NCT03037827

Brief Summary

A multicenter clinical randomized controlled trial, comparing of three different regimens of endovenous laser ablation with equal linear endovenous energy density in patients with insufficiency of the great saphenous vein (GSV). The linear endovenous energy density (LEED) is the main value for standardization EVLA. From many studies, it is known the optimum value of the LEED. However, the same LEED may be obtained by varying the ratio between the laser power and the fiber pullback speed. Power decrease can allow to reduce the incidence of adverse effects of endovenous laser ablation, but keep high efficiency.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
203

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2017

Longer than P75 for not_applicable

Geographic Reach
1 country

2 active sites

Status
completed

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

First Submitted

Initial submission to the registry

January 29, 2017

Completed
1 day until next milestone

Study Start

First participant enrolled

January 30, 2017

Completed
1 day until next milestone

First Posted

Study publicly available on registry

January 31, 2017

Completed
4.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 19, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 19, 2021

Completed
Last Updated

May 20, 2021

Status Verified

May 1, 2021

Enrollment Period

4.3 years

First QC Date

January 29, 2017

Last Update Submit

May 19, 2021

Conditions

Keywords

endovenous laser ablationradial fiberlinear endovenous energy density1470 nmocclusion rate

Outcome Measures

Primary Outcomes (1)

  • The number of participants with a fully obliterated target vein

    An ultrasound investigation of the treated vein to find out is the treated vein is fully obliterated or not, and to find out is there any pathological reflux in the vein.

    3 month

Secondary Outcomes (2)

  • Pain score

    day 1

  • Pain score

    day 7

Other Outcomes (4)

  • Number of patients with adverse events

    3 month

  • Paresthesia

    3 month

  • Deep venous thrombosis

    day 7

  • +1 more other outcomes

Study Arms (3)

Endovenous laser ablation (EVLA) 5W

ACTIVE COMPARATOR

One of three different regimens of endovenous laser ablation, the fiber pullback speed 0.7 mm/s, laser power 5 W, LEED 71 J/cm

Procedure: Endovenous laser ablation (EVLA)Device: Laser

Endovenous laser ablation (EVLA) 7W

ACTIVE COMPARATOR

One of three different regimens of endovenous laser ablation, the fiber pullback speed 1 mm/s, laser power 7 W, LEED 70 J/cm

Procedure: Endovenous laser ablation (EVLA)Device: Laser

Endovenous laser ablation (EVLA) 10W

ACTIVE COMPARATOR

One of three different regimens of endovenous laser ablation, the fiber pullback speed 1.5 mm/s, laser power 10 W, LEED 67 J/cm

Procedure: Endovenous laser ablation (EVLA)Device: Laser

Interventions

Endovenous laser ablation with laser wavelength 1470 nm and radial laser fiber

Endovenous laser ablation (EVLA) 10WEndovenous laser ablation (EVLA) 5WEndovenous laser ablation (EVLA) 7W
LaserDEVICE

Device for endovenous laser ablation manufactured by Biolitec AG company (ELVeS system) - diode laser with a wavelength of 1470 nm

Endovenous laser ablation (EVLA) 10WEndovenous laser ablation (EVLA) 5WEndovenous laser ablation (EVLA) 7W

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients over 18 years old Insufficiency of the GSV measured with ultrasound imaging, reflux \> 0.5 sec No prior treatment of the insufficient GSV Informed consent

You may not qualify if:

  • Acute deep or superficial vein thrombosis Agenesis of deep vein system Vascular malformation or syndrome Post-thrombotic syndrome, occlusive type Pregnancy Phlebectomy on the thigh Immobility Allergy to lidocaine Arterial insufficiency

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Clinic of Phlebology and Laser Surgery

Chelyabinsk, Russia

Location

GarantClinic

Moscow, Russia

Location

Related Publications (1)

  • Borsuk DA, Fokin AA, Lobastov KV, Tauraginskii RA, Zhdanov KO, Zolotov AV, Arkhipov IS, Galchenko MI. A randomized clinical trial to assess the impact of laser power with constant linear endovenous energy density on outcomes of endovenous laser ablation (SLEDGE trial). J Vasc Surg Venous Lymphat Disord. 2023 Sep;11(5):946-953. doi: 10.1016/j.jvsv.2023.03.020. Epub 2023 May 11.

Related Links

MeSH Terms

Conditions

Varicose Veins

Interventions

Lasers

Condition Hierarchy (Ancestors)

Vascular DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

Optical DevicesEquipment and SuppliesRadiation Equipment and Supplies

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Chief surgeon

Study Record Dates

First Submitted

January 29, 2017

First Posted

January 31, 2017

Study Start

January 30, 2017

Primary Completion

May 19, 2021

Study Completion

May 19, 2021

Last Updated

May 20, 2021

Record last verified: 2021-05

Data Sharing

IPD Sharing
Will share

Data collection will take place at the Russian Registry of Treatment of Chronic Venous Diseases (RRT CVD). Access to the data will be available after completion of the study. To access the data will need to send a request to RRT CVD administrator. Register in Russian. Registry now listed in the database ClinicalTrials.gov, ID NCT03035747 (see references)

Locations