<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT01711333</url>
  </required_header>
  <id_info>
    <org_study_id>021-KOA-1102i</org_study_id>
    <nct_id>NCT01711333</nct_id>
  </id_info>
  <brief_title>A Study to Evaluate the Efficacy and Safety of Pletaal SR Capsule (Cilostazol) in Subjects With Peripheral Arterial Disease Symptom Due to Chronic Occlusive Arterial Disease</brief_title>
  <official_title>A Multicenter, Therapeutic Used Study to Evaluate the Efficacy and Safety of Pletaal SR Capsule (Cilostazol) in Subjects With Peripheral Arterial Disease Symptom Due to Chronic Occlusive Arterial Disease</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>Korea Otsuka Pharmaceutical Co., Ltd.</agency>
      <agency_class>Industry</agency_class>
    </lead_sponsor>
  </sponsors>
  <source>Korea Otsuka Pharmaceutical Co., Ltd.</source>
  <oversight_info>
    <has_dmc>No</has_dmc>
  </oversight_info>
  <brief_summary>
    <textblock>
      This study is to evaluate symptomatic changes and safety before and after the administration&#xD;
      of Pletaal® SR Capsules based on Peripheral Artery Questionnaire (PAQ) in subjects with&#xD;
      peripheral arterial disease symptom due to chronic occlusive arterial disease (COAD).&#xD;
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      This is a multinational, single-arm, therapeutic used clinical trial. After screening in&#xD;
      subjects with peripheral arterial disease symptom due to chronic occlusive arterial disease,&#xD;
      the eligible subjects will be enrolled, followed by the administration of the study drug (two&#xD;
      capsules qd of Pletaal SR 100mg Capsules) for 12 weeks.&#xD;
    </textblock>
  </detailed_description>
  <overall_status>Completed</overall_status>
  <start_date type="Actual">October 26, 2012</start_date>
  <completion_date type="Actual">August 18, 2014</completion_date>
  <primary_completion_date type="Actual">May 20, 2014</primary_completion_date>
  <phase>Phase 4</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>N/A</allocation>
    <intervention_model>Single Group Assignment</intervention_model>
    <primary_purpose>Treatment</primary_purpose>
    <masking>None (Open Label)</masking>
  </study_design_info>
  <primary_outcome>
    <measure>Summary score based on PAQ (Peripheral artery questionnaire)</measure>
    <time_frame>Change from Baseline in PAQ summary score at Week 12</time_frame>
  </primary_outcome>
  <secondary_outcome>
    <measure>Score of domain (physical limitation) based on PAQ</measure>
    <time_frame>Change from Baseline in PAQ domain (physical limitation) at Week 12</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Assessement based on HAQ-DI</measure>
    <time_frame>Change from Baseline in HAQ-DI at Week 12</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Score of domain(symptom) based on PAQ</measure>
    <time_frame>Change from Baseline in PAQ domain(symptom) at Week 12</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Score of domain(symptom stability) based on PAQ</measure>
    <time_frame>Change from Baseline in PAQ domain(symptom stability) at Week 12</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Score ofdomain(social limitation) based on PAQ</measure>
    <time_frame>Change from Baseline in PAQ domain (social limitation) at Week 12</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Score of domain(treatment satisfaction) based on PAQ</measure>
    <time_frame>Change from Baseline in PAQ domain (treatment satisfaction) at Week 12</time_frame>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Score of domain(quality of life) based on PAQ</measure>
    <time_frame>Change from Baseline in PAQ domain (quality of life) at Week 12</time_frame>
  </secondary_outcome>
  <number_of_arms>1</number_of_arms>
  <enrollment type="Actual">101</enrollment>
  <condition>Chronic Occlusive Arterial Disease</condition>
  <arm_group>
    <arm_group_label>Pletaal SR capsule</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
  </arm_group>
  <intervention>
    <intervention_type>Drug</intervention_type>
    <intervention_name>Pletaal SR capsule</intervention_name>
    <description>two capsules once a day of Pletaal SR 100mg Capsules</description>
    <arm_group_label>Pletaal SR capsule</arm_group_label>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          1. Male or Female outpatients between 40 and 75 years of age,&#xD;
&#xD;
          2. Patients confirmed to have symptoms of peripheral arterial disease (including&#xD;
             intermittent claudication, pain, coldness and fatigue) in the lower extremities,&#xD;
&#xD;
          3. Patients who have a steady symptom without significant improvement within 12 weeks&#xD;
             prior to screening visit and whose PAQ score of the question number 3 is 3 or less at&#xD;
             enrollment visit,&#xD;
&#xD;
          4. Ankle Branchial Index (ABI) ≤0.90 when measuring the pressure in a supine position&#xD;
             after resting for 10 minutes,&#xD;
&#xD;
          5. Patients who are equal to or less than 10% of the difference in PAQ summary scores at&#xD;
             between screening and enrollment,&#xD;
&#xD;
          6. Patients who have been fully explained about this study, voluntarily decided to&#xD;
             participate in this study, and provided written informed consent.&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          1. Patients with ischemic pain at rest or having ischemic ulcer or gangrene,&#xD;
&#xD;
          2. Patients with Ankle Branchial Index (ABI) ≤ 0.40&#xD;
&#xD;
          3. Patients who underwent sympathectomy or lower extremity arterial reparative surgery&#xD;
             including endovascular procedures within 12 weeks prior to screening visit,&#xD;
&#xD;
          4. Patients diagnosed of deep vein thrombosis within 12 weeks prior to screening visit,&#xD;
             (provided that patients with isolated calf vein thrombosis may be enrolled)&#xD;
&#xD;
          5. Patients with the following disease:&#xD;
&#xD;
               -  Patients who is on or needs the treatment for Congestive heart failure&#xD;
&#xD;
               -  Myocardial infarction which occurred within 24 weeks prior to screening visit&#xD;
&#xD;
               -  Patients who is on or needs the treatment for unstable angina pectoris,&#xD;
&#xD;
          6. Patients with hemorrhage (hemophilia, capillary fragility, intracranial hemorrhage,&#xD;
             upper gastrointestinal hemorrhage, urinary hemorrhage, hemoptysis, vitreous&#xD;
             hemorrhage, etc.) and predisposition to hemorrhage (active peptic ulcer, hemorrhagic&#xD;
             stroke within the recent 24 weeks, suspected hemorrhage when administering cilostazol&#xD;
             for wound due to surgery within the recent 12 weeks, and proliferative diabetic&#xD;
             retinopathy),&#xD;
&#xD;
          7. PT, aPTT level greater than 1.5 times the upper limit of normal at screening visit,&#xD;
&#xD;
          8. Uncontrolled hypertension defined as ≥ 160 mmHg of systolic blood pressure or ≥ 100&#xD;
             mmHg of diastolic blood pressure,&#xD;
&#xD;
          9. Creatinine clearance(Ccr)a ≤ 25mL/min at screening a. Creatinine clearance (Ccr) is&#xD;
             calculated by the following modified Cockcroft-Gault formula using the serum&#xD;
             creatinine as determined by the site laboratory.&#xD;
&#xD;
        Ccr(mL/min)=[260-age(year)] x Body weight(kg) / 160 x Serum creatinine(mg/dL) (male)&#xD;
        Ccr(mL/min)=[236-age(year)] x Body weight(kg) / 180 x Serum creatinine(mg/dL) (female), 10)&#xD;
        AST or ALT level greater than 3 times the upper limit of normal at screening, 11) Total&#xD;
        bilirubin level greater than 2 times the upper limit of normal at screening, 12) Type 1&#xD;
        diabetes mellitus or uncontrolled type 2 diabetes mellitus (HbA1c greater than 9%), 13)&#xD;
        Patients determined ineligible to participate in this clinical trial at the discretion of&#xD;
        Investigator due to critical diabetic complications (diabetic foot ulcer, foot deformity,&#xD;
        etc.), 14) Female patients whose serum pregnancy test at screening or urine pregnancy test&#xD;
        at enrollment is positive in case of childbearing potential and breastfeeding women,&#xD;
&#xD;
          -  For female patients, those who have been at their postmenopause at least for one year&#xD;
             or longer, who have no potential to be pregnant by surgery or procedure, or who agreed&#xD;
             to use acceptable contraceptive methods (intrauterine device [loop or Mirena], double&#xD;
             barrier method [diaphragm or condom/femidom + spermicide], vasectomy in spouse, oral&#xD;
             contraceptives or non-oral contraceptives) throughout the entire study period,Female&#xD;
             patients whose pregnancy test at screening is positive in case of childbearing&#xD;
             potential or breastfeeding women 15) History of malignant disease (excluding treated&#xD;
             basal cell or squamous cell carcinoma of skin) within 5 years prior to Screening.&#xD;
             Resolution of a prior malignancy more than 5 years prior to Screening must be deemed&#xD;
             as cured by the investigator, 16) Patients who have history of taking or plan to take&#xD;
             the following medications:&#xD;
&#xD;
          -  Cilostazol-containing medications within 12 weeks prior to screening visit,&#xD;
&#xD;
          -  Antiplatelets (such as aspirin and ticlopidine), anticoagulants (such as warfarin),&#xD;
             thrombolytics (such as urokinase and alteplase), prostaglandin E1 and its derivatives&#xD;
