High Intensity Focused Ultrasound in PAtients With Varicose Veins in Singapore
VESPA
Pilot Study to InVestigate the Efficacy and Safety of High Intensity Focused Ultrasound in PAtients With Varicose Veins in Singapore (VESPA)
1 other identifier
observational
15
1 country
1
Brief Summary
The aim of the study is to evaluate the efficacy of non-invasive echotherapy for the treatment of varicose veins, within local population, using the Sonovein® device. The quality of life scores at baseline, 2 weeks, 3 months, 6 months and 12 months will be assessed using the EQ-50D, AVVQ and CIVIQ scores. Patient satisfaction at these time points will also be assessed.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Mar 2022
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
First Submitted
Initial submission to the registry
April 6, 2020
CompletedFirst Posted
Study publicly available on registry
April 9, 2020
CompletedStudy Start
First participant enrolled
March 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2023
CompletedSeptember 27, 2021
September 1, 2021
9 months
April 6, 2020
September 23, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Technical success at time of procedure
Occlusion of treated vein post-procedure
Immediately post-op
Change in anatomy of treated vessel
Anatomical success as measured at each time-point using ultrasound to ensure occlusion of treated vein.
2 weeks, 3 months, 6 months, 12 months post-procedure
Secondary Outcomes (8)
Quality of life score using EQ-5D questionnaire
2 weeks, 3 months, 6 months, 12 months post-procedure
Quality of Life Score using the Chronic Venous Insufficiency Questionnaire (CIVIQ)
2 weeks, 3 months, 6 months, 12 months post-procedure
Quality of Life score using the Aberdeen Varicose Vein Questionnaire (AVVQ)
2 weeks, 3 months, 6 months, 12 months post-procedure
Clinical Change using Venous Clinical Severity Score (VCSS)
2 weeks, 3 months, 6 months, 12 months post-procedure
Pain Score
First 10 days post-procedure
- +3 more secondary outcomes
Study Arms (1)
HIFU
Patients that have undergone high focused ultrasound treatment for varicose veins
Interventions
Eligibility Criteria
The study involves prospective data collection of 30 patients that will be undergoing HIFU as a choice of treatment for their varicose veins / CVI.
You may qualify if:
- Age \>21 years, able to understand the requirements of the study and provide informed consent.
- C2 - C5 varicose veins / CVI
- Symptomatic primary GSV, SSV or AASV incompetence, with reflux \>0.5 seconds on colour duplex, including one or more of the following symptoms: aching, throbbing, heaviness, fatigue, pruritus, night cramps, restlessness, generalized pain or discomfort, swelling.
- Patients who has GSV, SSV or AASV diameters of 3mm to 12mm in the standing position.
You may not qualify if:
- Current DVT or history of DVT
- Recurrent varicose veins
- Pregnant patients
- Arterial disease (ABPI\<0.8)
- Sepsis
- Patients who are unwilling to participate
- Inability or unwillingness to complete questionnaires
- Adverse reaction to sclerosant or cyanoacrylate
- GSV, SSV or AASV severely tortuous
- Life expectancy \< 1 year
- Active treatment for malignancy other than non-melanoma skin cancer
- Current, regular use of systemic anticoagulation (e.g. warfarin, heparin)
- Daily use of narcotic analgesia or NSAIDS to control pain associated with venous disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Singapre General Hospital
Singapore, 169608, Singapore
Related Publications (8)
Golledge J, Quigley FG. Pathogenesis of varicose veins. Eur J Vasc Endovasc Surg. 2003 Apr;25(4):319-24. doi: 10.1053/ejvs.2002.1843.
PMID: 12651169BACKGROUNDCallam MJ. Epidemiology of varicose veins. Br J Surg. 1994 Feb;81(2):167-73. doi: 10.1002/bjs.1800810204.
PMID: 8156326BACKGROUNDTan KK, Nalachandran S, Chia KH. Endovenous laser treatment for varicose veins in Singapore: a single centre experience of 169 patients over two years. Singapore Med J. 2009 Jun;50(6):591-4.
PMID: 19551312BACKGROUNDJawien A. The influence of environmental factors in chronic venous insufficiency. Angiology. 2003 Jul-Aug;54 Suppl 1:S19-31. doi: 10.1177/0003319703054001S04.
PMID: 12934754BACKGROUNDNavarro L, Min RJ, Bone C. Endovenous laser: a new minimally invasive method of treatment for varicose veins--preliminary observations using an 810 nm diode laser. Dermatol Surg. 2001 Feb;27(2):117-22. doi: 10.1046/j.1524-4725.2001.00134.x.
PMID: 11207682BACKGROUNDLaw, Y., Chan, Y. C., Cheung, G. C. Y., Ting, A. C. W., Wong, A. C. C., & Cheng, S. W. K. (2016). Early single-centre comparative results on non-thermal ablation of symptomatic incompetent great saphenous veins (GSV): cyanoacrylate glue (VenaSeal) versus mechanicochemical ablation (ClariVein). Leipzig Interventional Course, LINC 2016.
BACKGROUNDTeruya TH, Ballard JL. New approaches for the treatment of varicose veins. Surg Clin North Am. 2004 Oct;84(5):1397-417, viii-ix. doi: 10.1016/j.suc.2004.04.008.
PMID: 15364562BACKGROUNDSubramonia S, Lees T. Radiofrequency ablation vs conventional surgery for varicose veins - a comparison of treatment costs in a randomised trial. Eur J Vasc Endovasc Surg. 2010 Jan;39(1):104-11. doi: 10.1016/j.ejvs.2009.09.012. Epub 2009 Oct 29.
PMID: 19879166BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Tjun Yip Tang
Singapore General Hospital
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 6, 2020
First Posted
April 9, 2020
Study Start
March 1, 2022
Primary Completion
December 1, 2022
Study Completion
December 1, 2023
Last Updated
September 27, 2021
Record last verified: 2021-09
Data Sharing
- IPD Sharing
- Will not share