ClinicalTrials.gg
RecruitingNCT05266157UroLymphUpdated Jun 28, 2024

Lymphoedema and Nocturia/ Nocturnal Polyuria After Pelvic Lymph Node Dissection for Urogenital Cancer

An interventional study of Manual lymph drainage and Usual care in Lower Limb Lymphedema and Urogenital Cancer, sponsored by Universitaire Ziekenhuizen KU Leuven. Recruiting at 1 site in Belgium. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-06-28.

Sponsored by Universitaire Ziekenhuizen KU Leuven · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Sep 2024, 2 years 2 months ago, but the record still lists the study as recruiting.
  • Started Jan 2022; still recruiting 4 years 9 months later.

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Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 12 studies in Urogenital Neoplasms with a site in Belgium — 6 open to participants now, 7 under way, 1 of them phase 3. Urogenital Neoplasms · Belgium.

Started
2022
with 4 others
No phase
3 of 12
2 open now
Registered
6th of 12
by date
Lead sponsor
2 of 12
Universitaire Ziekenhuizen KU Leuven

Among the 12 studies in Urogenital Neoplasms with a site in Belgium, this one is one of 5 that started in 2022, is one of 3 with no phase, and was the 6th registered.

Urogenital Neoplasms

173 studies on the registry are indexed under Urogenital Neoplasms; 47 are open to participants now.

Browse Urogenital Neoplasms studies →

Open to participants now

6 of the 12 studies in Urogenital Neoplasms with a site in Belgium are open now. Recruiting first, the newest first:

All 6 open studies →

A study can be open while its sites in Belgium have not opened yet or have stopped. Only those recruiting at a site in Belgium →

Who these studies take

Of the 45 Urogenital Neoplasms studies recruiting now, 37 (82%) set no upper age limit and 6 (13%) stop at 75 or younger; 2 take children under 18; 2 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

After the treatment of urogenital cancer, a person may develop lymphoedema of the leg(s) and/ or midline region. Lymphoedema is the result of a dysfunction in the lymphatic system and is characterized by excessive retention of lymphatic fluid in the interstitial compartment, adipose deposition and chronic tissue inflammation resulting in fibrosis. Clinical symptoms include abnormal tissue swelling, sensation of limb heaviness, erythema, pain, and impaired limb function.

The added value of manual lymph drainage, applied in patients with mild (early) lower limb lymphoedema and in addition to skin care, exercises and a compression stocking, has never been investigated.

Therefore, the objective of this randomised controlled pilot trial is to investigate the feasibility of a trial about the added value of manual lymph drainage (to skin care, exercises and wearing compression stocking) in patients with mild (early) lower limb lymphoedema. In fact, the investigators want to determine the sample size for a trial investigating the effectiveness of MLD and want to investigate the feasibility of the study design.

03

Conditions studied

  • Lower Limb Lymphedema
  • Urogenital Cancer

Browse trials for

Keywords

  • manual lymph drainage
04

Who can participate

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

Eligibility criteria

Inclusion Criteria:

  • Patients included in the prospective observational study and developing lymphoedema within the first year after surgery
  • Before inclusion, written must be given according to ICH/GCP, and national/local regulations.

Inclusion criteria of the prospective observational study were:

  • Non- urogenital cancer (i.e. prostate cancer or bladder cancer)
  • Pelvic lymph node dissection

Exclusion Criteria: same as for the prospective observational study:

  • Radiological evidence of metastatic disease based on pelvic CT/MRI and bone scan
  • Clinical signs of chronic venous insufficiency
Terms in these criteria, in plain language(2)

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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
30 participants (estimated)

Study arms

  • Active comparator
    Usual care

    Skin care, exercise and compression stocking: The patient has to wear custom-made compression thigh stocking(s) in case of unilateral/ bilateral swelling of the leg and has to wear a bermuda in case of swelling of the midline region. The patient continues the skin care and continues/ restarts exercise therapy with the home physical therapist 2 times a week. Frequency of exercises is gradually decreased: M1-3 2x/w, M4-6 1x/w, M7-9 1x/M; M10-12 only self-exercises.

    Other: Usual care

  • Experimental
    Additional manual lymph drainage

    Usual care + manual lymph drainage. Manual lymph drainage is performed by the home physical therapist. Every session lasts for 30 minutes. Frequency of manual lymph drainage is gradually decreased: M1-3 2x/w, M4-6 1x/w, M7-9 1x/M; M10-12 only self-MLD.

