Perioral fibrosis of systemic sclerosis (scleroderma) Musculoskeletal Diseases Perioral fibrosis of systemic sclerosis (scleroderma)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age >18 < 90 years 2. Limited or diffused forms of systemic sclerosis in the established phase of the disease 3. Clinically relevant impact on facial function 4. Willing and able to provide written informed consent
Exclusion criteria
Exclusion criteria: 1. Body mass index <18.5 2. Pregnant 3. Not fit for a general anaesthetic as per heart and lung function. 4. Any active infection which precludes fat harvest or injection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The Mouth Handicap in Systemic Sclerosis Scale (MHISS) to measure the outcome of autologous fat transfer for treating perioral fibrosis of systemic sclerosis, measured at each visit then post-intervention at 6 weeks, 3 months and 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Feasibility of running a full trial: 1. Estimate recruitment rate required for the main trial. 2. Estimate attrition rate required for main trial. 3. Willingness of participants to be randomised 4. Feasibility of obtaining patient-reported outcomes via psychological and quality of life questionnaires; Visual Analogue Scale (VAS) Derriford Appearance Scale (DAS24), Brief Fear of Negative Evaluation Scale (BFNE), Hospital Anxiety and Depression Scale (HADS), EuroQol (EQ-5D-5L) 5. Feasibility of determining cost-effectiveness in main trial, by quality-adjusted life-years calculated from the EQ-5D-5L, and costs to the NHS according to health care service use questionnaires. 6. Acceptability of a range of qualitative and quantitative outcome measures (inter dental and mouth aperture measurements, cutometry, durometry, thermography, ultrasound, handheld visual capillary microscope (HVC). | — |
Countries
United Kingdom