Venous Insufficiency and Neuromuscular Stimulation

NCT ID: NCT02137499

Last Updated: 2019-10-25

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-08-31

Study Completion Date

2014-07-31

Brief Summary

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The investigators will be evaluating the immediate and longer term effect of treatment with a medical device on the symptoms of chronic venous disease.

Detailed Description

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STUDY AIMS

1. To obtain ultrasound blood flow and velocity measurements in the leg to compare the hemodynamic profiles obtained using a neuromuscular stimulation device with those obtained at rest.
2. To ascertain if a 6 week protocol of electrical neurostimulation of the muscle pumps in the leg and foot can reduce clinical symptoms and improve quality of life.

METHODS Controlled interventional trial. Group 1 (10 subjects) will be healthy subjects with no clinical venous disease. Subjects with venous incompetence to be recruited into one of three groups. Group 2 (10 subjects) will have superficial venous incompetence; Group 3 (10 subjects) will have deep venous incompetence; Group 4 (10 subjects) will have deep vein occlusion. These will be clinical diagnoses confirmed with duplex ultrasound.

The device used in this study will be the geko™ T-1 device (Firstkind Ltd, UK). A geko™ device will be fitted to each leg. The device stimulation level is set to the minimum level that can achieve the desired response (outward and upward twitching of the foot when raised from the ground).

ENDPOINTS Primary end-point

* Increase in venous flow Secondary end points
* Improvement in clinical symptoms at 6 weeks, as judged by questionnaire
* Reduction in absolute leg diameter and volume at 6 weeks

Conditions

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Chronic Venous Disease Venous Insufficiency Deep Venous Obstruction

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Healthy subjects

Healthy subjects, free from vascular disease

Group Type ACTIVE_COMPARATOR

geko device

Intervention Type DEVICE

Small transcutaneous electrical stimulator. Manufactured in UK by Firstkind UK Ltd, and licensed for use in humans

Superficial venous insufficiency

Clinically symptomatic and ultrasound evidence of superficial venous insufficiency

Group Type EXPERIMENTAL

geko device

Intervention Type DEVICE

Small transcutaneous electrical stimulator. Manufactured in UK by Firstkind UK Ltd, and licensed for use in humans

Deep venous insufficiency

Clinically symptomatic and ultrasound evidence of deep venous insufficiency

Group Type EXPERIMENTAL

geko device

Intervention Type DEVICE

Small transcutaneous electrical stimulator. Manufactured in UK by Firstkind UK Ltd, and licensed for use in humans

Deep venous obstruction

Clinically symptomatic and ultrasound evidence of deep venous obstruction

Group Type EXPERIMENTAL

geko device

Intervention Type DEVICE

Small transcutaneous electrical stimulator. Manufactured in UK by Firstkind UK Ltd, and licensed for use in humans

Interventions

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geko device

Small transcutaneous electrical stimulator. Manufactured in UK by Firstkind UK Ltd, and licensed for use in humans

Intervention Type DEVICE

Eligibility Criteria

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Exclusion Criteria

Group 2


Group 3


Group 4
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Imperial College London

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alun Davies

Role: PRINCIPAL_INVESTIGATOR

Imperial College London

Locations

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Charing Cross Hospital

Hammersmith, London, United Kingdom

Site Status

Countries

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United Kingdom

References

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Williams KJ, Moore HM, Ellis M, Davies AH. Pilot Trial of Neuromuscular Stimulation in Human Subjects with Chronic Venous Disease. Vasc Health Risk Manag. 2021 Dec 1;17:771-778. doi: 10.2147/VHRM.S320883. eCollection 2021.

Reference Type DERIVED
PMID: 34880620 (View on PubMed)

Other Identifiers

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CR02072

Identifier Type: OTHER

Identifier Source: secondary_id

13/WM/0027

Identifier Type: -

Identifier Source: org_study_id

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