    Other: Manual lymph drainage · Other: Usual care

Interventions

  • OtherManual lymph drainage

    Manual lymph drainage

  • OtherUsual care

    skin care, exercise and compression stocking

06

What researchers measure

Primary outcomes

  1. Change of lymphoedema-specific quality of life

    Lymphoedema-specific quality of life will be evaluated using the Lymph-ICL-LL questionnaire: The Lymph-ICF-LL is a descriptive, evaluative tool containing 28 questions about impairments in function, activity limitations, and participation restrictions in patients with lower limb lymphoedema. The questionnaire has 5 domains: physical function, mental function, general tasks/household activities, mobility activities, and life domains/social life.

    Time frame: Baseline-3-6-12 months

  2. Change of volume of the lower limb

    Volume measurements will be done at midline, leg and foot. Volume midline: circumference at the level of the hip and distance navel - pubic bone, with tapeline. Volume leg: circumference measurements in sitting position, with knee extension, foot supported by chair; reference point is the upper border of the patella and every 4cm up to the groin and to the ankle, with perimeter Volume foot: figure of 8 method: in sitting position, with knee extension, foot supported by chair and relaxed; with tapeline; make the figure 8 between the distal part of medial and lateral malleolus and the proximal border of metatarsal I and V

    Time frame: Baseline-3-6-12 months

  3. Change of health-related quality of life

    Health-related quality of life will be assessed with the EuroQol EQ-5D-5L (questionnaire). The EQ-5D, developed by the EuroQol Group, is a generic HRQoL instrument commonly used for indirect utility measurement. It is a descriptive system for health states, encompassing 5 dimensions of health (mobility, self-care, usual activities, pain/discomfort and anxiety/depression), combined with a visual analogue scale ranging from "worst imaginable health state" to "best imaginable health state". Each health dimension has 5 levels of severity (EQ-5D-5L;5L: no problems, slight problems, moderate problems, severe problems,extreme problems /unable to). Each EQ-5D health state is labelled by a code, e.g. 21531, where each digit represents the severity level of a dimension. By convention, the order of dimensions is mobility, self-care, usual activities, pain/discomfort and anxiety/depression.

    Time frame: Baseline-3-6-12 months

  4. Change of physical activity level

    Physical activity will be assessed with the International Physical Activity Questionnaire (IPAQ). The IPAQ is a 27-item self-reported measure of physical activity for use with individual adult patients aged 15 to 69 years old.

    Time frame: Baseline-3-6-12 months

  5. Change of water content at the level of the legs/ midline region

    Water content in the leg and midline region will be measured using the MoistureMeterD Compact.

    Time frame: Baseline-3-6-12 months

  6. Change of extracellular fluid at the level of the legs/ midline region

    Extracellular fluid in the lower limb will be measured with bio-impedance spectroscopy.

    Time frame: Baseline-3-6-12 months

  7. Change of body weight

    Body weight will be measured with an electronic balance

    Time frame: Baseline-3-6-12 months

  8. Infection rate

    Number of infection episodes during the previous 6 months is questioned

    Time frame: Baseline-6-12 months

  9. Feasibility of the trial: number of patients accepting to participate

    Number of patients accepting to participate in the randomized controlled pilot trial

    Time frame: 12 months

  10. Feasibility of the trial: information about the intervention

    If the participant is randomised to the intervention group with manual lymph drainage, information is collected regarding the type of lymph drainage, the number of sessions and the duration of one session.

    Time frame: 12 months

  11. Feasibility of the trial: registration of difficulties

    Difficulties concerning the intervention will be registered

    Time frame: 12 months

  12. Feasibility of the trial: Number of drop-outs in each group

    The number of drop-outs in both the experimental as the control group

    Time frame: 12 months

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jan 2022 (actual). Primary completion is estimated for Sep 2024, 31 months after the start.

Of 23 interventional studies with no phase under Urogenital Neoplasms, half reached primary completion within 41 months of starting (the median), counting those still running; a quarter within 20. This study's planned 31 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 17, 2022
First posted
Mar 4, 2022
StartActual
Jan 21, 2022
Primary completionEst.
Sep 1, 2024
CompletionEst.
Sep 1, 2024
Last update
Jun 28, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 28, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05266157
Responsible party
Sponsor
First posted
Mar 4, 2022
Start date
Jan 21, 2022
Primary completion
Sep 1, 2024 (estimated)
Completion
Sep 1, 2024 (estimated)
Last update
Jun 28, 2024

Study contacts

Nele Devoogdt, Prof. Dr.
Contact
nele.devoogdt@uzleuven.be
+3216342515
Charlotte Van Calster, MSc.
Contact
charlotte.vancalster@kuleuven.be
Nele Devoogdt, Prof. Dr.
principal investigator · Universitaire Ziekenhuizen KU Leuven

Oversight

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

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