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Lower Limb LymphedemaEvaLymph-Leg2NCT05421377

Development of a Clinical Screening, Diagnostic and Evaluation Tool for Patients With Lower Limb Lymphedema: Aim 2

An observational study of Lower Limb Lymphedema, run by KU Leuven at 1 site in Belgium.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Lymphedema is a chronic, debilitating disorder characterized by abnormal tissue swelling, adipose deposition and tissue fibrosis, resulting from disruption, blockage, or genetic abnormalities of the lymphatic system. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Lower Limb Lymphedema
What is being tested?
clinical assessment
How many people
120 participants
Where
1 siteBelgium
Study dates
1 Oct 2022to Jun 2025
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: patients at risk for LLL (i.e. patients undergoing pelvic/inguinal/para-aortic lymph node dissection for uro-genital, gynaecological or skin cancer) will be included from pre-surgery up to 12 months post-surgery

Who may be able to join

  • Patients with a diagnosis of skin melanoma (at the level of the lower limb, at least cancer stage 3), gynecological cancer, uro-genital cancer that will receive surgery (sentinel lymph node biopsy and/or (para-aortic/inguinal/pelvic) lymph node dissection)

Who cannot join

  • Pregnant participants
  • Presence of chronic venous insufficiency C4, C5, C6; deep venous thrombosis; post-thrombotic syndrome
  • Presence of skin infections of wounds at the level of the lower limbs at the moment of inclusion

Trial locations and contacts

1 site in 1 country.

Tessa De Vrieze, Dr. contact

003216345006

tessa.devrieze@kuleuven.be

Belgium1 site, 1 recruiting
  • University Hospitals of Leuven

    Leuven, 3000

    Tessa De Vrieze, Dr., 003216345006, tessa.devrieze@kuleuven.be

    Recruiting

Other trials in Belgium

About this study

Official title: Development of a Clinical Screening, Diagnostic and Evaluation Tool for Patients With Lower Limb Lymphedema: Development of a Screening Set for Patients at Risk for Developing LLL

Lymphedema is a chronic, debilitating disorder characterized by abnormal tissue swelling, adipose deposition and tissue fibrosis, resulting from disruption, blockage, or genetic abnormalities of the lymphatic system. Secondary lymphedema is an acquired lymphedema due to trauma, surgery, radiotherapy or infection among others resulting in a decreased transport capacity of the lymphatic system. This can be combined with an additional load on the lymphatic system due to obesity, venous hypertension or a wound, among others. Advances in oncologic treatment have led to an ever-increasing number of cancer survivors over time. As a result, morbidities related to this treatment (such as secondary lymphedema) are likely to increase too.

Risk factors for the development of LLL after treatment for (gynaecological) cancer are: pelvic and para-aortic lymphadenectomy, the number of pelvic lymph nodes removed, adjuvant radiotherapy, adjuvant chemotherapy, increasing BMI/ BMI ≥25 kg/m², lymphocyst formation, increasing age, increasing time since surgery and insufficient physical activity level.

Read more

To the investigators knowledge, no evidence exists regarding which (combination of) measuring methods are most sensitive to detect early lymphedema at the lower limbs after the treatment of cancer. Thresholds for identifying subclinical edema on one or both lower limbs are lacking.

Therefore the investigators want to develop a screening set for patients at risk for developing LLL. Which measurement method (and which criterion) shows the best diagnostic accuracy in screening patients at risk for LLL after cancer treatment? And: What is the added value of combining different measurement methods in terms of diagnostic accuracy?

Being tested
clinical assessment
Keywords
screening, urogenital cancer, gynaecological cancer, skin cancer, lymph node dissection
Medical subject headings
Urogenital Neoplasms, Skin Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • clinical assessmentDiagnostic test

    screening of patients at risk for developing unilateral or bilateral lower limb lymphedema

Study groups in NCT05421377
Study groupRoleWhat they receive
lymph node dissection for treatment of urogenital, gynaelogical or skin cancerPatients with any type of skin melanoma (at the level of the lower limb), urogenital or gynaecological cancer scheduled for lymph node dissection
Receives: Diagnostic Test: clinical assessment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Sensitivity of reliable and clinical feasible measurement methods regarding the screening of patients at risk for developing unilateral or bilateral LLL

    Sensitivity of reliable and clinical feasible measurement methods (resulted from aim 1: NCT05269264) regarding the screening of patients at risk for developing unilateral or bilateral LLL at 6 weeks, 6, and 12 months post-surgery

