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CompletedNCT04011371Updated Apr 13, 2023

Cyanoacrylate Closure for Treatment of Venous Leg Ulcers

An interventional study of Cyanoacrylate closure in Venous Leg Ulcer, sponsored by Sunnybrook Health Sciences Centre. Completed at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-04-13.

Sponsored by Sunnybrook Health Sciences Centre · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
21
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Venous leg ulcers (VLUs) are a common wound with significant morbidity and cost, and suboptimal therapeutic options. VLUs result from chronic venous insufficiency, including venous reflux and post-thrombotic syndrome. VLU can take from months to years to heal, and 54-78% recur. Current therapies include wound, compression therapy, and medications. These treatments can increase the rate of healing, and reduce recurrence, however these therapies can be burdensome, painful, and ineffective, and despite these therapies, \~50% of wounds become chronic. Chronic VLUs can be painful, malodorous, and infected, and they often significantly limit an individual's function and mobility. An emerging therapy for symptomatic venous reflux is the closure of the culprit vein by endovenous closure with a cyanoacrylate adhesive implant. Recent studies show cyanoacrylate closure (CAC) to be a safe and effective treatment for varicosities resulting from symptomatic incompetent great saphenous veins. This study will evaluate the safety and effectiveness of CAC for VLUs.

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Conditions studied

  • Venous Leg Ulcer
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In context

Varicose Ulcer

377 studies on the registry are indexed under Varicose Ulcer; 79 are open to participants now.

This study's enrollment of 21 is below the median of 65 across 324 interventional studies indexed under Varicose Ulcer.

Browse Varicose Ulcer studies →

Lead sponsor

Sunnybrook Health Sciences Centre is the lead sponsor of 566 studies on the registry; 134 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 2 (33%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age ≥18 years old at time of screening;
  2. Venous leg ulcer;
  3. Venous insufficiency (>0.5 seconds; confirmed by Doppler within last 6 months);
  4. ABI of ≥0.9;
  5. Capable of understanding the study and providing informed consent.

Exclusion criteria

Exclusion Criteria:

  1. Previous hypersensitivity reactions to the VenaSealTM adhesive or cyanoacrylates;
  2. Acute superficial thrombophlebitis;
  3. Bilateral treatment
  4. Thrombophlebitis migrans;
  5. Deep venous thrombosis;
  6. Deep venous incompetence or occlusion in external iliac or distal veins in the affected extremity (as assessed based on spontaneity, phasicity, augmentation, pulsatility, and compressibility on ultrasound);
  7. Post-thrombotic syndrome;
  8. Acute sepsis;
  9. Coagulation disorders;
  10. Radiation or chemotherapy within 3 months of study;
  11. Pregnant or lactating females;
  12. Uncontrolled diabetes (HbA1c >10%);
  13. Diabetic foot ulcers;
  14. Current use of systemic anticoagulation;
  15. Previous treatment of target vein;
  16. Tortuous veins;
  17. Current participation in another interventional study, or participation within 30 days prior to screening;
  18. Inability to tolerate compression, or to receive endovenous treatment.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
21 participants (actual)

Study arms

  • Experimental
    Cyanoacrylate closure

    Subjects enrolled in the study will undergo ultrasound guided vein closure using the VenaSealTM cyanoacrylate delivery device.

    Procedure: Cyanoacrylate closure

Interventions

  • ProcedureCyanoacrylate closure

    Cyanoacrylate glue embolization targeting venous insufficiency

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What researchers measure

Primary outcomes

  1. Rate of adverse events

    Time frame: 3 months

  2. Healing rate

    Change in ulcer size

    Time frame: 3 months

Secondary outcomes

  1. Rate of adverse events

    Time frame: 12 months

  2. Healing rate

    Change in ulcer size

    Time frame: 12 months

  3. Closure rate

    Time to ulcer closure

    Time frame: 12 months

  4. Patient-reported quality of life: EuroQol Five Dimension Scale: EQ-5D-5L Health Questionnaire

    EuroQol Five Dimension Scale: EQ-5D-5L Health Questionnaire - measures patient-reported health related to five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Responses for each parameter are coded 1-5, with a lower score reflecting better health, and a higher score meaning worse health. Overall health is self-rated on a scale 0-100, with 0 meaning the worst and 100 meaning the best health imaginable.

    Time frame: 12 months

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Study locations

1 site
  • Sunnybrook Health Sciences Centre
    Toronto, Ontario M4N3M5, Canada
08

References and documents

Publications

  • Callam MJ. Epidemiology of varicose veins. Br J Surg. 1994 Feb;81(2):167-73. doi: 10.1002/bjs.1800810204. PubMed 8156326 ↗
  • Fowkes FG, Evans CJ, Lee AJ. Prevalence and risk factors of chronic venous insufficiency. Angiology. 2001 Aug;52 Suppl 1:S5-15. doi: 10.1177/0003319701052001S02. PubMed 11510598 ↗
  • Van den Oever R, Hepp B, Debbaut B, Simon I. Socio-economic impact of chronic venous insufficiency. An underestimated public health problem. Int Angiol. 1998 Sep;17(3):161-7. PubMed 9821029 ↗
  • Abbade LP, Lastoria S. Venous ulcer: epidemiology, physiopathology, diagnosis and treatment. Int J Dermatol. 2005 Jun;44(6):449-56. doi: 10.1111/j.1365-4632.2004.02456.x. PubMed 15941430 ↗
  • Olin JW, Beusterien KM, Childs MB, Seavey C, McHugh L, Griffiths RI. Medical costs of treating venous stasis ulcers: evidence from a retrospective cohort study. Vasc Med. 1999;4(1):1-7. doi: 10.1177/1358836X9900400101. PubMed 10355863 ↗
  • Mayer W, Jochmann W, Partsch H. [Varicose ulcer: healing in conservative therapy. A prospective study]. Wien Med Wochenschr. 1994;144(10-11):250-2. German. PubMed 7856198 ↗
  • Bergqvist D, Lindholm C, Nelzen O. Chronic leg ulcers: the impact of venous disease. J Vasc Surg. 1999 Apr;29(4):752-5. doi: 10.1016/s0741-5214(99)70330-7. No abstract available. PubMed 10194512 ↗
  • Evans CJ, Fowkes FG, Ruckley CV, Lee AJ. Prevalence of varicose veins and chronic venous insufficiency in men and women in the general population: Edinburgh Vein Study. J Epidemiol Community Health. 1999 Mar;53(3):149-53. doi: 10.1136/jech.53.3.149. PubMed 10396491 ↗
  • Lazarus GS, Cooper DM, Knighton DR, Percoraro RE, Rodeheaver G, Robson MC. Definitions and guidelines for assessment of wounds and evaluation of healing. Wound Repair Regen. 1994 Jul;2(3):165-70. doi: 10.1046/j.1524-475X.1994.20305.x. PubMed 17156107 ↗
  • Kelechi TJ, Johnson JJ, Yates S. Chronic venous disease and venous leg ulcers: An evidence-based update. J Vasc Nurs. 2015 Jun;33(2):36-46. doi: 10.1016/j.jvn.2015.01.003. PubMed 26025146 ↗
  • Morrison N, Gibson K, McEnroe S, Goldman M, King T, Weiss R, Cher D, Jones A. Randomized trial comparing cyanoacrylate embolization and radiofrequency ablation for incompetent great saphenous veins (VeClose). J Vasc Surg. 2015 Apr;61(4):985-94. doi: 10.1016/j.jvs.2014.11.071. Epub 2015 Jan 31. PubMed 25650040 ↗
  • Almeida JI, Javier JJ, Mackay E, Bautista C, Proebstle TM. First human use of cyanoacrylate adhesive for treatment of saphenous vein incompetence. J Vasc Surg Venous Lymphat Disord. 2013 Apr;1(2):174-80. doi: 10.1016/j.jvsv.2012.09.010. Epub 2012 Dec 22. PubMed 26992340 ↗
  • Proebstle TM, Alm J, Dimitri S, Rasmussen L, Whiteley M, Lawson J, Davies A. Twelve-Month Follow-up of the European Multicenter Study on Cyanoacrylate Embolization of Incompetent Great Saphenous Veins. J Vasc Surg Venous Lymphat Disord. 2014 Jan;2(1):105-6. doi: 10.1016/j.jvsv.2013.10.009. Epub 2013 Dec 12. No abstract available. PubMed 26992985 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 13, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04011371
Lead sponsor
Sunnybrook Health Sciences Centre
Collaborators
Medtronic Vascular
Responsible party
Sponsor
First posted
Jul 8, 2019
Start date
Sep 1, 2019
Primary completion
Jun 1, 2022
Completion
Jun 1, 2022
Last update
Apr 13, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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