ClinicalTrials.gg
Status unknownNCT05122195GRAPEUpdated Nov 24, 2021

Graduated Elastic compRession for vAricose Veins in PrEgnancy

An observational study in Varicose Veins, Pregnancy Related and Quality of Life, sponsored by Belarusian State Medical University. Status unknown at 2 sites in Belarus. Open to female participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2021-11-24.

Sponsored by Belarusian State Medical University · Observational

The sponsor has not verified this record recently (last verified Nov 2021), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
80
Ages
18 Years to 40 Years
Sex
Female
01

Study summary

This study will be evaluate the clinical efficacy of using graduated compression hosiery for venospecific symptoms, leg edema, and quality of life (QoL) in pregnant women with varicose veins (VV's).

Read the detailed description

Each pregnant woman randomly receive an envelope. Those who received numbers 01 to 40 constitute the intervention group, and those with numbers 41 to 80 are in the control group.The intervention group will use a thigh length stockings with a compression of 23-32 mmHg, at least 8 hours a day. Verbal and written instructions on the proper use of the stockings will provide. During follow-up period, monitoring the regular use of compression stockings are performed every week. The physical characteristics of the patients, including the age, height, weight, and gestational week, are obtained and recorded. The clinical evaluation are performed using clinical-etiological and anatomical-pathophysiological assessment based on the CEAP classification.

Clinical examinations, QoL assessment and duplex-ultrasound will perform two qualified physicians in the 160 lower limbs of the 80 pregnant women with VV's at three landmark periods: between the 12th and 15th (initial examination), 20th and 28th (intermediate examination), and between the 28th and 36rd (final examination) week of gestation. The study protocol includes examination of the deep and superficial venous system with recording the reflux time and great and small saphenous veins (GSV/SSV) diameters in seven preestablished points, 5 points in the GSV and 2 points in the SSV. A reflux time in the superficial veins above 0.5 s is considered pathological reflux.

The ankle and lower leg circumference are measured using a measuring tape. Measurements are carried out at the lateral and medial ankle and the middle of the lower leg. All measurements are carried out at the same time of the respective days in the late afternoon or early evening; before the measurements the patients underwent a 45-min temperature and cardiovascular equilibrium period in a sitting position.

The QoL and subjective symptoms: tired, heavy legs, sensation of tension, tingling, and pain are assessed at each visit before the volume measurements and ultrasonographic evaluation. The subjective symptoms are evaluated by use of a semiquantitative scale from 0 to 3: 0 = no symptoms; 1 = mild; 2 = moderate; and 3 = severe. The QoL is investigated at each visit by a Chronic Venous Insufficiency Questionnaire (CIVIQ).

02

Conditions studied

  • Varicose Veins
  • Pregnancy Related
  • Quality of Life

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Keywords

  • VV's
  • GSV
  • SSV
  • QoL
03

In context

Varicose Veins

226 studies on the registry are indexed under Varicose Veins; 30 are open to participants now.

This study's planned enrollment of 80 is below the median of 159 across 62 observational studies indexed under Varicose Veins.

Browse Varicose Veins studies →

Lead sponsor

Belarusian State Medical University is the lead sponsor of 8 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Pregnant women (between the 12th and 15th weeks of gestation) with primary varicose vein disease and C1-C3 are included in the prospective consecutive case study if they satisfied the selection criteria.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Pregnant women who are between the 12th and 15th weeks of gestation.
  2. Primary symptomatic varicose veins, Clinical Etiological Anatomical Pathophysiological (CEAP) classification, clinical class C1-C3.
  3. Ability to comprehend and sign an document.

Exclusion criteria

Exclusion Criteria:

  1. Deep venous thrombosis, thrombophilia associated with a high risk of deep venous thrombosis or postthrombotic syndrome.
  2. Postoperative varicose vein disease recurrence.
  3. History of pulmonary embolism.
  4. Current compression therapy (within 7 days of enrollment).
  5. CEAP clinical class C4-C6.
  6. Arterial occlusive disease and lymphatic pathology of lower limbs.
  7. Edema of limbs other than of venous origin.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
80 participants (estimated)
Patient registry
No

Groups and cohorts

  • Group A, compression therapy group

    Elastic compression therapy with a thigh length stockings of 23-32 mmHg, at least 8 hours a day.

    Other: Compression therapy

  • Group B, control group

    No compression therapy prescribed in the follow-up period.

Interventions

  • OtherCompression therapy

    Graduated elastic compression promote venous flow which is impaired by hormonal changes in the venous system during the gestational period and minimize the blocking effect of the gravid uterus.

06

What researchers measure

Primary outcomes

  1. Responders to Treatment, Assessed by Duplex Ultrasound

    Responders; Number of Participants with eliminated superficial pathological reflux between the 20th and 28th weeks of gestation

    Time frame: 8 weeks

  2. Responders to Treatment, Assessed by Duplex Ultrasound

    Responders; Number of Participants with eliminated superficial pathological reflux between the 28th and 36th weeks of gestation

    Time frame: 16 weeks

  3. Number of Participants with reduction of the GSV and SSV diameters, Assessed by Duplex Ultrasound

    Responders; reduction of the GSV and SSV diameters between the 20th and 28th weeks of gestation

    Time frame: 8 weeks

  4. Number of Participants with reduction of the GSV and SSV diameters, Assessed by Duplex Ultrasound

    Responders; Number of Participants with reduction of the GSV and SSV diameters between the 28th and 36th weeks of gestation

    Time frame: 16 weeks

  5. Responders to Treatment, Assessed by a measuring tape

    Responders; Number of Participants with reduction of the ankle and lower leg circumference between the 20th and 28th weeks of gestation

    Time frame: 8 weeks

  6. Responders to Treatment, Assessed by a measuring tape

    Responders; Number of Participants with reduction of the ankle and lower leg circumference between the 28th and 36th weeks of gestation

    Time frame: 16 weeks

  7. Number of Participants with pain from absent (score 0) to severe (score 3)

    None (0), Occasional (1), Daily, intefering with, but not preventing daily activities (2), Daily, limiting most daily activities (3)

    Time frame: 8 weeks

  8. Number of Participants with pain from absent (score 0) to severe (score 3)

    None (0), Occasional (1), Daily, intefering with, but not preventing daily activities (2), Daily, limiting most daily activities (3)

    Time frame: 16 weeks

  9. Number of Participants with heavy legs from absent (score 0) to severe (score 3)

    None (0), Occasional (1), Daily, intefering with, but not preventing daily activities (2), Daily, limiting most daily activities (3)

    Time frame: 8 weeks

  10. Number of Participants with heavy legs from absent (score 0) to severe (score 3)

    None (0), Occasional (1), Daily, intefering with, but not preventing daily activities (2), Daily, limiting most daily activities (3)

    Time frame: 16 weeks

  11. Number of Participants with tired legs from absent (score 0) to severe (score 3)

    None (0), Occasional (1), Daily, intefering with, but not preventing daily activities (2), Daily, limiting most daily activities (3)

    Time frame: 8 weeks

  12. Number of Participants with tired legs from absent (score 0) to severe (score 3)

    None (0), Occasional (1), Daily, intefering with, but not preventing daily activities (2), Daily, limiting most daily activities (3)

    Time frame: 16 weeks

  13. Number of Participants with sensation of tension from absent (score 0) to severe (score 3)

    None (0), Occasional (1), Daily, intefering with, but not preventing daily activities (2), Daily, limiting most daily activities (3)

    Time frame: 8 weeks

  14. Number of Participants with sensation of tension from absent (score 0) to severe (score 3)

    None (0), Occasional (1), Daily, intefering with, but not preventing daily activities (2), Daily, limiting most daily activities (3)

    Time frame: 16 weeks

  15. Number of Participants with tingling from absent (score 0) to severe (score 3)

    None (0), Occasional (1), Daily, intefering with, but not preventing daily activities (2), Daily, limiting most daily activities (3)

    Time frame: 8 weeks

  16. Number of Participants with tingling from absent (score 0) to severe (score 3)

    None (0), Occasional (1), Daily, intefering with, but not preventing daily activities (2), Daily, limiting most daily activities (3)

    Time frame: 16 weeks

07

Study locations

2 of 2 sites recruiting
  • Vladimir Khryshchanovich
    Minsk, Minsk Region 220116, Belarus
    Recruiting
  • Belarusian State Medical University
    Minsk, 220116, Belarus
    Recruiting
08

References and documents

Publications

  • Allegra C, Antignani PL, Will K, Allaert F. Acceptance, compliance and effects of compression stockings on venous functional symptoms and quality of life of Italian pregnant women. Int Angiol. 2014 Aug;33(4):357-64. PubMed 25056167 ↗
  • Gardenghi LA, Dezotti NRA, Dalio MB, Martins WP, Joviliano EE, Piccinato CE. Lower limb venous diameters and haemodynamics during pregnancy and postpartum period in healthy primigravidae. Phlebology. 2017 Dec;32(10):670-678. doi: 10.1177/0268355516671586. Epub 2016 Dec 6. PubMed 27928067 ↗
  • Smyth RM, Aflaifel N, Bamigboye AA. Interventions for varicose veins and leg oedema in pregnancy. Cochrane Database Syst Rev. 2015 Oct 19;2015(10):CD001066. doi: 10.1002/14651858.CD001066.pub3. PubMed 26477632 ↗
  • Thaler E, Huch R, Huch A, Zimmermann R. Compression stockings prophylaxis of emergent varicose veins in pregnancy: a prospective randomised controlled study. Swiss Med Wkly. 2001 Dec 1;131(45-46):659-62. doi: 10.4414/smw.2001.09805. PubMed 11835115 ↗

Individual participant data

Plan to share: Yes — To evaluate the clinical efficacy of using graduated compression hosiery for venospecific symptoms, leg edema, and quality of life in pregnant women with varicose veins (VV's).

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report, Analytic code

Time frame: 05.2022

Access criteria: To evaluate the clinical efficacy of using graduated compression hosiery for venospecific symptoms, leg edema, and quality of life in pregnant women with varicose veins (VV's).

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 24, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05122195
Lead sponsor
Belarusian State Medical University
Responsible party
Vladimir Khryshchanovich (Professor, Belarusian State Medical University) — Principal investigator
First posted
Nov 16, 2021
Start date
Jun 1, 2021
Primary completion
Nov 15, 2021
Completion
May 1, 2022 (estimated)
Last update
Nov 24, 2021

Study contacts

Vladimir Khryshchanovich
Contact
vladimirkh77@mail.ru
+375296245578
Nicolay Rogovoy, MD
Contact
kolia_med@mail.ru
+375293852753
Vladimir Khryshchanovich
study chair · Educational Institution "Belarusian State Medical University"

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Nov 2021. You cannot join it, but the record below documents what was studied.

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