    Measured: up to 12 months post-surgery

  2. Specificity of reliable and clinical feasible measurement methods regarding the screening of patients at risk for developing unilateral or bilateral LLL

    Specificity of reliable and clinical feasible measurement methods (resulted from aim 1: NCT05269264) regarding the screening of patients at risk for developing unilateral or bilateral LLL at 6 weeks, 6, and 12 months post-surgery

    Measured: up to 12 months post-surgery

  3. Diagnostic accuracy of reliable and clinical feasible measurement methods regarding the screening of patients at risk for developing unilateral or bilateral LLL

    Diagnostic accuracy of reliable and clinical feasible measurement methods (resulted from aim 1: NCT05269264) regarding the screening of patients at risk for developing unilateral or bilateral LLL at 6 weeks, 6, and 12 months post-surgery

    Measured: up to 12 months post-surgery

Secondary outcomes (29)
  1. Prognostic value of 'baseline age' for the development of bilateral lower limb lymphoedema at 6 weeks post-surgery

    Dependent variable = presence of lower limb lymphoedema Independent variable= Age (years) will be self-reported through interview.

    Measured: 6 weeks post-surgery

  2. Prognostic value of 'baseline age' for the development of bilateral lower limb lymphoedema at 12 months post-surgery.

    Dependent variable = presence of lower limb lymphoedema Independent variable= Age (years) will be self-reported through interview.

    Measured: 12 months post-surgery

  3. Prognostic value of ' Baseline physical activity level' for the development of bilateral lower limb lymphoedema at 6 weeks post-surgery

    Dependent variable = presence of lower limb lymphoedema Independent variable= Baseline physical activity level : will be assessed with the International Physical Activity Questionnaire (IPAQ).

    The IPAQ is a 27-item self-reported measure of physical activity for use with individual adult patients aged 15 to 69 years old. Results can be reported in categories (low activity levels, moderate activity levels or high activity levels) or as a continuous variable (MET minutes a week). MET minutes represent the amount of energy expended carrying out physical activity.

    Measured: 6 weeks post-surgery

  4. Prognostic value of ' Baseline physical activity level' for the development of bilateral lower limb lymphoedema at 12 months post-surgery

    Dependent variable = presence of lower limb lymphoedema Independent variable= Baseline physical activity level : will be assessed with the International Physical Activity Questionnaire (IPAQ).

    The IPAQ is a 27-item self-reported measure of physical activity for use with individual adult patients aged 15 to 69 years old. Results can be reported in categories (low activity levels, moderate activity levels or high activity levels) or as a continuous variable (MET minutes a week). MET minutes represent the amount of energy expended carrying out physical activity.

    Measured: 12 months post-surgery

  5. Prognostic value of ' Baseline educational level' for the development of bilateral lower limb lymphoedema at 6 weeks post-surgery

    Dependent variable = presence of lower limb lymphoedema Independent variable= Educational level: will be self-reported through interview.

    Measured: 6 weeks post-surgery

  6. Prognostic value of ' Baseline educational level' for the development of bilateral lower limb lymphoedema at 12 months post-surgery

    Dependent variable = presence of lower limb lymphoedema Independent variable= Educational level: will be self-reported through interview.

    Measured: 12 months post-surgery

  7. Prognostic value of ' Baseline BMI' for the development of bilateral lower limb lymphoedema at 6 weeks post- surgery

    Dependent variable = presence of lower limb lymphoedema Independent variable= baseline Body Mass Index

    Measured: 6 weeks post- surgery

  8. Prognostic value of ' Baseline BMI' for the development of bilateral lower limb lymphoedema at 12 months post- surgery

    Dependent variable = presence of lower limb lymphoedema Independent variable= baseline Body Mass Index

    Measured: 12 months post- surgery

  9. Prognostic value of ' Baseline comorbidities' for the development of bilateral lower limb lymphoedema at 6 weeks post-surgery

    Dependent variable = presence of lower limb lymphoedema Independent variable= baseline comorbidities

    Comorbidities will be reported through a self-developed co-morbidity questionnaire, based on IDEWE questionnaire.

    Measured: 6 weeks post-surgery

  10. Prognostic value of ' Baseline comorbidities' for the development of bilateral lower limb lymphoedema at 12 months post-surgery

    Dependent variable = presence of lower limb lymphoedema Independent variable= baseline comorbidities

    Comorbidities will be reported through a self-developed co-morbidity questionnaire, based on IDEWE questionnaire.

    Measured: 12 months post-surgery

  11. Prognostic value of 'Type of cancer' for the development of bilateral lower limb lymphoedema at 6 weeks post-surgery

    Dependent variable = presence of lower limb lymphoedema Independent variable= Type of cancer Information regarding the type of cancer is collected by exploring the patient's medical file.

    Measured: 6 weeks post-surgery

  12. Prognostic value of 'Type of cancer' for the development of bilateral lower limb lymphoedema at 12 months post-surgery

    Dependent variable = presence of lower limb lymphoedema Independent variable= Type of cancer Information regarding the type of cancer is collected by exploring the patient's medical file.

    Measured: 12 months post-surgery

  13. Prognostic value of 'Tumor stage' for the development of bilateral lower limb lymphoedema at 6 weeks post-surgery

    Dependent variable = presence of lower limb lymphoedema Independent variable= Tumor stage

    Information regarding the tumor stage of is collected by exploring the patient's medical file.

    Measured: at 6 weeks post-surgery

  14. Prognostic value of 'Tumor stage' for the development of bilateral lower limb lymphoedema at 12 months post-surgery

    Dependent variable = presence of lower limb lymphoedema Independent variable= Tumor stage

    Information regarding the tumor stage of is collected by exploring the patient's medical file.

    Measured: 12 months post-surgery

  15. Prognostic value of 'Lymph node stage' for the development of bilateral lower limb lymphoedema at 6 weeks post-surgery

    Dependent variable = presence of lower limb lymphoedema Independent variable= Lymph node stage

    Information regarding the lymph node stage of is collected by exploring the patient's medical file.

    Measured: 6 weeks post-surgery

  16. Prognostic value of 'Lymph node stage' for the development of bilateral lower limb lymphoedema at 12 months post-surgery

    Dependent variable = presence of lower limb lymphoedema Independent variable= Lymph node stage

    Information regarding the lymph node stage of is collected by exploring the patient's medical file.

    Measured: 12 months post-surgery

  17. Prognostic value of 'Number of positive lymph nodes' for the development of bilateral lower limb lymphoedema at 6 weeks post-surgery

    Dependent variable = presence of lower limb lymphoedema Independent variable=Number of positive lymph nodes: is collected through the patient's medical file.

    Measured: 6 weeks post-surgery

  18. Prognostic value of 'Number of positive lymph nodes' for the development of bilateral lower limb lymphoedema at 12 months post-surgery

    Dependent variable = presence of lower limb lymphoedema Independent variable=Number of positive lymph nodes: is collected through the patient's medical file.

    Measured: 12 months post-surgery

  19. Prognostic value of 'Postoperative complications' for the development of bilateral lower limb lymphoedema at 6 weeks post-surgery

    Information regarding the complications related to the surgery as well as adjuvant therapies is collected. Surgical complications will be assessed according to the Clavien-Dindo Classification of Surgical Complications.

    Measured: 6 weeks post-surgery

  20. Prognostic value of 'Postoperative complications' for the development of lower limb lymphoedema at 12 months post-surgery

    Information regarding the complications related to the surgery as well as adjuvant therapies is collected. Surgical complications will be assessed according to the Clavien-Dindo Classification of Surgical Complications.

    Measured: 12 months post-surgery

  21. Prognostic value of 'Type of lymph node dissection' for the development of bilateral lower limb lymphoedema at 6 weeks post-surgery

    Cancer treatment characteristics are collected (i.e. type of surgery, type of lymph node dissection, number of lymph nodes removed, presence of postoperative drain, number of positive lymph nodes, adjuvant therapies; by exploring the patient's medical file.

    Type of lymph node dissection: Limited- Standard- Extended- Super extended

    Measured: 6 weeks post-surgery

  22. Prognostic value of 'Type of lymph node dissection' for the development of bilateral lower limb lymphoedema at 12 months post-surgery

    Cancer treatment characteristics are collected (i.e. type of surgery, type of lymph node dissection, number of lymph nodes removed, presence of postoperative drain, number of positive lymph nodes, adjuvant therapies; by exploring the patient's medical file.

    Type of lymph node dissection: Limited- Standard- Extended- Super extended

    Measured: 12 months post-surgery

  23. Prognostic value of 'Number of lymph nodes removed' for the development of bilateral lower limb lymphoedema at 6 weeks post-surgery

    Cancer treatment characteristics are collected (i.e. type of surgery, type of lymph node dissection, number of lymph nodes removed, presence of postoperative drain, number of positive lymph nodes, adjuvant therapies; by exploring the patient's medical file.

