Effect of Intermittent Pressure in Patients With PAD
Mechanistic Insights Into Changes in Blood Flow Following Application of Intermittent Negative Pressure
1 other identifier
interventional
65
1 country
1
Brief Summary
The study will evaluate the effect of intermittent negative pressure (INP) on peripheral arterial disease (PAD) patient vascular function and blood flow. Patients will be given either -40mmHg INP or -10mmHg INP which will act as a placebo. Healthy volunteers will be given -40mmHg INP to evaluate changes in vascular function and blood flow with INP in healthy physiology.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Feb 2019
Typical duration for not_applicable
1 active site
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
February 16, 2019
CompletedFirst Submitted
Initial submission to the registry
February 19, 2019
CompletedFirst Posted
Study publicly available on registry
February 26, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 5, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
June 5, 2021
CompletedAugust 6, 2021
August 1, 2021
2.3 years
February 19, 2019
August 5, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
Change in microvascular blood flow
Microvascular blood flow measurement in foot using laser Dopper imaging.
Baseline, 1 day and 4-8 weeks
Change in microvascular endothelial function
Peak blood perfusion response to acetylcholine (ACh) delivered by iontophoresis will be measured using a laser Doppler imager.
Baseline, 1 day and 4-8 weeks
Change in arterial stiffness
Brachial pulse wave analysis (PWA) augmentation index (Ax) and carotid-femoral pulse wave velocity (m/s) (PWV) as an indication of arterial stiffness.
Baseline, 1 day and 4-8 weeks
Change in macrovascular endothelial function
Brachial endothelial function measured as change in brachial blood vessel diameter (%) upon shear stress.
Baseline, 1 day and 4-8 weeks
Secondary Outcomes (3)
Change in pain score
Baseline, 1 day and 4-8 weeks
Change in concentration of blood borne inflammatory and oxidative stress biomarkers
Baseline, 1 day and 4-8 weeks
Change in Ankle-Brachial Pressure Index (ABPI)
Baseline, 1 day and 4-8 weeks
Study Arms (3)
Active PAD group
EXPERIMENTAL-40mmHg of Intermittent Negative Pressure (INP) for 4-8 weeks.
Placebo PAD group
EXPERIMENTAL-10mmHg of Intermittent Negative Pressure (INP) for 4-8 weeks.
Healthy Volunteers
EXPERIMENTAL-40 mmHg of Intermittent Negative Pressure (INP) for 5 days
Interventions
Application of -40mmHg negative pressure on the lower limb
Application of -10mmHg negative pressure on the lower limb
Eligibility Criteria
You may qualify if:
- PAD Patients:
- Age ≥ 18 years
- Attending vascular outpatient clinics or admitted in ward with PAD.
- ABPI \<0.9
- Healthy Volunteers:
- Age ≥ 18 years
- No current or previous significant cardiovascular illness
- Able to give written informed consent
You may not qualify if:
- PAD Patients:
- Unable to give written informed consent
- Patients with deep venous thrombosis
- Pregnant women
- Healthy Volunteers:
- Positive medical history of: Vascular diseases such as PAD, stroke, IHD, hypertension... etc.
- Haematological conditions such as hypercoagulability, deep venous thrombosis... etc.,
- Alcohol excess
- Unable to give written informed consent
- Pregnant women
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
School of Medicine, University of Dundee, Ninewells Hospital & Medical School
Dundee, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jody McIntosh
PhD student
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- BASIC SCIENCE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 19, 2019
First Posted
February 26, 2019
Study Start
February 16, 2019
Primary Completion
June 5, 2021
Study Completion
June 5, 2021
Last Updated
August 6, 2021
Record last verified: 2021-08
Data Sharing
- IPD Sharing
- Will not share