Branchereau A, Rouffy J
Service de Chirurgie Vasculaire, Centre Hospitalier Sainte-Marguerite, Marseille.
J Mal Vasc. 1995;20(1):21-7.
Authors report results on a comparative multicenter double blind trial carried out to assess the efficacy of Ifenprodil tartrate (*) (60 mg a.d.) versus placebo in symptomatic treatment of stable peripheral arterial occlusive disease (Fontaine stage II). Ninety four patients were included in this six months, two parallel group study (2 homogeneous groups) which shows a statistically significant functional improvement in the treatment group versus the placebo group. After six months of treatment, the maximum walking distance (MWD)--main assessment criteria--was 126.0 +/- 18.5 meters in the Ifenprodil group versus 46.4 +/- 20.2 meters in the placebo group (p = 0.005). This represents an improvement of 62.1% in the Ifenprodil group versus 21.0% in the placebo group. An improvement of at least 50% in MWD was observed in 41.3% of patients treated by Ifenprodil and in only 12.5% of patients receiving placebo (p = 0.002). The evolution of ankle/brachial systolic post exercise index from JO to J180 was not significantly different in the two groups. Clinical and biological tolerance of Ifenprodil tartrate was excellent.
作者报告了一项比较多中心双盲试验的结果,该试验旨在评估酒石酸艾芬地尔(*)(每日60毫克)与安慰剂在稳定型外周动脉闭塞性疾病(Fontaine II期)对症治疗中的疗效。94名患者被纳入这项为期六个月的双平行组研究(2个同质组),结果显示治疗组相对于安慰剂组在功能上有统计学显著改善。治疗六个月后,主要评估标准——最大行走距离(MWD)在艾芬地尔组为126.0±18.5米,而在安慰剂组为46.4±20.2米(p = 0.005)。这表明艾芬地尔组改善了62.1%,而安慰剂组改善了21.0%。在接受艾芬地尔治疗的患者中,41.3%观察到MWD改善至少50%,而接受安慰剂治疗的患者中只有12.5%(p = 0.002)。两组运动后踝/肱收缩压指数从J0到J180的变化无显著差异。酒石酸艾芬地尔的临床和生物学耐受性良好。