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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
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Trial registered on ANZCTR
Registration number
ACTRN12625001051437p
Ethics application status
Submitted, not yet approved
Date submitted
8/09/2025
Date registered
24/09/2025
Date last updated
24/09/2025
Date data sharing statement initially provided
24/09/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Predicting Outcomes in Peripheral Artery Disease (PAD) Patients with Intermittent Claudication (pain while walking)
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Scientific title
Predicting Mortality, Major adverse cardiovascular and limb event outcomes in Peripheral Artery Disease (PAD) Patients with Intermittent Claudication
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Secondary ID [1]
315330
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
peripheral artery disease (Intermittent Claudication)
338807
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Condition category
Condition code
Cardiovascular
335101
335101
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0
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Diseases of the vasculature and circulation including the lymphatic system
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This study will examine a specific smoking-related DNA methylation marker (cg05575921) as an outcome (MACE, MALE, changes in walking impairment, and mortality) risk prediction tool in PAD patients presenting with intermittent claudication.
The duration of baseline recruitment will be December 2025- December 2027.
Participants will complete questionnaires (walking impairment and health demographics) and provide a blood sample for DNA analysis (measurement of cg05575921 DNA methylation level) at study entry (baseline visit of 4o minutes duration),
Follow-up walking distance questionnaires (15 minutes) will be completed by return mail (with telephone support if needed) at 18 months and 5 years post-study entry.
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Intervention code [1]
331930
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Diagnosis / Prognosis
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Comparator / control treatment
No control group, prospective outcome study
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Mortality
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Assessment method [1]
342735
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extracted from electronic medical records
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Timepoint [1]
342735
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Recorded at 1.5 and 5 years after recruitment date
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Primary outcome [2]
342736
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Major adverse cardiovascular events (MACE) as a composite outcome of Myocardial infarction, Hospitalisation for unstable angina, Heart failure hospitalisation, Stroke, Unplanned revascularisation, cardiovascular death.
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Assessment method [2]
342736
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extracted from electronic medical records
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Timepoint [2]
342736
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Recorded at 1.5 and 5 years after recruitment date
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Primary outcome [3]
342737
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Major adverse limb events (MALE) as a composite outcome of Major amputation, Revascularization, Progression to critical limb ischemia.
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Assessment method [3]
342737
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extracted from electronic medical records
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Timepoint [3]
342737
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Recorded at 1.5 and 5 years after recruitment date
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Secondary outcome [1]
451952
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Walking impairment
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Assessment method [1]
451952
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Walking Impairment Questionnaire (WIQ), Jain et al 2012. J Vasc Surg;55:1662-1673
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Timepoint [1]
451952
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Recorded at 1.5 and 5 years after recruitment date (compared to baseline assessment)
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Eligibility
Key inclusion criteria
• Diagnosed with PAD (intermittent claudication).
• Able to consent.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclude ankle brachial pressure index (ABPI) <0.5 or critical limb ischaemia.
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
3/11/2025
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
400
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
27343
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New Zealand
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State/province [1]
27343
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Funding & Sponsors
Funding source category [1]
319910
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Government body
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Name [1]
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Health Research Council of New Zealand
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Address [1]
319910
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Country [1]
319910
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New Zealand
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Primary sponsor type
University
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Name
University of Otago
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Address
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Country
New Zealand
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Secondary sponsor category [1]
322437
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None
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Name [1]
322437
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Address [1]
322437
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Country [1]
322437
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
318454
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Southern Health and Disability Ethics Committee
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Ethics committee address [1]
318454
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https://ethics.health.govt.nz/about/southern-health-and-disability-ethics-committee/
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Ethics committee country [1]
318454
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New Zealand
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Date submitted for ethics approval [1]
318454
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08/09/2025
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Approval date [1]
318454
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Ethics approval number [1]
318454
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Summary
Brief summary
Peripheral artery disease (PAD) is a common circulatory problem in which narrowed arteries reduce blood flow to the limbs. Intermittent claudication (pain while walking) is the main symptom of early-stage PAD. Smoking is a major risk factor, but self-reported smoking history can be unreliable. DNA methylation (DNAm) at the cg05575921 site in the AHRR gene can be measured in blood and is a validated biomarker of smoking exposure. This study aims to assess whether baseline smoking-related (cg05575921) DNAm values can predict future outcomes in PAD patients with intermittent claudication, such as death, surgery, limb loss, and walking ability. We will recruit 400 patients referred to vascular clinics at Waikato, Christchurch, and Dunedin hospitals. At least 30% of participants will be Maori, with prioritised invitations. Participants will provide a blood sample and complete a PAD-specific questionnaire at baseline and 18-month follow-up. DNA will be analysed for methylation at cg05575921 using a droplet digital PCR assay. Clinical outcomes will be followed up via hospital records and the National Minimum Dataset (NMDS).
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Greg Jones
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Address
144250
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Department of Surgery & Critical Care (DSM), University of Otago, PO Box 56, Dunedin 9054
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Country
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New Zealand
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Phone
144250
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+64 3 4709543
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Fax
144250
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Email
144250
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[email protected]
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Contact person for public queries
Name
144251
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Prof Greg Jones
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Address
144251
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Department of Surgery & Critical Care (DSM), University of Otago, PO Box 56, Dunedin 9054
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Country
144251
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New Zealand
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Phone
144251
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+64 4709543
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Fax
144251
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Email
144251
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[email protected]
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Contact person for scientific queries
Name
144252
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Greg Jones
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Address
144252
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Department of Surgery & Critical Care (DSM), University of Otago, PO Box 56, Dunedin 9054
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Country
144252
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New Zealand
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Phone
144252
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+64 3 4709543
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Fax
144252
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Email
144252
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF