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Varicose VeinsNCT03856814

Market Penetration of Laser Therapy in Venous Surgery: Ziekenhuis Oost-Limburg - Ziekenhuis Maas En Kempen Center Experience

An observational study of Varicose Veins, run by Duomed at 1 site in Belgium.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this registry is to evaluate the indication for EndoVenous Laser Ablation (EVLA) therapy. Can this be enhanced? What are the reasons for not using the laser? Therefore, this study aims to define clear indications for EVLA by registering the incentives of the participating investigators to use the laser… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Varicose Veins
What is being tested?
ELVeS® Radial® 2ring slim fiber used for EndoVenous Laser Ablation
Type of treatment
Medical device
How many people
500 participants
Where
1 siteBelgium
Study dates
15 Mar 2019to 8 Nov 2023
How long will I take part?
6 Months
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: 500 patients with varicose veins, indicative for treatment with Endovenous laser ablation (EVLA) or Surgery (ligation/stripping) according to routine patient care.

Who may be able to join

  • Patient is at least 18 years old.
  • Patient must sign and date the informed consent form prior to treatment.
  • Presence of unilateral or bilateral primary or recurrent symptomatic varicose veins (CEAP grade ≥ C2).
  • Patient has an insufficient Great Saphenous Vein (GSV), Anterior Accessory Saphenous Vein (AASV) and/or Small Saphenous Vein (SSV), with venous symptoms (valve incompetence).

Who cannot join

  • Current deep vein thrombosis.
  • Acute superficial thrombosis.
  • Pregnancy.
  • Coagulopathy or bleeding disorders.
  • Contraindications to the use of general or regional anesthesia.

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • Ziekenhuis Oost-Limburg (Sint-Jan,Genk; Sint-Barbara,Lanaken; ZMK,Maaseik)

    Genk, Limburg, 3600

Other trials in Belgium

About this study

Official title: Market Penetration of Laser Therapy in Venous Surgery: ZOL - ZMK Center Experience

The goal of this registry is to evaluate the indication for EndoVenous Laser Ablation (EVLA) therapy. Can this be enhanced? What are the reasons for not using the laser? Therefore, this study aims to define clear indications for EVLA by registering the incentives of the participating investigators to use the laser instead of conventional corrective surgery for the treatment of varicose veins, at baseline and post-operative. Additionally, the efficacy and safety of the different varicose vein treatments will be evaluated by registering procedural characteristics, anatomic outcome (duplex ultrasound), quality of life (AVVQ) and postoperative pain (VAS).

Conditions
Varicose Veins
Being tested
ELVeS® Radial® 2ring slim fiber used for EndoVenous Laser Ablation
Medical subject headings
Varicose Veins

What participants receive

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

  • ELVeS® Radial® 2ring slim fiber used for EndoVenous Laser AblationDevice

    Device for endovenous laser ablation manufactured by Biolitec AG company (ELVeS system) - diode laser with a wavelength of 1470 nm

Study groups in NCT03856814
Study groupRoleWhat they receive
Patients with varicose veinsPatients with varicose veins, indicative for treatment with EndoVenous Laser Ablation (EVLA) using the ELVeS® Radial® 2ring slim fiber or Surgery (ligation/stripping) according to the standard of care of the participating investigators.
Receives: Device: ELVeS® Radial® 2ring slim fiber used for EndoVenous Laser Ablation

What is being measured

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

  1. To define clear indications for EndoVenous Laser Ablation (EVLA) treatment of varicose veins.

    The participating investigators will register the incentives (based on clinical examination and/or anatomic outcome by duplex ultrasound, as well as secondary considerations) to use laser ablation or conventional treatment for varicose veins in the study database in order to define clear indications for EndoVenous Laser Ablation (EVLA) treatment of varicose veins and to investigate whether the use of EVLA can be enlarged.

    Measured: At baseline

  2. To define clear indications for EndoVenous Laser Ablation (EVLA) treatment of varicose veins.

    The participating investigators will re-evaluate the chosen treatment option and document this re-evaluation in the study database in order to define clear indications for EndoVenous Laser Ablation (EVLA) treatment of varicose veins and to investigate whether the use of EVLA can be enlarged.

