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AzTrials

Stage II Peripheral Arterial Occlusive DiseasePhase 3NCT01263925

Prostaglandin E1 in Outpatients With Intermittent Claudication

A Phase 3 study testing Alprostadil (Prostaglandin E1) and Pentoxifylline in people with Stage II Peripheral Arterial Occlusive Disease and Intermittent Claudication Fontaine Stage II PAOD, run by UCB Pharma at 36 sites in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Investigate, under outpatient conditions, both the effect of 4 weeks of daily treatment with Prostaglandin E1 and that of 4 weeks of interval treatment (two infusions per week) on the pain-free walking distance in patients with Intermittent Claudication. Read more about this study

Who is it for?
Ages 40 years and older
What is being tested?
Alprostadil (Prostaglandin E1) and Pentoxifylline
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
561 participants
Where
36 sitesGermany
Study dates
Apr 2001to Apr 2011
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects with Peripheral Arterial Occlusive Disease (PAOD) of the lower extremity in Fontaine stage II
  • Maximum walking distance on the treadmill (12 %, 3 km/h) between 30 and 150 m
  • Stable Intermittent Claudication of at least 6 months standing with no acute shortening of walking distance over the past 3 months
  • Stenoses or occlusions below the Femoral Bifurcation (above-knee or below-knee type) confirmed by duplex US or angiography
  • Ankle/brachial index ≤ 0.90 with a decrease in systolic ankle pressure of ≥ 10 % after maximum loading (maximum walking distance on the treadmill at 3 km/h, 12 %)
  • The patient is physically and mentally capable of participating in the trial
Show all 9Show fewer
  • Patient age > 40 years, male and female
  • Patient is informed and given ample time and opportunity to think about her/his participation and has given her/his written informed consent
  • Patient is willing and able to comply with all trial requirements

Who cannot join

  • Surgical or other interventional measures performed on the affected extremity and Prostaglandin treatment within the 6 months immediately prior to the trial
  • Rest pain and Necroses
  • Systolic ankle pressure less than 50 mmHg
  • Change in maximum walking distance during the one-week Run-in Phase of more than ± 25 % of Baseline
  • Successful physical walking training within the 6 months immediately prior to the trial
  • Inflammatory vascular diseases
Show all 22Show fewer
  • Polyneuropathy in Diabetes Mellitus
  • Diseases limiting walking distance (Arthrosis, inflammatory diseases of the joints, neurological disease, diseases of the Vertebral Column, cardiopulmonary diseases)
  • History of Pulmonary Oedema
  • Myocardial infarction within the past 6 months
  • Pregnancy or nursing
  • Known hypersensitivity to any components of the trial medication or comparative drug
  • Renal insufficiency, compensated retention (creatinine > 2.0 mg/dL)
  • Severe retinal Haemorrhage
  • Massive Haemorrhage
  • Known existing malignant diseases
  • Vasoactive concomitant medication (e.g. Naftidrofuryl, Pentoxifylline, Buflomedil, Cilostazol), or other Prostaglandins
  • Untreated or uncontrolled Hypertension (systolic blood pressure ≥ 180 mmHg, diastolic blood pressure ≥ 110 mmHg)
  • Previous participation of the patient in the present trial
  • Participation of the patient in a trial with the same objectives within the past 6 months, or is currently participating in another trial
  • Illness of the patient due to alcohol or drug-abuse within the past 6 months
  • Serious illness of the patient that the investigator considers to compromise his/her participation in the trial

Trial locations and contacts

36 sites in 1 country.

36 sites in 1 country

Germany36 sites
  • Study site

    Aachen

  • Study site

    Bad Säckingen

  • Study site

    Berlin

  • Study site

    Bottrop

  • Study site

    Cologne

  • Study site

    Dortmund

  • Study site

    Dresden

  • Study site

    Düsseldorf

  • Study site

    Essen

  • Study site

    Essen-Steele

  • Study site

    Freiburg im Breisgau

  • Study site

    Gaggenau

  • Study site

    Görlitz

  • Study site

    Hamburg

  • Study site

    Hanover

  • Study site

    Hattingen

  • Study site

    Heidelberg

  • Study site

    Homburg

  • Study site

    Jena

  • Study site

    Karlsbad-Lang Ensteinbach

  • Study site

    Kassel

  • Study site

    Krefeld

  • Study site

    Leipzig

  • Study site

    Lüneburg

  • Study site

    Mannheim

  • Study site

    Mannheim-Lindenhof

  • Study site

    Mönchengladbach

  • Study site

    München

  • Study site

    Neuss

  • Study site

    Nuremberg

  • Study site

    Osnabrück

  • Study site

    Papenburg

  • Study site

    Regensburg

  • Study site

    Seesen

  • Study site

    Warendorf

  • Study site

    Wuppertal

Other trials in Germany

About this study

Official title: Intravenous Prostaglandin E1 Treatment in Outpatients With Intermittent Claudication