    Measured: 6 weeks post-surgery

  24. Prognostic value of 'Number of lymph nodes removed' for the development of bilateral lower limb lymphoedema at 12 months post-surgery

    Cancer treatment characteristics are collected (i.e. type of surgery, type of lymph node dissection, number of lymph nodes removed, presence of postoperative drain, number of positive lymph nodes, adjuvant therapies; by exploring the patient's medical file.

    Measured: 12 months post-surgery

  25. Prognostic value of 'Adjuvant Radiotherapy' for the development of bilateral lower limb lymphoedema at 6 weeks post-surgery

    Cancer treatment characteristics , including adjuvant radiotherapy are collected; by exploring the patient's medical file.

    Measured: 6 weeks post-surgery

  26. Prognostic value of 'Adjuvant Radiotherapy' for the development of bilateral lower limb lymphoedema at 12 months post-surgery

    Cancer treatment characteristics , including adjuvant radiotherapy are collected; by exploring the patient's medical file.

    Measured: 12 months post-surgery

  27. Incidence rate of unilateral and bilateral LLL at 6 weeks post-surgery

    Calculation of the proportion of patients with leg (or foot) lymphedema, defined as 5.0% or more increase of the leg (or foot) volume in each leg (or foot), at a certain time point, compared to the volumes at baseline; OR patients with a score of at least 5 out of 52 on the detect-OL questionnaire in case it is clearly indicated whether symptoms are present in one or both legs (in order to be able to categorize patients to the "unilateral LLL" or "bilateral LLL" group).

    Additionally, the proportion of presence of LLL in patients having received a lymph node dissection due to gynaecological cancer vs. due to urogenital cancer vs. due to skin melanoma will be compared. The distribution of LLL (unilateral vs. bilateral, regions of the lower limb) will be encountered and compared.

    Measured: 6 weeks post-surgery

  28. Incidence rate of unilateral and bilateral LLL at 6 months post-surgery

    Calculation of the proportion of patients with leg (or foot) lymphedema, defined as 5.0% or more increase of the leg (or foot) volume in each leg (or foot), at a certain time point, compared to the volumes at baseline; OR patients with a score of at least 5 out of 52 on the detect-OL questionnaire in case it is clearly indicated whether symptoms are present in one or both legs (in order to be able to categorize patients to the "unilateral LLL" or "bilateral LLL" group).

    Additionally, the proportion of presence of LLL in patients having received a lymph node dissection due to gynaecological cancer vs. due to urogenital cancer vs. due to skin melanoma will be compared. The distribution of LLL (unilateral vs. bilateral, regions of the lower limb) will be encountered and compared.

    Measured: 6 months post-surgery

  29. Incidence rate of unilateral and bilateral LLL at 12 months post-surgery

    Calculation of the proportion of patients with leg (or foot) lymphedema, defined as 5.0% or more increase of the leg (or foot) volume in each leg (or foot), at a certain time point, compared to the volumes at baseline; OR patients with a score of at least 5 out of 52 on the detect-OL questionnaire in case it is clearly indicated whether symptoms are present in one or both legs (in order to be able to categorize patients to the "unilateral LLL" or "bilateral LLL" group).

    Additionally, the proportion of presence of LLL in patients having received a lymph node dissection due to gynaecological cancer vs. due to urogenital cancer vs. due to skin melanoma will be compared. The distribution of LLL (unilateral vs. bilateral, regions of the lower limb) will be encountered and compared.

    Measured: 12 months post-surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Jun 2022
  2. Study start1 Oct 2022
  3. Primary completionJun 2025 (estimated)
  4. Study completionJun 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
120 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05421377
Sponsor's protocol ID
s66033-aim2
Acronym
EvaLymph-Leg2
Status last verified
Mar 2024
First submitted
13 Jun 2022
Last updated
12 Mar 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Lower Limb Lymphedema, run by KU Leuven at 1 site in Belgium.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 12 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Tessa De Vrieze, Dr. (003216345006, tessa.devrieze@kuleuven.be), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Sensitivity of reliable and clinical feasible measurement methods regarding the screening of patients at risk for developing unilateral or bilateral LLL (time frame: up to 12 months post-surgery). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Mar 2024.

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