Effects of Cilostazol on VEGF and Oxidative Stress Biomarkers in Hemodialysis Patients With Peripheral Vascular Disease - Full Text View

Sponsor:	Tungs’ Taichung Metroharbour Hospital
Information provided by:	Tungs’ Taichung Metroharbour Hospital
ClinicalTrials.gov Identifier:	NCT00431249

Purpose

Peripheral arterial disease (PAD) is the most common manifestation of systemic atherosclerosis and accounts for significant morbidity and mortality among end-stage renal disease (ESRD) patients. However, few studies have identified the prevalence and clinical impact of PAD in this specific population.

Objectives: To perform a single-blinded parallel, controlled trial to examine the effect of cilostazol treatment on plasma VEGF levels, tissue factors , inflammatory markers (such as IL-6, hsCRP) levels, oxidative stress markers in ESRD patients with PAD Material and methods Fourty HD patients on maintenance HD for > 3months were enrolled in this prospective, single-blinded, randomized study. These patients were randomly allocated into 2 arms. After baseline assessment, patients in the treatment arm received 12 weeks of added on therapy with cilostazol 100mg/day. Blood pressure, heart rate, oxidative stress (malonyldialdehyde, protein carbonyl and ADMA), inflammatory markers (hsCRP, IL-6) and plasma, VEGF and tissue factors levels were measured before and after treatment.

Condition	Intervention	Phase
Hemodialysis Patients Peripheral Vascular Disease	Drug: Cilostazol	Phase IV

Study Type:	Interventional
Study Design:	Treatment, Randomized, Single Blind, Active Control, Parallel Assignment
Official Title:	Effects of Cilostazol on Vascular Endothelial Growth Factor , Inflammatory and Oxidative Stress Biomarkers in Hemodialysis Patients With Peripheral Vascular Disease.

Resource links provided by NLM:

MedlinePlus related topics: Dialysis Kidney Failure Peripheral Arterial Disease Vascular Diseases

Drug Information available for: Cilostazol

U.S. FDA Resources

Further study details as provided by Tungs’ Taichung Metroharbour Hospital:

Primary Outcome Measures:

no numbers

Estimated Enrollment:	70
Study Start Date:	February 2007
Study Completion Date:	April 2008

Show Detailed Description

Eligibility

Ages Eligible for Study:	30 Years to 70 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

Both sexes aged between 30-70 years
Non-diabetic ESRD Patients on HD greater than 3 months
Patients with PAD diagnosed by clinical symptoms, and ABI indices < 0.9 and confirmed by angiographic or related studies.
Written informed consent

Exclusion Criteria:

Known allergy to cilostazol
Patients who currently have had pentoxyphylline or related therapy
Congestive heart failure or cardiac arrhythmia
Severe liver impairment
Patients with malignancy or acute/chronic inflammatory diseases
Smoking during the previous 6 months
Recent stroke
Severe dyslipidemia (triglycerides >600 mg/dL or total cholesterol >300g/dL) or currently on statin therapy

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00431249

Sponsors and Collaborators

Tungs’ Taichung Metroharbour Hospital

Investigators

Principal Investigator:

Palk Seong Lim, MD

Tungs’ Taichung Metroharbour Hospital

More Information

No publications provided

Study ID Numbers:	960126
Study First Received:	February 2, 2007
Last Updated:	April 4, 2008
ClinicalTrials.gov Identifier:	NCT00431249 History of Changes
Health Authority:	Taiwan: Department of Health

Additional relevant MeSH terms:

Cilostazol
Respiratory System Agents
Vasodilator Agents
Peripheral Vascular Diseases
Molecular Mechanisms of Pharmacological Action
Hematologic Agents
Physiological Effects of Drugs
Vascular Diseases
Anti-Asthmatic Agents
Enzyme Inhibitors
Fibrinolytic Agents
Cardiovascular Agents

Protective Agents
Neuroprotective Agents
Pharmacologic Actions
Fibrin Modulating Agents
Phosphodiesterase Inhibitors
Autonomic Agents
Therapeutic Uses
Platelet Aggregation Inhibitors
Cardiovascular Diseases
Peripheral Nervous System Agents
Central Nervous System Agents
Bronchodilator Agents

ClinicalTrials.gov processed this record on February 08, 2010