
First participant enrolled
November 1, 2015
CompletedFirst Submitted
Initial submission to the registry
November 11, 2015
CompletedFirst Posted
Study publicly available on registry
November 13, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2016
CompletedNovember 13, 2015
November 1, 2015
3 months
November 11, 2015
November 12, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Temporal correlation between interstitial glucose measurements and flap ischemia
within 6 days after surgery
Secondary Outcomes (3)
Incidence of minor side effects related to device
within 6 days after surgery
Incidence of major adverse effects related to the device
within 6 days after surgery
Incidences of technical issues related to the device
within 6 days after surgery
Study Arms (1)
Continuous Glucose Monitor
EXPERIMENTALApplication of CGM for 6 days following free flap reconstruction in conjunction with clinical monitoring
Interventions
Eligibility Criteria
You may qualify if:
- Patients who are undergoing unilateral or bilateral breast reconstruction with free flap including DIEP flaps at Hamilton Health Sciences, starting from the date of ethics approval.
You may not qualify if:
- Patients with diabetes (on oral antiglycemic medications or insulin-dependent)
- Patients who are on immunosuppressive medication
- Patients undergoing breast reconstruction involving expanders or implants
- Patients with active infections
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Hamilton Health Sciences Corporationlead
- Thoma, Achilleascollaborator
- Jiayi Hucollaborator
- Matthew McRaecollaborator
Study Sites (1)
Juravinski Hospital
Hamilton, Ontario, L8V 1C3, Canada
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ronen Avram, MD
Associate Professor, Plastic Surgery
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- early phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
November 11, 2015
First Posted
November 13, 2015
Study Start
November 1, 2015
Primary Completion
February 1, 2016
Last Updated
November 13, 2015
Record last verified: 2015-11