CClinicalTrials.gg
CompletedNCT02462720COMFORTUpdated Apr 21, 2021Results posted

COMFORT: A Multicenter, Open-label, Randomized, Crossover Study

A Phase 4 interventional study of Varithena® and Radiofrequency ablation in Varicose Veins, sponsored by Boston Scientific Corporation. Completed at 4 sites in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2021-04-21.

Sponsored by Boston Scientific Corporation · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
35
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
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Study summary

The purpose of this study is to evaluate pain the patient experienced following treatment of varicose veins with Varithena® compared to radiofrequency ablation.

Read the detailed description

A study that evaluates pain following treatment of varicose veins in patients treated with Varithena® and those treated with RFA.

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Conditions studied

  • Varicose Veins

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03

In context

Varicose Veins

253 studies on the registry are indexed under Varicose Veins; 35 are open to participants now.

This study's enrollment of 35 is below the median of 104 across 162 interventional studies indexed under Varicose Veins.

Browse Varicose Veins studies →

Lead sponsor

Boston Scientific Corporation is the lead sponsor of 517 studies on the registry; 38 are open to participants now.

Of its 64 completed or terminated interventional studies of FDA-regulated products, 56 (88%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Men and women; age 18 to 75 years
  2. Bilateral incompetence of SFJ (reflux >1 second on duplex ultrasonography) associated with incompetence of the GSV in both legs
  3. GSV diameter >5 mm measured from the superficial epigastric vein to 10 cm below the SFJ while in a standing position in both legs
  4. Eligible to receive RFA treatment and Varithena® treatment
  5. CEAP C2-C5 (inclusive)
  6. Patient is participating in usual work and home activities with no changes anticipated for the duration of the study
  7. Ability to comprehend and sign an informed consent and complete study questionnaires written in English
  8. Ability to reliably use an electronic diary to record pain and analgesic/opioid use in accordance with the protocol

Exclusion criteria

Exclusion Criteria:

  1. Prior GSV treatment in either leg
  2. Non-venous source of pain in either leg that could confound the results of the study
  3. Use of chronic analgesic or opiate medications or medical history that could result in the regular use of pain medications during the study
  4. History of deep vein thrombosis, pulmonary embolism or stroke, including evidence of prior or active DVT on duplex ultrasound
  5. Deep venous reflux unless clinically insignificant in comparison to superficial reflux
  6. Inability to wear post-procedure compression bandaging and stockings
  7. Reduced mobility (unable to walk unaided for 5 minutes per waking hour)
  8. Major surgery, prolonged hospitalization or pregnancy within 3 months of screening
  9. Major co-existing disease (e.g., malignancy; pulmonary disease; renal or hepatic insufficiency; serious skin disease/condition that may compromise the ability of the patient to comply with the compression protocol, etc.)
  10. Contraindications to Varithena® (e.g., acute thromboembolic disease) or RFA according to the manufacturer's prescribing information

    1. Varithena® contraindication due to known allergy to polidocanol
    2. RFA contraindication due to veins being too large
    3. RFA Contraindication due to veins being too tortuous
  11. Known allergic response to polidocanol and/or multiple allergic reactions
  12. Current or history of alcohol or drug abuse
  13. Pregnant or lactating women
  14. Women of childbearing potential not using effective contraception for at least one month prior to study treatment and/or unwilling to continue birth control for the duration of the study
  15. Participation in a clinical study involving an investigational pharmaceutical product or device within the 3 months prior to screening
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
35 participants (actual)

Study arms

  • Experimental
    Varithena®, then Radiofrequency Ablation

    Varithena (polidocanol injectable foam) supplied as polidocanol solution 180 mg/18 mL (10 mg/mL) to be activated before use. Once activated, Varithena is a white injectable foam delivering a 1% polidocanol solution. Each milliliter of Varithena injectable foam contains 1.3 mg of polidocanol. Up to 5 mL per injection or 15 mL per treatment session could be used. This was followed by RFA treatment.

    Drug: Varithena® · Device: Radiofrequency ablation

  • Active comparator
    Radiofrequency ablation then Varithena

    RFA procedures were conducted in accordance with the physician's standard of care and according to the manufacturer's instructions for use. This was followed by treatment with Varithena.

