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NCT04138576: VAP-PRO-C4

Efficacy and Tolerability of Venoactive Drugs in Patients With Chronic Venous Diseases C4a&b in Real Clinical Practice.

Completed Results posted Last updated 1 September 2023
What this trial tests

trial in Chronic Venous Diseases in 381 participants. Completed in 1 December 2020.

Timeline
25 December 2019
Primary endpoint
1 October 2020
1 December 2020

Quick facts

Lead sponsorServier Russia
StatusCompleted
Study typeOBSERVATIONAL
Enrollment381
Start date25 December 2019
Primary completion1 October 2020
Estimated completion1 December 2020
Sites1 location across Russia

Conditions studied

Sponsor

Servier Russia — full company profile →

Who can join

18 and older, any sex, with Chronic Venous Diseases. 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.

The Mean Subcutaneous Adipose Tissue Thickness Changes (mm) Between the Visit 3 and Baseline by Ultrasound Examination. Primary · 6 months

Ultrasound examination was used to get: 1. Thickness of the thickness of the skin-fat fold at the affected skin area; 2. Presence of reflux or occlusion (with an indication of the terrotiry). * Measurements should be taken in the afternoon at about the same time, at visits V0 and V3. * The data are recorded only for the limb with the most severe changes. * Measurements are taken at the site of skin changes. Unit of Measure - mm

GroupValue95% CI
Patients With Chronic Venous Diseases of CEAP Classes C4a and C4b in Real Clinical Practice2.5± 4.5
The Mean Changes VCSS for Pain (Four-point Scale (From 0 to 3)) Between the Visit 3 and Baseline by Ultrasound Examination. Change in the VCSS Scale Secondary · 6 months

Was used four-point scale the Venous Clinical Severity Score(VCSS ). It uses a number of clinical signs, which are assigned a point equivalent depending on their severity (pain, varicose veins, edema, hyperpigmentation, inflammation, induration, the number of ulcers, the presence of active ulcers, the use of compression therapy). The sum of points reflects the severity of the pathology: the more points, the more severe the course of chronic venous disease. Changing the amount of points over time allows you to assess the degree of disease progression or the effectiveness of treatment measures.

GroupValue95% CI
Patients With Chronic Venous Diseases of CEAP Classes C4a and C4b in Real Clinical Practice0.74± 0.68
The Mean Changes VCSS for Hyperpigmentation (Four-point Scale (From 0 to 3)) Between the Visit 3 and Baseline by Ultrasound Examination. Change in the VCSS Scale Secondary · 6 months

Was used four-point scale the Venous Clinical Severity Score(VCSS ). It uses a number of clinical signs, which are assigned a point equivalent depending on their severity (pain, varicose veins, edema, hyperpigmentation, inflammation, induration, the number of ulcers, the presence of active ulcers, the use of compression therapy). The sum of points reflects the severity of the pathology: the more points, the more severe the course of chronic venous disease. Changing the amount of points over time allows you to assess the degree of disease progression or the effectiveness of treatment measures.

GroupValue95% CI
Patients With Chronic Venous Diseases of CEAP Classes C4a and C4b in Real Clinical Practice0.49± 0.74
The Mean Changes VCSS for Inflammation (Four-point Scale (From 0 to 3)) Between the Visit 3 and Baseline by Ultrasound Examination. Change in the VCSS Scale Secondary · 6 months

Was used four-point scale the Venous Clinical Severity Score(VCSS ). It uses a number of clinical signs, which are assigned a point equivalent depending on their severity (pain, varicose veins, edema, hyperpigmentation, inflammation, induration, the number of ulcers, the presence of active ulcers, the use of compression therapy). The sum of points reflects the severity of the pathology: the more points, the more severe the course of chronic venous disease. Changing the amount of points over time allows you to assess the degree of disease progression or the effectiveness of treatment measures.

GroupValue95% CI
Patients With Chronic Venous Diseases of CEAP Classes C4a and C4b in Real Clinical Practice0.45± 0.74
Outcome Measure Title: The Mean Changes VCSS for Subcutaneous Tissue Induration (Four-point Scale (From 0 to 3)) Between the Visit 3 and Baseline by Ultrasound Examination. Change in the VCSS Scale Secondary · 6 months

Was used four-point scale the Venous Clinical Severity Score(VCSS ). It uses a number of clinical signs, which are assigned a point equivalent depending on their severity (pain, varicose veins, edema, hyperpigmentation, inflammation, induration, the number of ulcers, the presence of active ulcers, the use of compression therapy). The sum of points reflects the severity of the pathology: the more points, the more severe the course of chronic venous disease. Changing the amount of points over time allows you to assess the degree of disease progression or the effectiveness of treatment measures.

GroupValue95% CI
Patients With Chronic Venous Diseases of CEAP Classes C4a and C4b in Real Clinical Practice0.36± 0.71
The Mean CVD Symptoms Characteristic Changes Between the Visit 3 and Baseline Evaluated by Means of Visual Analogue Scale (VAS). -Skin Tightening Secondary · 6 months

Visual Analogue Scale (VAS) The Visual Analogue Scale (VAS) is designed to measure symptom's intensity. It is a continuous scale in the form of a horizontal or vertical line 10 cm (100 mm) long with two extreme points located on it: "no symptom " and "the strongest symptom you can imagine." Visual analogue scale technique: The patient is asked to place a line perpendicularly crossing the visual analogue scale at the point that corresponds to his symptom intensity. The ruler measures the distance (mm) between "no symptom" and "the worst symptom imaginable," providing a score range of 0 to 100

GroupValue95% CI
Patients With Chronic Venous Diseases of CEAP Classes C4a and C4b in Real Clinical Practice2.63± 2.41
The Mean CVD Symptoms Characteristic Changes Between the Visit 3 and Baseline Evaluated by Means of Visual Analogue Scale (VAS). - Intensity of Burning Sensation Secondary · 6 months

Visual Analogue Scale (VAS) The Visual Analogue Scale (VAS) is designed to measure symptom's intensity. It is a continuous scale in the form of a horizontal or vertical line 10 cm (100 mm) long with two extreme points located on it: "no symptom " and "the strongest symptom you can imagine." Visual analogue scale technique: The patient is asked to place a line perpendicularly crossing the visual analogue scale at the point that corresponds to his symptom intensity. The ruler measures the distance (mm) between "no symptom" and "the worst symptom imaginable," providing a score range of 0 to 100

GroupValue95% CI
Patients With Chronic Venous Diseases of CEAP Classes C4a and C4b in Real Clinical Practice2.40± 2.40
The Mean CVD Symptoms Characteristic Changes Between the Visit 3 and Baseline Evaluated by Means of Visual Analogue Scale (VAS). - Skin Itching Secondary · 6 months

Visual Analogue Scale (VAS) The Visual Analogue Scale (VAS) is designed to measure symptom's intensity. It is a continuous scale in the form of a horizontal or vertical line 10 cm (100 mm) long with two extreme points located on it: "no symptom " and "the strongest symptom you can imagine." Visual analogue scale technique: The patient is asked to place a line perpendicularly crossing the visual analogue scale at the point that corresponds to his symptom intensity. The ruler measures the distance (mm) between "no symptom" and "the worst symptom imaginable," providing a score range of 0 to 100

GroupValue95% CI
Patients With Chronic Venous Diseases of CEAP Classes C4a and C4b in Real Clinical Practice2.66± 2.42
The Mean CVD Symptoms Characteristic Changes Between the Visit 3 and Baseline Evaluated by Means of Visual Analogue Scale (VAS). - Pain Secondary · 6 months

Visual Analogue Scale (VAS) The Visual Analogue Scale (VAS) is designed to measure symptom's intensity. It is a continuous scale in the form of a horizontal or vertical line 10 cm (100 mm) long with two extreme points located on it: "no symptom " and "the strongest symptom you can imagine." Visual analogue scale technique: The patient is asked to place a line perpendicularly crossing the visual analogue scale at the point that corresponds to his symptom intensity. The ruler measures the distance (mm) between "no symptom" and "the worst symptom imaginable," providing a score range of 0 to 100

GroupValue95% CI
Patients With Chronic Venous Diseases of CEAP Classes C4a and C4b in Real Clinical Practice2.90± 2.33
The Mean CVD Symptoms Characteristic Changes Between the Visit 3 and Baseline Evaluated by Means of Visual Analogue Scale (VAS). - Exudation Secondary · 6 months

Visual Analogue Scale (VAS) The Visual Analogue Scale (VAS) is designed to measure symptom's intensity. It is a continuous scale in the form of a horizontal or vertical line 10 cm (100 mm) long with two extreme points located on it: "no symptom " and "the strongest symptom you can imagine." Visual analogue scale technique: The patient is asked to place a line perpendicularly crossing the visual analogue scale at the point that corresponds to his symptom intensity. The ruler measures the distance (mm) between "no symptom" and "the worst symptom imaginable," providing a score range of 0 to 100

GroupValue95% CI
Patients With Chronic Venous Diseases of CEAP Classes C4a and C4b in Real Clinical Practice0.48± 1.45
The Mean Changes of Global Index CIVIQ-14 Score (GIS) Between the Visit 3 and Baseline Evaluated Secondary · 6 months

CIVIQ-14 - Chronic Venous Insufficiency Questionnaire (CIVIQ-14) is a specific questionnaire for venous disease. It was used to evaluate the changes in the quality of life (global index score - GIS) There are 14 questions in the CIVIQ-14, each with 5 possible answers (1 to 5), the minimum possible score being 14 and the maximum 70. In order to calculate the GIS, the difference between the final score and the minimum possible score is to be divided by the difference between the theoretical maximum and minimum scores (70-14=56), multiplied by 100. GIS = (\[Final score - minimal possible score\]

GroupValue95% CI
Patients With Chronic Venous Diseases of CEAP Classes C4a and C4b in Real Clinical Practice22.4± 16.5
The Mean Lesion Area Changes Between the Visit 3 and Baseline Evaluated by Curvimetry Technique Secondary · 6 months

This technique was used in only in Selected Centers That Use This Technique Routinely: technique is measured length of the border of modified skin, using a measuring device called a curvimetr. The quality of treatment is assessed by comparing data on Visit 0 and Visit 3 Measurements are carried out 2 times on Visit 0 and Visit 3 (before and after the treatment) in patients with skin changes of CEAP class C4a or C4b A decrease in the figure value (in centimeters) on Visit 3 vs baseline means a good treatment result.

GroupValue95% CI
Patients With CVD of CEAP Classes C4a and C4b Included in Curvimetry Technique Group6.9± 13.4

Sponsor's own description

The study is aimed at evaluating the efficacy and tolerability of systemic pharmacotherapy as a part of combination treatment, and its influence on the overall treatment outcomes in patients with skin changes (CEAP class C4a and C4b).

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Micronized purified flavonoid fraction-based conservative treatment of chronic venous disease in a real-world setting.
    Bogachev V, Boldin B, Turkin P, Samenkov A, et al · · 2022 · cited 3× · PMID 36004765 · DOI 10.2217/fca-2022-0026
  2. [Objective control over efficacy of therapy for trophic skin disorders in chronic venous insufficiency of lower limbs].
    Bogachev VY, Boldin BV, Turkin PY, Varich GA, et al · · 2023 · PMID 41776914 · DOI 10.33029/1027-6661-2023-29-2-143-149

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