             (such as alprostadil and limaprost), pentoxyfylline, beraprost, sarpogrelate and&#xD;
             statin within 4 weeks prior to screening visit. However, aspirin (≤ 100 mg) or statin&#xD;
             being taken for more than 4 weeks prior to screening visit may be administered at the&#xD;
             same dose.&#xD;
&#xD;
          -  Nitrates, papaverine, isoxsuprine, and NSAIDs within 4 weeks prior to screening visit.&#xD;
             However, NSAIDs being taken for more than 4 weeks prior to screening visit may be&#xD;
             administered at the same dose, 17) Patients with a history of hypersensitivity to&#xD;
             cilostazol, 18) Patients who have received an investigational product or biological&#xD;
             agent within 12 weeks prior to screening visit, 19) Patients who plans to enroll in&#xD;
             another clinical trial (excluding observational studies) during this study, 20)&#xD;
             Patients who needs to stop the Investigational Product because of scheduled operation,&#xD;
             extraction of tooth or endoscopy, 21) Patients who are otherwise judged by the&#xD;
             investigator to be inappropriate for inclusion in the study.&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>40 Years</minimum_age>
    <maximum_age>75 Years</maximum_age>
    <healthy_volunteers>No</healthy_volunteers>
  </eligibility>
  <location>
    <facility>
      <name>KYUNG-HEE UNIVERSITY HOSPITAL at GANGDONG</name>
      <address>
        <city>Seoul</city>
        <country>Korea, Republic of</country>
      </address>
    </facility>
  </location>
  <location_countries>
    <country>Korea, Republic of</country>
  </location_countries>
  <verification_date>June 2022</verification_date>
  <study_first_submitted>October 18, 2012</study_first_submitted>
  <study_first_submitted_qc>October 19, 2012</study_first_submitted_qc>
  <study_first_posted type="Estimate">October 22, 2012</study_first_posted>
  <last_update_submitted>June 7, 2022</last_update_submitted>
  <last_update_submitted_qc>June 7, 2022</last_update_submitted_qc>
  <last_update_posted type="Actual">June 10, 2022</last_update_posted>
  <responsible_party>
    <responsible_party_type>Sponsor</responsible_party_type>
  </responsible_party>
  <condition_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Peripheral Arterial Disease</mesh_term>
    <mesh_term>Peripheral Vascular Diseases</mesh_term>
    <mesh_term>Arterial Occlusive Diseases</mesh_term>
  </condition_browse>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT01711333
org study id: 021-KOA-1102i
nct id: NCT01711333
lead sponsor: 
has dmc: No
This study is to evaluate symptomatic changes and safety before and after the administration
      of Pletaal® SR Capsules based on Peripheral Artery Questionnaire (PAQ) in subjects with
      peripheral arterial disease symptom due to chronic occlusive arterial disease (COAD).
This is a multinational, single-arm, therapeutic used clinical trial. After screening in
      subjects with peripheral arterial disease symptom due to chronic occlusive arterial disease,
      the eligible subjects will be enrolled, followed by the administration of the study drug (two
      capsules qd of Pletaal SR 100mg Capsules) for 12 weeks.
allocation: N/A
intervention model: Single Group Assignment
primary purpose: Treatment
masking: None (Open Label)
measure: Summary score based on PAQ (Peripheral artery questionnaire)
time frame: Change from Baseline in PAQ summary score at Week 12
measure: Score of domain (physical limitation) based on PAQ
time frame: Change from Baseline in PAQ domain (physical limitation) at Week 12
measure: Assessement based on HAQ-DI
time frame: Change from Baseline in HAQ-DI at Week 12
measure: Score of domain(symptom) based on PAQ
time frame: Change from Baseline in PAQ domain(symptom) at Week 12
measure: Score of domain(symptom stability) based on PAQ
time frame: Change from Baseline in PAQ domain(symptom stability) at Week 12
measure: Score ofdomain(social limitation) based on PAQ
time frame: Change from Baseline in PAQ domain (social limitation) at Week 12
measure: Score of domain(treatment satisfaction) based on PAQ
time frame: Change from Baseline in PAQ domain (treatment satisfaction) at Week 12
measure: Score of domain(quality of life) based on PAQ
time frame: Change from Baseline in PAQ domain (quality of life) at Week 12
arm group label: Pletaal SR capsule
arm group type: Experimental
intervention type: Drug
intervention name: Pletaal SR capsule
description: two capsules once a day of Pletaal SR 100mg Capsules
arm group label: Pletaal SR capsule
criteria: 
gender: All
minimum age: 40 Years
maximum age: 75 Years
healthy volunteers: No
facility: 
country: Korea, Republic of
responsible party type: Sponsor
mesh term: Peripheral Arterial Disease
mesh term: Peripheral Vascular Diseases
mesh term: Arterial Occlusive Diseases