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ArteriopathyELECTROPADNCT03795103

Effect of a Neuromuscular Electrical Stimulation Program on Walking Capacity in Peripheral Artery Disease Patients

A study testing neuromuscular electrical stimulator, Walking sessions and Advices in people with Arteriopathy, run by Rennes University Hospital at 5 sites in France.

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

Lower extremity peripheral arterial disease (LEPAD) is a highly prevalent chronic disease. Cardiovascular mortality of LEPAD patients at five years ranges between 18 to 30%. LEPAD is primarily caused by atherosclerosis that induces an inadequate blood flow to meet the tissues demand due to the narrowing of the… Read more about this study

Who is it for?
Ages 41 years and olderHealthy volunteers can take part
Conditions the study is for
Arteriopathy
What is being tested?
neuromuscular electrical stimulator, Walking sessions and Advices
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
120 participants
Where
5 sitesFrance
Study dates
9 Jan 2019to 22 Nov 2022
Phase
Interventional
Are there results?
None posted in the registry

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 41 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Arteriopatic patients :
  • Age > 40 years old.
  • Subjects with Lower Extremity Peripheral Artery disease (LEPAD). LEPAD is defined by the presence of at least one of the following criteria:
  • History of revascularization in the lower limbs due to LEPAD; OR
  • Ankle brachial index (ABI) of ≤ 0.90; OR
  • ABI or ankle systolic blood pressure decrease during recovery from treadmill walking test > 20 % or > 30 mmHg, respectively; OR
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  • Toe-brachial index ≤0.70 if ABI cannot be measured and if incompressible arteries are suspected.
  • Complain of exertional calf pain (fatigue, discomfort or cramping) that can begin or not at rest, causes the participant to stop walking and relieves or lessens within 10 minutes of rest (assessed using the San Diego questionnaire AND confirmed during treadmill testing);
  • Pain (fatigue, discomfort or cramping) is mainly located at the calves' level.
  • Maximal walking distance on treadmill < 300 m (treadmill protocol 3.2 km/h, 10% grade);
  • Subject receiving from at least one month the recommend medical therapy for LEPAD management (antiplatelet therapy and statin medication).
  • Obtained informed consent.
  • Healthy volunteers
  • Age > 50 years old;
  • Absence of pain reported in the lower limbs during walking as supported by a negative score in the San Diego Questionnaire;
  • Absence of any functional limitation during the treadmill walking test: 15 min of walking at 3.2 km/h and 10% slope;
  • ABI ≥1.00 and ≤1.40.
  • Obtained informed consent.

Who cannot join

  • Arteriopatic patients :
  • Patients with a pacemaker or defibrillator;
  • Patients with acute or critical limb ischemia;
  • Ambulation limited by exertional symptoms other than intermittent claudication (e.g., dyspnea or angina pectoris);
  • Ambulation limited by exertional symptoms indicative of intermittent claudication but affecting muscles in the lower extremities other than the calves;
  • Contraindication to exercise testing according to the American Heart Association and the American College of Sports Medicine;
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  • Major cardiovascular event (myocardial infarction or stroke) or major surgery within the previous three months before inclusion;
  • Female patients who are pregnant, planning to become pregnant, or lactating;
  • Known presence of an aneurysm of the abdominal aorta > 4cm or an aneurysm of the iliac artery >1.5cm;
  • Patient subject to legal protection (guardianship or tutelage measure) and persons deprived from their liberty (according to French law);
  • Simultaneous participation to another ongoing clinical research protocol;
  • Unwilling or unable to engage in the completion of a 12 week programme;
  • Any planned event(s) that could interfere with the completion of the protocol: e.g., extended holidays preventing the completion of the intervention or planned hospitalization for a prolonged period of time.
  • Body mass > 160 kg (may exceed treadmill limit).
  • Inability to understand and sign informed consent forms due to cognitive or language barriers
  • LEPAD due to other causes than atherosclerosis.
  • Healthy volunteers :
  • Contraindication to walking;
  • ABI <1.00 or >1.40;
  • Inability to obtain a measure of ABI due to uncompressible arteries;
  • Limitation(s) and/or symptoms during the treadmill walking test;
  • Treadmill walking test uncompleted.
  • Presence of hypertension, heart failure, angina pectoris, diabetes, chronic obstructive pulmonary disease, supported by the presence of a medical treatment and the medical history.
  • Presence of conditions likely to cause a functional limitation in walking and/or significant modification of physiological responses to the exercise: current or former smoker from less than 6 months, cancer (ongoing), Parkinson's disease, renal failure (ongoing), supported by the presence of a medical treatment and the medical history.
  • History of cardiovascular disease (heart failure, stroke, myocardial infarction) reported by the patient.
  • Female volunteers who are pregnant, planning to become pregnant, or lactating;
  • Volunteers subject to legal protection (guardianship or tutelage measure) and persons deprived from their liberty (according to French law).
  • Simultaneous participation to another ongoing clinical research protocol.
  • Secondary exclusion criteria for patients :
  • Patients requiring a pacemaker or defibrillator within the first three months.
  • For the primary endpoint, patients who underwent revascularisation (surgical or endovascular) in the first three months.
  • revascularisation (surgical or endovascular) in the first three months.
  • 3. Any health events during the first three months that no longer allow the patient to follow the protocol.
  • Burning during the electrostimulation sessions;
  • Skin allergy due to the placement of the electro-stimulation electrodes

