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Exercise Program for Peripheral Arterial Disease (NICE Trial)
N/A
Recruiting
Led By Andrew W. Gardner, Ph.D
Research Sponsored by University of Oklahoma
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Ambulatory leg pain in either one or both legs consistent with intermittent claudication confirmed during a screening graded treadmill test using the Gardner-Skinner protocol
An ABI <= 0.90 at rest or > 20% decrease in ankle systolic blood pressure in either one or both legs immediately following the treadmill exercise test
Must not have
Absence of PAD (ABI > 0.90 at rest and ankle systolic blood pressure < 20% decrease after exercise)
Peripheral revascularization within one month prior to investigation, or peripheral revascularization performed during the study
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 3 months
Awards & highlights
No Placebo-Only Group
Summary
This trial tests a program to improve exercise and blood flow in people with PAD.
Who is the study for?
This trial is for individuals aged 60 or older with Peripheral Artery Disease (PAD) who experience leg pain during walking, confirmed by a treadmill test and an Ankle-Brachial Index (ABI) of <=0.90. Candidates should not have started certain PAD medications recently, had recent revascularization, or have conditions that could affect exercise tolerance other than PAD.
What is being tested?
The study tests the Non-Ischemic Exercise (NICE) program's effectiveness over three months in improving exercise capacity and vascular health in patients with PAD. Participants are randomly assigned to either the NICE program or a control group to compare outcomes.
What are the potential side effects?
Since this intervention involves exercise, potential side effects may include muscle soreness, fatigue, and increased leg pain initially as participants adapt to the new activity regimen.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I have leg pain when walking, confirmed by a treadmill test.
Select...
My ankle blood pressure drops significantly after exercise.
Select...
I have leg pain when walking.
Select...
I am 60 years old or older.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
My blood flow in legs is normal, both at rest and after exercise.
Select...
I have had or will have surgery to improve blood flow to my limbs.
Select...
I have pain-free leg artery disease confirmed by a treadmill test.
Select...
I couldn't finish the initial treatment phase in 3 weeks.
Select...
My finger's oxygen level is below 95% due to lung issues affecting muscle oxygen.
Select...
My ability to exercise is limited due to a condition other than PAD.
Select...
My condition is stage 5 chronic kidney disease.
Select...
My cancer is currently active.
Select...
I have tissue loss due to poor blood flow in my legs.
Select...
I have pain in my legs at rest due to poor blood flow.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 3 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~3 months
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Calf Muscle Oxygen Saturation
Peak Walking Time
Secondary study objectives
6-Minute Walk Distance
plasma C-Reactive Protein
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: Non-Ischemic Exercise (NICE) exercise programExperimental Treatment1 Intervention
Patients will perform supervised treadmill walking for 3 months. Patients randomized to the NICE program will walk intermittently at a slow speed of approximately 1.4 mph for only 2-3 minute bouts that do not elicit claudication pain.
Group II: Standard exercise programActive Control1 Intervention
Patients will perform supervised treadmill walking for 3 months. Patients randomized to the Standard program will walk intermittently at a speed of approximately two mph to near maximal claudication pain.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Exercise
2016
Completed Phase 1
~820
Find a Location
Who is running the clinical trial?
Case Western Reserve UniversityOTHER
307 Previous Clinical Trials
250,533 Total Patients Enrolled
1 Trials studying Peripheral Arterial Disease
150 Patients Enrolled for Peripheral Arterial Disease
University of OklahomaLead Sponsor
473 Previous Clinical Trials
93,581 Total Patients Enrolled
8 Trials studying Peripheral Arterial Disease
1,288 Patients Enrolled for Peripheral Arterial Disease
National Institute on Aging (NIA)NIH
1,785 Previous Clinical Trials
28,184,636 Total Patients Enrolled
22 Trials studying Peripheral Arterial Disease
24,495 Patients Enrolled for Peripheral Arterial Disease
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