Investigate, under outpatient conditions, both the effect of 4 weeks of daily treatment with Prostaglandin E1 and that of 4 weeks of interval treatment (two infusions per week) on the pain-free walking distance in patients with Intermittent Claudication.

Being tested
Alprostadil (Prostaglandin E1), Pentoxifylline, Placebo to Pentoxifylline oral, Placebo to Alprostadil (Prostaglandin E1) intravenous
Keywords
Alprostadil, Prostaglandin E1, Prostavasin®, PAOD
Medical subject headings
Peripheral Arterial Occlusive Disease 1

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Alprostadil (Prostaglandin E1)Drug

    Also called Prostavasin

    4-week Daily Treatment Period 1: 4 weeks of 1 x daily intravenous infusion of 3 ampoules (20 µg) of Prostaglandin E1 (total 60 µg) in 50 - 250 ml physiological saline solution over 2 hours.

    4-week Interval Treatment Period 2: 4 weeks of 2 x weekly intravenous infusion of 3 ampoules (20 µg) of Prostaglandin E1 (total 60 µg) in 50 - 250 ml physiological saline solution over 2 hours.

  • PentoxifyllineDrug

    Also called Trental®

    4-week Daily Treatment Period 1: 4 weeks of 2 x daily (including weekends) 600 mg Pentoxifylline tablets.

    4-week Interval Treatment Period 2: 4 weeks of 2 x daily (including weekends) 600 mg Pentoxifylline tablets.

  • Placebo to Pentoxifylline oralDrug

    4-week Daily Treatment Period 1: 4 weeks of 2 x daily (including weekends) matching Placebo to Pentoxifylline tablets.

    4-week Interval Treatment Period 2: 4 weeks of 2 x daily (including weekends) matching Placebo to Pentoxifylline tablets.

  • Placebo to Alprostadil (Prostaglandin E1) intravenousDrug

    4-week Daily Treatment Period 1: 4 weeks of 1 x daily intravenous infusion of Placebo in 50 - 250 ml physiological saline solution over 2 hours.

    4-week Interval Treatment Period 2: 4 weeks of 2 x weekly intravenous infusion of Placebo in 50 - 250 ml physiological saline solution over 2 hours.

Study groups in NCT01263925
Study groupRoleWhat they receive
AlprostadilExperimentalAlprostadil (Prostaglandin E1) intravenous and matching Placebo to Pentoxifylline oral
Receives: Drug: Alprostadil (Prostaglandin E1); Drug: Placebo to Pentoxifylline oral
PentoxifyllineActive comparatorPentoxifylline oral and matching Placebo to Alprostadil (Prostaglandin E1) intravenous
Receives: Drug: Pentoxifylline; Drug: Placebo to Alprostadil (Prostaglandin E1) intravenous

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Ratio of Pain-free Walking Distance After Period 2 in Comparison With the Findings at Baseline

    The ratio of pain-free walking distance was calculated by the pain-free walking distance after Period 2 divided by the pain-free walking distance at Baseline with determination of pain-free walking distances on the treadmill (12 % grade and 3 km/h). If a subject was not familiar with the treadmill, at least two test determinations were performed to accustom him/her to the treadmill. For all treadmill determinations the subject has been prevented from observing the treadmill display of the walking distance achieved.

    Measured: From Baseline to the end of 4 weeks of Interval Treatment (Period 2)

  2. Ratio of Pain-free Walking Distance After Period 3 in Comparison With the Findings at Baseline

    The ratio of pain-free walking distance was calculated by the pain-free walking distance after Period 3 divided by the pain-free walking distance at Baseline with determination of pain-free walking distances on the treadmill (12 % grade and 3 km/h). If a subject was not familiar with the treadmill, at least two test determinations were performed to accustom him/her to the treadmill. For all treadmill determinations the subject has been prevented from observing the treadmill display of the walking distance achieved.

