CRAIL - Controlled Reperfusion of the Acutely Ischemic Limb
CRAIL
Prospektive, Randomisierte Multicenter-Studie Zur Optimierung Der Therapie Der Akuten Ischämie Der Unteren Extremitäten Durch Die Kontrollierte Extremitätenreperfusion (Prospective, Randomized Multicenter - Study for Optimization of Therapy of the Acute Ischemic Limb by Controlled Reperfusion)
1 other identifier
interventional
250
2 countries
23
Brief Summary
The purpose of this study is to prove the findings of a preliminary study which strongly suggest the hypothesis that the result of conventional embolectomy for acute, severe lower-limb ischemia can be improved by controlled reperfusion.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Sep 2002
Longer than P75 for phase_3
23 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2002
CompletedFirst Submitted
Initial submission to the registry
December 4, 2007
CompletedFirst Posted
Study publicly available on registry
December 5, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2010
CompletedJuly 28, 2008
July 1, 2008
7 years
December 4, 2007
July 25, 2008
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Amputation-free survival
28 days
Secondary Outcomes (4)
Neurological status (motor function, sensor function) of ischemic limb
4 weeks
Systemic complications in both therapy groups
4 weeks
Tolerance of reperfusion solution
4 weeks
Lethality
12 months
Study Arms (2)
1
ACTIVE COMPARATORconventional embolectomy/thrombectomy
2
EXPERIMENTALembolectomy/thrombectomy with controlled reperfusion
Interventions
Eligibility Criteria
You may qualify if:
- Patients aged 18 years or older
- Patients with arterial occlusion of one or both lower limbs with acute decompensated ischemia (Rutherford IIA to III)
- Informed consent of the patient
You may not qualify if:
- Previous attempt of recanalisation (e.g. lysis therapy)
- Known A. poplitea aneurysm of the affected extremity
- Severe heart failure NYHA IV
- Known atrial thrombus
- Terminal renal insufficiency (creatinine \>10mg/dl or current dialysis therapy, previous transplantation of kidney)
- Hypersensitivity to allopurinol
- Hypersensitivity to one component part of the reperfusion solution
- Participation in a clinical trial during the study or 30 days before
- Pregnancy or lactation
- Patient incapable of contracting or not able to understand the character, meaning and consequences of the clinical trial
- Abuse to drugs or alcohol
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University Hospital Freiburglead
- Dr. Köhler Chemie (Alsbach-Hähnlein, Germany)collaborator
- HP-Medica (Augsburg, Germany)collaborator
- GEA (Frederiksberg, Denmark)collaborator
- Kardialagut (München, Germany)collaborator
Study Sites (23)
Universität Innsbruck
Innsbruck, Austria
St. Johanns-Spital Salzburg
Salzburg, Austria
University Medical Center Freiburg
Freiburg im Breisgau, Baden-Wurttemberg, Germany
Städtisches Klinikum Karlsruhe
Karlsruhe, Baden-Wurttemberg, Germany
Klinikum Lahr
Lahr, Baden-Wurttemberg, Germany
Klinikum Villingen-Schwenningen
Villingen-Schwenningen, Baden-Wurttemberg, Germany
Herzzentrum Bad Krozingen
Bad Krozingen, Germany
Universitätsklinikum Bonn
Bonn, Germany
Kreisklinikum Donaueschingen
Donaueschingen, Germany
St. Johannes-Hospital Dortmund
Dortmund, Germany
Marienhospital Altenessen
Essen, Germany
Universitätsklinikum Frankfurt
Frankfurt, Germany
St. Marien-Hospital Buer, Gelsenkirchen
Gelsenkirchen, Germany
Universitätsklinikum Giessen
Giessen, Germany
Herzzentrum Göttingen
Göttingen, Germany
Uniklinik Hamburg-Eppendorf
Hamburg, Germany
Universitätsklinikum Kiel
Kiel, Germany
Park-Krankenhaus Leipzig
Leipzig, Germany
Universitätsklinikum Lübeck
Lübeck, Germany
Universitätsklinikum Mainz
Mainz, Germany
Klinikum E. v. Bergmann Potsdam
Potsdam, Germany
Universitätsklinikum Rostock
Rostock, Germany
Hegau-Klinikum Singen
Singen, Germany
Related Publications (1)
Wilhelm MP, Schlensak C, Hoh A, Knipping L, Mangold G, Dallmeier Rojas D, Beyersdorf F. Controlled reperfusion using a simplified perfusion system preserves function after acute and persistent limb ischemia: a preliminary study. J Vasc Surg. 2005 Oct;42(4):690-4. doi: 10.1016/j.jvs.2005.05.055.
PMID: 16242556BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Friedhelm Beyersdorf, Prof. Dr.
Department of Cardiovascular Surgery, University Medical Center Freiburg
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
December 4, 2007
First Posted
December 5, 2007
Study Start
September 1, 2002
Primary Completion
September 1, 2009
Study Completion
September 1, 2010
Last Updated
July 28, 2008
Record last verified: 2008-07