Chronic Venous Insufficiency Clinical Trial
Official title:
Study of Antiinflammatory Effects of Detralex (Daflon) in Patients With Chronic Venous Disease
Aim of the study:
To investigate if there is a differences in expression of inflammatory markers in venous wall
and blood among patients treated with Detralex and those not treated with Detralex (control
group).
Chronic venous disease (CVD) represents one of the most common vascular disorder. It's
different clinical manifestations (most often seen as varicose veins) can be observed in up
to 40% of adult female population and in about 30% of adult males.
Different mechanical and biological factors play role in the process of deterioration of
venous wall tone and consequent vein valve disfunction that eventually lead to increase
venous pressure . Evidence suggest that inflammation has a central place in this process even
from the early stage of CVD.
Usual symptoms of venous insufficiency are pain, leg heaviness, night cramping, itching, and
are often accompanied with leg edema. The extent of clinical manifestation may not correlate
with patients' symptoms. Treatment of varicose veins encompasses vein surgery (stripping,
phlebectomy, radiofrequency and laser ablation), sclerotherapy and compression therapy.
Detralex (in some countries registered as Daflon) is an oral flavonoid that consists of 90%
micronized diosmin and 10% flavonoids expressed as hesperidin. Several studies showed some
beneficial effects of Detralex in alleviating symptoms in patients with CVD. It may be used
in conjunction with surgery, sclerotherapy, or compression therapy or it may be the only
therapy when other therapeutical modalities are not indicated or not feasable.
Animal studies showed antiinflammatory effects of Daflon in way that Daflon acts favorably on
microcirculatory complications by normalizing the synthesis of prostaglandins and free
radicals. It decreases bradykinin-induced microvascular leakage and inhibits leukocyte
activation, trapping, and migration.
However, by searching the available literature (MEDLINE) we found no study that investigated
what are the antiinflammatory effects of flavonoids in humans.
The aim of this study is to investigate if there is a differences in expression of
inflammatory markers in venous wall and blood between patients treated with Detralex and
those not treated with Detralex (control group).
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