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Phlogenzym® in Patients With Acute Thrombophlebitis - Efficacy and Tolerance

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Mucos Pharma GmbH & Co. KG

关键词

抽象

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.

描述

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.

日期

最后验证: 02/28/2018
首次提交: 03/05/2018
提交的预估入学人数: 03/11/2018
首次发布: 03/18/2018
上次提交的更新: 03/11/2018
最近更新发布: 03/18/2018
实际学习开始日期: 08/31/1996
预计主要完成日期: 05/31/1997
预计完成日期: 05/31/1997

状况或疾病

Thrombophlebitis Leg

干预/治疗

Drug: Phlogenzym

Other: Placebo

相 3

手臂组

干预/治疗
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

资格标准

有资格学习的年龄 18 Years 至 18 Years
有资格学习的性别All
接受健康志愿者
标准

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

结果

主要结果指标

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

其他成果措施

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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