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NCT03332160

A Pilot Study to Evaluate the Feasibility and Potential Effectiveness of the Flexitouch System Head and Neck Treatment

Completed NA Results posted Last updated 6 August 2020
What this trial tests

NA trial testing Flexitouch head and neck lymphedema treatment system in Head and Neck Neoplasms in 49 participants. Completed in 31 July 2019.

Timeline
2 January 2018
Primary endpoint
4 June 2019
31 July 2019

Quick facts

Lead sponsorTactile Medical
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment49
Start date2 January 2018
Primary completion4 June 2019
Estimated completion31 July 2019
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Tactile Medical — full company profile →

Who can join

18 and older, any sex, with Head and Neck Neoplasms or Head and Neck Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Fidelity/Adherence Via Subject Diary Primary · From baseline to end of treatment at 8 weeks

Evaluate the feasibility and potential effectiveness of the Flexitouch head and neck garments by monitoring fidelity/adherence using a subject diary. Values represent a count of participants who met the prescribed use criteria by week. The prescribed use was defined as two 30 minute sessions in a day.

Week 1
GroupValue95% CI
Interventional Group5
Interventional Group1
Interventional Group1
Interventional Group2
Week 2
GroupValue95% CI
Interventional Group4
Interventional Group1
Interventional Group0
Interventional Group1
Week 3
GroupValue95% CI
Interventional Group4
Interventional Group0
Interventional Group1
Interventional Group2
Week 4
GroupValue95% CI
Interventional Group3
Interventional Group1
Interventional Group3
Interventional Group2
Week 5
GroupValue95% CI
Interventional Group4
Interventional Group2
Interventional Group2
Interventional Group0
Week 6
GroupValue95% CI
Interventional Group2
Interventional Group2
Interventional Group0
Interventional Group2
Week 7
GroupValue95% CI
Interventional Group3
Interventional Group1
Interventional Group2
Interventional Group3
Week 8
GroupValue95% CI
Interventional Group4
Interventional Group2
Interventional Group3
Interventional Group2
Adverse Events Primary · From baseline to the end of treatment at 8 weeks

Evaluate the feasibility and potential effectiveness of the Flexitouch head and neck garments by monitoring adverse events using the CTCAE (v4.0). Values represent the count of events per adverse events category.

Cardiac disorders
GroupValue95% CI
Wait-list Control Group3
Interventional Group0
Ear and labyrinth disorders
GroupValue95% CI
Wait-list Control Group1
Interventional Group1
Endocrine disorders
GroupValue95% CI
Wait-list Control Group2
Interventional Group2
Eye disorders
GroupValue95% CI
Wait-list Control Group1
Interventional Group0
Gastrointestinal disorders
GroupValue95% CI
Wait-list Control Group3
Interventional Group3
General disorders
GroupValue95% CI
Wait-list Control Group7
Interventional Group2
Immune system disorders
GroupValue95% CI
Wait-list Control Group1
Interventional Group0
Infections and infestations
GroupValue95% CI
Wait-list Control Group7
Interventional Group1
Treatment Satisfaction Primary · From baseline to the end of treatment at 8 weeks

Evaluate the feasibility and potential effectiveness of the Flexitouch head and neck garments by monitoring treatment satisfaction using a satisfaction survey. A survey assessed participants' perceived ability to control their head and neck lymphedema before (at baseline) and after the usage of the Flexitouch at 8 weeks. Values represent a count of participants who indicated good, very good, or excellent.

Baseline (Good, Very Good, or Excellent)
GroupValue95% CI
Interventional Group5
8 Weeks (Good, Very Good, or Excellent)
GroupValue95% CI
Interventional Group16
Reduction in Swelling/Inflammation - Endoscopy Secondary · From baseline to the end of treatment at 8 weeks

The change in percent of sites with visible swelling and inflammation as assessed via endoscopy (using Modified Patterson Scale) from baseline to week 8. The range for each anatomical structure includes 1-4: Normal, Mild, Moderate, and Severe. A lower score means a better outcome. A greater negative value indicates a greater reduction in swelling. Total score range: 0-100%.

GroupValue95% CI
Wait-list Control Group-2.7778-16.6667 – 5.5556
Interventional Group-11.1111-31.3725 – 8.0882
Reduction in Swelling/Inflammation - Cytokine Levels Secondary · From baseline to the end of treatment at 8 weeks

The presence of swelling and inflammation was assessed in all participants via the change in cytokine levels of Interleukin 6 (IL-6) at baseline to week 8. A lower score means a better outcome. A greater negative value indicates a greater reduction in cytokine levels.

GroupValue95% CI
Wait-list Control Group-836.47-8411.52 – 1142.85
Interventional Group-275.68-3772.13 – 4367.30
Reduction in Swelling/Inflammation - Digital Photography Secondary · From baseline to the end of treatment at 8 weeks

The presence of swelling and inflammation was assessed in all participants by digital photography at baseline and 8 weeks. A lower value means a better outcome. A greater negative value indicates a greater reduction in swelling. Three views were scored each with 30 grids. The percentage of views with visible swelling was determined. The score ranged from 0-100%.

Front View Change
GroupValue95% CI
Wait-list Control Group4.924-11.601 – 12.064
Interventional Group-24.308-29.167 – -7.143
Right View Change
GroupValue95% CI
Wait-list Control Group-7.279-13.991 – 2.143
Interventional Group-22.368-27.273 – -14.286
Left View Change
GroupValue95% CI
Wait-list Control Group-4.4466-17.2348 – 6.8062
Interventional Group-16.5217-21.7391 – -2.3810
Reduction in Swelling/Inflammation - Grading of External Lymphedema Secondary · From baseline to the end of treatment at 8 weeks

The presence of swelling and inflammation was assessed in all participants through grading of external lymphedema via the Head and Neck Lymphedema and Fibrosis Assessment criteria (HNLEF) during a physical examination at baseline and 8 weeks. A total of 9 sites were evaluated for the presence of lymphedema and graded from 1 (mild) to 3 (severe) at each site. The number of sites ranged from 0-9 with a total severity score ranging from 0-27. Results are the change in a total score between baseline and 8 weeks. A lower score indicates a better outcome. A greater negative value indicates a greater

GroupValue95% CI
Wait-list Control Group-0.5000-1.0000 – 2.0000
Interventional Group0.0000-6.0000 – 2.0000
Function - Jaw Range of Motion Secondary · From baseline to the end of treatment at 8 weeks

The function was assessed in all participants at baseline and week 8 through the jaw range of motion measurements using the Therabite Jaw ROM Scale. The TheraBite Jaw ROM Scale was used to measure in millimeters the jaw opening of the maximum inter-incisal distance (upper right central to lower right central incisor). The values were categorized by grade change. The change of -1 indicates the severity improved by one grade. A value of zero indicates a participant remained stable. A value of 1 indicates a patient worsened by one grade.

GroupValue95% CI
Wait-list Control Group4
Interventional Group1
Wait-list Control Group18
Interventional Group17
Wait-list Control Group2
Interventional Group1
Function - Neck Disability Index Secondary · From baseline to the end of treatment at 8 weeks

The function was assessed in all participants at baseline and week 8 by the Neck Disability Index (NDI). Values represent a change from baseline. Minimum score: 0 with a minimum disability of 0%. Maximum score: 50 with a maximal disability of 100%. 0 - 20% (minimal) - The patient can cope with most living activities. Usually, no treatment is indicated apart from advice on lifting sitting and exercise. 21 - 40% (moderate) - The patient experiences more pain and difficulty with sitting lifting and standing. Travel and social life are more difficult and they may be disabled from work. The patie

GroupValue95% CI
Wait-list Control Group1.00-4.00 – 9.50
Interventional Group0.00-4.00 – 0.00
Function - Voice Handicap Index Secondary · From baseline to the end of treatment at 8 weeks

The function was assessed in all participants at baseline and week 8 by the Voice Handicap Index (VHI). Values represent a change from baseline. Max / Min Total Score: 0-120. A lower score indicates a better outcome.

GroupValue95% CI
Wait-list Control Group0.50-1.94 – 2.75
Interventional Group0.00-3.00 – 3.00
Function - Cervical and Shoulder Range of Motion Secondary · From baseline to the end of treatment at 8 weeks

The function was assessed in all participants at baseline and week 8 through the cervical range of motion (CROM) and shoulder range of motion (SROM) measurements. A positive value indicates a better outcome. The greater the value, the greater the change from baseline.

CROM Forward Flexion
GroupValue95% CI
Wait-list Control Group-1.00-8.75 – 8.50
Interventional Group-2.00-5.00 – 2.00
CROM Extension
GroupValue95% CI
Wait-list Control Group4.00-5.75 – 12.75
Interventional Group1.00-6.00 – 6.00
CROM Left Lateral Rotation
GroupValue95% CI
Wait-list Control Group-1.00-6.50 – 3.00
Interventional Group-1.00-6.00 – 6.00
CROM Right Lateral Rotation
GroupValue95% CI
Wait-list Control Group-0.50-7.00 – 3.50
Interventional Group1.00-8.00 – 5.00
SROM Forward Flexion (Right Active)
GroupValue95% CI
Wait-list Control Group0.00-3.50 – 6.75
Interventional Group1.50-1.00 – 11.00
SROM Forward Flexion (Left Active)
GroupValue95% CI
Wait-list Control Group-0.75-6.37 – 9.13
Interventional Group7.50-1.50 – 9.50
SROM Abduction (Right Active)
GroupValue95% CI
Wait-list Control Group7.00-9.00 – 17.00
Interventional Group3.000.00 – 13.00
SROM Abduction (Left Active)
GroupValue95% CI
Wait-list Control Group5.50-13.12 – 12.88
Interventional Group5.00-5.50 – 15.00
Symptoms - Vanderbilt Head and Neck Symptom Survey Secondary · From baseline to the end of treatment at 8 weeks

Symptoms were assessed in all participants at baseline and week 8 via the Vanderbilt Head and Neck Symptom Survey plus General Symptom Survey (VHNSS v2.0 plus GSS). Values represent a median score change from baseline. Score range: 0-10. A lower score indicates a better outcome. A more negative value indicates a greater change from baseline. Given this was a self-reported survey, responses were not mandatory and thus missing for some subjects.

