Response to Exercise and Nitric Oxide in PAD

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age50+
SponsorNorthwestern University

About this trial

RESIST PAD is a randomized trial of 200 PAD patients to establish: 1) whether a 12-week exercise intervention significantly increases Δ nitrite at 12-week follow-up, compared to control; 2) whether exercise "responders" have greater Δ nitrite increases compared to "non-responders"; 3) among non-responders, whether supplementing exercise with nitrate-rich beetroot juice between weeks 13-24 increases Δ nitrite and improves 6-minute walk at 24-week follow-up.

Eligibility criteria

Qualifiers

An ABI less than or equal to 0.90 at baseline.

Vascular lab evidence of PAD (such as a toe brachial pressure less than or equal to 0.70 or an ankle brachial index less than or equal to 0.90), or angiographic evidence of PAD defined as at least 70% stenosis of an artery supplying the lower extremities.

An ABI of more than 0.90 and less than 1.00 who experience a 20% or greater drop in ABI in either leg after the heel-rise test.

Disqualifiers

Above- or below-knee amputation

Limb-threatening ischemia defined as an ABI less than 0.40 with symptoms of rest pain

Wheelchair confinement or requiring a walker to ambulate

Walking is limited by a condition other than PAD

Trial design

Treatments tested in this trial

  • Supervised Treadmill Exercise
  • Attention Control
  • Nitrate-Rich Beetroot Juice + supervised exercise therapy
  • Placebo + supervised exercise therapy

Treatment groups

200 Participants
are divided into 4 treatment groups

Sponsors and collaborators

Northwestern University

Lead sponsor

National Institute on Aging (NIA)

Collaborator