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

France5 sites
  • CHU Angers

    Angers

  • CHU Brest

    Brest, 29000

  • CHU Caen

    Caen

  • CHU de Rennes

    Rennes, 35033

  • Hôpital de Rangueil

    Toulouse, 31403

Other trials in France

About this study

Official title: Effect of a Neuromuscular Electrical Stimulation Program on Walking Capacity in Peripheral Artery Disease Patients: a Randomized Controlled Trial

Lower extremity peripheral arterial disease (LEPAD) is a highly prevalent chronic disease. Cardiovascular mortality of LEPAD patients at five years ranges between 18 to 30%. LEPAD is primarily caused by atherosclerosis that induces an inadequate blood flow to meet the tissues demand due to the narrowing of the arteries. An aggravation of the arterial lesions in LEPAD patients induces a worsening of patients' symptoms and a severe limitation of their walking capacity, contributing to an impairment of their quality of life.

Interventions designed to improve walking impairment may have a significant impact on the functional capacity in LEPAD patients. Lower extremity electrical stimulation is an older technique that relies on different types of electrical stimulations with different expected physiological effects on hemodynamics, skeletal muscle functions or pain pathway. The aim of the ELECTRO-PAD study is to assess the effect of a 12 weeks program of neuromuscular electrical stimulation (NMES) on the absolute walking distance (AWD) measured during a treadmill test in peripheral artery disease patients.

Read the detailed description

The aim of the ELECTRO-PAD study is to assess the effect of a 12 weeks program of neuromuscular electrical stimulation (NMES) on the absolute walking distance (AWD) measured during a treadmill test in peripheral artery disease patients.

Arteriopatic patients will be randomized in 2 groups :

  • patients submitted to a 12 weeks program of neuromuscular electrical stimulation (NMES group)
  • patients without any program (control group) All patients will also receive a study participation guide that will include an information leaflet outlining tips for active living and walking.

After eligibility criteria will be assessed, patient will be included and randomized (visit 1). A second visit will be performed after 12 weeks (visit 2).

In parallel, 2 ancillary studies will be performed :

  • Among Rennes' arteriopatic patients, endothelial function will be assessed using measures from 40 patients. Assessment will be done between 1 and 14 days after visit 1 (visit 1')
  • The second ancillary study concerns 40 volunteers with no cardiac or vascular pathology, only in the coordinating center Rennes. The same measures will be performed for these volunteers and for arteriopatic patients.
Conditions
Arteriopathy
Being tested
neuromuscular electrical stimulator, Walking sessions, Advices
Keywords
Lower Extremity Peripheral Arterial Disease

What participants receive

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

  • neuromuscular electrical stimulatorDevice

    A 12-week program of neuromuscular electrical stimulation

  • Walking sessionsOther

    A 12-week program of walking sessions performed outdoors and independently

  • AdvicesOther

    The usual practice associated with an information leaflet outlining tips for active living and walking.

Study groups in NCT03795103
Study groupRoleWhat they receive
Patients achieving neuromuscular electrical stimulationExperimentalLEPAD patients achieving a 12-week program of neuromuscular electrical stimulation. Group of arteriopathic patients who will perform electrostimulation sessions at home and independently. These patients will also receive a study participation guide that will include an information leaflet outlining tips for active living and walking.
Receives: Device: neuromuscular electrical stimulator
ControlOtherGroup of artriopathic patients who will maintain their usual drug management. These patients will also receive a study participation guide that will include an information leaflet outlining tips for active living and walking.
Receives: Other: Advices
Healthy volunteersOtherAncillary study. Participants will perform a precise program of walking sessions performed outdoors and independently and the same biological parameters as those assessed in arteriopathic patients will be assessed
Receives: Other: Walking sessions

What is being measured

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

  1. Change in treadmill walking distance to maximal leg pain (absolute walking distance)

    Comparison of change in treadmill walking distance to maximal leg pain (absolute walking distance) after 12 weeks between ESM group and control group (between visit 1 and visit 2)

    Measured: 12 weeks

Secondary outcomes (13)
  1. Change in treadmill walking distance to onset of leg pain

    Comparison of change in treadmill walking distance to onset of leg pain between visit 1 and visit 2, and between NMES and control group

    Measured: 12 weeks

  2. Change in 6-minute total walk distance

    Comparison of change in 6-minute total walk distance between visit 1 and visit 2, and between NMES and control group

    Measured: 12 weeks

  3. Change in maximal walking distance and medium walking speed under natural outdoor conditions

    Comparison of change in maximal walking distance and medium walking speed under natural outdoor conditions between visit 1 and visit 2, and between NMES and control group

    Measured: 12 weeks

  4. Change in the Walking Impairment Questionnaire score

    Comparison of change in the Walking Impairment Questionnaire (WIQ) score between visit 1 and visit 2 and between NMES and control group. the WIQ is a valid tool to detect improvement or deterioration in the daily walking ability of patients with intermittent claudication. The higher the WIQ score is, the better the patient's functional walking ability is.