Mouth Pain
GroupValue95% CI
Wait-list Control Group0.00-1.29 – 0.50
Interventional Group0.00-1.50 – 0.00
General Pain
GroupValue95% CI
Wait-list Control Group0.67-0.25 – 2.08
Interventional Group0.00-1.33 – 0.00
Swallowing Solids
GroupValue95% CI
Wait-list Control Group-0.06-1.12 – 0.73
Interventional Group-0.25-2.25 – 0.00
Swallowing Liquids
GroupValue95% CI
Wait-list Control Group0.00-1.00 – 1.00
Interventional Group0.00-.12 – 0.00
Nutrition
GroupValue95% CI
Wait-list Control Group0.00-0.94 – 1.13
Interventional Group0.00-1.00 – 0.25
Mucous
GroupValue95% CI
Wait-list Control Group-0.12-0.75 – 0.69
Interventional Group-0.50-1.75 – 0.00
Dry Mouth
GroupValue95% CI
Wait-list Control Group0.20-0.55 – 0.90
Interventional Group0.00-0.20 – 0.40
Taste/Smell
GroupValue95% CI
Wait-list Control Group-0.25-1.83 – 0.71
Interventional Group-0.17-1.42 – 0.45

Adverse events — posted to ClinicalTrials.gov

Time frame: 8 weeks; and an additional 8 weeks for the Wait-List Control participants who participated in the optional follow-up period.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Wait-list Control Group
Serious: 2/24 (8%)
Deaths: 1/24
Interventional Group
Serious: 2/19 (11%)
Deaths: 0/19

Serious adverse events (4 terms)

ReactionSystemWait-list Control GroupInterventional Group
CellulitisInfections and infestations
HyponatremiaMetabolism and nutrition disorders
StrokeNervous system disorders
Sudden death NOSGeneral disorders
Other adverse events (42 terms — click to expand)

ReactionSystemWait-list Control GroupInterventional Group
PainGeneral disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
Postnasal dripRespiratory, thoracic and mediastinal disorders
Surgical and medical procedures - Other, specifySurgical and medical procedures
HypothyroidismEndocrine disorders
Upper respiratory infectionInfections and infestations
HeadacheNervous system disorders
Peripheral sensory neuropathyNervous system disorders
DepressionPsychiatric disorders
PruritusSkin and subcutaneous tissue disorders
Skin infectionSkin and subcutaneous tissue disorders
Chest Pain - CardiacCardiac disorders
HypertensionCardiac disorders
Hearing impairedEar and labyrinth disorders
Corneal ulcerEye disorders
DiarrheaGastrointestinal disorders
FlatulenceGastrointestinal disorders
Gastroesophageal reflux diseaseGastrointestinal disorders
AphoniaGeneral disorders
General disorders and administration site conditions - other specifyGeneral disorders
Neck painGeneral disorders
Oral painGeneral disorders
Allergic reactionImmune system disorders
Bladder infectionInfections and infestations
Eye infectionInfections and infestations
Middle ear inflammationInfections and infestations
PneumonitisInfections and infestations
Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other, specifyNeoplasms benign, malignant and unspecified (incl cysts and polyps)
DizzinessNervous system disorders
MyelitisNervous system disorders
SpasiticityNervous system disorders
Skin and subcutaneous tissue disorders - Other, specifySkin and subcutaneous tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
HoarsenessRespiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other, specifyRespiratory, thoracic and mediastinal disorders
WheezingRespiratory, thoracic and mediastinal disorders
HyperthyroidismEndocrine disorders
Gastrointestinal fistulaGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
PresyncopeNervous system disorders

Most-reported serious reactions: Cellulitis, Hyponatremia, Stroke, Sudden death NOS.

Data from ClinicalTrials.gov NCT03332160 adverse events section.

Sponsor's own description

The study will evaluate the feasibility and potential effectiveness of the Flexitouch head and neck treatment plus standard home care compared to standard home care regimen alone.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Advanced pneumatic compression for treatment of lymphedema of the head and neck: a randomized wait-list controlled trial.
    Ridner SH, Dietrich MS, Deng J, Ettema SL, et al · · 2021 · cited 23× · PMID 32488435 · DOI 10.1007/s00520-020-05540-8
  2. Implications and Emerging Therapeutic Avenues of Inflammatory Response in HPV+ Head and Neck Squamous Cell Carcinoma.
    Castellano LRC, Cruz SBSC, Hier M, Bonan PRF, et al · · 2022 · cited 6× · PMID 36358823 · DOI 10.3390/cancers14215406

Verify or expand the search:

Other recruiting trials for Head and Neck Neoplasms

Currently open trials in the same condition.

Other Tactile Medical trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03332160.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing