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Clinical efficacy and safety of a new 1000-mg suspension versus twice-daily 500-mg tablets of MPFF in patients with symptomatic chronic venous disorders: a randomized controlled trial
P. Carpentier, B. van Bellen, D. Karetova, H. Hanafiah, E. Enriquez-Vega, A. Kirienko, A. Dzupina, M. Sabovic, L. Reina Gutierrez, S. Subwongcharoen, H. Tüzün, A. Maggioli,
Jazyk angličtina Země Itálie
Typ dokumentu časopisecké články, multicentrická studie, randomizované kontrolované studie
- MeSH
- aplikace orální MeSH
- chronická nemoc MeSH
- dolní končetina krevní zásobení patofyziologie MeSH
- dospělí MeSH
- dvojitá slepá metoda MeSH
- flavonoidy aplikace a dávkování škodlivé účinky MeSH
- kvalita života MeSH
- lidé středního věku MeSH
- lidé MeSH
- management bolesti MeSH
- měření bolesti MeSH
- mezinárodní spolupráce MeSH
- mladý dospělý MeSH
- nemoci cév farmakoterapie patofyziologie MeSH
- průzkumy a dotazníky MeSH
- senioři MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- randomizované kontrolované studie MeSH
BACKGROUND: Chronic venous disorders (CVD) is estimated to affect 30% to 50% of women and 10% to 30% of men. The most widely prescribed treatment for CVD worldwide is micronized purified flavonoid fraction 500 mg (MPFF). The aim of this clinical trial was to develop a new once daily 1000-mg oral suspension of MPFF. METHODS: In an international, randomized, double-blind, parallel-group study, symptomatic individuals classified CEAP C0s to C4s were randomized in either treatment arm and treated for 8 weeks. Lower limb symptoms (discomfort, pain and heaviness) were assessed using Visual Analog Scales (VAS), and quality of life (QoL) was measured with the CIVIQ-20 Questionnaire. RESULTS: A total of 1139 patients were included in the study. Both MPFF treatment regimens were well tolerated and associated with a significant reduction in lower limb symptoms. A non-inferiority of MPFF 1000-mg oral suspension once daily compared to MPFF 500-mg tablet twice daily (P<0.0001) was found for lower limb discomfort (-3.33 cm for MPFF 1000 mg and -3.37 cm for MPFF 500 mg), leg pain (-3.27 cm for MPFF 1000 mg and -3.31 cm for MPFF 500 mg) and leg heaviness (-3.41 cm for MPFF 1000 mg and -3.46 cm for MPFF 500 mg). The patients' QoL was improved by about 20 points on the CIVIQ scale in both groups (19.33 points for MPFF 1000 mg and 20.28 points for MPFF 500 mg). CONCLUSIONS: MPFF 1000-mg oral suspension and MPFF 500-mg tablets treatments were associated with similar reductions in lower limb symptoms and QoL improvement. The new once daily MPFF1000-mg oral suspension has a similar safety profile to two tablets of MPFF 500 mg, with the advantage of one daily intake, potentially associated with improved patient adherence and easier CVD management.
Angiologická Ambulancia Alian Bardejov Slovakia
Cerrahpaşa Faculty of Medicine Istanbul University Istanbul Turkey
Department for Cardiology and Angiology General Faculty Hospital
Department of Angiology and Vascular Surgery Hospital de la Cruz Roja Madrid Spain
Department of Vascular Diseases University Clinical Center of Ljubljana Ljubljana Slovenia
Grenoble University Hospital Grenoble France
National Autonomous University of Mexico Mexico City Mexico
National University of Malaysia Kuala Lumpur Malaysia
Rajavithi Hospital Bangkok Thailand
st Faculty of Medicine Charles University Prague Czech Republic
Citace poskytuje Crossref.org
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- $a Carpentier, Patrick $u Grenoble University Hospital, Grenoble, France - pcarpentier@chu-grenoble.fr.
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- $a Clinical efficacy and safety of a new 1000-mg suspension versus twice-daily 500-mg tablets of MPFF in patients with symptomatic chronic venous disorders: a randomized controlled trial / $c P. Carpentier, B. van Bellen, D. Karetova, H. Hanafiah, E. Enriquez-Vega, A. Kirienko, A. Dzupina, M. Sabovic, L. Reina Gutierrez, S. Subwongcharoen, H. Tüzün, A. Maggioli,
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- $a BACKGROUND: Chronic venous disorders (CVD) is estimated to affect 30% to 50% of women and 10% to 30% of men. The most widely prescribed treatment for CVD worldwide is micronized purified flavonoid fraction 500 mg (MPFF). The aim of this clinical trial was to develop a new once daily 1000-mg oral suspension of MPFF. METHODS: In an international, randomized, double-blind, parallel-group study, symptomatic individuals classified CEAP C0s to C4s were randomized in either treatment arm and treated for 8 weeks. Lower limb symptoms (discomfort, pain and heaviness) were assessed using Visual Analog Scales (VAS), and quality of life (QoL) was measured with the CIVIQ-20 Questionnaire. RESULTS: A total of 1139 patients were included in the study. Both MPFF treatment regimens were well tolerated and associated with a significant reduction in lower limb symptoms. A non-inferiority of MPFF 1000-mg oral suspension once daily compared to MPFF 500-mg tablet twice daily (P<0.0001) was found for lower limb discomfort (-3.33 cm for MPFF 1000 mg and -3.37 cm for MPFF 500 mg), leg pain (-3.27 cm for MPFF 1000 mg and -3.31 cm for MPFF 500 mg) and leg heaviness (-3.41 cm for MPFF 1000 mg and -3.46 cm for MPFF 500 mg). The patients' QoL was improved by about 20 points on the CIVIQ scale in both groups (19.33 points for MPFF 1000 mg and 20.28 points for MPFF 500 mg). CONCLUSIONS: MPFF 1000-mg oral suspension and MPFF 500-mg tablets treatments were associated with similar reductions in lower limb symptoms and QoL improvement. The new once daily MPFF1000-mg oral suspension has a similar safety profile to two tablets of MPFF 500 mg, with the advantage of one daily intake, potentially associated with improved patient adherence and easier CVD management.
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