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Phase 3 N=29 Randomized Double-blind Treatment

Efficacy Study of PDE-5 Inhibitor and Calcium Channel Inhibitor for the Treatment of Secondary Raynaud Phenomenon

Raynaud Phenomenon

Enrolled (actual)
29
Serious AEs
3.9%
Results posted
Dec 2012
Primary outcome: Primary: RP Attacks Per Day — -0.5; -0.5 attacks per day

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Udenafil or Amlodipine (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Seoul National University Hospital
Primary completion
May 2011

Outcome Measures

OutcomeResultp-value
PRIMARY
RP Attacks Per Day
-0.5; -0.5
SECONDARY
Change in Raynaud's Condition Score (RCS)
-0.5; -0.3
SECONDARY
Change in the RP Duration
-1.1; -1.4
SECONDARY
Change in Health Assessment Questionnaire (HAQ)
0.1; -0.1
SECONDARY
Change in Physician's Global Assessment on Visual Analogue Scale (VAS)
-0.9; -1.5
SECONDARY
Change in Digital Ulcer Number
0.1; 0.1
SECONDARY
Change in Peak Systolic Flow (cm/Sec)
-19.9; 63.2
SECONDARY
Time-averaged Peak Velocity (cm/Sec)
-17.3; 33.4
SECONDARY
Dorsal-digital-difference.
-0.7; -1.4

Summary

The prevalence of Raynaud phenomenon (RP), a reversible vaso-constriction with skin discoloration, is 5-10% in general population. Often conventional measures such as warming up or minimizing exposure to cold are not enough and many patients require treatment with a vasodilator therapy. A recent study showed a good efficacy and safety profile of sildenafil, a selective inhibitor of cGMP specific phosphodiesterase type 5 (PDE5) in RP. Here, the investigators aim to examine the efficacy and safety of Udenafil, a newer PDE5 inhibitor, as compared to amlodipine, a well known calcium channel blocker, in the treatment of secondary RP in Korean patients.

Eligibility Criteria

Inclusion Criteria

  • secondary Raynaud's phenomenon

Exclusion Criteria

  • primary raynaud phenomenon
  • active infection
  • hypersensitivity to PDE5 inhibitor or Calcium Chanel Blocker (CCB)
  • elevated AST/ALT (3 times above the upper normal limit)
  • severe renal failure
  • patients on nitrite or nitric oxide (NO) donor treatment
  • recent history of cerebrovascular accidents, acute myocardial infarction, or coronary artery bypass surgery
  • hypotension (less than 90/50 mmHg) or uncontrolled hypertension
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01280266). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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