Lymphedema
Conditions
Brief summary
Breast cancer-related lymphedema is one of the most common and feared consequences of breast cancer treatment. Tacrolimus ointment may prevent lymphedema by inhibition of CD4+T cells.
Interventions
Treatment with tacrolimus ointment once daily for one year following axillary lymph node dissection
Sponsors
Study design
Eligibility
Inclusion criteria
* Female * Breast cancer with planned ALND * postmenopausal or use of contraceptives * good general health condition * read and understand Danish
Exclusion criteria
* Pregnant, breastfeeding it wishing to conceive with the next year * bilateral breast cancer * known allergy to tacrolimus or macrolides * known lymphedema * other malignant disease apart from keratinocyte cancer * in medical treatment for diabetes mellitus * known psychiatric condition which may influence participation * known renal or hepatic function
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Lymphedema | 1 year | Arm size change \>= 10% using water displacement |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Subjective changes assessed using the LYMPH-ICF (Lymphoedema Functioning, Disability and Health) questionaire | 1 year | Subjective change of lymphedema assessed by questionnaire. Range: 0-100. 100 being the most bothered. |
| Subjective changes assessed using DASH (DISABILITIES OF THE ARM, SHOULDER AND HAND) questionaire | 1 year | Subjective change of lymphedema assessed by questionnaire. Range: 1-5. 5 being the most bothered |
| Subjective changes assessed using SF-36 questionnaire (Short form-36) | 1 year | Subjective change of lymphedema assessed by questionnaire. Range: 0-100. 0 being the most bothered |
| Change in L-DEX score using bioimpedance (Odense University Hospital Only). | 1 year | Change in L-DEX score of lymphedema arm derived from bioimpedance. Higher values mean more fluid in the lymphedema arm compared to the healthy arm. |
| Change in lymph drainage. (Odense University Hospital Only). | 1 year | Change in lymph drainage assessed by indocyanine-green lymphangiography |
Countries
Denmark