This multicenter randomized controlled trial evaluates the effect of first-visit foam sclerotherapy (including sub-ulcer foam sclerotherapy) in patients with venous leg ulcer.
To evaluate the effect of first-visit foam sclerotherapy, patients with venous leg ulcers are randomly assigned to either the first-visit foam sclerotherapy group or the scheduled treatment group. The scheduled treatment group represents the current standard of care. The primary outcome of this study is the time to ulcer healing. In addition to the first-visit treatment in the study group, both groups receive endothermal ablation and/or foam sclerotherapy to (further) treat ulcer-related insufficient veins and truncal insufficiency in scheduled treatment visit(s). Class 2 thigh-high compression or the best possible compression therapy tolerated by the patient is provided in both groups. The follow-up period for the primary outcome is one year. For this study, based on Oulu University Hospital's retrospective data (partly published in Pihlaja et al 2020) of venous ulcer healing the investigators assumed Hazard Ratio 1.5 for venous ulcer to heal in first-visit foam sclerotherapy group compared to scheduled treatment group. Assuming drop-out of 10% this study recruits total of 248 patients (a=0.05, b=0.2).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
248
Endothermal ablation is performed to suitable insufficient truncal veins (Great-, Anterior Accessory- and/or Small Saphenous Vein)
Foam sclerotherapy is performed to insufficient veins distal to the truncal superficial veins.
Helsinki University Central Hospital
Helsinki, Finland
RECRUITINGKeski-Suomen keskussairaala
Jyväskylä, Finland
RECRUITINGOulu University Hospital
Oulu, Finland
RECRUITINGTime to ulcer Healing
Complete re-epithelialisation of ulcer area
Time frame: 0-365 days
EQ-5D Questionnaire
Score 0-100 where higher is better
Time frame: 0-365 days
Wound-QOL Questionnaire
Score 0-17 where lower is better
Time frame: 0-365 days
Venous ulcer area
Reduction on venous ulcer maximum diameter
Time frame: 0-365 days
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Turku University Hospital
Turku, Finland
RECRUITINGVaasa Central Hospital
Vaasa, Finland
RECRUITING