Exercise Training Versus Best Medical Treatment Only in Peripheral Artery Disease

This study is currently recruiting participants.
Verified December 2011 by Medical University of Vienna
Sponsor:
Information provided by (Responsible Party):
Oliver Schlager, Medical University of Vienna
ClinicalTrials.gov Identifier:
NCT00926081
First received: June 22, 2009
Last updated: December 30, 2011
Last verified: December 2011

June 22, 2009
December 30, 2011
November 2007
December 2013   (final data collection date for primary outcome measure)
Quality of Life [ Time Frame: 1 year ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00926081 on ClinicalTrials.gov Archive Site
  • Endothelial progenitor cells [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • Inflammatory parameters [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • Ankle brachial index [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • Pain-free walking distance [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • Peripheral transcutaneous oxygen pressure [ Time Frame: 1 year ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Exercise Training Versus Best Medical Treatment Only in Peripheral Artery Disease
Exercise Training Versus Best Medical Treatment Only in Peripheral Artery Disease

The aim of the investigators' study is to analyze the value of supervised exercise training combined with medical therapy versus best medical treatment only with respect to quality of life. Furthermore, the investigators aim to evaluate the effect of supervised exercise training on microcirculation, peripheral endothelial progenitor cells as well as on future major cardiovascular adverse events.

Peripheral arterial disease (PAD) affects 7 - 12% of the population aged over 50 years. Over an age of 60 years up to 20% are suffering from PAD in Western societies. Both, percutaneous transluminal angioplasty (PTA) and surgical repair (bypass graft, thrombectomy) are well established procedures to improve peripheral arterial perfusion. However, long-term results remain disappointing: Low patency-rates are associated with clinical deterioration. Moreover, clinical outcome is often limited by early major cardiovascular adverse events (myocardial infarction, stroke).

Therefore, medical therapy plays a major role in the management of PAD patients: Antihypertensive medication, statins as well as an adequate diabetes therapy are important cornerstones in the therapeutical management of PAD. Prior studies have shown that regular supervised exercise training can improve patients´walking impairment.

We hypothesize that regular supervised exercise training significantly improves Quality of Life and decreases the occurence of future major cardiovascular adverse events. We further aim to investigate the effect of exercise training on peripheral microcirculation and endothelial progenitor cells.

Interventional
Not Provided
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Peripheral Artery Disease
Behavioral: Supervised exercise training
A standardized supervised exercise training program
Other Name: Standardized supervised exercise training
  • No Intervention: Best medical treatment
    Patients with peripheral artery disease receiving best medical treatment only
  • Active Comparator: Supervised exercise training
    Patients with peripheral artery disease receiving best medical treatment plus supervised exercise training
    Intervention: Behavioral: Supervised exercise training
Schlager O, Hammer A, Giurgea A, Schuhfried O, Fialka-Moser V, Gschwandtner M, Koppensteiner R, Steiner S. Impact of exercise training on inflammation and platelet activation in patients with intermittent claudication. Swiss Med Wkly. 2012 Aug 14;142:w13623. doi: 10.4414/smw.2012.13623.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
120
December 2014
December 2013   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Peripheral artery disease with intermittent claudication (Rutherford 2-3)
  • Exercise tolerance
  • Ankle brachial index < 0,9
  • Ability to life independently at home

Exclusion Criteria:

  • No PAD
  • Asymptomatic PAD
  • Ischemic rest pain
  • Exercise tolerance limited by other factors than claudication (e.g., coronary artery disease, dyspnoea, poorly controlled blood pressure, any kind of restriction of the musculoskeletal system which might have an influence on the efficiency of exercise training)
Both
18 Years and older
No
Contact: Oliver Schlager, MD +431 40400 ext 4670 oliver.schlager@meduniwien.ac.at
Contact: Sabine Steiner-Boeker, MD +431 40400 ext 4670 sabine.steiner-boeker@meduniwien.ac.at
Austria
 
NCT00926081
EK056/2007
No
Oliver Schlager, Medical University of Vienna
Medical University of Vienna
Not Provided
Principal Investigator: Sabine Steiner-Boeker, MD Department of Angiology, Medical University Vienna
Medical University of Vienna
December 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP