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Phase 2 N=11 Treatment

Response to Intermittent Pneumatic Compression Therapy in Head and Neck Cancer-Related Lymphedema

Head and Neck Neoplasms · Head and Neck Lymphedema · Head and Neck Cancer

Enrolled (actual)
11
Serious AEs
0.0%
Results posted
Mar 2019
Primary outcome: Primary: Lymph Movement Measured by ICG Lymphography. — 5; 5; 0; 0 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Head and neck garments for pneumatic compression device (Device); NIRFLI with ICG (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Tactile Medical
Primary completion
Feb 2018

Outcome Measures

OutcomeResultp-value
PRIMARY
Lymph Movement Measured by ICG Lymphography.
5; 5; 0; 0; 5; 4
SECONDARY
Dermal Backflow Measured by ICG Lymphography.
4; 4; 0; 0; 1; 1
SECONDARY
Symptom Alleviation Measured by Survey Response.
0; 2; 4; 2; 1; 1
SECONDARY
Ease of Use Measured by Survey Response.
1; 1; 4; 4; 0; 0

Summary

Assessment of lymphatic structure and function pre- and post- treatment and during recovery in head and neck cancer related lymphedema patients using NIR fluorescence lymphatic imaging: Response to ICD therapy in HNC Patients.

Eligibility Criteria

Inclusion Criteria

  • Participants must be 18 years of age or older
  • Participants must be diagnosed with Lymphedema of the Head and/or Neck
  • Participants must be diagnosed with squamous cell carcinoma of the oral cavity, oropharynx or larynx and underwent surgery and radiation as part of their standard-of-care treatment plan.
  • Participants must be ≥ 4 weeks post-radiation therapy
  • Female participants of childbearing potential must have a negative urine pregnancy test ≤ 36 hours prior to study drug administration
  • Female participants of childbearing potential must agree to use a medically accepted method of contraception for a period of one month after each imaging session
  • Participants must be willing to use the Flexitouch® System at home daily for two (2) weeks

Exclusion Criteria

  • Women who are pregnant or breast-feeding
  • Persons who are allergic to iodine
  • A female of child-bearing potential, who does not agree to use an approved contraceptive for one month after study participation
  • Persons who do not meet inclusion criteria
  • Persons with pulmonary edema, thrombophlebitis, congestive heart failure, deep vein thrombosis, episodes of pulmonary embolism, infections and inflammation, or acute cancer
  • Persons with uncontrolled hyperthyroidism or parathyroidism (for with an endocrinologist recommends against neck compression)
  • Carotid sinus hypersensitivity syndrome
  • Symptomatic carotid artery disease, as manifested by a recent transient ischemic attack (within 30 days), ischemic stroke, or amaurosis fugax (monocular visual ischemic symptoms or blindness)
  • Symptomatic bradycardia in the absence of a pacemaker
  • Internal jugular venous thrombosis, acute or within 3 months
  • Known intracranial pressure or other contraindication to internal or external jugular venous compression
  • Acute radiation dermatitis, unhealed surgical scar, unhealed or open wound(s), surgical flap less than 6-8 weeks post-operative
  • Facial or head and neck dermal metastasis
  • Acute facial infection (e.g., facial or parotid gland abscess)
  • Any condition where increased venous and lymphatic return is undesirable
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02946021). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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