Women 18–70 with unilateral stage I or II BCRL |
Bilateral lymphedema or history of bilateral axillary lymph node dissection |
Volume difference of at least 300 mL between the normal and lymphedema limb |
Recent (within last 3 months) history of cellulitis |
BMI 18–30 |
Current (within last month) use of chemotherapy or radiation |
No current evidence of breast cancer |
Recent (within last month) or current intensive manual lymphatic massage and/or short stretch bandage use |
At least 6 months postop from axillary lymph node dissection |
Unstable lymphedema (i.e., worsening symptoms/measurements in the past 3 months) |
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Pregnant or nursing (lactating) women |
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Stage III lymphedema |
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Chronic use of acetaminophen (>1 gm/day for ≥3/7 days, or >2 gm/day for ≥1 day) |
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Use of other investigational drugs ≤30 days or 5 half-lives of enrollment (whichever is longer) |
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History of hypersensitivity to study drugs or to drugs of similar chemical classes (e.g., monoclonal antibodies, polyclonal gamma globulin, polysorbates). |