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A Comparison of Custom-manufactured vs. Off-the-rack (OTR) Compression Hosiery for Initial Management of Venous Disease

A Prospective Randomized-controlled Trial of Custom-manufactured vs. Off-the-rack (OTR) Compression Hosiery for Initial Management of Venous Disease

Status
Terminated
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03630185
Enrollment
8
Registered
2018-08-14
Start date
2017-04-25
Completion date
2018-11-30
Last updated
2020-02-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Venous Disease

Brief summary

The purpose of this research study is to assess the efficacy of custom-manufactured compression hosiery (also known as compression stockings) compared to similar off-the-rack (OTR) compression stockings.

Interventions

DEVICECustom-manufactured compression hosiery (Isobar)

The custom-fitted garment is manufactured specifically for each patient based on measurements taken with a 3-dimensional volumetric laser scan of the extremity, and can be sized individually to each limb.

DEVICEOff-the-rack stockings (Sigvaris)

Currently available off-the-rack compression hosiery are manufactured in eight fixed sizes (S-XLFC) that cannot be varied in size over their length to accommodate unusual anatomic patterns (eg., small ankle with large calf or vice versa) and may not achieve a comfortable fit that meets the compression goal over a uniform distribution of the limb.

Sponsors

The University of Texas Health Science Center, Houston
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Ability to comprehend and sign an informed consent and complete study questionnaires * Patient is participating in usual work and home activities with no changes anticipated for the duration of the study * The use of compression stocking is prescribed in accordance with the usual practice and management of venous disorders * The patient will confirm they are willing to pay for the compression stockings.

Exclusion criteria

* The patient has a known allergy to any component of the stocking (latex, etc) * The patient has non-venous source of pain in either leg that could, in the opinion of the investigator, confound the results of the study i.e.Neuropathy, Arterial insufficiency, Diabetes * The patient is confined to bed * The patient has uncontrolled Congestive Heart Failure * The patient has acute dermatitis * The patient has weeping dermatosis * Patients with venous ulcers will be excluded.

Design outcomes

Primary

MeasureTime frameDescription
Pain Management Experienced During Their Postoperative Care as Assessed by Five-point Satisfaction Scale6 weeksFive-point satisfaction scale consists of patients rating their overall postoperative pain management experience using a 5-point rating system. The scale ranges from 1 to 5, with 1 being extremely dissatisfied, 2 somewhat dissatisfied, 3 Neutral/Neither satisfied nor dissatisfied, 4 somewhat satisfied and 5 extremely satisfied with their postoperative pain care.
Pain as Assessed by Brief Pain InventoryBaselineThe Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the World Health Organization Collaborating Center for Symptom Evaluation in Cancer Care. The score is an average of seven questions about pain interference in life. The score scale is from 0 to 10. 0 being pain does not interfere and 10 being that it completely interferes. 10 would be a worst outcome.
Overall Estimate of Functioning as Assessed by the SF-12 HRQoL Instrument (Overall HRQoL Estimate)BaselineThe short-form 12 item (SF-12) HRQoL health status instrument measures Health-Related Quality of Life (HRQoL). It produces overall HRQoL estimates as well as sub-scale scores (Physical Component Summary (PCS) and Mental Component Summary (MCS)) that assess both mental/emotional and physical functioning related to health. The scoring scale is from 0 to 100, the higher the score the better the health related quality of life.
Physical Functioning as Assessed by the SF-12 HRQoL Instrument Physical Component Summary (PCS)BaselineThe short-form 12 item (SF-12) HRQoL health status instrument measures Health-Related Quality of Life (HRQoL). It produces overall HRQoL estimates as well as sub-scale scores (Physical Component Summary (PCS) and Mental Component Summary (MCS)) that assess both mental/emotional and physical functioning related to health. The scoring scale is from 0 to 100, the higher the score the better the health related quality of life.
Mental/Emotional Functioning as Assessed by the SF-12 HRQoL Instrument Mental Component Summary (MCS)BaselineThe short-form 12 item (SF-12) HRQoL health status instrument measures Health-Related Quality of Life (HRQoL). It produces overall HRQoL estimates as well as sub-scale scores (Physical Component Summary (PCS) and Mental Component Summary (MCS)) that assess both mental/emotional and physical functioning related to health. The scoring scale is from 0 to 100, the higher the score the better the health related quality of life.

Secondary

MeasureTime frameDescription
Number of Patients Who Will be Progressing to Ablation Therapy6 monthsProgression to ablation therapy will be determined by patient preference for further intervention.

Countries

United States

Participant flow

Participants by arm

ArmCount
Off-the-rack Stockings (Sigvaris)
Currently available off-the-rack compression hosiery are manufactured in eight fixed sizes (S-XLFC) that cannot be varied in size over their length to accommodate unusual anatomic patterns (eg., small ankle with large calf or vice versa) and may not achieve a comfortable fit that meets the compression goal over a uniform distribution of the limb. Off-the-rack stockings (Sigvaris): Currently available off-the-rack compression hosiery are manufactured in eight fixed sizes (S-XLFC) that cannot be varied in size over their length to accommodate unusual anatomic patterns (eg., small ankle with large calf or vice versa) and may not achieve a comfortable fit that meets the compression goal over a uniform distribution of the limb.
4
Custom-manufactured Compression Hosiery (Isobar)
The custom-fitted garment is manufactured specifically for each patient based on measurements taken with a 3-dimensional volumetric laser scan of the extremity, and can be sized individually to each limb. Custom-manufactured compression hosiery (Isobar): The custom-fitted garment is manufactured specifically for each patient based on measurements taken with a 3-dimensional volumetric laser scan of the extremity, and can be sized individually to each limb.
4
Total8

Baseline characteristics

CharacteristicOff-the-rack Stockings (Sigvaris)Custom-manufactured Compression Hosiery (Isobar)Total
Age, Continuous69.0 years
STANDARD_DEVIATION 4.2
58.5 years
STANDARD_DEVIATION 12.5
63.75 years
STANDARD_DEVIATION 8.35
Race/Ethnicity, Customized
African American
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Hispanic
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
White
2 Participants4 Participants6 Participants
Region of Enrollment
United States
4 Participants4 Participants8 Participants
Sex: Female, Male
Female
4 Participants0 Participants4 Participants
Sex: Female, Male
Male
0 Participants4 Participants4 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 40 / 4
other
Total, other adverse events
0 / 40 / 4
serious
Total, serious adverse events
0 / 40 / 4

Outcome results

Primary

Mental/Emotional Functioning as Assessed by the SF-12 HRQoL Instrument Mental Component Summary (MCS)

The short-form 12 item (SF-12) HRQoL health status instrument measures Health-Related Quality of Life (HRQoL). It produces overall HRQoL estimates as well as sub-scale scores (Physical Component Summary (PCS) and Mental Component Summary (MCS)) that assess both mental/emotional and physical functioning related to health. The scoring scale is from 0 to 100, the higher the score the better the health related quality of life.

Time frame: 90 days

Population: This data was not collected for 4 in the Off-the-rack stockings (Sigvaris) arm and 3 in the Custom-manufactured compression hosiery (Isobar) arm.

ArmMeasureValue (MEAN)Dispersion
Custom-manufactured Compression Hosiery (Isobar)Mental/Emotional Functioning as Assessed by the SF-12 HRQoL Instrument Mental Component Summary (MCS)58.8 score on a scaleStandard Deviation 0
Primary

Mental/Emotional Functioning as Assessed by the SF-12 HRQoL Instrument Mental Component Summary (MCS)

The short-form 12 item (SF-12) HRQoL health status instrument measures Health-Related Quality of Life (HRQoL). It produces overall HRQoL estimates as well as sub-scale scores (Physical Component Summary (PCS) and Mental Component Summary (MCS)) that assess both mental/emotional and physical functioning related to health. The scoring scale is from 0 to 100, the higher the score the better the health related quality of life.

Time frame: 30 days

Population: This data was not collected for 3 in the Off-the-rack stockings (Sigvaris) arm and 3 in the Custom-manufactured compression hosiery (Isobar) arm.

ArmMeasureValue (MEAN)Dispersion
Off-the-rack Stockings (Sigvaris)Mental/Emotional Functioning as Assessed by the SF-12 HRQoL Instrument Mental Component Summary (MCS)66.7 score on a scaleStandard Deviation 0
Custom-manufactured Compression Hosiery (Isobar)Mental/Emotional Functioning as Assessed by the SF-12 HRQoL Instrument Mental Component Summary (MCS)48.1 score on a scaleStandard Deviation 0
Primary

Mental/Emotional Functioning as Assessed by the SF-12 HRQoL Instrument Mental Component Summary (MCS)

The short-form 12 item (SF-12) HRQoL health status instrument measures Health-Related Quality of Life (HRQoL). It produces overall HRQoL estimates as well as sub-scale scores (Physical Component Summary (PCS) and Mental Component Summary (MCS)) that assess both mental/emotional and physical functioning related to health. The scoring scale is from 0 to 100, the higher the score the better the health related quality of life.

