HumRes62881
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SNCTP000005537
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BASEC2023-00733
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NCT05890677
The LYMPH study – Surgical compared to "non-surgical" treatment of chronic lymphedema after breast cancer therapy
Descrizione riassuntiva dello studio
The study investigates whether surgical treatment of chronic breast cancer-associated lymphedema improves the quality of life of participants compared to conservative therapy alone.
(BASEC)
Intervento studiato
Surgery for lymphedema
(BASEC)
Malattie studiate
chronic breast cancer-associated lymphedema
(BASEC)
Criteri di partecipazione
- Written informed consent. - Patients ≥ 18 years with prior treatment for breast cancer. - At least one of the following prior breast cancer treatments: biopsy of the lymph node, axillary lymph node removal, radiation therapy of the chest wall or axilla, or breast cancer surgery. (BASEC)
Criteri di esclusione
- No indication for lymph surgery according to the clinical assessment of the treating surgeon - Primary congenital lymphedema or non-breast cancer-induced lymphedema - Need for immediate lymphedema surgery according to the clinical judgment of a specialist due to an advanced stage that makes lymphatic reconstruction impossible (BASEC)
- Written informed consent. - Patients ≥ 18 years with prior treatment for breast cancer. - At least one of the following prior breast cancer treatments: biopsy of the lymph node, axillary lymph node removal, radiation therapy of the chest wall or axilla, or breast cancer surgery. (BASEC)
Criteri di esclusione
- No indication for lymph surgery according to the clinical assessment of the treating surgeon - Primary congenital lymphedema or non-breast cancer-induced lymphedema - Need for immediate lymphedema surgery according to the clinical judgment of a specialist due to an advanced stage that makes lymphatic reconstruction impossible (BASEC)
Luogo dello studio
Basilea
(BASEC)
Argentina, Austria, Belgium, Brazil, Canada, Germany, Greece, Israel, Italy, Netherlands, Romania, Spain, Sweden, Switzerland, United States (ICTRP)
Sponsor
non disponibile
Contatto per ulteriori informazioni sullo studio
Persona di contatto in Svizzera
PD Dr. med Elisabeth Arthemis Kappos
+41 61 328 62 54
elisabeth.kappos@clutterusb.ch(BASEC)
Informazioni generali
University Hospital, Basel, Switzerland,
+41 61 328 62 54
elisabeth.kappos@clutterusb.ch(ICTRP)
Informazioni scientifiche
University Hospital, Basel, Switzerland,
+41 61 328 62 54
elisabeth.kappos@clutterusb.ch(ICTRP)
Nome del comitato etico approvante (per studi multicentrici solo il comitato principale)
Commissione d'etica svizzera nord-ovest/centrale EKNZ
(BASEC)
Data di approvazione del comitato etico
22.05.2023
(BASEC)
ID di studio ICTRP
NCT05890677 (ICTRP)
Titolo ufficiale (approvato dal comitato etico)
non disponibile
Titolo accademico
The LYMPH Trial - Comparing Microsurgical With Conservative Treatment of Chronic Breast Cancer Associated Lymphedema: Study Protocol of a Pragmatic Randomized International Multicentre Superiority Trial (ICTRP)
Titolo pubblico
The LYMPH Trial - Microsurgical Versus Conservative Treatment of Chronic Breast Cancer Associated Lymphedema (ICTRP)
Malattie studiate
Lymphedema, Breast Cancer (ICTRP)
Intervento studiato
Procedure: Surgical Intervention;Procedure: Conservative Complex Physical Decongestion Therapy (ICTRP)
Tipo di studio
Interventional (ICTRP)
Disegno dello studio
Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Treatment. Masking: None (Open Label). (ICTRP)
Criteri di inclusione/esclusione
Gender: All
Maximum age: N/A
Minimum age: 18 Years
Inclusion Criteria:
- Written informed consent.
- Patients = 18 years of age.
- Former diagnosis of breast cancer.
- Clinical diagnosis of chronic Breast Cancer-Related Lymphedema (BCRL) (persisting
for more than 3 months) classified as = Stage 1, according to ISL.
- Minimum of 3 months Conservative Complex Physical Decongestion Therapy.
- Ability to complete the QoL questionnaires.
- Willingness to undergo surgery.
Exclusion Criteria:
- No indication for lymphatic surgery according to clinical judgment of the treating
surgeon (individual reasons will be specifically documented).
- Primary congenital Lymphedema or non-BCRL.
- Previous surgical BCRL treatment on the side intended for intervention. (ICTRP)
non disponibile
Endpoint primari e secondari
Change in Quality of Life Questionnaire (Lymph-ICF-UL) (ICTRP)
Change in Quality of Life Questionnaire (Lymph-ICF-UL);Change in Quality of Life Questionnaire (LYMPH-Q);Change in Quality of Life Questionnaire (EuroQol EQ-5D-5L);Change in Pain score (visual analog scale);Assessment of (serious) adverse events;Assessment of surgical complications;Assessment of lymphangitic events (erysipelas);Assessment of arm volume;Assessment of the frequency of lymphatic drainage;Assessment of the burden on patients;Assessment of the economics (for Switzerland) (ICTRP)
Data di registrazione
non disponibile
Inclusione del primo partecipante
non disponibile
Sponsor secondari
Swiss National Science Foundation;Rising Tide Foundation;Krebsforschung Schweiz, Bern, Switzerland (ICTRP)
Contatti aggiuntivi
Elisabeth Kappos, Prof. Dr.;Elisabeth Kappos, Prof. Dr., elisabeth.kappos@usb.ch, +41 61 328 62 54, University Hospital, Basel, Switzerland, (ICTRP)
ID secondari
2023-00733, mu21kappos (ICTRP)
Risultati-Dati individuali dei partecipanti
non disponibile
Ulteriori informazioni sullo studio
https://clinicaltrials.gov/ct2/show/NCT05890677 (ICTRP)
Risultati dello studio
Riepilogo dei risultati
non disponibile
Link ai risultati nel registro primario
non disponibile