    Measured: At 6 weeks follow-up

Secondary outcomes (18)
  1. Procedural characteristics

    Type of anesthesia

    Measured: At index-procedure

  2. Procedural characteristics

    Number, type and length of veins treated

    Measured: At index-procedure

  3. Procedural characteristics

    Total energy per patient and fiber (when using the ELVeS® Radial® 2ring slim fiber)

    Measured: At index-procedure

  4. Procedural characteristics

    Number of procedures showing technical success, defined as the ability to treat the varicose veins as planned

    Measured: At index-procedure

  5. Procedural characteristics

    Peri-operative adverse events (bleeding, incomplete treatment, technical defects, difficult visualization, …)

    Measured: At index-procedure

  6. Procedural characteristics

    Duration of the index-procedure

    Measured: At index-procedure

  7. Pain scoring using the Visual Analog Scale (VAS)

    The VAS scale contains a 0 - 100 grading with 0 equaling no pain and 100 equaling the worst conceivable pain. The patient is asked to select the number on the scale that corresponds to the worst level of pain he/she experiences. Pain is classified into mild (1 - 30 mm), moderate (31 - 60 mm) and severe (61 - 100 mm). Absence of pain is defined as VAS = 0.

    Measured: At discharge, up to 1 week

  8. Pain scoring using the Visual Analog Scale (VAS)

    The VAS scale contains a 0 - 100 grading with 0 equaling no pain and 100 equaling the worst conceivable pain. The patient is asked to select the number on the scale that corresponds to the worst level of pain he/she experiences. Pain is classified into mild (1 - 30 mm), moderate (31 - 60 mm) and severe (61 - 100 mm). Absence of pain is defined as VAS = 0.

    Measured: At 6 weeks follow-up

  9. Anatomic success of EndoVenous Laser Ablation (EVLA)

    Defined as occlusion of the treated veins and lack of reflux objectified with duplex ultrasonography.

    Measured: At 6 weeks follow-up

  10. Quality of life by scoring Aberdeen Varicose Vein Questionnaire (AVVQ)

    Aberdeen Varicose Vein Questionnaire (AVVQ) is a validated tool for assessing the perceived health of patients with varicose veins. The AVVQ comprises 13 quality of life questions, including a set of manikin legs, on which participants are asked to draw their veins.

    Measured: At baseline

  11. Quality of life by scoring Aberdeen Varicose Vein Questionnaire (AVVQ)

    Aberdeen Varicose Vein Questionnaire (AVVQ) is a validated tool for assessing the perceived health of patients with varicose veins. The AVVQ comprises 13 quality of life questions, including a set of manikin legs, on which participants are asked to draw their veins.

    Measured: At 6 weeks follow-up

  12. Quality of life by scoring Aberdeen Varicose Vein Questionnaire (AVVQ)

    Aberdeen Varicose Vein Questionnaire (AVVQ) is a validated tool for assessing the perceived health of patients with varicose veins. The AVVQ comprises 13 quality of life questions, including a set of manikin legs, on which participants are asked to draw their veins.

    Measured: At 6 months follow-up

  13. Post-operative adverse events

    Number of participants with numbness, persistent bruising, skin loss or ulceration, hematoma, infection, bleeding, deep venous thrombosis, etc.

    Measured: At discharge, up to 1 week

  14. Post-operative adverse events

    Number of participants with numbness, persistent bruising, skin loss or ulceration, hematoma, infection, bleeding, deep venous thrombosis, etc.

    Measured: At 6 weeks follow-up

  15. Post-operative adverse events

    Number of participants with numbness, persistent bruising, skin loss or ulceration, hematoma, infection, bleeding, deep venous thrombosis, etc.

    Measured: At 6 months follow-up

  16. Re-interventions

    Number of participants with re-interventions

    Measured: At discharge, up to 1 week

  17. Re-interventions

    Number of participants with re-interventions

    Measured: At 6 weeks follow-up

  18. Re-interventions

    Number of participants with re-interventions

    Measured: At 6 months follow-up

Timeline

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

  1. First posted27 Feb 2019
  2. Study start15 Mar 2019
  3. Primary completion13 Jan 2023
  4. Study completion8 Nov 2023

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
Case only
Time perspective
Prospective
Enrolment
500 participants (actual)
Target duration
6 Months
IDs, dates and publications
ClinicalTrials.gov ID
NCT03856814
Sponsor's protocol ID
BM-VL-01 ZOL
Status last verified
Sep 2024
First submitted
4 Feb 2019
Last updated
5 Sep 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 Varicose Veins, run by Duomed 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 4 inclusion and 5 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: finished, as of the sponsor's last update on 5 Sep 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To define clear indications for EndoVenous Laser Ablation (EVLA) treatment of varicose veins. (time frame: At baseline). The study lists 2 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 5 Sep 2024.

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