Time frame: Baseline

Population: This data was not collected for 2 in the Off-the-rack stockings (Sigvaris) arm.

ArmMeasureValue (MEAN)Dispersion
Off-the-rack Stockings (Sigvaris)Mental/Emotional Functioning as Assessed by the SF-12 HRQoL Instrument Mental Component Summary (MCS)39.2 score on a scaleStandard Deviation 10.5
Custom-manufactured Compression Hosiery (Isobar)Mental/Emotional Functioning as Assessed by the SF-12 HRQoL Instrument Mental Component Summary (MCS)54.8 score on a scaleStandard Deviation 10.7
Primary

Mental/Emotional Functioning as Assessed by the SF-12 HRQoL Instrument Mental Component Summary (MCS)

The short-form 12 item (SF-12) HRQoL health status instrument measures Health-Related Quality of Life (HRQoL). It produces overall HRQoL estimates as well as sub-scale scores (Physical Component Summary (PCS) and Mental Component Summary (MCS)) that assess both mental/emotional and physical functioning related to health. The scoring scale is from 0 to 100, the higher the score the better the health related quality of life.

Time frame: 6 months

Population: This data was not collected for any in the Off-the-rack stockings (Sigvaris) arm or any in the Custom-manufactured compression hosiery (Isobar) arm.

Primary

Overall Estimate of Functioning as Assessed by the SF-12 HRQoL Instrument (Overall HRQoL Estimate)

The short-form 12 item (SF-12) HRQoL health status instrument measures Health-Related Quality of Life (HRQoL). It produces overall HRQoL estimates as well as sub-scale scores (Physical Component Summary (PCS) and Mental Component Summary (MCS)) that assess both mental/emotional and physical functioning related to health. The scoring scale is from 0 to 100, the higher the score the better the health related quality of life.

Time frame: 30 days

Population: This data was not collected for 3 in the Off-the-rack stockings (Sigvaris) arm and 3 in the Custom-manufactured compression hosiery (Isobar) arm.

ArmMeasureValue (MEAN)Dispersion
Off-the-rack Stockings (Sigvaris)Overall Estimate of Functioning as Assessed by the SF-12 HRQoL Instrument (Overall HRQoL Estimate)48.3 score on a scaleStandard Deviation 0
Custom-manufactured Compression Hosiery (Isobar)Overall Estimate of Functioning as Assessed by the SF-12 HRQoL Instrument (Overall HRQoL Estimate)44.0 score on a scaleStandard Deviation 0
Primary

Overall Estimate of Functioning as Assessed by the SF-12 HRQoL Instrument (Overall HRQoL Estimate)

The short-form 12 item (SF-12) HRQoL health status instrument measures Health-Related Quality of Life (HRQoL). It produces overall HRQoL estimates as well as sub-scale scores (Physical Component Summary (PCS) and Mental Component Summary (MCS)) that assess both mental/emotional and physical functioning related to health. The scoring scale is from 0 to 100, the higher the score the better the health related quality of life.

Time frame: 90 days

Population: This data was not collected for 4 in the Off-the-rack stockings (Sigvaris) arm and 3 in the Custom-manufactured compression hosiery (Isobar) arm.

ArmMeasureValue (MEAN)Dispersion
Custom-manufactured Compression Hosiery (Isobar)Overall Estimate of Functioning as Assessed by the SF-12 HRQoL Instrument (Overall HRQoL Estimate)47.6 score on a scaleStandard Deviation 0
Primary

Overall Estimate of Functioning as Assessed by the SF-12 HRQoL Instrument (Overall HRQoL Estimate)

The short-form 12 item (SF-12) HRQoL health status instrument measures Health-Related Quality of Life (HRQoL). It produces overall HRQoL estimates as well as sub-scale scores (Physical Component Summary (PCS) and Mental Component Summary (MCS)) that assess both mental/emotional and physical functioning related to health. The scoring scale is from 0 to 100, the higher the score the better the health related quality of life.

