Page last updated: 2024-10-29

ketoprofen and Lymphedema

ketoprofen has been researched along with Lymphedema in 3 studies

Ketoprofen: An IBUPROFEN-type anti-inflammatory analgesic and antipyretic. It is used in the treatment of rheumatoid arthritis and osteoarthritis.
ketoprofen : An oxo monocarboxylic acid that consists of propionic acid substituted by a 3-benzoylphenyl group at position 2.

Lymphedema: Edema due to obstruction of lymph vessels or disorders of the lymph nodes.

Research Excerpts

ExcerptRelevanceReference
" Patients with either primary or secondary lymphedema received ketoprofen 75 mg by mouth 3 times daily for 4 months."5.27Pilot studies demonstrate the potential benefits of antiinflammatory therapy in human lymphedema. ( Haddad, F; Jiang, X; Kim, J; Kuznetsova, T; Mehrara, B; Nicolls, MR; Roche, L; Rockson, SG; Sampson, JP; Tian, W; Zampell, J, 2018)
" To assess the therapeutic efficacy of systemic anti-inflammatory therapy in this disease, we examined the impact of a nonsteroidal anti-inflammatory drug (NSAID), ketoprofen, and of a soluble TNF-alpha receptor (sTNF-R1) upon tumor necrosis factor (TNF)-alpha activity in a mouse model of acquired lymphedema."3.75Anti-inflammatory pharmacotherapy with ketoprofen ameliorates experimental lymphatic vascular insufficiency in mice. ( Nakamura, K; Radhakrishnan, K; Rockson, SG; Wong, YM, 2009)
"Acquired lymphedema is a cancer sequela and a global health problem currently lacking pharmacologic therapy."1.46Leukotriene B ( Begaye, A; Cribb, M; Dhillon, GS; Dixon, JB; Feroze, AH; Jiang, X; Kim, J; Kitajewski, J; Nepiyushchikh, Z; Nicolls, MR; Peters-Golden, M; Rockson, SG; Shuffle, EM; Tian, W; Tu, AB; Voelkel, NF; Zamanian, RT, 2017)

Research

Studies (3)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's1 (33.33)29.6817
2010's2 (66.67)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Tian, W2
Rockson, SG3
Jiang, X2
Kim, J2
Begaye, A1
Shuffle, EM1
Tu, AB1
Cribb, M1
Nepiyushchikh, Z1
Feroze, AH1
Zamanian, RT1
Dhillon, GS1
Voelkel, NF1
Peters-Golden, M1
Kitajewski, J1
Dixon, JB1
Nicolls, MR2
Kuznetsova, T1
Haddad, F1
Zampell, J1
Mehrara, B1
Sampson, JP1
Roche, L1
Nakamura, K1
Radhakrishnan, K1
Wong, YM1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Characterization of Treatment Responses in Lymphedema[NCT03783715]2 participants (Actual)Observational2019-06-21Terminated (stopped due to Study was halted due to Covid-19 pandemic and unavailability of ketoprofen.)
Multi Center Lymphedema Treatment Registry (LET) Study[NCT04272372]60 participants (Anticipated)Observational [Patient Registry]2023-10-31Not yet recruiting
Placebo-controlled, Case-controlled, Open Label Therapeutic Trial for Unilateral or Bilateral Lymphedema of Arm or Leg.[NCT02257970]Phase 4117 participants (Actual)Interventional2009-03-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Part 1: Count of Participants Able to Complete Ketoprofen Treatment

Participants who were able to complete ketoprofen treatment and experienced no treatment-related serious adverse events. (NCT02257970)
Timeframe: Baseline to month 6

InterventionParticipants (Count of Participants)
Part 1: Exploratory Group50

Part 2: Change From Baseline in Cutaneous Histological Architecture

Quantitative assessment of paired histological specimens of lymphedema skin pre- and post-treatment with ketoprofen. The impact of treatment on cutaneous histopathology was evaluated through the use of an empirically-derived scoring system (comprised of dermal thickness, intercellular mucin content, deep dermal collagen content, and perivascular infiltrate); this quantitative assessment was developed and performed by a dermatopathologist. Each characteristic was weighted equally and each specimen was assigned a cumulative subscale score of 0-5. The scores were summed for a total score (range: 0-20) which is presented here. Higher scores indicate a higher degree of pathology. A quantitatively higher negative change indicates a more favorable therapeutic response in the histology. (NCT02257970)
Timeframe: Baseline; Month 4

