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NCT02770547

Leg Thermotherapy for Intermittent Claudication

Completed NA Results posted Last updated 10 February 2020
What this trial tests

NA trial testing Low Heat Thermotherapy in Peripheral Artery Disease in 32 participants. Completed in 14 December 2018.

Timeline
30 May 2016
Primary endpoint
14 December 2018
14 December 2018

Quick facts

Lead sponsorIndiana University
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment32
Start date30 May 2016
Primary completion14 December 2018
Estimated completion14 December 2018
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Indiana University

Who can join

Adults 18 to 99, any sex, with Peripheral Artery Disease. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Exercise Tolerance Assessed by Measuring Distance (m) Walked in 6-minutes Primary · Maximal walking distances on a 6mwt were obtained at weeks 3/6 and 6/6 of the study and compared to baseline values.

6-minutes walk test

Week 3
GroupValue95% CI
Low Heat Thermotherapy388.75± 85.08
High Heat Thermotherapy414.96± 109.23
Week 6
GroupValue95% CI
Low Heat Thermotherapy404.29± 83.05
High Heat Thermotherapy419.73± 113.83
Blood Pressure Primary · Average blood pressure taken every 5 minutes for 70 minutes was obtained at weeks 3/6 and 6/6 of the study and compared to baseline values.

Participants have systolic, diastolic and mean blood pressure recording 14 times during baseline, week 3 and week 6 experimental sessions.

Systolic BP Week 3
GroupValue95% CI
Low Heat Thermotherapy146.29± 17.08
High Heat Thermotherapy148.97± 12.51
Systolic BP Week 6
GroupValue95% CI
Low Heat Thermotherapy149.84± 9.61
High Heat Thermotherapy150.21± 15.38
Diastolic BP Week 3
GroupValue95% CI
Low Heat Thermotherapy79.38± 10.74
High Heat Thermotherapy79.72± 9.42
Diastolic BP Week 6
GroupValue95% CI
Low Heat Thermotherapy80.31± 8.98
High Heat Thermotherapy81.44± 8.64
Mean Arterial Pressure Week 3
GroupValue95% CI
Low Heat Thermotherapy101.69± 12.18
High Heat Thermotherapy102.81± 9.33
Mean Arterial Pressure Week 6
GroupValue95% CI
Low Heat Thermotherapy103.48± 7.90
High Heat Thermotherapy104.36± 9.39
Circulating Levels of Endothelin-1 (pg/mL) Primary · Serum endothelin-1 levels were obtained at weeks 3/6 and 6/6 of the study and compared to baseline values.

Blood draw

Endothelin-1 Week 3
GroupValue95% CI
Low Heat Thermotherapy2.44± 0.66
High Heat Thermotherapy2.11± 0.37
Endothelin-1 Week 6
GroupValue95% CI
Low Heat Thermotherapy2.60± 0.69
High Heat Thermotherapy2.00± 0.35
Circulating Total Nitrate Levels (mmol) Primary · Serum total nitrate levels were obtained at weeks 3/6 and 6/6 of the study and compared to baseline values.

Blood Draw

Total Nitrate Levels Week 3
GroupValue95% CI
Low Heat Thermotherapy63.62± 30.60
High Heat Thermotherapy47.61± 21.31
Total Nitrate Levels Week 6
GroupValue95% CI
Low Heat Thermotherapy58.31± 29.30
High Heat Thermotherapy42.95± 19.57
Vascular Function Assessed by Leg MRI to Measure Peak Blood Flow in Popliteal Artery (ml/s) Secondary · Peak flows after post-occlusive reactive hyperemia were obtained at weeks 3/6 and 6/6 of the study and compared to baseline values.

Phase contrast magnetic resonance imaging was performed on the leg that the patient indicated to have the most severe claudication. An inflation cuff was placed around the thigh and inflated to 75 mmHg above resting brachial systolic pressure for 5 minutes. After 5 minutes of inflation, the cuff was release and an additional 10 minutes of imaging took place.

Week 3
GroupValue95% CI
Low Heat Thermotherapy4.25± 2.54
High Heat Thermotherapy4.85± 1.94
Week 6
GroupValue95% CI
Low Heat Thermotherapy4.49± 2.51
High Heat Thermotherapy5.49± 2.43
Vascular Function Measured by Ankle-brachial Index - Calculated by Dividing Higher of Posterior Tibial or Dorsalis Pedis Blood Pressure (mmHg) by Higher of Right or Left Arm Systolic Blood Pressure (mmHg) Secondary · Ankle-brachial index measures were obtained at weeks 3/6 and 6/6 of the study and compared to baseline values.