Time frame: 6 months

Population: This data was not collected for any in the Off-the-rack stockings (Sigvaris) arm or any in the Custom-manufactured compression hosiery (Isobar) arm.

Primary

Overall Estimate of Functioning as Assessed by the SF-12 HRQoL Instrument (Overall HRQoL Estimate)

The short-form 12 item (SF-12) HRQoL health status instrument measures Health-Related Quality of Life (HRQoL). It produces overall HRQoL estimates as well as sub-scale scores (Physical Component Summary (PCS) and Mental Component Summary (MCS)) that assess both mental/emotional and physical functioning related to health. The scoring scale is from 0 to 100, the higher the score the better the health related quality of life.

Time frame: Baseline

Population: This data was not collected for 2 in the Off-the-rack stockings (Sigvaris) arm.

ArmMeasureValue (MEAN)Dispersion
Off-the-rack Stockings (Sigvaris)Overall Estimate of Functioning as Assessed by the SF-12 HRQoL Instrument (Overall HRQoL Estimate)35.8 score on a scaleStandard Deviation 10
Custom-manufactured Compression Hosiery (Isobar)Overall Estimate of Functioning as Assessed by the SF-12 HRQoL Instrument (Overall HRQoL Estimate)45.8 score on a scaleStandard Deviation 6.8
Primary

Pain as Assessed by Brief Pain Inventory

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the World Health Organization Collaborating Center for Symptom Evaluation in Cancer Care. The score is an average of seven questions about pain interference in life. The score scale is from 0 to 10. 0 being pain does not interfere and 10 being that it completely interferes. 10 would be a worst outcome.

Time frame: Baseline

Population: Data was not collected for this outcome measure.

Primary

Pain as Assessed by Brief Pain Inventory

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the World Health Organization Collaborating Center for Symptom Evaluation in Cancer Care. The score is an average of seven questions about pain interference in life. The score scale is from 0 to 10. 0 being pain does not interfere and 10 being that it completely interferes. 10 would be a worst outcome.

Time frame: 90 days

Population: Data was not collected for this outcome measure.

Primary

Pain as Assessed by Brief Pain Inventory

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the World Health Organization Collaborating Center for Symptom Evaluation in Cancer Care. The score is an average of seven questions about pain interference in life. The score scale is from 0 to 10. 0 being pain does not interfere and 10 being that it completely interferes. 10 would be a worst outcome.

Time frame: 6 months

Population: Data was not collected for this outcome measure.

Primary

Pain as Assessed by Brief Pain Inventory

The Brief Pain Inventory is a medical questionnaire used to measure pain, developed by the Pain Research Group of the World Health Organization Collaborating Center for Symptom Evaluation in Cancer Care. The score is an average of seven questions about pain interference in life. The score scale is from 0 to 10. 0 being pain does not interfere and 10 being that it completely interferes. 10 would be a worst outcome.

Time frame: 6 weeks

Population: Data was not collected for this outcome measure.

Primary

Pain Management Experienced During Their Postoperative Care as Assessed by Five-point Satisfaction Scale

Five-point satisfaction scale consists of patients rating their overall postoperative pain management experience using a 5-point rating system. The scale ranges from 1 to 5, with 1 being extremely dissatisfied, 2 somewhat dissatisfied, 3 Neutral/Neither satisfied nor dissatisfied, 4 somewhat satisfied and 5 extremely satisfied with their postoperative pain care.

Time frame: 6 weeks

Population: Data was not collected for this outcome measure.

Primary

Pain Management Experienced During Their Postoperative Care as Assessed by Five-point Satisfaction Scale

Five-point satisfaction scale consists of patients rating their overall postoperative pain management experience using a 5-point rating system. The scale ranges from 1 to 5, with 1 being extremely dissatisfied, 2 somewhat dissatisfied, 3 Neutral/Neither satisfied nor dissatisfied, 4 somewhat satisfied and 5 extremely satisfied with their postoperative pain care.

Time frame: 90 days

Population: Data was not collected for this outcome measure.

