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Brief Title: Clinical Study With Lymfactin® in the Treatment of Patients With Secondary Lymphedema (AdeLE)
Official Title: Phase 2, Double-Blind, Placebo-Controlled, Randomized Efficacy, Safety and Tolerability Study of Lymfactin in Combination With Surgical Lymph Node Transfer To Patients With Secondary Lymphedema Associated With the Treatment of Breast Cancer
Study ID: NCT03658967
Brief Summary: This study evaluates the efficacy of Lymfactin® in patients with secondary lymphedema associated with the treatment of breast cancer by comparing the effects of active study treatment Lymfactin® to placebo. The study product will be administered in combination with a surgical lymph node transfer operation. In addition, the safety and tolerability of the Lymfactin® treatment will be evaluated.
Detailed Description: This is a Phase II, double-blind, placebo-controlled, multi-centre clinical study, in which 40 patients with breast cancer associated secondary lymphedema will be randomized 1:1 either to Lymfactin® (1 x 10E11 viral particles, vp) or placebo (0.9% physiological saline) group. The study product (Lymfactin® or placebo solution) will be administered as a single dose in a volume of two (2) mL, by ex vivo perinodal injection into the fat pad of a flap of tissue containing lymph nodes from the patient's own abdominal wall or the groin area. This flap of tissue will then be surgically implanted into the axillary region of the affected arm. This treatment with the study product is performed in combination with a surgical lymph node transfer, in conjunction with or without breast reconstruction surgery. Patients will be followed-up for efficacy and safety according to a specified schedule up to 5 years post-treatment.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Töölö Hospital, Department of Plastic Surgery, Helsinki, , Finland
Tampere University Hospital, Department of Plastic Surgery, Tampere, , Finland
Turku University Hospital, Department of Plastic Surgery, Turku, , Finland
Karolinska University Hospital, Department of Reconstructive Plastic Surgery, Stockholm, , Sweden
Uppsala University Hospital, Department of Plastic Surgery, Uppsala, , Sweden
Name: Anne Saarikko, MD, PhD
Affiliation: Helsinki University Central Hospital
Role: PRINCIPAL_INVESTIGATOR
Name: Maria Mani, MD, PhD
Affiliation: Uppsala University Hospital
Role: PRINCIPAL_INVESTIGATOR