,
Interventionscore on a scale (Mean)
BaselineMonth 4
Part 2: Open-label Group6.1252.688
Part 2: Unaffected Tissue Samples0.80.6

Part 2: Measurement of Skin Thickness

Caliper measured skin thickness (mm) of lymphedema-affected limb was serially assessed and pre-to-post paired analysis was performed. (NCT02257970)
Timeframe: Baseline and 4 months

Interventionmm (Mean)
BaselineMonth 4
Part 2: Open-label Group6227

Part 2/Part 3: Change From Baseline in Bioimpedance Spectroscopy

A four-electrode configuration was used to non-invasively assess the extracellular and intracellular fluid contents of the limb. Data were analyzed according to Cole theory, using the manufacturer's software (Impedimed Ltd.), to provide values for a bioimpedance ratio (Ro), the resistance of the extracellular fluid including lymph, R∞ the resistance of total tissue fluid and Ri, the resistance of the intracellular fluid. For the purposes of these investigations, in patients with unilateral lymphedema, the ratio of Ro in the affected:unaffected limbs was analyzed in each patient, as a measure of the bioimpedance attributable to the extracellular fluid content. An Ro level of 1.034 was considered normal; values ≥1.034 were considered abnormal. (NCT02257970)
Timeframe: Baseline; 4 months

,,
Interventionratio of Ro values (Mean)
BaselineMonth 4
Part 2: Open-label Group1.51.6
Part 3: Ketoprofen Group1.41.4
Part 3: Placebo Group1.51.5

Part 2/Part 3: Change in Limb Volume

Quantitative assessment of limb volume (ml) of the affected limb at study end compared to pre-treatment values. (NCT02257970)
Timeframe: Baseline; 4 months

,,
Interventionml (Mean)
BaselineMonth 4
Part 2: Open-label Group98669465
Part 3: Ketoprofen Group85988675
Part 3: Placebo Group71967256

Part 3: Change From Baseline in Cutaneous Histological Architecture

Quantitative assessment of paired histological specimens of lymphedema skin pre- and post-treatment with ketoprofen or placebo, respectively. The impact of treatment on cutaneous histopathology was evaluated through the use of an empirically-derived scoring system (comprised of dermal thickness, intercellular mucin content, deep dermal collagen content, and perivascular infiltrate); this quantitative assessment was developed and performed by a dermatopathologist. Each characteristic was weighted equally and each specimen was assigned a cumulative subscale score of 0-5. The scores were summed for a total score (range: 0-20) which is presented here. Higher scores indicate a higher degree of pathology. For the analysis, the 4-month post-minus-pre change in this score for ketoprofen- and placebo-recipients, respectively, was compared. A quantitatively higher negative change indicates a more favorable therapeutic response in the histology. (NCT02257970)
Timeframe: Baseline; 4 months

,,
Interventionscore on a scale (Mean)
BaselineMonth 4
Part 3 Placebo2.71.0
Part 3: Ketoprofen Group4.11.18
Part 3: Unaffected Tissue Samples0.80.6

Part 3: Change in Systemic Inflammatory Mediator Granulocyte Colony Stimulating Factor (G-CSF)

The systemic inflammatory response of G-CSF, in the two treatment groups, Ketoprofen and Placebo, will be assessed with Luminex-bead inflammasome analysis of pre- and post-treatment plasma samples. G-CSF, a glycoprotein, is an inflammatory cytokine produced by endothelium and immune cells. Ketoprofen is a unique NSAID possessing dual pathways of inflammatory inhibition, blocking cyclooxygenase (COX) and 5-LO. Measurement using median fluorescence intensity (MFI) was employed. (NCT02257970)
Timeframe: Baseline; 4 months

,
InterventionMFI (log10) (Mean)
BaselineMonth 4
Part 3: Ketoprofen Group131126
Part 3: Placebo121209

Part 3: Measurement of Skin Thickness

Caliper-measured skin thickness (mm) was serially assessed and pre-to-post paired analysis was performed for both arms (Placebo and Ketoprofen) of the study. (NCT02257970)
Timeframe: Baseline and 4 months

