Foam Sclerotherapy With or Without Transdermal Laser for Small Veins in the Legs
Official title: Comparison Between Isolated Foam Sclerotherapy and Foam Sclerotherapy Combined With Transdermal Laser for the Treatment of Reticular Veins and Telangiectasias: A Prospective Randomized Clinical Trial
Run by University of Sao Paulo · NCT07793630 · Data updated 2026-11-12
This study tests whether adding a transdermal Nd:YAG laser after foam sclerotherapy helps treat small leg veins in women compared with foam alone.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 60 Years |
| Sex | Women only |
| Enrollment | 70 (estimated) |
| Sponsor | University of Sao Paulo Academic / other |
| Locations | 1 site (Ribeirão Preto, São Paulo) |
| Status | Recruiting |
| Started | September 1, 2026 |
| Main results expected | February 2027 |
| Study ends | May 2027 |
| Registry record updated | November 6, 2026 |
| Trial ID | NCT07793630 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are women 18-60 with bilateral CEAP C1 telangiectasias/reticular veins (0.1–3 mm) on the thighs, Fitzpatrick I–III, BMI ≤ 30, and willingness to complete 180-day follow-up.
✕Probably not a fit
Patients with higher-risk venous disease (CEAP C2-C6), skin types IV–VI, or contraindications to polidocanol or laser may not benefit and are excluded.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective, randomized, intraindividual, split-leg trial comparing two treatments for small leg veins in women with bilateral CEAP C1 telangiectasias and/or reticular veins. One leg receives Cryo-Laser After Foam (CLaF) treatment, which combines polidocanol foam sclerotherapy with immediate transdermal 1064 nm Nd:YAG laser and cold-air cooling, while the other leg receives isolated foam sclerotherapy. Outcomes include vascular clearance, residual vascular area, hyperpigmentation, thrombi retention, need for drainage, pain, adverse events, aesthetic improvement, patient satisfaction, and quality of life up to 180 days. The study aims to determine if the combination approach offers advantages over foam alone. All participants are adult women aged 18-60 with bilateral, symmetrical C1 venous disease of the lower limbs and no major exclusion criteria identified.
Why it matters
Potential benefit: If successful, patients may experience greater reduction in visible veins and improved cosmetic and quality-of-life outcomes with the combination approach.
How similar studies have gone: Previous reports suggest that combining chemical and photothermal therapy can improve outcomes in small-vein treatments, but this specific intraindividual, split-leg design is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Female participants aged 18 to 60 years. * Fitzpatrick skin phototype I, II, or III. * CEAP clinical class C1. * Bilateral relatively symmetrical presence of telangiectasias and reticular veins on the lateral thigh. * Presence of telangiectasias and reticular veins measuring 0.1 to 3 mm in diameter. * Body mass index (BMI) ≤ 30 kg/m² * Willingness to participate in the complete study follow-up and provision of written informed consent. Exclusion Criteria: * Saphenous or perforator venous reflux. * Varicose veins greater than 3 mm in diameter (CEAP C2-C6). * Fitzpatrick skin phototype IV, V, or VI. * Recent venous thrombosis or known thrombophilia. * Use of anticoagulant therapy. * Pregnancy or breastfeeding. * Known allergy to polidocanol. * Peripheral arterial disease with ankle-brachial index (ABI) \< 0.8. * Diabetes mellitus. * Local dermatitis in the treatment area. * Previous venous treatment within the last 6 months. * Failure to attend the treatment session or scheduled follow-up visits.
Where it's running
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Clínica Civil - FAEPA USP
Ribeirão Preto, São Paulo, Brazil Recruiting
Study contacts
- Principal investigator: Cecília S Ulacia, MD — University of Sao Paulo
- Study coordinator: Cecília S Ulacia, MD
- Email: ceciliasalazarulacia@usp.br
- Phone: +55 (16) 3963-6500
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.