Henry 2006.
Methods |
Study design: multi‐centre phase II double‐blind placebo‐controlled randomised study Intention‐to‐treat: not reported Country: USA |
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Participants |
Number randomised: N = 71 Losses to follow‐up and withdrawals: not reported Age (mean years ± SD): not reported Gender (M): not reported Inclusion criteria: 45 years old; informed consent signed before proceeding with any study procedure; severe PAD; trophic lesions with no signs of healing for at least 2 weeks before first study treatment administration; objective evidence of peripheral vascular disease in the diseased limb on 2 consecutive examinations performed at least 1 week apart; demonstration or documentation of total occlusion of the affected limb of 1 or more iliac, superficial femoral, popliteal, and/or 1 or more infrapopliteal arteries as assessed by angiography or magnetic resonance angiography; mean resting supine TcPO₂ of the foot ≤ 40 mmHg based on 2 separate measures performed at least 1 week apart; poor/not candidates for revascularisation Exclusion criteria: previous or current history of malignant disease; positive cancer screening; successful lower extremity surgery; planning to undergo amputation of target limb within 1 month following first administration of study treatment; history of severe renal failure; creatinine > 2.0 mg/dL or estimated creatinine clearance < 30 mL; serious concomitant medical conditions not adequately controlled; Buerger's disease; on dialysis; active proliferative retinopathy with stroke or neurological deficit presumed to be due to stroke within 3 months before first administration of study treatment; previous treatment with any angiogenic growth factor; positive serology for HIV 1 or 2; participation in clinical trials of non‐approved experimental agents within 4 weeks before study entry |
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Interventions |
Treatment: NV1FGF, 1 of 5 treatment regimens of 2 to 16 mg, delivered by 8 intramuscular injections in the affected leg every 2 weeks for 4 sessions Control: placebo |
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Outcomes |
Follow‐up times: not reported, but 1 reference suggests between 1 and 3 years Outcomes: TcPO₂, Ulcer healing |
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Notes |
Study period: June 2002 to July 2005 NCT00798005 |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Insufficient information provided to determine random sequence generation |
Allocation concealment (selection bias) | Unclear risk | Insufficient information provided to determine allocation concealment |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Described as double‐blind and used placebo but did not describe how placebo was disguised for personnel |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Insufficient information provided to determine blinding of outcome assessment |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | No information reported on study population during follow‐up |
Selective reporting (reporting bias) | Unclear risk | Insufficient information to determine selective reporting bias |
Other bias | Unclear risk | Sponsored by Sanofi |