Endovenous Ablation Combined With Fat Grafting for Venous Ulcers
Endovenous Ablation of Superficial Venous Reflux Combined With Fat Grafting Vs Endovenous Ablation Alone for the Treatment of Patients With Venous Ulcers: A Prospective Randomised Clinical Pilot Study
1 other identifier
interventional
20
1 country
1
Brief Summary
The aim of this trial is to determine if fat grafting may have applicability to venous ulcers by comparing healing and recurrence rates in patients who receive combined fat grafting and endovenous ablation with patients who receive endovenous ablation only
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Feb 2022
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
January 24, 2022
CompletedStudy Start
First participant enrolled
February 1, 2022
CompletedFirst Posted
Study publicly available on registry
February 16, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2023
CompletedFebruary 16, 2022
February 1, 2022
1.4 years
January 24, 2022
February 15, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Time to ulcer healing
Defined as time needed for complete re-epithelialisation with no dressing required post procedure
12 weeks
Secondary Outcomes (7)
Ulcer healing rates
12 weeks
Recurrence rates
1 year
Incidence of adverse events
1 year
Visual Analog Score for pain
1 year
The Aberdeen Varicose Vein Questionnaire (AVVQ)
1 year
- +2 more secondary outcomes
Study Arms (2)
Endovenous ablation of superficial venous reflux + Fat grafting
EXPERIMENTALEndovenous ablation of the main truncal venous reflux to the lowest point of incompetence, where possible (routine practice) + Fat grafting
Endovenous ablation of superficial venous reflux only
ACTIVE COMPARATOREndovenous ablation of the main truncal venous reflux to the lowest point of incompetence, where possible (routine practice)
Interventions
Under general or local anaesthesia, fat will be harvested from either abdomen or lower limb. After harvesting the fat by liposuction, the lipoaspirate will be injected underneath the ulcer under complete aseptic operative setting
Endovenous ablation of the main truncal venous reflux to the lowest point of incompetence, where possible (routine practice)
Eligibility Criteria
You may qualify if:
- Aged 18 years or more.
- Able to provide written informed consent.
- Chronic venous ulcers (C6 on CEAP classification).
- Superficial venous disease diagnosed on venous duplex.
- Ankle-brachial pressure index (ABPI) of 0.8 or more.
You may not qualify if:
- Evidence of deep venous occlusion
- Infected ulcers
- Malignancy or immune-suppression
- Malnutrition
- Multi-organ failure
- Pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Galway University Hospital
Galway, Ireland
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Mohamed Elsharkawi
University College Hospital Galway
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
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
January 24, 2022
First Posted
February 16, 2022
Study Start
February 1, 2022
Primary Completion
July 1, 2023
Study Completion
July 1, 2023
Last Updated
February 16, 2022
Record last verified: 2022-02
Data Sharing
- IPD Sharing
- Will not share