| CTRI Number |
CTRI/2024/09/074440 [Registered on: 26/09/2024] Trial Registered Prospectively |
| Last Modified On: |
24/09/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Other |
|
Public Title of Study
|
Extracorporeal Shockwave Therapy versus Complex Decongestive Therapy in Breast Cancer Related Lymphedema |
|
Scientific Title of Study
|
Effectiveness of Extracorporeal Shockwave Therapy versus Complex Decongestive Therapy in Breast Cancer Related Lymphedema: A Single Blinded Randomized Controlled Trial |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Asmita Shrestha |
| Designation |
Post Graduate Student |
| Affiliation |
KAHER Institute of Physiotherapy |
| Address |
KAHER Institute of Physiotherapy, Department of Oncology Physiotherapy, OPD No 39, Room No 29, Nehru Nagar, Belagavi, Karnataka
Belgaum KARNATAKA 590010 India |
| Phone |
08217820534 |
| Fax |
|
| Email |
asmitashresthapt@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Nikita Pawar |
| Designation |
Assistant Professor |
| Affiliation |
KAHER Institute of Physiotherapy |
| Address |
KAHER Institute of Physiotherapy, Department of Oncology Physiotherapy, OPD No 39, Room No 29, Nehru Nagar, Belagavi, Karnataka
Belgaum KARNATAKA 590010 India |
| Phone |
9731012979 |
| Fax |
|
| Email |
nikitapawar@klekipt.edu.in |
|
Details of Contact Person Public Query
|
| Name |
Nikita Pawar |
| Designation |
Assistant Professor |
| Affiliation |
KAHER Institute of Physiotherapy |
| Address |
KAHER Institute of Physiotherapy, Department of Oncology Physiotherapy, OPD No 39, Room No 29, Nehru Nagar, Belagavi, Karnataka
KARNATAKA 590010 India |
| Phone |
9731012979 |
| Fax |
|
| Email |
nikitapawar@klekipt.edu.in |
|
|
Source of Monetary or Material Support
|
| KLE Academy of Higher Education and Research, Nehru Nagar, Belagavi, Karnataka, India, 590010 |
|
|
Primary Sponsor
|
| Name |
KLE Academy of Higher Education and Research |
| Address |
KAHER Institute of Physiotherapy, Department of Oncology Physiotherapy, OPD No 39, Room No 29, Nehru Nagar, Belagavi, Karnataka, India, 590010 |
| Type of Sponsor |
Private medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Nikita Pawar |
KLEs Dr. Prabhakar Kore Hospital |
KAHER Institute of Physiotherapy, Department of Oncology Physiotherapy, OPD No 39, Room No 29, Nehru Nagar, Belagavi, Karnataka Belgaum KARNATAKA |
9731021979
nikitapawar@klekipt.edu.in |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| KLE Academy of Higher Education and Research |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: D059||Unspecified type of carcinoma in situ of breast, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Complex Decongestive Therapy |
Complex Decongestive Therapy will include Manual Lymphatic drainage, Remedial exercises and Intermittent Pneumatic Compression Therapy. It will be given 3 times a week for 3 weeks |
| Intervention |
Extracorporeal Shockwave Therapy and Remedial Exercises |
Extracorporeal Shockwave Therapy and Remedial exercises will be given three times a week for three weeks |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
85.00 Year(s) |
| Gender |
Female |
| Details |
1. All referred cases of breast cancer patients with lymphedema, aged 18 years and above
2. Lymphedema secondary to breast cancer treatment
3. Unilateral lymphedema |
|
| ExclusionCriteria |
| Details |
1. Metastatic cancer
2. Active leukemia
3. Acute inflammation and infection
4. Severe trauma or disruptive surgery to arm
5. Pregnancy/Breast feeding
6. Previously undergone Complex Decongestive Therapy or any form of physical therapy within 3 months |
|
|
Method of Generating Random Sequence
|
Permuted block randomization, fixed |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Participant Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Arm circumference using measuring tape. Shoulder pain and disability using Shoulder pain and Disability Index |
Pre- Baseline
Post- after 1, 2 and 3 weeks |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Hand grip strength using Dynamometer, Quality of life by using Functional Assessment of Cancer Therapy Breast (FACT-B) and Neuropathic symptoms by using Functional Assessment of Cancer Therapy/Gynaecologic Oncology-Neurotoxicity (FACT-GOG NTx) |
Pre- Baseline
Post- after 1, 2 and 3 weeks |
|
|
Target Sample Size
|
Total Sample Size="22" Sample Size from India="22"
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="22" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
29/10/2024 |
| Date of Study Completion (India) |
24/03/2025 |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Date Missing |
|
Estimated Duration of Trial
|
Years="0" Months="10" Days="0" |
|
Recruitment Status of Trial (Global)
|
Completed |
| Recruitment Status of Trial (India) |
Completed |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
Effectiveness of Extracorporeal Shockwave Therapy Versus Complex Decongestive Therapy in Breast Cancer-Related Lymphedema: A Single-Blinded Randomized Controlled TrialAim of Study: To compare the effectiveness of Extracorporeal Shockwave Therapy Versus Complex Decongestive Therapy for Breast Cancer-Related Lymphedema
Null Hypothesis: There will be no significant difference between the effect of Extracorporeal Shockwave Therapy and Complex Decongestive Therapy in terms of arm circumference, shoulder pain and disability, hand grip strength, quality of life and neuropathic symptoms in particpants with breast cancer related lymphedema.
Alternate hypothesis: There will be significant difference between the effect of Extracorporeal Shockwave Therapy and Complex Decongestive Therapy in terms of arm circumference, shoulder pain and disability, hand grip strength, quality of life and neuropathic symptoms in particpants with breast cancer related lymphedema.
Inclusion Criteria: 1. All referred cases of Breast cancer patients with lymphedema, aged 18 years and above 2. Lymphedema secondary to breast cancer treatment 3. Unilateral lymphedema
Exclusion criteria: 1. Metastatic cancer 2. Active leukemia 3. Acute inflammation and infection 4. Severe trauma or disruptive surgery to arm 5. Pregnancy, Breast feeding 6. Previously undergone CDT or any form of physical therapy within 3 months
A written informed consent will be obtained from the participants. A brief demographic data will be obtained from the subjects prior to assessment. Baseline assessment of the particpants will be done before the intervention. Then the particpants will be divided into two groups i.e. Extracorporeal Shockwave Therapy group (n=11) and Complex Decongestive Therapy group (n=11). Both groups will be treated 3 times a week for 3 weeks and data will be collected and analysed.
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