E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Patients with planned revascularisation surgery on the lower extremities. |
Patiënten met een geplande revascularisatie aan de onderste extremiteiten. |
|
E.1.1.1 | Medical condition in easily understood language |
Patients with surgery on the bloodvessels in legs. |
Patiënten met operatie aan de bloedvaten in benen. |
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E.1.1.2 | Therapeutic area | Diseases [C] - Skin and Connective Tissue Diseases [C17] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 18.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10003451 |
E.1.2 | Term | Ascorbic acid |
E.1.2 | System Organ Class | 100000004848 |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 18.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10063919 |
E.1.2 | Term | Bypass surgery |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 18.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10036892 |
E.1.2 | Term | Promotion of wound healing |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 18.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10061407 |
E.1.2 | Term | Vascular bypass graft |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 18.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10053375 |
E.1.2 | Term | Peripheral revascularization |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
|
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 |
Evaluation of the effect of intravenously administered dosages of ascorbic acid on wound healing in patients with open revascularisation of the lower extremities. |
Evaluatie van het effect van intraveneus toegediende doseringen van ascorbinezuur op wondgenezing bij vaatchirurgische patiënten met open revascularisatie van de onderste extremiteiten. |
|
E.2.2 | Secondary objectives of the trial |
Evaluation of the effect of intravenously administered dosages of ascorbic acid on secondary wound healing (pre-surgical existing ulcers) post-surgical complications, mortality and duration of hospital stay. |
Evaluatie van het effect van intraveneus toegediende doseringen van ascorbinezuur op secundaire wond genezing (pre-operatief bestaande ulcera), post-OK complicaties, mortaliteit en opnameduur. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Planned open arterial revascularisation surgery on 1 or 2 legs.
Age > 18 yrs.
Vascular disease fontaine IIb or higher.
|
Geplande open arteriële revascularisatie chirurgie aan 1 of 2 benen.
Leeftijd > 18 jaar.
Vaatlijden fontaine IIb of hoger.
|
|
E.4 | Principal exclusion criteria |
Age < 18yrs.
Hyperoxaluria.
Patients on dialysis.
Paroxismal nocturnal haemoglobinuria.
G6P deficiency.
Recurrent kidney stones.
Hemochromatosis.
Hemosiderosis.
Usage of deferoxamine (in the past).
Immunological disease.
Pregancy.
Bilateral surgery, other than the revascularisation.
Intolerance for study medication.
Mentally incompetent patients.
Previous participation in this study. |
Leeftijd < 18jr.
Hyperoxalurie.
Dialysepatiënten.
Patiënten met paroxismale nachtelijke hemoglobinurie.
G6PD deficiëntie.
Recidiverende nierstenen.
Hemochromatose.
Hemosiderose.
Gebruik van deferoxamine (in het verleden).
Immunologische aandoening.
Zwangeren.
Bilaterale operatie, anders dan de perifere bypass.
Intolerantie voor studie medicatie.
Niet wilsbekwame patiënten.
Eerdere deelname aan dit onderzoek.
|
|
E.5 End points |
E.5.1 | Primary end point(s) |
Improved reduction in wound area of the vascular surgical wound of at least 30%. (corrected for ascorbineacid bloodlevel) |
Versnelde afname van wondoppervlak van de vasculaire operatiewond van tenminste 30%. (gecorrigeerd voor ascorbinezuur bloedspiegel) |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
4 weeks post-surgery. |
4 weken post-operatief. |
|
E.5.2 | Secondary end point(s) |
Relation between the ascorbicacid bloodlevel and the reduction in wound surface area of the primary surgical wound 4 weeks post-surgery.
Reduction in wound surface area of a secondary wound (pre-surgical existing) 4 weeks post-surgery (corrected for baseline ascorbicacid level)
Decreasing the incidence of woundinfections of the surgical wound within 30 days post-surgery(corrected for baseline ascorbicacid level)
Reduction of hospital stay (corrected for baseline ascorbicacid level)
Reduction of the number of readmissions within 30 days post-surgery(corrected for baseline ascorbicacid level)
Reduction of the number of 'all cause complications' within 30 days post-surgery (corrected for baseline ascorbicacid level)
Reduction of mortality within 30 days post-surgery (corrected for baseline ascorbicacid level)
Reduction of the time till median wound surface area healing in case the wounds in both groups are fully closed within 30 days post-surgery. (corrected for baseline ascorbicacid level) |
Relatie tussen de ascorbinezuurspiegel en de reductie in wondoppervlak (%) van de primaire operatiewond, 4 weken postoperatief.
Reductie in wondoppervlak (%) van een eventueel preoperatief aanwezig ulcus aan de onderste extremiteiten, 4 weken postoperatief door intraveneuze suppletie van ascorbinezuur bij vaatchirurgie, waarbij gecorrigeerd wordt voor de baseline ascorbinezuurspiegel.
Het verlagen van de incidentie van wondinfecties van de primaire operatiewond binnen 30 dagen postoperatief door intraveneuze suppletie van ascorbinezuur bij vaatchirurgie, waarbij gecorrigeerd wordt voor de baseline ascorbinezuurspiegel.
Het verkorten van de opnameduur door intraveneuze suppletie van ascorbinezuur bij vaatchirurgie, waarbij gecorrigeerd wordt voor de baseline ascorbinezuurspiegel.
Het verlagen van het aantal vaatchirurgische heropnames binnen 30 dagen postoperatief door intraveneuze suppletie van ascorbinezuur bij vaatchirurgie, waarbij gecorrigeerd wordt voor de baseline ascorbinezuurspiegel.
Het verlagen van het aantal ‘all cause complications’ binnen 30 dagen postoperatief door intraveneuze suppletie van ascorbinezuur bij vaatchirurgie, waarbij gecorrigeerd wordt voor de baseline ascorbinezuurspiegel.
Het verlagen van de mortaliteit binnen 30 dagen postoperatief door intraveneuze suppletie van ascorbinezuur bij vaatchirurgie, waarbij gecorrigeerd wordt voor de baseline ascorbinezuurspiegel.
Het verlagen van de tijd tot mediane wondgenezing indien in beide groepen de wonden volledig gesloten zijn op t = 4 weken, waarbij gecorrigeerd wordt voor de baseline ascorbinezuurspiegel. |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
4 weeks post-surgery. |
4 weken post-operatief. |
|
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 | No |
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 | Yes |
E.6.13.1 | Other scope of the trial description |
To identify the relation of the bloodlevel of ascorbic acid to woundhealing. |
De identificatie van de relatie tussen de bloedspiegel van ascorbinezuur en wondgenezing |
|
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) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | No |
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 | Yes |
E.8.2.3 | Other | No |
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
|
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |