title: A multicenter, randomized, placebo-controlled study to evaluate the efficacy and safety of Varithena® (polidocanol endovenous microfoam 1%) for symptomatic, visible varicose veins with saphenofemoral junction incompetence.
abstract: Objectives A randomized, placebo-controlled, multicenter study was conducted to evaluate the safety and efficacy of polidocanol endovenous microfoam (1%, Varithena® [polidocanol injectable foam], BTG International Ltd.). Methods Patients (n = 77) with symptomatic, visible varicose veins were randomized to treatment with either Varithena 1% or placebo. Results Varithena provided greater mean changes from Baseline in patient-reported assessments of symptoms (e.g., heaviness, achiness, swelling, throbbing, itching [HASTI®] score 30.7 points vs 16.7 points, p = 0.0009, primary endpoint; and modified Venous Insufficiency Epidemiological and Economic Study-Quality-of-Life/Symptoms [m-VEINES-QOL/Sym; p < 0.001]), physician-assessed VCSS, and physician- and patient-assessed appearance compared with placebo. The HASTI score correlated highly with the modified-VEINES-QOL/Sym and Chronic Venous Insufficiency Questionnaire-2 scores (r = 0.7 to > 0.9, p ≤ 0.001). Adverse events included contusion, incision-site hematoma, and limb discomfort. Venous thrombus adverse events were reported as mild and generally resolved without sequelae. Conclusions Varithena provided significantly greater symptom relief and improvement in leg appearance compared with placebo. Adverse events were generally mild and transient. ( www.clinicaltrials.gov [NCT00758420]).
authors.affiliation: 1 Lake Washington Vascular Surgeons, Bellevue, WA, USA.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Gibson
authors.affiliation: 2 New York University Langone Medical Center, New York, NY, USA.
authors.forename: Lowell
authors.initials: L
authors.lastname: Kabnick
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005268:Femoral Vein / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D000077423:Polidocanol; D011092:Polyethylene Glycols / Q000008:administration & dosage* / Q000009:adverse effects; D012501:Saphenous Vein / Q000503:physiopathology; D012597:Sclerosing Solutions / Q000008:administration & dosage* / Q000009:adverse effects; D014648:Varicose Veins / Q000503:physiopathology / Q000628:therapy*; D014689:Venous Insufficiency / Q000503:physiopathology / Q000628:therapy*
chemical_list: D012597:Sclerosing Solutions; D000077423:Polidocanol; D011092:Polyethylene Glycols
keywords: Varicose veins; great saphenous vein incompetence; patient-reported outcome measures; patient-reported outcomes; polidocanol; polidocanol injectable foam; saphenofemoral incompetence; saphenous vein; self report