Alprostadil in Peripheral Arterial Occlusive Disease (PAOD) Stage IV

NCT ID: NCT00596752

Last Updated: 2018-04-04

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

840 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-03-31

Study Completion Date

2013-07-31

Brief Summary

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The study is to confirmatorily show a superior effect of Alprostadil compared to placebo on the rate of complete healing of ischemic necroses and ulcerations as well as on the frequency and height of major amputations in patients suffering from PAOD stage IV.

Detailed Description

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Conditions

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Peripheral Arterial Occlusive Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Alprostadil

Prostavasin® 40 μg will be infused intravenously twice daily over 2 hours in 50 to 150 ml isotonic sodium chloride solution during a Treatment Phase of 4 weeks.

Group Type EXPERIMENTAL

Alprostadil

Intervention Type DRUG

* Active Substance: Prostaglandin E1
* Pharmaceutical Form: solution for infusion
* Concentration: 40 μg b.d.
* Route of Administration: intravenous infusion

Placebo

Placebo will be infused intravenously twice daily over 2 hours in 50 to 150 ml isotonic sodium chloride solution during a Treatment Phase of 4 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

* Active Substance: Lactose
* Pharmaceutical Form: solution for infusion
* Concentration: 40 μg b.d.
* Route of Administration: intravenous infusion

Interventions

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Alprostadil

* Active Substance: Prostaglandin E1
* Pharmaceutical Form: solution for infusion
* Concentration: 40 μg b.d.
* Route of Administration: intravenous infusion

Intervention Type DRUG

Placebo

* Active Substance: Lactose
* Pharmaceutical Form: solution for infusion
* Concentration: 40 μg b.d.
* Route of Administration: intravenous infusion

Intervention Type OTHER

Other Intervention Names

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Prostavasin

Eligibility Criteria

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Inclusion Criteria

* Subject is at least 45 years of age
* Subjects with macro-angiopathy, proven PAOD Stage IV with up to 2 ischaemic skin lesions for more than 2 weeks
* Subject has a complete angiography of pelvis, thigh and calf within one month of inclusion
* Systolic ankle pressure ≤ 70 mmHg in subjects without media sclerosis of the lower limb artery or systolic big toe pressure ≤ 50 mmHg in diabetics with media sclerosis of the lower limb artery
* Subject is not in the position to be primarily revascularized or refuses surgery

Exclusion Criteria

* Imminent or foreseeable amputation
* Major amputation on the affected extremity
* History of chronic alcohol or drug abuse
* More than two ischemic ulcerations
* One ulcer ≥ 6 cm\^2, both ulcers ≤ 1 cm\^2 or at least one ulcer affecting the bone or tendons
* Acute ischemia and peripheral vascular disorders of inflammatory or immunologic origin
* Neuropathic or venous ulcers
* Buerger's disease
* Septic gangrene
* Use of vasoactive medication or prostaglandins
* Treatment with prostanoids within 3 months prior to inclusion
* Surgical or interventional measures performed on the affected extremity within 3 months prior to study drug treatment
Minimum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aptiv Solutions

INDUSTRY

Sponsor Role collaborator

UCB BIOSCIENCES GmbH

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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UCB Clinical Trial Call Center

Role: STUDY_DIRECTOR

+1 877 822 9493 (UCB)