    Measured: 12 weeks

  5. Change in the Short Form (36) Health Survey (SF36) score

    Comparison of change in the Short Form (36) Health Survey (SF36) score between visit 1 and visit 2, and between NMES and control group. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability. To calculate the scores it is necessary to purchase special software.

    Measured: 12 weeks

  6. Change in the Peripheral Artery Questionnaire (PAQ) score

    Comparison of change in the Peripheral Artery Questionnaire score between visit 1 and visit 2, and between NMES and control group. The Peripheral Artery Questionnaire (PAQ) is a 20-item questionnaire developed to meet this need by quantifying patients' physical limitations, symptoms, social function, treatment satisfaction, and quality of life. higher scores represent fewer symptoms and better health status

    Measured: 12 weeks

  7. Change in in actigraphy measures

    Comparison of change in actigraphy measures to define daily physical activity level between visit 1 and visit 2 and between NMES, and control group

    Measured: 12 weeks

  8. Change in ankle brachial index

    Comparison of change in ankle brachial index between visit 1 and visit 2, and between NMES and control group. The ankle-brachial index (ABI) is the ratio of the blood pressure at the ankle to the blood pressure in the upper arm (brachium). Compared to the arm, lower blood pressure in the leg suggests blocked arteries due to peripheral artery disease (PAD). The ABI is calculated by dividing the systolic blood pressure at the ankle by the systolic blood pressure in the arm

    Measured: 12 weeks

  9. Change in TcPO2 DROP during treadmill walking test

    Comparison of change in TcPO2 DROP during treadmill walking test between visit 1 and visit 2 and between NMES and control group

    Measured: 12 weeks

  10. Number of patients submitted to a revascularization procedure

    Comparison in the number of patients submitted to a revascularization procedure between visit 1 and visit 2, and between NMES and control group

    Measured: 12 weeks

  11. Change in results of Contrast imaging with laser granularity

    Comparison of change in endothelial function using Contrast imaging with laser granularity, only for arteriopathic patients included in Rennes, between visit 1 and visit 2 and between NMES and control group. Laser Contrast Granularity Analysis is a method that allows the visualization of tissue blood perfusion instantly in real time.

    Measured: 12 weeks

  12. Percentage of physiological response achieved by patients

    Percentage of physiological response achieved by patients for all outcome measures (comparison with parameters of volunteers without any cardiac or vascular disease) between all visits

    Measured: 12 weeks

  13. Change in maximum walking distance according to the location of the arterial obstruction

    Change in maximum walking distance according to the location of the arterial obstruction using scan images between visit 1 and visit 2 and between NMES and control group.

    Measured: 12 weeks

Timeline

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

  1. First posted7 Jan 2019
  2. Study start9 Jan 2019
  3. Primary completion17 Nov 2022
  4. Study completion22 Nov 2022

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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Investigator
Enrolment
120 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03795103
Sponsor's protocol ID
35RC15_8961_ELECTROPAD
Acronym
ELECTROPAD
Status last verified
Nov 2022
First submitted
9 Nov 2018
Last updated
23 Nov 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Le Faucheur A, Chanteau A, Jehannin P, Le Pabic E, Houssein A, Talbot M, Mimassi ML, Donnelly A, Espinasse B, Lecoq S, Bura-Riviere A, Kaladji A, Laneelle D, Mahe G. Effect of a home-based calf neuromuscular electrical stimulation program on walking capacity in adults with lower-extremity PAD: the ELECTRO-PAD RCT. Eur J Prev Cardiol. 2026 Feb 9:zwag080. doi: 10.1093/eurjpc/zwag080. Online ahead of print.

    PubMed 41662341
  • Jehannin P, Craughwell M, Omarjee L, Donnelly A, Jaquinandi V, Mahe G, Le Faucheur A. A systematic review of lower extremity electrical stimulation for treatment of walking impairment in peripheral artery disease. Vasc Med. 2020 Aug;25(4):354-363. doi: 10.1177/1358863X20902272. Epub 2020 Apr 17.

    PubMed 32303155

Questions about this trial

What is this clinical trial studying?

A study testing neuromuscular electrical stimulator, Walking sessions and Advices in people with Arteriopathy, run by Rennes University Hospital at 5 sites in France.

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 18 inclusion and 35 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 23 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in France. 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.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Change in treadmill walking distance to maximal leg pain (absolute walking distance) (time frame: 12 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03795103, which also lists 2 linked publications.

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 23 Nov 2022.

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