Peripheral Arterial Disease Clinical Trial
Official title:
Multi-Center, Randomized, Double-Blind, Placebo-Controlled Study of Efficacy and Safety of the Celacade™ System in Improving Walking Distance in Patients With Intermittent Claudication Secondary to Peripheral Arterial Disease
The purpose of this study is to assess the effects of the Celacade™ system in patients with intermittent claudication.
SIMPADICO was a multicenter, randomized, double-blind, placebo-controlled trial that
enrolled 553 patients with claudication at 50 sites in Canada and the United States. The
mean (±SD) patient age was 67±10 years; 72% were males. The duration of claudication was
6.0±6.1 years at entry; 91% had a history of smoking and 34% were current smokers; 36.5% had
diabetes. Resting ABI was 0.59+0.14; baseline ICD was 132±104 and ACD 307±209 meters.
Results showed that there was no increase in ACD or ICD at 26 weeks with immune modulation
therapy (IMT using the Celacade™ system, Vasogen Inc.) compared to placebo and no measurable
improvement in quality of life with IMT compared to placebo. However, there was a
significant decrease in CRP (high sensitivity assay) in) in the IMT group compared to the
placebo group. Conclusion: Immune modulation therapy did not improve walking distance in
patients with symptomatic peripheral arterial disease but the decrease in CRP suggests a
biologic effect of IMT and will warrant further study.
Reference: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study of Immune
Modulation Therapy in Patients with Symptomatic Peripheral Arterial Disease: The SIMPADICO
Trial. Author: Jeffrey W. Olin, Mount Sinai School of Medicine, New York, NY. Presented at
Smaller Trial Late-Breaking Clinical trials I, Sunday March 12, 2006. American College of
Cardiology 55th Annual Scientific Sessions, March 11-14, 2006, Atlanta, GA.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment
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