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Phlogenzym® in Patients With Acute Thrombophlebitis - Efficacy and Tolerance

Watumiaji waliosajiliwa tu ndio wanaweza kutafsiri nakala
Ingia / Ingia
Kiungo kimehifadhiwa kwenye clipboard
HaliImekamilika
Wadhamini
Mucos Pharma GmbH & Co. KG

Maneno muhimu

Kikemikali

Oral enzyme therapy in patients with acute superficial vein inflammation (thrombophlebitis) can serve as an additional treatment option besides standard therapy with compression stockings, common pain medication and physical treatments. This randomized, double-blinded trial compares efficacy and safety with placebo.

Maelezo

Enzymes are absorbed in the small intestine and taken up into the bloodstream, at least to some extent. There, they act in an anti-inflammatory manner, as was first described for the serine protease trypsin. Similarly, the cysteine protease bromelain, extracted from the stems of pineapples, is an effective phytotherapeutical drug with anti-inflammatory properties.Proteases have also been indicated to show a certain improvement of the fluidity of the blood. An additional component of the oral enzyme combination can be rutoside, or rutin, a flavonoid known to have cytoprotective and anti-inflammatory properties.

Tarehe

Imethibitishwa Mwisho: 02/28/2018
Iliyowasilishwa Kwanza: 03/05/2018
Uandikishaji uliokadiriwa Uliwasilishwa: 03/11/2018
Iliyotumwa Kwanza: 03/18/2018
Sasisho la Mwisho Liliwasilishwa: 03/11/2018
Sasisho la Mwisho Lilichapishwa: 03/18/2018
Tarehe halisi ya kuanza kwa masomo: 08/31/1996
Tarehe ya Kukamilisha Msingi iliyokadiriwa: 05/31/1997
Tarehe ya Kukamilisha Utafiti: 05/31/1997

Hali au ugonjwa

Thrombophlebitis Leg

Uingiliaji / matibabu

Drug: Phlogenzym

Other: Placebo

Awamu

Awamu 3

Vikundi vya Arm

MkonoUingiliaji / matibabu
Experimental: Phlogenzym
Treatment with German licensed drug Phlogenzym (6 tablets/day)
Drug: Phlogenzym
Bromelain / Trypsin / Rutoside
Placebo Comparator: Placebo
Placebo equates Phlogenzym but without active ingredients
Other: Placebo

Vigezo vya Kustahiki

Zama zinazostahiki Kujifunza 18 Years Kwa 18 Years
Jinsia Inastahiki KujifunzaAll
Hupokea Wajitolea wa AfyaNdio
Vigezo

Inclusion Criteria:

- male ог female patients with thrombophlebitis in the upper extremities (with ог without varicosis);

- age ~ 18 years;

- acute thrombophlebitis in the lower leg

- moderate to severe pain as monitored on a visual analog scale (VAS, value ≥ 3 cm)

- pain under pressure

- presence of at least three of the following symptoms: skin redness, hyperthermia, phlebitic cords, feeling of heaviness and tenseness.

Exclusion Criteria:

- known deep phlebothrombosis

- flourishing ulcus cruris

- arterial occlusive disease

- peripheral neuropathy

- malignant disease

- concomitant concomitant treatment ог а therapy which ended less than 7 days before baseline with corticosteroids, diuretics, anticoagulative agents, platelet aggregation inhibitors and systemic/topical use of anti-inflammatory agents, other preparations for veins and analgesics;

- known intolerance against the active ог the inactive ingredients of the study medication (especially lactose);

- pregnancy

- lactation,

- known alcohol or drug abuse

- participation in another clinical study

Matokeo

Hatua za Matokeo ya Msingi

1. Difference of pain at rest between values day 0 (baseline) and day 7 [Change day 0 until day 7]

Patients were asked to evaluate resting pain on day 0 (baseline) as well as day 7 on a 10-cm VAS (Visual Analogue Scale), with the left end (0 cm) indicating "no pain" and the right end (10 cm) "unbearable pain". The distance from the left end was recorded.

2. Responders [day 14]

Number of responders (pain value smaller or equal to 1 cm on visual analogue scale for pain (VAS, eft end (0 cm) indicating "no pain" and the right end (10 cm) "unbearable pain") on day 14

Hatua Nyingine za Matokeo

1. Pain under Pressure [0, 4, 7, 14 days]

Meyer's pressure points at the lateral side of the tibia and Krieger's pressure point in the popliteal space, 4-point rating scale ranging from 0 (no pain) to 3 (severe pain)

2. Symptoms [0, 4, 7, 14 days]

skin redness, hyperthermia, palpable/visible phlebitic cords, heaviness, tenseness

3. Sum Score of Symptoms [0, 4, 7, 14 days]

Sum score of all described symptoms (skin redness, hyperthermia, palpable/visible phlebitic cords, heaviness, tenseness)

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