Peripheral Arterial Disease Clinical Trial
Official title:
Excellence In Peripheral Artery Disease Thrombin Receptor Antagonist Intervention In Claudication Evaluation (XLPAD-TRACE Trial)
This is a Phase 4, randomized clinical trial to evaluate whether addition of Vorapaxar 2.08 mg daily vs. placebo daily on background antiplatelet therapy, prescribed for 6 months to patients with established peripheral artery disease (PAD) and Intermittent Claudication (IC) treated with standard medical therapy (SMT) would lead to an improvement in the peak walking time (PWT).
Primary trial objective: To evaluate whether addition of Vorapaxar 2.08 mg daily vs. placebo
daily on background antiplatelet therapy, prescribed for 6 months to patients with
established PAD and IC treated with standard medical therapy (SMT) would lead to an
improvement in the peak walking time (PWT)
Study endpoints Primary endpoint: Change from baseline to 6 months in the PWT on a graded
treadmill test (GTT per Gardner protocol) between participants enrolled in the test and
control arms of the study
Secondary endpoints
- Change from baseline to 6 months in the claudication onset time (COT) on GTT between
participants enrolled in the test and control arms of the study.
- Change from baseline to 6 months in the walking impairment questionnaire distance scores
(WIQ) between participants enrolled in the test and control arms of the study.
- Change from baseline to 6 months in self-reported quality of life score using the
Medical Outcomes Study 12-Item Short form survey (SF-12) between participants enrolled
in the test and control arms of the study
Tertiary endpoints
- The first occurrence of clinically indicated lower extremity endovascular or surgical
revascularization procedure during the entire study duration post-randomization in
participants enrolled in the test or control arms of the study.
- The first occurrence of all-cause death, MI, ischemic stroke during the entire study
duration post-randomization in participants enrolled in the test or control arms of the
study.
- The first occurrence of severe bleeding defined according to the Global Utilization of
Streptokinase and Tissue plasminogen activator for Occluded coronary arteries (GUSTO)
classification during the entire study duration post-randomization in participants
enrolled in the test or control arms of the study.
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