Primary

Pain Management Experienced During Their Postoperative Care as Assessed by Five-point Satisfaction Scale

Five-point satisfaction scale consists of patients rating their overall postoperative pain management experience using a 5-point rating system. The scale ranges from 1 to 5, with 1 being extremely dissatisfied, 2 somewhat dissatisfied, 3 Neutral/Neither satisfied nor dissatisfied, 4 somewhat satisfied and 5 extremely satisfied with their postoperative pain care.

Time frame: 6 months

Population: Data was not collected for this outcome measure.

Primary

Physical Functioning as Assessed by the SF-12 HRQoL Instrument Physical Component Summary (PCS)

The short-form 12 item (SF-12) HRQoL health status instrument measures Health-Related Quality of Life (HRQoL). It produces overall HRQoL estimates as well as sub-scale scores (Physical Component Summary (PCS) and Mental Component Summary (MCS)) that assess both mental/emotional and physical functioning related to health. The scoring scale is from 0 to 100, the higher the score the better the health related quality of life.

Time frame: 6 months

Population: This data was not collected for any in the Off-the-rack stockings (Sigvaris) arm or any in the Custom-manufactured compression hosiery (Isobar) arm.

Primary

Physical Functioning as Assessed by the SF-12 HRQoL Instrument Physical Component Summary (PCS)

The short-form 12 item (SF-12) HRQoL health status instrument measures Health-Related Quality of Life (HRQoL). It produces overall HRQoL estimates as well as sub-scale scores (Physical Component Summary (PCS) and Mental Component Summary (MCS)) that assess both mental/emotional and physical functioning related to health. The scoring scale is from 0 to 100, the higher the score the better the health related quality of life.

Time frame: 90 days

Population: This data was not collected for 4 in the Off-the-rack stockings (Sigvaris) arm and 3 in the Custom-manufactured compression hosiery (Isobar) arm.

ArmMeasureValue (MEAN)Dispersion
Custom-manufactured Compression Hosiery (Isobar)Physical Functioning as Assessed by the SF-12 HRQoL Instrument Physical Component Summary (PCS)36.3 score on a scaleStandard Deviation 0
Primary

Physical Functioning as Assessed by the SF-12 HRQoL Instrument Physical Component Summary (PCS)

The short-form 12 item (SF-12) HRQoL health status instrument measures Health-Related Quality of Life (HRQoL). It produces overall HRQoL estimates as well as sub-scale scores (Physical Component Summary (PCS) and Mental Component Summary (MCS)) that assess both mental/emotional and physical functioning related to health. The scoring scale is from 0 to 100, the higher the score the better the health related quality of life.

Time frame: 30 days

Population: This data was not collected for 3 in the Off-the-rack stockings (Sigvaris) arm and 3 in the Custom-manufactured compression hosiery (Isobar) arm.

ArmMeasureValue (MEAN)Dispersion
Off-the-rack Stockings (Sigvaris)Physical Functioning as Assessed by the SF-12 HRQoL Instrument Physical Component Summary (PCS)29.9 score on a scaleStandard Deviation 0
Custom-manufactured Compression Hosiery (Isobar)Physical Functioning as Assessed by the SF-12 HRQoL Instrument Physical Component Summary (PCS)39.9 score on a scaleStandard Deviation 0
Primary

Physical Functioning as Assessed by the SF-12 HRQoL Instrument Physical Component Summary (PCS)

The short-form 12 item (SF-12) HRQoL health status instrument measures Health-Related Quality of Life (HRQoL). It produces overall HRQoL estimates as well as sub-scale scores (Physical Component Summary (PCS) and Mental Component Summary (MCS)) that assess both mental/emotional and physical functioning related to health. The scoring scale is from 0 to 100, the higher the score the better the health related quality of life.

Time frame: Baseline

Population: This data was not collected for 2 in the Off-the-rack stockings (Sigvaris) arm.

ArmMeasureValue (MEAN)Dispersion
Off-the-rack Stockings (Sigvaris)Physical Functioning as Assessed by the SF-12 HRQoL Instrument Physical Component Summary (PCS)32.5 score on a scaleStandard Deviation 9.5
Custom-manufactured Compression Hosiery (Isobar)Physical Functioning as Assessed by the SF-12 HRQoL Instrument Physical Component Summary (PCS)36.8 score on a scaleStandard Deviation 3.7
Secondary

Number of Patients Who Will be Progressing to Ablation Therapy

Progression to ablation therapy will be determined by patient preference for further intervention.

Time frame: 6 months

Population: Data was not collected for this outcome measure.

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026