UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000052038
Receipt number R000058222
Scientific Title The Validation of a program to promote adherence of compression therapy in elderly patients with lower limb lymphedema.: a randomized controlled trial
Date of disclosure of the study information 2023/08/29
Last modified on 2024/08/29 13:33:03

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Basic information

Public title

The Validation of a program to promote adherence of compression therapy in elderly patients with lower limb lymphedema.: a randomized controlled trial

Acronym

The Validation of a program to promote adherence of compression therapy in elderly patients with lower limb lymphedema.: a randomized controlled trial

Scientific Title

The Validation of a program to promote adherence of compression therapy in elderly patients with lower limb lymphedema.: a randomized controlled trial

Scientific Title:Acronym

The Validation of a program to promote adherence of compression therapy in elderly patients with lower limb lymphedema.: a randomized controlled trial

Region

Japan


Condition

Condition

Patients with cancer diagnosed with lymphedema of the lower extremities after cancer treatment

Classification by specialty

Obstetrics and Gynecology Plastic surgery Rehabilitation medicine
Nursing

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

A randomized, concurrent, controlled feasibility study will be conducted to test the feasibility of a "program to promote adherence to compression therapy" in cancer patients diagnosed with lower extremity lymphedema who are 65 years of age or older to determine if patients will continue to receive compression therapy compared to a group of patients receiving standard care.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Calculate the continuation rate of compression therapy at baseline, 1 month after allocation, and 3 months after allocation from the "self-care diary". The continuation rate is calculated from the denominator of the self-care diary (30 days after 1 month and 90 days after 3 months) to the number of days performed (numerator). If the self-care diary cannot be written (forgotten), it is considered "missing" and the number of days is considered not performed.

Key secondary outcomes

1) Change in quality of life measures at baseline, 1 month after allocation, and 3 months after allocation
2) Percentage decrease in edema volume at baseline, 1 month after allocation, and 3 months after allocation
3) Skin condition on the affected side (CTCAEver 5.0) at baseline, 1 month after allocation, and 3 months after allocation


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Behavior,custom

Interventions/Control_1

Patients who meet the eligibility criteria will be instructed on lymphedema self-care after baseline data are obtained, using the leaflet "Cancer Treatment and Lymphedema: Therapy from Now on" published by Cancer Information of the National Cancer Center.

Subjects who are in the intervention group will select and wear one-leg type stockings (5-10 mmhg) based on the measurement of the circumference of edema. The subjects will also be asked to observe the edema and the skin on the edema side by themselves using a "self-care diary" and to check off the days when compression therapy is performed. Explain the need for continuity of compression therapy to the family members living with the subject and ask for their support in dressing and undressing the subject. If the subject is unable to keep a "self-care diary," family members should perform the checks instead. Observation of edema and skin should also be done by the family together. The researcher will call the subject once a week to check on the continuity of the compression therapy, to promote wearing it and to explain what to do in case of difficulties.

Interventions/Control_2

For the comparison group, the co-investigator will provide instruction on lymphedema self-care to patients who meet the eligibility criteria, after baseline data are obtained, using the leaflet "Cancer Therapy and Lymphedema: Treatment from This" published by Cancer Information, National Cancer Center. Subjects who are in the comparison group will be selected from the measurement of the circumference of edema, and explained to wear one-leg type stockings. In addition, the patients will be handed a "self-care diary" and asked to observe the edema and the skin on the edema side by themselves, as well as to check off the days when compression therapy is performed. The researcher will provide standard lymphedema care within the scope of usual medical practice.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

65 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Patients 65 years of age or older
2.Patients with a diagnosis of lymphedema of the lower limbs according to the diagnostic criteria of the International Lymphedema Society

Key exclusion criteria

1. Those with DVT or venous edema in the lower extremities
2. Those who have edema all over the body due to cardiac or renal failure
3. Those who cannot obtain cooperation from their family members living with them.

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Tomoko
Middle name
Last name Izawa

Organization

kyoto university hospital

Division name

department of nursing

Zip code

6068507

Address

53 kawahara-cho shougoin sakyo-ku, kyoto, Japan

TEL

0757513744

Email

tizawa@kuhp.kyoto-u.ac.jp


Public contact

Name of contact person

1st name Tomoko
Middle name
Last name Izawa

Organization

Kyoto university hospital

Division name

department of nursing

Zip code

606-8507

Address

53kawahara-cho, shogoin, sakyo-ku, kyoto

TEL

0757513744

Homepage URL


Email

tizawa@kuhp.kyoto-u.ac.jp


Sponsor or person

Institute

Kyoto university Hospital

Institute

Department

Personal name

IzawaTomoko


Funding Source

Organization

Kyoto university Hospital

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kyoto university graduate school and faculty of medicine, ethics committee

Address

Yoshida-konoe-cho, sakyo-ku, kyoto 606-8501

Tel

075-753-4642

Email

ethcom@kuhp.kyoto-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2023 Year 08 Month 29 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2023 Year 08 Month 29 Day

Date of IRB

2023 Year 10 Month 05 Day

Anticipated trial start date

2023 Year 10 Month 05 Day

Last follow-up date

2026 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Research has been initiated and so far six people have entered the study and five have completed it. The study will continue to be implemented.


Management information

Registered date

2023 Year 08 Month 29 Day

Last modified on

2024 Year 08 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000058222