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Trial registered on ANZCTR
Registration number
ACTRN12605000542695
Ethics application status
Approved
Date submitted
5/09/2005
Date registered
28/09/2005
Date last updated
28/09/2005
Type of registration
Prospectively registered
Titles & IDs
Public title
The Effects of Ramipril on Clinical Symptoms in Patients with Peripheral Arterial Disease
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Scientific title
A randomised phase IV study to examine the effects of ramipril on walking distance in patients with peripheral arterial disease
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Peripheral Arertial Disease
669
0
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Condition category
Condition code
Cardiovascular
743
743
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0
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Ramipril, 10 mg once daily (n=20) for 24 weeks.
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Intervention code [1]
348
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Treatment: Drugs
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Comparator / control treatment
Placebo (n=20) for 24 weeks.
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Control group
Placebo
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Outcomes
Primary outcome [1]
928
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Time to onset of claudication during a standard treadmill test.
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Assessment method [1]
928
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Timepoint [1]
928
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Measurements were made at baseline and after 24 weeks therapy with ramipril (10mg od).
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Primary outcome [2]
929
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Total exercise time during a standard treadmill test
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Assessment method [2]
929
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Timepoint [2]
929
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Measurements were made at baseline and after 24 weeks therapy with ramipril (10mg od).
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Primary outcome [3]
930
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Walking ability measured using the standard Walking Impairment Questionnaire.
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Assessment method [3]
930
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Timepoint [3]
930
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Measurements were made at baseline and after 24 weeks therapy with ramipril (10mg od).
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Secondary outcome [1]
1779
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Leg blood flow and magnitude of occlusion using Duplex ultrasound.
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Assessment method [1]
1779
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Timepoint [1]
1779
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Measurements were made at baseline and after 24 weeks therapy with ramipril (10mg od).
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Eligibility
Key inclusion criteria
Ankle-brachial index of <0.9 at rest in at least one legHistory of intermittent claudication (unilateral or bilateral) which was stable for 6 monthsEvidence of superficial femoral artery stenosis or occlusion on duplex scanBlood pressure <=160/90 mmHgStable medication regimen for at least 6 months and not previously treated with ACE inhibitors.
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Minimum age
Not stated
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Limiting coronary artery diseaseRenal failureHistory of hypertensionHistory of type 2 diabetes mellitus.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The active and placebo treatments were assigned to identical containers numbered 1-40.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Corresponding numbered slips of paper were drawn randomly from an envelope to assign patients after screening. This was done by the study co-ordinator. The envelope was kept in a secure location throughout the randomisation process.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/01/2006
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
824
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Government body
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Name [1]
824
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NHMRC
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Address [1]
824
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Country [1]
824
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Australia
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Primary sponsor type
Hospital
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Name
Baker Heart Resaerch Institute / Alfred Hospital
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Address
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Country
Australia
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Secondary sponsor category [1]
692
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None
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Name [1]
692
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NA
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Address [1]
692
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Country [1]
692
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
2090
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Alfred Hopsital
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Ethics committee address [1]
2090
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Ethics committee country [1]
2090
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Australia
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Date submitted for ethics approval [1]
2090
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Approval date [1]
2090
0
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Ethics approval number [1]
2090
0
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Summary
Brief summary
One important clinical challenge in older individuals is maintaining mobility in the absence of pain. Peripheral arterial disease affects up to 12% of adults over 50 and impairs quality of life due to intermittent claudication causing pain and limiting mobility. Conventional therapies have only modest effect in improving symptoms. We hypothesise that angiotensin converting enzyme inhibition (with ramipril), which causes arterial vasodilation, also improves clinical symptoms in patients with peripheral arterial disease.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
36089
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Address
36089
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Country
36089
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Phone
36089
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Fax
36089
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Email
36089
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Contact person for public queries
Name
9537
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A/Prof Bronwyn Kingwell
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Address
9537
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Baker Heart Research Institute
PO Box 6492
St Kilda Rd Central
Melbourne VIC 8008
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Country
9537
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Australia
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Phone
9537
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+61 3 92763261
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Fax
9537
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+61 3 92762495
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Email
9537
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[email protected]
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Contact person for scientific queries
Name
465
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A/Prof Bronwyn Kingwell
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Address
465
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Baker Heart Research Institute
PO Box 6492
St Kilda Rd Central
Melbourne VIC 8008
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Country
465
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Australia
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Phone
465
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+61 3 92763261
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Fax
465
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+61 3 92762495
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Email
465
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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