Ankle-brachial Index

Week 3
GroupValue95% CI
Low Heat Thermotherapy0.64± 0.14
High Heat Thermotherapy0.71± 0.13
Week 6
GroupValue95% CI
Low Heat Thermotherapy0.64± 0.12
High Heat Thermotherapy0.71± 0.11
Vascular Function Measuring Leg Cutaneous Vascular Conductance - Measured by Laser-doppler Flowmetry of the Skin Secondary · Maximal cutaneous vascular conductance values after 40 minutes of localized heating were obtained at weeks 3/6 and 6/6 of the study and compared to baseline values.

Laser-Doppler flowmetry of skin included placement of two heating probes on the anterior portion of the lower leg. The participant sat in a semi-recumbent position for 70 minutes while the temperature of the probe progressed from 33C to 39C at minute 10 and then to 43C at minute 50. Cutaneous vascular conductance was calculated at the average red blood cell flux during the final 2 minutes of the 39C heating portion divided by the mean arterial pressure taken at that time.

Week 3
GroupValue95% CI
Low Heat Thermotherapy55.08± 3.691
High Heat Thermotherapy56.09± 4.892
Week 6
GroupValue95% CI
Low Heat Thermotherapy54.29± 4.077
High Heat Thermotherapy52.66± 3.806
Patient Reported Functional Health and Well-being Using 36-item Short Form Health Survey Secondary · SF-36 questionnaires were administered at weeks 3/6 and 6/6 of the study and compared to baseline values.

36-item Short Form Health Survey. All scales are scored 1-100, with 1 being the poorest rating and 100 being the most optimal.

Physical Functioning Week 3
GroupValue95% CI
Low Heat Thermotherapy48.08± 27.27
High Heat Thermotherapy45.05± 16.59
Physical Functioning Week 6
GroupValue95% CI
Low Heat Thermotherapy42.67± 29.43
High Heat Thermotherapy49.26± 20.20
Role Physical Week 3
GroupValue95% CI
Low Heat Thermotherapy50.00± 33.46
High Heat Thermotherapy50.00± 24.55
Role Physical Week 6
GroupValue95% CI
Low Heat Thermotherapy50.42± 31.65
High Heat Thermotherapy56.25± 28.84
Bodily Pain Week 3
GroupValue95% CI
Low Heat Thermotherapy45.85± 21.25
High Heat Thermotherapy49.29± 20.60
Bodily Pain Week 6
GroupValue95% CI
Low Heat Thermotherapy50.33± 22.40
High Heat Thermotherapy51.87± 18.28
General Health Week 3
GroupValue95% CI
Low Heat Thermotherapy54.92± 13.82
High Heat Thermotherapy61.47± 20.20
General Health Week 6
GroupValue95% CI
Low Heat Thermotherapy55.33± 18.48
High Heat Thermotherapy59.40± 21.67

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse event data was collected for each participant over the course of 6 weeks of treatment.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Low Heat Thermotherapy
Serious: 0/16 (0%)
Deaths: 0/16
High Heat Thermotherapy
Serious: 1/16 (6%)
Deaths: 0/16

Serious adverse events (1 terms)

ReactionSystemLow Heat ThermotherapyHigh Heat Thermotherapy
Surface level burnSkin and subcutaneous tissue disorders

Most-reported serious reactions: Surface level burn.

Data from ClinicalTrials.gov NCT02770547 adverse events section.

Sponsor's own description

This study proposes to evaluate the potential of leg thermotherapy as a non-pharmacological intervention that could improve the mobility and exercise tolerance of patients with intermittent claudication. Thermotherapy is a simple, easily applicable therapy that enhances exercise tolerance in patients with chronic heart failure by improving peripheral vascular endothelial function.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Leg heat therapy improves perceived physical function but does not enhance walking capacity or vascular function in patients with peripheral artery disease.
    Monroe JC, Lin C, Perkins SM, Han Y, et al · · 2020 · cited 13× · PMID 33002377 · DOI 10.1152/japplphysiol.00277.2020

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Other recruiting trials for Peripheral Artery Disease

Currently open trials in the same condition.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02770547.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing