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Not yet recruitingNCT07196319Updated Oct 3, 2025

"Incidence of Compensatory Hyperhidrosis After T3 Vs T3-4 Sympathectomy"

An observational study in Compensatory Hyperhidrosis and Compensatory Sweating, sponsored by Assiut University. Not yet recruiting. Open to participants aged 6 Years and older. Per ClinicalTrials.gov, last updated 2025-10-03.

Sponsored by Assiut University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
46
Ages
6 Years and older
Sex
All
01

Study summary

The goal of this study is to compare the proportion of compensatory hyperhidrosis patients after sympathectomy at T3 level and sympathectomy at T3-4 level. The main question it aims to answer is:

can sympathectomyv at one level decrease the incidence of compensatory hyperhidrosis after primary hyperhidrosis.

Read the detailed description

Primary hyperhidrosis is a chronic condition characterized by excessive sweating beyond physiological needs, commonly affecting the palms, axillae, face, or soles. This disorder is largely attributed to neurogenic hyperexcitability within the sympathetic nervous system's pathways innervating the eccrine sweat glands.When conservative treatments such as topical agents or oral medications fail, endoscopic thoracic sympathectomy (ETS) is considered an effective surgical option. However, a major postoperative complication is compensatory hyperhidrosis (CH)-the development of excessive sweating in previously unaffected areas such as the trunk, back, or thighs. CH can significantly impact patient satisfaction and quality of life, often becoming more distressing than the original condition.

The extent and level of sympathectomy have been proposed as key factors influencing the incidence and severity of CH. While higher levels or multilevel resections (e.g., T2-4) are associated with increased rates of CH, more limited approaches such as T3-only resection are thought to reduce this risk. However, definitive evidence comparing T3 versus T3-4 sympathectomy remains limited and inconsistent across studies.

This study aims to compare the incidence and severity of compensatory hyperhidrosis following T3 versus T3-4 sympathectomy for primary hyperhidrosis. Understanding these differences may help refine surgical approaches to minimize CH and improve patient outcomes.

02

Conditions studied

  • Compensatory Hyperhidrosis
  • Compensatory Sweating

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Keywords

  • compensatory
  • hyperhidrosis
  • sympathectomy
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In context

Hyperhidrosis

111 studies on the registry are indexed under Hyperhidrosis; 10 are open to participants now.

Browse Hyperhidrosis studies →

Lead sponsor

Assiut University is the lead sponsor of 5,078 studies on the registry; 2,178 are open to participants now.

Of its 14 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

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Who can participate

Ages eligible
6 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

population of study are patients with primary hyperhidrosis who are going through T3 or T3-4 sympathectomy.

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

  • Patients diagnosed with primary hyperhidrosis
  • Patients with palmar and\or axillary hyperhidrosis.
  • Age ≥ 6 years

Exclusion criteria

Exclusion Criteria:

  • History of Prior thoracic surgery.
  • History of prior disorder that cause hyperhidrosis ( obesity,autonomic neuropathy,menopause,gout,etc…)
  • History of prior systemic diseases cause hyperhidrosis (hyperthyroidism,DM,pheochromocytoma,Parkinson's disease,etc…)
  • Patients with psychological problems.
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
46 participants (estimated)
Target follow-up
2 Years
Patient registry
Yes

Groups and cohorts

  • T3 sympathectomy

    patients who underwent T3 sympathectomy for primary hyperhidrosis

  • T3-4 sympathectomy

    patients who underwent through T3-4 sympathectomy for primary hyperhidrosis

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What researchers measure

Primary outcomes

  1. To compare the incidence of compensatory hyperhidrosis following T3 versus T3-4 sympathectomy.

    Time frame: 1 year post-sympathectomy

Secondary outcomes

  1. severity of Compensatory hyperhidrosis by hyperhidrosis disease severity scale

    1. The sweating is never noticeable and doesn't interfere with daily activities. 2. The sweating is tolerable but sometimes interferes with daily activities. 3. The sweating is barely tolerable and frequently interferes with daily activities. 4. The sweating is intolerable and always interferes with daily activities.

    Time frame: 1 year post sympathectomy

  2. recurrence rates of primary hyperhidrosis

    Time frame: 1 year post sympathectomy

  3. site of compensatory hyperhidrosis

    Time frame: 1year post sympathectomy

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009 Nov;41(4):1149-60. doi: 10.3758/BRM.41.4.1149. PubMed 19897823 ↗
  • Strutton DR, Kowalski JW, Glaser DA, Stang PE. US prevalence of hyperhidrosis and impact on individuals with axillary hyperhidrosis: results from a national survey. J Am Acad Dermatol. 2004 Aug;51(2):241-8. doi: 10.1016/j.jaad.2003.12.040. PubMed 15280843 ↗
  • 4. Lin TS, et al. Clinical experience of thoracoscopic sympathetic block for primary hyperhidrosis: analysis of 3450 cases. J Thorac Cardiovasc Surg. 2001;121(3):566-74.
  • 3. Hussein AF, et al. Unilevel (T3) versus Bilevel (T3 - T4) Sympathictomy in the Management of Palmar Hyperhidrosis: A Prospective Comparative Study. Clinics (Sao Paulo). 2024.
  • 2. Liu X, Wang J, Liu Z, Sun X, Zheng J. Comparison of only T3 and T3-T4 sympathectomy for axillary hyperhidrosis: a retrospective study. J Thorac Dis. 2018;10(4):2095-101.
  • Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 May;39(2):175-91. doi: 10.3758/bf03193146. PubMed 17695343 ↗
  • Licht PB, Pilegaard HK. Severity of compensatory sweating after thoracoscopic sympathectomy. Ann Thorac Surg. 2004 Aug;78(2):427-31. doi: 10.1016/j.athoracsur.2004.02.087. PubMed 15276490 ↗
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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Nov 2025; primary completion for Oct 2027, 23 months later.

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

Registered
Sep 13, 2025
First posted
Sep 29, 2025
StartEst.
Nov 15, 2025
Primary completionEst.
Oct 20, 2027
CompletionEst.
Oct 25, 2028
Last update
Oct 3, 2025
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 Oct 3, 2025, 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
NCT07196319
Lead sponsor
Assiut University
Responsible party
Mohamed Ahmed Abdelmoneim Ahmed (principal investigator, Assiut University) — Principal investigator
First posted
Sep 29, 2025
Start date
Nov 15, 2025 (estimated)
Primary completion
Oct 20, 2027 (estimated)
Completion
Oct 25, 2028 (estimated)
Last update
Oct 3, 2025

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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