Locations

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404

Pilsen, , Czechia

Site Status

414

Ústí nad Labem, , Czechia

Site Status

1

Karlsbad, , Germany

Site Status

502

Aguascalientes, , Mexico

Site Status

505

Mérida, , Mexico

Site Status

501

Querétaro, , Mexico

Site Status

306

Bydgoszcz, , Poland

Site Status

321

Gmina Końskie, , Poland

Site Status

320

Krakow, , Poland

Site Status

314

Lublin, , Poland

Site Status

315

Lublin, , Poland

Site Status

316

Poznan, , Poland

Site Status

317

Poznan, , Poland

Site Status

301

Szczecin, , Poland

Site Status

304

Szczecin, , Poland

Site Status

307

Warsaw, , Poland

Site Status

308

Warsaw, , Poland

Site Status

309

Warsaw, , Poland

Site Status

318

Warsaw, , Poland

Site Status

319

Warsaw, , Poland

Site Status

312

Wroclaw, , Poland

Site Status

322

Zamość, , Poland

Site Status

246

Barnaul, , Russia

Site Status

205

Chelyabinsk, , Russia

Site Status

244

Chelyabinsk, , Russia

Site Status

228

Irkutsk, , Russia

Site Status

242

Kazan', , Russia

Site Status

227

Kemerovo, , Russia

Site Status

201

Moscow, , Russia

Site Status

202

Moscow, , Russia

Site Status

203

Moscow, , Russia

Site Status

209

Moscow, , Russia

Site Status

219

Moscow, , Russia

Site Status

220

Moscow, , Russia

Site Status

230

Moscow, , Russia

Site Status

248

Moscow, , Russia

Site Status

231

Novosibirsk, , Russia

Site Status

232

Novosibirsk, , Russia

Site Status

222

Omsk, , Russia

Site Status

217

Petrozavodsk, , Russia

Site Status

206

Rostov-on-Don, , Russia

Site Status

225

Rostov-on-Don, , Russia

Site Status

236

Rostov-on-Don, , Russia

Site Status

239

Rostov-on-Don, , Russia

Site Status

224

Ryazan, , Russia

Site Status

210

Saint Petersburg, , Russia

Site Status

212

Saint Petersburg, , Russia

Site Status

213

Saint Petersburg, , Russia

Site Status

214

Saint Petersburg, , Russia

Site Status

215

Saint Petersburg, , Russia

Site Status

216

Saint Petersburg, , Russia

Site Status

218

Samara, , Russia

Site Status

237

Saratov, , Russia

Site Status

243

Tula, , Russia

Site Status

234

Tver', , Russia

Site Status

238

Tyumen, , Russia

Site Status

241

Ufa, , Russia

Site Status

240

Volgograd, , Russia

Site Status

221

Yaroslavl, , Russia

Site Status

223

Yekaterinburg, , Russia

Site Status

247

Yekaterinburg, , Russia

Site Status

112

Dnipropetrovsk, , Ukraine

Site Status

109

Donetsk, , Ukraine

Site Status

110

Donetsk, , Ukraine

Site Status

114

Ivano-Frankivsk, , Ukraine

Site Status

111

Kharkiv, , Ukraine

Site Status

101

Kiev, , Ukraine

Site Status

102

Kiev, , Ukraine

Site Status

103

Kiev, , Ukraine

Site Status

104

Kiev, , Ukraine

Site Status

105

Kiev, , Ukraine

Site Status

106

Lviv, , Ukraine

Site Status

118

Odesa, , Ukraine

Site Status

119

Odesa, , Ukraine

Site Status

113

Uzhhorod, , Ukraine

Site Status

116

Vinnytsia, , Ukraine

Site Status

107

Zaporizhzhya, , Ukraine

Site Status

108

Zaporizhzhya, , Ukraine

Site Status

Countries

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Czechia Germany Mexico Poland Russia Ukraine

References

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Lawall H, Pokrovsky A, Checinski P, Ratushnyuk A, Hamm G, Randerath O, Grieger F, Bentz JWG. Efficacy and Safety of Alprostadil in Patients with Peripheral Arterial Occlusive Disease Fontaine Stage IV: Results of a Placebo Controlled Randomised Multicentre Trial (ESPECIAL). Eur J Vasc Endovasc Surg. 2017 Apr;53(4):559-566. doi: 10.1016/j.ejvs.2016.12.035. Epub 2017 Feb 8.

Reference Type RESULT
PMID: 28189475 (View on PubMed)

Related Links

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Other Identifiers

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2005-001970-29

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

SP0777

Identifier Type: -

Identifier Source: org_study_id

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