    Measured: From Baseline to the end of 6-months Follow-up (Period 3)

  3. Ratio of Pain-free Walking Distance After Period 1 in Comparison With the Findings at Baseline

    The ratio of pain-free walking distance was calculated by the pain-free walking distance after Period 1 divided by the pain-free walking distance at Baseline with determination of pain-free walking distances on the treadmill (12 % grade and 3 km/h). If a subject was not familiar with the treadmill, at least two test determinations were performed to accustom him/her to the treadmill. For all treadmill determinations the subject has been prevented from observing the treadmill display of the walking distance achieved.

    Measured: From Baseline to the end of 4 weeks of Daily Treatment (Period 1)

Secondary outcomes (11)
  1. Ratio of Pain-free Walking Distance After Period 2 in Comparison With the Findings After Period 1

    The ratio of pain-free walking distance was calculated by the pain-free walking distance after Period 2 divided by the pain-free walking distance after Period 1 with determination of pain-free walking distances on the treadmill (12 % grade and 3 km/h). If a subject was not familiar with the treadmill, at least two test determinations were performed to accustom him/her to the treadmill. For all treadmill determinations the subject has been prevented from observing the treadmill display of the walking distance achieved.

    Measured: From the end of 4 weeks of Daily Treatment (Period 1) to the end of 4 weeks of Interval Treatment (Period 2)

  2. Ratio of Pain-free Walking Distance After Period 3 in Comparison With the Findings After Period 1

    The ratio of pain-free walking distance was calculated by the pain-free walking distance after Period 3 divided by the pain-free walking distance after Period 1 with determination of pain-free walking distances on the treadmill (12 % grade and 3 km/h). If a subject was not familiar with the treadmill, at least two test determinations were performed to accustom him/her to the treadmill. For all treadmill determinations the subject has been prevented from observing the treadmill display of the walking distance achieved.

    Measured: From the end of 4 weeks of Daily Treatment (Period 1) to the end of 6-months Follow-up (Period 3)

  3. Ratio of Pain-free Walking Distance After Period 3 in Comparison With the Findings After Period 2

    The ratio of pain-free walking distance was calculated by the pain-free walking distance after Period 3 divided by the pain-free walking distance after Period 2 with determination of pain-free walking distances on the treadmill (12 % grade and 3 km/h). If a subject was not familiar with the treadmill, at least two test determinations were performed to accustom him/her to the treadmill. For all treadmill determinations the subject has been prevented from observing the treadmill display of the walking distance achieved.

    Measured: From the end of 4 weeks of Interval Treatment (Period 2) to the end of 6-months Follow-up (Period 3)

  4. Ratio of Maximum Walking Distance After Period 1 in Comparison With the Findings at Baseline

    The ratio of maximum walking distance was calculated by the maximum walking distance after Period 1 divided by the maximum walking distance at Baseline with determination of maximum walking distances on the treadmill (12 % grade and 3 km/h). If a subject was not familiar with the treadmill, at least two test determinations were performed to accustom him/her to the treadmill. For all treadmill determinations the subject has been prevented from observing the treadmill display of the walking distance achieved.

    Measured: From Baseline to the end of 4 weeks of Daily Treatment (Period 1)

  5. Ratio of Maximum Walking Distance After Period 2 in Comparison With the Findings at Baseline

    The ratio of maximum walking distance was calculated by the maximum walking distance after Period 2 divided by the maximum walking distance at Baseline with determination of maximum walking distances on the treadmill (12 % grade and 3 km/h). If a subject was not familiar with the treadmill, at least two test determinations were performed to accustom him/her to the treadmill. For all treadmill determinations the subject has been prevented from observing the treadmill display of the walking distance achieved.

    Measured: From Baseline to the end of 4 weeks of Interval Treatment (Period 2)

  6. Ratio of Maximum Walking Distance After Period 2 in Comparison With the Findings After Period 1

    The ratio of maximum walking distance was calculated by the maximum walking distance after Period 2 divided by the maximum walking distance after Period 1 with determination of maximum walking distances on the treadmill (12 % grade and 3 km/h). If a subject was not familiar with the treadmill, at least two test determinations were performed to accustom him/her to the treadmill. For all treadmill determinations the subject has been prevented from observing the treadmill display of the walking distance achieved.

    Measured: From the end of 4 weeks of Daily Treatment (Period 1) to the end of 4 weeks of Interval Treatment (Period 2)

  7. Ratio of Maximum Walking Distance After Period 3 in Comparison With the Findings at Baseline

    The ratio of maximum walking distance was calculated by the maximum walking distance after Period 3 divided by the maximum walking distance at Baseline with determination of maximum walking distances on the treadmill (12 % grade and 3 km/h). If a subject was not familiar with the treadmill, at least two test determinations were performed to accustom him/her to the treadmill. For all treadmill determinations the subject has been prevented from observing the treadmill display of the walking distance achieved.

    Measured: From Baseline to the end of 6-months Follow-up (Period 3)

  8. Ratio of Maximum Walking Distance After Period 3 in Comparison With the Findings After Period 1

    The ratio of maximum walking distance was calculated by the maximum walking distance after Period 3 divided by the maximum walking distance after Period 1 with determination of maximum walking distances on the treadmill (12 % grade and 3 km/h). If a subject was not familiar with the treadmill, at least two test determinations were performed to accustom him/her to the treadmill. For all treadmill determinations the subject has been prevented from observing the treadmill display of the walking distance achieved.

    Measured: From the end of 4 weeks of Daily Treatment (Period 1) to the end of 6-months Follow-up (Period 3)

  9. Ratio of Maximum Walking Distance After Period 3 in Comparison With the Findings After Period 2

    The ratio of maximum walking distance was calculated by the maximum walking distance after Period 3 divided by the maximum walking distance after Period 2 with determination of maximum walking distances on the treadmill (12 % grade and 3 km/h). If a subject was not familiar with the treadmill, at least two test determinations were performed to accustom him/her to the treadmill. For all treadmill determinations the subject has been prevented from observing the treadmill display of the walking distance achieved.

    Measured: From the end of 4 weeks of Interval Treatment (Period 2) to the end of 6-months Follow-up (Period 3)

  10. Changes in Quality of Life (as Measured With the PAVK 86 Questionnaire) From Baseline to the End of Period 1

    Scores for subscales were calculated by summing non-missing item scores ranging from 1 (not at all; best possible outcome) to 4 (extremely; worst possible outcome) divided by the number of non-missing items. Hence each subscale score ranges from 1 (best possible outcome) to 4 (worst possible outcome). For subscales 'Mood' and 'Treatment expectation' five items each had to be reversed in order. Additionally, subjects were asked to assess their general health and quality of life on an ordinal scale between 0 (very good) and 10 (very poor).

    Negative changes show a decrease from Baseline.

    Measured: From Baseline to the end of 4 weeks of Daily Treatment (Period 1)

  11. Changes in Quality of Life (as Measured With the PAVK 86 Questionnaire) From Baseline to the End of Period 3

    Scores for subscales were calculated by summing non-missing item scores ranging from 1 (not at all; best possible outcome) to 4 (extremely; worst possible outcome) divided by the number of non-missing items. Hence each subscale score ranges from 1 (best possible outcome) to 4 (worst possible outcome). For subscales 'Mood' and 'Treatment expectation' five items each had to be reversed in order. Additionally, subjects were asked to assess their general health and quality of life on an ordinal scale between 0 (very good) and 10 (very poor).

    Negative changes show a decrease from Baseline.

    Measured: From Baseline to the end of 6-months Follow-up (Period 3)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Dec 2010 (estimated)
  2. Study startApr 2001
  3. Primary completionApr 2011
  4. Study completionApr 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
561 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01263925
Sponsor's protocol ID
SP0580
Status last verified
May 2012
First submitted
17 Dec 2010
Last updated
27 Oct 2014
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Alprostadil (Prostaglandin E1) and Pentoxifylline in people with Stage II Peripheral Arterial Occlusive Disease and Intermittent Claudication Fontaine Stage II PAOD, run by UCB Pharma at 36 sites in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Oct 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 29 Jun 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Ratio of Pain-free Walking Distance After Period 2 in Comparison With the Findings at Baseline (time frame: From Baseline to the end of 4 weeks of Interval Treatment (Period 2)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Oct 2014.

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