,
Interventionmm (Mean)
BaselineMonth 4
Part 3: Ketoprofen Group4941
Part 3: Placebo Group4745

Trials

1 trial available for ketoprofen and Lymphedema

ArticleYear
Pilot studies demonstrate the potential benefits of antiinflammatory therapy in human lymphedema.
    JCI insight, 2018, 10-18, Volume: 3, Issue:20

    Topics: Administration, Oral; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Double-Blind Method; Fem

2018
Pilot studies demonstrate the potential benefits of antiinflammatory therapy in human lymphedema.
    JCI insight, 2018, 10-18, Volume: 3, Issue:20

    Topics: Administration, Oral; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Double-Blind Method; Fem

2018
Pilot studies demonstrate the potential benefits of antiinflammatory therapy in human lymphedema.
    JCI insight, 2018, 10-18, Volume: 3, Issue:20

    Topics: Administration, Oral; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Double-Blind Method; Fem

2018
Pilot studies demonstrate the potential benefits of antiinflammatory therapy in human lymphedema.
    JCI insight, 2018, 10-18, Volume: 3, Issue:20

    Topics: Administration, Oral; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Double-Blind Method; Fem

2018
Pilot studies demonstrate the potential benefits of antiinflammatory therapy in human lymphedema.
    JCI insight, 2018, 10-18, Volume: 3, Issue:20

    Topics: Administration, Oral; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Double-Blind Method; Fem

2018
Pilot studies demonstrate the potential benefits of antiinflammatory therapy in human lymphedema.
    JCI insight, 2018, 10-18, Volume: 3, Issue:20

    Topics: Administration, Oral; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Double-Blind Method; Fem

2018
Pilot studies demonstrate the potential benefits of antiinflammatory therapy in human lymphedema.
    JCI insight, 2018, 10-18, Volume: 3, Issue:20

    Topics: Administration, Oral; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Double-Blind Method; Fem

2018
Pilot studies demonstrate the potential benefits of antiinflammatory therapy in human lymphedema.
    JCI insight, 2018, 10-18, Volume: 3, Issue:20

    Topics: Administration, Oral; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Double-Blind Method; Fem

2018
Pilot studies demonstrate the potential benefits of antiinflammatory therapy in human lymphedema.
    JCI insight, 2018, 10-18, Volume: 3, Issue:20

    Topics: Administration, Oral; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Double-Blind Method; Fem

2018

Other Studies

2 other studies available for ketoprofen and Lymphedema

ArticleYear
Leukotriene B
    Science translational medicine, 2017, 05-10, Volume: 9, Issue:389

    Topics: Animals; Anti-Inflammatory Agents; Endothelial Cells; Humans; Ketoprofen; Leukotriene B4; Lymphedema

2017
Anti-inflammatory pharmacotherapy with ketoprofen ameliorates experimental lymphatic vascular insufficiency in mice.
    PloS one, 2009, Dec-21, Volume: 4, Issue:12

    Topics: Animals; Anti-Inflammatory Agents; Anti-Inflammatory Agents, Non-Steroidal; Cytokines; Gene Expressi

2009
Anti-inflammatory pharmacotherapy with ketoprofen ameliorates experimental lymphatic vascular insufficiency in mice.
    PloS one, 2009, Dec-21, Volume: 4, Issue:12

    Topics: Animals; Anti-Inflammatory Agents; Anti-Inflammatory Agents, Non-Steroidal; Cytokines; Gene Expressi

2009
Anti-inflammatory pharmacotherapy with ketoprofen ameliorates experimental lymphatic vascular insufficiency in mice.
    PloS one, 2009, Dec-21, Volume: 4, Issue:12

    Topics: Animals; Anti-Inflammatory Agents; Anti-Inflammatory Agents, Non-Steroidal; Cytokines; Gene Expressi

2009
Anti-inflammatory pharmacotherapy with ketoprofen ameliorates experimental lymphatic vascular insufficiency in mice.
    PloS one, 2009, Dec-21, Volume: 4, Issue:12

    Topics: Animals; Anti-Inflammatory Agents; Anti-Inflammatory Agents, Non-Steroidal; Cytokines; Gene Expressi

2009