A Pilot Study to Evaluate the Feasibility and Potential Effectiveness of the Flexitouch System Head and Neck Treatment



Status:Recruiting
Conditions:Cancer, Cancer, Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:3/27/2019
Start Date:January 2, 2018
End Date:July 31, 2019
Contact:Jill Christensen
Email:jchristensen@tactilemedical.com
Phone:612.355.5123

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The study will evaluate the feasibility and potential effectiveness of the Flexitouch head
and neck treatment plus standard home care compared to standard home care regimen alone.

This study is an open-label, multi-site, stratified randomized, wait list control, pilot
study. The study will be conducted at up to 2 sites in the United States and enroll 40
subjects with a diagnosis of head and neck lymphedema following treatment for head and neck
cancer. Subjects randomized to receive daily treatment with the Flexitouch pneumatic
compression device and home care regimen (SOC) will be seen at baseline and weeks 1, 4, and
8. Subjects randomized to the wait list arm will be seen at baseline and weeks 1, 4, and 8
while receiving SOC treatment. Assessments will include fidelity, satisfaction, symptoms,
swelling/inflammation, function, and QOL.

Inclusion Criteria:

- Age ≥ 18 years.

- A previous diagnosis of histologically defined head and neck cancer.

- A diagnosis of head and neck lymphedema.

- Must be able and willing to participate in all aspects of the study and provide
informed consent prior to study participation.

- Completed cancer treatment with no evidence of active cancer; all post-surgical
swelling must be resolved.

- The head and neck garments must fit appropriately. For patients with a tracheostomy,
the fit will be assessed to ensure that the garments do not interfere with their
tracheostomy.

- The subject must have experienced at least one of the following:

- Completion of phase 1 lymphedema care in the past 8 weeks;

- The inability to participate/complete phase 1 care due to:

- Lack of available therapist/clinic,

- Lack of insurance coverage or funding to support cost of care.

Exclusion Criteria:

- Uncontrolled hyperthyroidism or parathyroidism (for which 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.

- Increased intracranial pressure or other contraindications 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 in which increased venous and lymphatic return is undesirable.

- History of pulmonary edema or decompensated congestive heart failure with in six (6)
week of enrollment.

- Subject is pregnant or trying to become pregnant.
We found this trial at
2
sites
2201 West End Ave
Nashville, Tennessee 37232
(615) 322-7311
Principal Investigator: Sheila Ridner, PhD, RN
Vanderbilt University Vanderbilt offers undergraduate programs in the liberal arts and sciences, engineering, music, education...
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Springfield, Illinois 62702
Principal Investigator: Sandra L. Ettema, MD, PhD
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