About this trial
This research study is a Pilot Study examining the use of a compression sleeve with embedded sensor to prevent lymphedema.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Eligible participants will be female, >/= 18 years, who underwent BC surgery for invasive or in-situ carcinoma with unilateral axillary lymph node dissection (ALND) (with or without contralateral prophylactic SLNB). Because of the extremely low incidence of BC in children and males, only female participants over the age of 18 will be included.
Eligible participants will demonstrate low volume swelling (RVC 5-<10%) >/=12 weeks postoperatively
Eligible participants will read and comprehend English, with the ability to understand and the willingness to sign a written consent document.
Most patients treated for breast cancer will have undergone SLNB for axillary staging, and are therefore at lower risk for BCRL, compared to patients with ALND and/or regional lymph node radiation (RLNR). We have chosen to include only patients at high risk of BCRL, i.e., those who have undergone ALND, and we will not be including those who are at low BCRL risk, i.e., had only SLNB for axillary staging on the side of BC.
Disqualifiers
Participants who have bilateral BC (ie. contralateral staging SLNB or ALND) will not be eligible due to the need of a contralateral control arm for the RVC equation.
Participants will not be eligible if they have been diagnosed and/or treated for BCRL.
Participants will not be eligible if they have metastases that may cause BCRL. Participants with metastatic disease will be excluded.
Participants with implanted cardiac devices and those who are pregnant will be excluded from the Sozo measurement component of the study.
Trial design
Single group
Treatments tested in this trial
Juzo Compression Sleeve and Glove
DeviceElasticized garment sized for arm and hand to create pressure to reduce swelling
Compression Sleeve Sensor
DeviceSmall device embedded within compression sleeve garment collecting usage information
Treatment groups
Trial outcomes
Primary outcomes
Arm Volume
Primary objective is efficacy of compression intervention to change rate of progression from low volume swelling (LVS) (relative volume change (RVC) 5-\<10%) to breast cancer-related lymphedema (BCRL) (RVC \>/=10%). Measurement of effect of the compression intervention will be completed with arm volume measurements using perometry (infrared optical electronic scanner) .
Secondary outcomes
Sensor Accuracy
Accuracy will be defined as sensor-detected wear within ±4.17% of true wear
Adherence rate to compression
Percentage of participants who wear the garment for \>/=50% of the instructed time (\>/=6 of 12 instructed hours per calendar day), \>57% of calendar days (\>/=4 days per week),
Questionnaire Completion
Percentage of participants who complete Breast Cancer and Lymphedema Symptom Experience Index and Functional Assessment of Cancer Therapy-- Breast Cancer questionnaires at each study visit per study protocol.
Sponsors and contacts
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Massachusetts General Hospital
Lead sponsor
Heinz Family Foundation
Collaborator
Adele McKinnon Research Fund for Breast Cancer-Related Lymphedema
Collaborator
Olayan-Xefos Family Fund for Breast Cancer Research
Collaborator
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