NCT01064206

Brief Summary

Background: Buerger's disease (thromboangiitis obliterans or TAO) is a rare disease (1/ 10 000) characterized by the development of segmental thrombotic occlusions of the medium and small arteries of the extremities. Afflicted patients are mostly young, male, inveterate tobacco (or cannabis) smokers who present with distal extremity ischemia, ischemic ulcers, of the toes or fingers. Large arteries are typically spared, as are the coronary, cerebral, and visceral circulations. Patients with TAO often suffer from severe ischemic pain and tissue loss culminating in minor and major limb amputation. Clinical diagnostic criteria generally include history of tobacco abuse; age of onset less than 50 years; infrapopliteal, segmental arterial occlusions with sparing of the proximal vasculature; frequent distal upper extremity arterial involvement (Raynaud's syndrome or digital ulceration); superficial phlebitis; and exclusion of arteriosclerosis, diabetes, true arteritis, proximal embolic source, and hypercoagulable states. While the cause of Buerger's disease remains unknown, the disease onset and clinical course are inextricably linked to tobacco (or cannabis) abuse. Tobacco abstinence generally results in disease quiescence and remains the mainstay of treatment. For some unknown reason, clinicians observed that TAO patients rarely discontinue smoking even though amputation is usually the inevitable consequence and the only method available of controlling pain and ulceration. Few studies were realized and Hofer-Mayer and coll. found remarkable personality features comparing to coronary patients: TAO patients significantly changed their place of work more often, had more absenteeism from work, smoked more before the illness and continued to smoke more frequently during their illness, were more often single or divorced and had more conflicts in their relationships. Those facts led us to explore their psychopathology and their addictive profile. Purpose: Search the prevalence of personality disorders in Buerger's patients who present with tobacco or cannabis smoking. Hypothesis: Patients with Buerger's disease show remarkable personality features (psychological and addictive profile) which are vulnerability factors to stop smoking (tobacco or cannabis) compared to patients with atheromatous arteritis.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
224

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Sep 2008

Longer than P75 for all trials

Geographic Reach
1 country

16 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2008

Completed
1.4 years until next milestone

First Submitted

Initial submission to the registry

February 5, 2010

Completed
3 days until next milestone

First Posted

Study publicly available on registry

February 8, 2010

Completed
6.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2016

Completed
Last Updated

November 10, 2016

Status Verified

November 1, 2016

Enrollment Period

8 years

First QC Date

February 5, 2010

Last Update Submit

November 9, 2016

Conditions

Keywords

thrombangiitis obliteransBuerger's diseaseatheromatous arteritispsychiatric disorderspersonality disordersaddictive profileaddictiontobaccocannabis

Outcome Measures

Primary Outcomes (1)

  • SCID personality disorders

    2013

Secondary Outcomes (3)

  • psychiatric disorders by MINI DSM-IV results

    2013

  • RAP Fagerström and Cannabis questionnaire total scores

    2013

  • Results of neuropsychological assessment

    2013

Study Arms (2)

Buerger's disease patients

200 thromboangiitis obliterans patients (Buerger's disease or TAO)

Control group

200 atheromatous arteritis patients

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

We include 200 Buerger's disease patients and 200 atheromatous arteritis patients, smoking tobacco or cannabis

You may qualify if:

  • Buerger's disease patients or atheromatous arteritis patients
  • Smoking tobacco or cannabis

You may not qualify if:

  • Diabetic patients

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (16)

University Hospital, Bordeaux

Bordeaux, France

Location

University Hospital, Brest

Brest, France

Location

University Hospital, Caen

Caen, France

Location

University Hospital, Lille

Lille, France

Location

University Hospital, Marseille

Marseille, France

Location

University Hospital, Montpellier

Montpellier, France

Location

University Hospital, Nancy

Nancy, France

Location

University Hospital, Nantes

Nantes, France

Location

Georges Pompidou European Hospital, Paris

Paris, France

Location

Tenon Hospital, Paris

Paris, France

Location

University Hospital, Rouen

Rouen, France

Location

University Hospital, Strasbourg

Strasbourg, France

Location

University Hospital, Toulouse

Toulouse, France

Location

University Hospital, Tours

Tours, France

Location

General Hospital, Valenciennes

Valenciennes, France

Location

Paul Brousse Hospital, Villejuif

Villejuif, France

Location

Biospecimen

Retention: SAMPLES WITHOUT DNA

urine

MeSH Terms

Conditions

Thromboangiitis ObliteransMental DisordersPersonality DisordersBehavior, AddictiveMarijuana Abuse

Condition Hierarchy (Ancestors)

Arterial Occlusive DiseasesVascular DiseasesCardiovascular DiseasesVasculitisCompulsive BehaviorImpulsive BehaviorBehaviorSubstance-Related DisordersChemically-Induced Disorders

Study Officials

  • Olivier COTTENCIN

    University Hospital, Lille

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 5, 2010

First Posted

February 8, 2010

Study Start

September 1, 2008

Primary Completion

September 1, 2016

Study Completion

September 1, 2016

Last Updated

November 10, 2016

Record last verified: 2016-11

Data Sharing

IPD Sharing
Will not share

Locations