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Sufficient Treatment of Peripheral Intervention by Cilostazol

Information source: Kansai Rosai Hospital
Information obtained from ClinicalTrials.gov on October 19, 2009
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Arteriosclerosis Obliterans

Intervention: cilostazol (Drug)

Phase: Phase 4

Status: Recruiting

Sponsored by: Kansai Rosai Hospital

Official(s) and/or principal investigator(s):
Osamu Iida, Study Director, Affiliation: Kansai Rosai Hospital

Overall contact:
Osamu Iida, Phone: +81-6-6416-1221

Summary

Recently, Nanto et al. reported that cilostazol effectively prevented restenosis in a retrospective analysis of 121 femoropopliteal artery lesions in percutaneous transluminal angioplasty (PTA) patients who had undergone PTA. In a prospective 3-year follow-up study in 127 patients with similar diseases, the patency rate was significantly higher in the cilostazol group than in the ticlopidine group. It was also found that cilostazol markedly inhibited restenosis during the first 1-year period following endovascular therapy when restenosis is most frequently observed. In addition, there have been sporadic reports that cilostazol was effective in preventing post-stenting restenosis in the coronary artery area.

Based on these results, this multicenter study is going to be conducted to prospectively evaluate the usefulness of cilostazol in lower limb endovascular therapy.

Clinical Details

Official title: Evaluation of Antiplatelet Therapy in Lower Limb Endovascular Treatment

Study design: Prevention, Randomized, Open Label, Parallel Assignment, Efficacy Study

Primary outcome: Angiographic restenosis rate

Secondary outcome: Cardiovascular events

Eligibility

Minimum age: 20 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Patient criteria:

- Chronic arteriosclerosis obliterans afflicting the femoropopliteal artery area*

- Patients who can be monitored for at least 2 years after surgery

Lesion criteria:

- Angiographically-confirmed new significant superficial femoral artery stenosis or

occlusive lesions that are 30 cm long or less if stented

- At least 1 arterial runoff below the knee; stenosis lesions not limiting flow may be

included.

- Occlusive lesions may be included.

Exclusion criteria:

- Patients with or at risk of hemorrhagic complications or patients with bleeding

tendency

- Patients with congestive cardiac failure

- Patients with a drug-eluting stent

- Patients with acute lower limb ischemia

Lesion criteria:

- Remnant inflow

- Severe calcification

- No arterial runoff below the knee

Locations and Contacts

Osamu Iida, Phone: +81-6-6416-1221

Kansai Rosai Hospital and seven others, AMAGASAKI, Japan; Recruiting
Osamu Iida, Principal Investigator

Kikuna Memorial Hospital, Yokohama, Japan; Recruiting
Akira Miyamoto, Phone: 81-45-402-7111
Akira Miyamoto, Phone: 81-45-402-7111

Kishiwada Tokushukai Hospital, Kishiwada, Japan; Recruiting
Yoshiaki Yokoi, Phone: 81-72-445-9915
Yoshiaki Yokoi, Phone: 81-72-445-9915

Saiseikai Yokohama- City Eastern Hospital, Yokohama, Japan; Not yet recruiting
Keisuke Hirano, Phone: 81-45-576-3000
Keisuke Hirano, Phone: 81-45-576-3000

Sendai Kousei Hospital, Sendai, Japan; Not yet recruiting
Naoto Inoue, Phone: 81-22-222-6181
Naoto Inoue, Phone: 81-22-222-6181

Kokura Memorial Hospital, Kitakyusy, Japan; Recruiting
Hiroyoshi Yokoi, Phone: 81-93-921-2231
Hiroyoshi Yokoi, Phone: 81-93-921-2231

Shinshu University Hospital, Matsumoto, Japan; Not yet recruiting
Yusuke Miyashita, Phone: 81- 263-35-4600
Yusuke Miyashita, Phone: 81- 263-35-4600

Caress Sapporo Tokeidai Memorial Hospital, Sapporo, Japan; Recruiting
Kazushi Urasawa, Phone: 81-11-251-1221
Kazushi Urasawa, Phone: 81-11-251-1221

Additional Information

Starting date: March 2009
Ending date: September 2012
Last updated: June 19, 2009

Page last updated: October 19, 2009

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