PERIPHERAL ARTERIAL DISEASE - CLINICAL CENTER

该合同是外周动脉多中心试点研究的一部分 疾病 本临床试验的目的是评估 外周血管疾病患者的多因素治疗方法 动脉疾病 如果进行全规模试验， 评估这些干预措施在减少心血管疾病方面的效果， 外周动脉疾病患者的死亡率。 主 研究的目的是：1）确定确切的类型和剂量 药物组合，这将导致HDL-C水平的增加， 治疗组和治疗中LDL-C水平的等效降低 治疗中LDL-C水平的组和等效降低， 比较组; 2）确定抗氧化剂是否在临床上适当 剂量改变患者的血浆脂质过氧化物酶和氧化LDL水平 与PAD; 3）确定这些药物的相互作用和不良反应 各种干预措施;特别是调脂和 抗氧化药物对华法林患者凝血参数的影响; 4） 确定识别、招募和随访患者的可行性 具有来自各种医疗诊所的PAD（即，停止吸烟诊所， 糖尿病诊所、外周血管诊所）。 研究人群应 由600名PAD患者组成，或每项研究约100名参与者 六个临床中心。

This contract is a part of a multicenter pilot study on peripheral arterial disease. The purpose of this clinical trial is to assess the feasibility of a multifactorial therapeutic approach in patients with peripheral arterial disease. The full scale trial, if performed, is intended to assess the effect of these interventions in reducing cardiovascular mortality in patients with peripheral arterial disease. The primary objectives of the study are to: 1) determine the exact type and dosage of drug combination which would result in an increase in HDL-C level in the treatment group and equivalent reduction in LDL-C level in the treatment group and equivalent reductions in LDL-C level in the treatment and comparison groups; 2) determine if antioxidants in clinically appropriate doses alter plasma lipid peroxidase and oxidized LDL levels in patients with PAD; 3) determine the drug interactions and adverse effects of these various interventions; in particular, the effects of lipid-modifying and antioxidant drugs on coagulation parameters in patients on warfarin; 4) determine the feasibility of identifying, recruiting and following patients with PAD from a variety of medical clinics (i.e., stop smoking clinics, diabetic clinics, peripheral vascular clinics). The study population shall consist of 600 patients with PAD or approximately 100 participants in each of six Clinical Centers.