The assessment of cysteinyl leukotriene receptor antagonist role in inhibition of atherosclerosis, proliferation and its influence on endothelial function in patients undergoing endovascular treatment due to peripheral arterial disease.

2024-511894-32-00 Protocol CADET-PAD Therapeutic confirmatory (Phase III) Ongoing, recruitment ended

Start 19 Aug 2021 · Status Ongoing, recruitment ended · 1 EU/EEA countries · 1 sites · Protocol CADET-PAD

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Ongoing, recruitment ended
Participants planned 200
Countries 1
Sites 1

Ischemia of the lower limbs in the course of obstructive artery disease

The main goal of this study is to investigate the influence of the use of cysteinyl leukotrienes receptor antagonists on lower limbs arteries reocclusion rate in patients with peripheral artery occlusive disease (PAOD) after endovascular treatment.

Key facts

Sponsor
Uniwersytet Jagiellonski Collegium Medicum
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Cardiovascular Diseases [C14]
Trial duration
19 Aug 2021 → ongoing
Decision date (initial)
2024-07-01
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-511894-32-00
EudraCT number
2020-000715-71

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Efficacy, Safety

The main goal of this study is to investigate the influence of the use of cysteinyl leukotrienes receptor antagonists on lower limbs arteries reocclusion rate in patients with peripheral artery occlusive disease (PAOD) after endovascular treatment.

Secondary objectives 1

  1. Assessment of the improvement in the quality of life patients treated endovascularly for ischemia of the lower limbs caused by the use of a leukotriene receptor antagonist (montelukast).

Conditions and MedDRA coding

Ischemia of the lower limbs in the course of obstructive artery disease

VersionLevelCodeTermSystem organ class
21.1 LLT 10067825 Peripheral arterial disease 10047065

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Patients with PAOD qualified for PTAvin the Angiology Department UJ CM, with Rutherford 3 or 4 clinical symptoms.
  2. Age 45 - 75 years old.
  3. Signed informed consent.
  4. Citizen of Malopolska region

Exclusion criteria 21

  1. Patients with peripheral arterial disease (PAOD) with Rutherford 1,2,5 or 6 clinical symptoms.
  2. Age < 45 or > 75 years old.
  3. Infection and/or fever (temperature above 37,2 C) within the last 3 weeks preceding the study recruitment (viral infections, cold, sinusitis) and use of antibiotics within the last 2 months.
  4. Symptoms of acute tissue infection
  5. Chronic inflammatory disease (e.g. COPD stage >II in GOLD classification)
  6. HIV+, HCV+, HBS+.
  7. Autoimmunological diseases and use of steroids or immunosuppressive medications within the last 3 months.
  8. Inflammatory blood vessel disorders (with exception of atherosclerosis)
  9. Myocardial infarction or stoke within last 6 months.
  10. Buerger Disease.
  11. Chronic heart failure (3-4 NYHA)
  12. Acute lower limb ischemia or surgical revascularization within last 6 months.
  13. Serious trauma or surgery procedure within last 6 months.
  14. Asthma.
  15. Ongoing antileukotriene treatment
  16. Neoplasm diagnosed within 5 years.
  17. Chronic Kidney Disease (creat. >177 μmol/l).
  18. Pregnancy, puerperium, women without efficient contraception.
  19. Vaccinations within 30 days before recruitment.
  20. Hospitalisation in intensive care unit within 3 months.
  21. Lack of the possibility of the follow-up participation.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Restenosis in a previously treated artery

Secondary endpoints 1

  1. MACE, high lower limb amputation, significant loss in quality of life

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Asmenol, 10 mg, tabletki powlekane

PRD447413 · Product

Active substance
Montelukast
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
10 mg milligram(s)
Max total dose
10 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
R03DC03 — MONTELUKAST
Marketing authorisation
14972
MA holder
ZAKLADY FARMACEUTYCZNE POLPHARMA S.A.
MA country
Poland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
change of packaging (blinding)

Placebo 1

lactose monohydrate - 100,00 mg/tablet cellulose microcrystalline - 95,60 mg/tablet Croscarmellose sodium - 2,00 mg/tablet Magnesium stearate - 2,40 mg/tablet table coating - OPADRY 20A82938 Yellow - COLORCON

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Uniwersytet Jagiellonski Collegium Medicum

Sponsor organisation
Uniwersytet Jagiellonski Collegium Medicum
Address
Ul. Sw. Anny 12
City
Cracow
Postcode
31-008
Country
Poland

Scientific contact point

Organisation
Uniwersytet Jagiellonski Collegium Medicum
Contact name
Paweł Maga

Public contact point

Organisation
Uniwersytet Jagiellonski Collegium Medicum
Contact name
Biuro ds badan klinicznych

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Poland Ongoing, recruitment ended 200 1
Rest of world 0

Investigational sites

Poland

1 site · Ongoing, recruitment ended
Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Uniwersytecki W Krakowie
Klinika Angiologii, Ul. Macieja Jakubowskiego 2, 30-688, Cracow

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Poland 2021-08-19 2021-10-06 2025-05-31

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-05-24 Poland Acceptable
2024-06-26
2024-07-01