    Drug: Varithena® · Device: Radiofrequency ablation

Interventions

  • DrugVarithena®

    Varithena® treatment in accordance with full prescribing information and instructions for use

    Also known as: Polidocanol Solution, 180 mg/18 mL (10 mg/mL)

  • DeviceRadiofrequency ablation

    Radiofrequency ablation conducted per physicians' standard of care.

    Also known as: RFA

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What researchers measure

Primary outcomes

  1. Pain

    14-day average post-treatment pain using a VAS pain score. VAS pain score is an integer-valued, interval scale variable with range from 0 to 100 representing the spectrum from no pain to pain as bad as one can imagine.

    Time frame: 14 day average (0-100)

Secondary outcomes

  1. Procedural Pain

    degree of procedural pain perceived by the patient obtained immediately following the procedure using a VAS pain score. VAS pain score is an integer-valued, interval scale variable with range from 0 to 100 representing the spectrum from no pain to pain as bad as one can imagine

    Time frame: immediately following procedure

  2. Patient Preference

    Patient preference for RFA or Varithena® using e-diary

    Time frame: 8 weeks

07

Results

Posted Jan 23, 2018

Participant flow

Part 1
Participant flow — Part 1
MilestoneVarithena® First Then Radiofrequency AblationRadiofrequency Ablation First Than Varithena
Started1817
Completed1817
Not completed00
Part 2
Participant flow — Part 2
MilestoneVarithena® First Then Radiofrequency AblationRadiofrequency Ablation First Than Varithena
Started1817
Completed1716
Not completed11
Withdrew: Withdrawal by subject10
Withdrew: Protocol violation01

Outcome measures

PrimaryPain

14-day average post-treatment pain using a VAS pain score. VAS pain score is an integer-valued, interval scale variable with range from 0 to 100 representing the spectrum from no pain to pain as bad as one can imagine.

Time frame:
14 day average (0-100)
Reported as:
Mean · units on a scale
Pain
units on a scaleVarithena®Radiofrequency Ablation
Pain11.3 ± 2.909.5 ± 2.90
SecondaryProcedural Pain

degree of procedural pain perceived by the patient obtained immediately following the procedure using a VAS pain score. VAS pain score is an integer-valued, interval scale variable with range from 0 to 100 representing the spectrum from no pain to pain as bad as one can imagine

Time frame:
immediately following procedure
Reported as:
Mean · units on a scale
Procedural Pain
units on a scaleVarithena®Radiofrequency Ablation
Procedural Pain16.4 ± 3.5317.8 ± 3.53
SecondaryPatient Preference

Patient preference for RFA or Varithena® using e-diary

Time frame:
8 weeks
Reported as:
Count of participants · Participants
Patient Preference
ParticipantsVarithena®Radiofrequency Ablation
Patient Preference1914

Adverse events

Collected over A period of time ending at Week 4 (day 32). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Varithena®0/34 (0%)0/34 (0%)4/34 (11.8%)
Radiofrequency Ablation0/34 (0%)0/34 (0%)3/34 (8.8%)
Most frequent other events
Most frequent other events
EventVarithena®Radiofrequency Ablation
PhlebitisVascular disorders3/341/34
Pain in extremityMusculoskeletal and connective tissue disorders1/342/34

Baseline characteristics

Age, Continuous
Age, Continuous(years)Varithena®
Mean50.9 ± 11.86
Sex: Female, Male
Sex: Female, Male(Participants)Varithena®
Female25
Male10
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Varithena®
American Indian or Alaska Native0
Asian4
Native Hawaiian or Other Pacific Islander0
Black or African American1
White30
More than one race0
Unknown or Not Reported0
08

Study locations

4 sites
  • Coastal Vascular and Interventional, PLLC
    Pensacola, Florida 32503, United States
  • Midwest Institute for Minimally Invasive Therapies
    Melrose Park, Illinois 60160, United States
  • Venous Institute of Buffalo
    Amherst, New York 14226, United States
  • Lake Washington Vascular
    Bellevue, Washington 98004, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 21, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02462720
Lead sponsor
Boston Scientific Corporation
Responsible party
Sponsor
First posted
Jun 4, 2015
Start date
May 2015
Primary completion
Dec 2015
Completion
Mar 2016
Results posted
Jan 23, 2018
Last update
Apr 21, 2021

Study contacts

David Wright, MD
study director · BTG International Inc.

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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