About this trial
This study is a 3-month, prospective, randomized controlled clinical trial designed to address the efficacy of the Non-Ischemic Exercise (NICE) program to improve exercise and vascular outcome measures in patients with peripheral artery disease (PAD).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
history of claudication assessed by the Walking Impairment Questionnaire,
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.
age >= 40 years.
Disqualifiers
absence of PAD (ABI > 0.90 at rest and ankle systolic blood pressure < 20% decrease after exercise,
inability to obtain an ABI measure due to non-compressible vessels (ABI > 1.40),
asymptomatic PAD (Fontaine Stage I) determined from the medical history and verified during the graded treadmill test,
rest pain due to PAD (Fontaine stage III)
Trial design
Parallel
Treatments tested in this trial
Exercise
BehavioralNon-Ischemic Exercise (NICE), pain-free exercise program will be compared to the Standard painful exercise program.
Treatment groups
Trial outcomes
Primary outcomes
Peak Walking Time
The change in peak walking time from the pre-test value to the post-test value (seconds)
Calf Muscle Oxygen Saturation
The change in calf muscle oxygen saturation value during exercise from the pre-test value to the post-test value (% saturation)
Secondary outcomes
6-Minute Walk Distance
The change in 6-minute walk distance from the pre-test value to the post-test value (meters)
plasma C-Reactive Protein
The change in plasma C-reactive protein from the pre-test value to the post-test value (mg/L)
Sponsors and contacts
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University of Oklahoma
Lead sponsor
Case Western Reserve University
Collaborator
National Institute on Aging (NIA)
Collaborator