E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
PERIPHERAL ARTERIOPATHY |
ARTERIOPATIA OBLITERANTE ARTI INFERIORI |
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E.1.1.1 | Medical condition in easily understood language |
PERIPHERAL ARTERIOPATHY |
ARTERIOPATIA ARTI INFERIORI |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cardiovascular Diseases [C14] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | SOC |
E.1.2 | Classification code | 10047065 |
E.1.2 | Term | Vascular disorders |
E.1.2 | System Organ Class | 10047065 - Vascular disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
the effectiveness of treatment with pentoxifylline |
l’efficacia della terapia con pentossifillina |
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E.2.2 | Secondary objectives of the trial |
whether and how the outcome of treatment with pentoxifylline in the long term is not influenced by hemodynamic variables |
verificare se e quanto l’esito della terapia con pentossifillina a lungo termine sia condizionato da variabili non emodinamiche |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Age> 55 years
- Moderate to severe arterial disease stage (Stage IIb and III sec. Fontaine)
- walking capacity <150 m
- Hemodynamic stenosis (> 50% of restriction of the vessel lumen) at the superficial femoral artery |
- Età > 55 anni
- arteriopatia obliterante stadio moderato-severo (Stadio IIb e III sec. Fontaine)
- Autonomia di marcia < a 150 mt
- Stenosi emodinamica (> al 50% di restrizione del lume vasale) a livello dell’arteria femorale superficiale |
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E.4 | Principal exclusion criteria |
- Refusal of patients to participate in the study;
- Cognitive deterioration (MMSE <24).
- IRC severe (creatinine clearance <30 ml / minute)
- Arterial leg stage IV sec. Fontaine |
- Rifiuto da parte dei pazienti di partecipare allo studio;
- Deterioramento cognitivo (MMSE < 24).
- IRC severa (clearance < 30 ml/minuto)
- Arteriopatia arti inferiori stadio IV sec. Fontaine |
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E.5 End points |
E.5.1 | Primary end point(s) |
- Test of the six-minute walk
- Percutaneous oximetry (electrodes positioned lower third leg, the middle third of leg and dorsum of the foot limb revascularized)
- Angio-MRI lower extremity
- Dynamometry segmental level of the quadriceps and gastrocnemius muscle of the limb revascularized; |
- Test del cammino dei sei minuti
- Ossimetria percutanea (elettrodo posizionato al III inferiore di coscia, al III medio di gamba e sul dorso del piede dell’arto rivascolarizzato)
- Angio- RMN arti inferiori
- Dinamometria segmentaria a livello del muscolo quadricipite e del muscolo gastrocnemio dell’arto rivascolarizzato; |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
- Evaluation of multidimensional (VMD) (which includes the MMSE, GDS, ADL, IADL)
- EPIC questionnaire (questionnaire which aims to investigate the relationships between diet, environmental factors and lifestyle, and incidence of cancer and other chronic diseases).
- PASE Questionnaire (questionnaire aims to assess the level of habitual physical activity of the patient)
- Percutaneous segmental Oximetry: electrode placed at the lower third of thigh, the middle third of leg and dorsum of the foot to revascularize the limb;
- Arterial blood gas analysis;
- Segmental Dynamometry: estimating the strength of three different measurements at the level of the quadriceps muscle and gastrocnemius muscle from revascularize the limb; |
- Valutazione multidimensionale (VMD) (che include MMSE, GDS, ADL, IADL)
- Questionario EPIC (questionario che ha lo scopo di investigare i rapporti tra dieta, fattori ambientali e dello stile di vita, ed incidenza di cancro e di altre malattie croniche).
- Questionario PASE (questionario che ha lo scopo di valutare il livello di attività fisica abituale del paziente)
- Ossimetria percutanea segmentaria: elettrodo posizionato al III inferiore di coscia, al III medio di gamba e sul dorso del piede dell’arto da rivascolarizzare;
- Emogasanalisi arteriosa;
- Dinamometria segmentaria: stimando su tre rilevazioni diverse la forza a livello del muscolo quadricipite e del muscolo gastrocnemio dell’arto da rivascolarizzare; |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
TERAPIA STANDARD |
STANDARD THERAPY |
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E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 15 |
E.8.9.1 | In the Member State concerned days | 0 |