Caffeine and Intermittent Claudication

• Quality of life [ Time Frame: during test 1 and 3 ] [ Designated as safety issue: No ]
• Maximum walking distance [ Time Frame: during treadmill test ] [ Designated as safety issue: No ]

• Quality of life
• Maximum Walking Distance
• Increased level of endothelian growth factors: VGF, FGF

• Painfree Walking Distance [ Time Frame: treadmill test ] [ Designated as safety issue: No ]
• Max muscle strength (MVC) of kneeextension [ Time Frame: At end of each test ] [ Designated as safety issue: No ]
• Endurance of 50%MVC kneeextension [ Time Frame: At end of each test ] [ Designated as safety issue: No ]
• Postural stability [ Time Frame: in all tests ] [ Designated as safety issue: No ]
• Reaction speed [ Time Frame: in all tests ] [ Designated as safety issue: No ]
• Cognitive function [ Time Frame: in all tests ] [ Designated as safety issue: No ]
• Walking Impairment Questionnaire [ Time Frame: in first and third test ] [ Designated as safety issue: No ]
• vascular endothelian growth factors VGF. FGF [ Time Frame: before and after 1. and 2. test ] [ Designated as safety issue: No ]

• Painfree Walking Distance
• Strength of kneeextension
• Endurance of 50%MVC kneeextension
• Postural stability
• Reactiontime
• Cognitive function
• Walking Impairment Questtionaire

The purpose of this study is to evaluate the change in Walking capacity after an intake of caffeine. The study design is cross-over and follow-up of 80 patients with leg pain caused by narrowing of their leg arteries, Peripheral Vascular Disease (PAD), stage II. Half of all will be revascularised, follow up will be after 3 months. It is hypothesized that caffeine (6mg/kg) can be a cheap, safe drug before walking exercise. Primary endpoint is maximum walking distance (MWD), treadmill-testing,(constant load, 0%,2m/h). Secondary endpoints are pain free walking distance (PWD), maximum muscle strength, endurance, reaction speed, balance, cognitive function, health related quality of life (SF-36).

PAD has a prevalence of 15-20 % in an elderly (>50) western population. PAD can not be seen in isolation but represents the peripheral manifestation of a generalized artherosclerosis. The co-morbidity with coronary or cerebralartherosclerosis depends on the degree of severity of PAD, the relative risk of a death (predominantly cardiac) is increased by a factor 4. From af medical and a socio-economic point of view there is the need to control the PAD complication rate and related treatment costs as effectively as possible.

The aim of any treatment of intermittent claudication is a clinically relevant improvement in the patient´s mobility and quality of life.

There is agreement, that physical training does improve the collateralisation of vascular lesions, the rheologic properties of blood and lead to a shift from glycolytic to oxidative muscle fibers in the working musculature which increases the capillary density. The effect of physical training is also to modify the patients risk factor profile, even moderate training increase the insulin receptor sensitivity and the fibrinolytic activity and decrease the dLDL/HDL ratio and the diastolic blood pressure in hypertensive patients - and thereby decrease the overall cardiac mortality.

This is a Phase 3, 12-week, double-blind, randomized, placebo-controlled cross-over and a follow-up study with 80 patients with intermittent claudication, half of which will be revascularized.

The objectives of this study are to evaluate the efficacy of caffeine (6mg/kg)and the revascularisation procedure. The primary end-point will be maximal walking distance (MWD) in both groups of patients. Other efficacy measures will include claudication onset time (PWD), changes in Ankle Brachial Index (ABI), Quality of Life (QoL), cognitive function, plasma response of Vascular Endothelian Growth Factor (VEGF, FGF). Safety variables will include routine hematology parameters and adverse events.

Inclusion Criteria:

• men and women > 40 years
• history of IC of the lower extremities, Fontaine II
• ankle-brachial index (ABI)> 0.9 (subjects who are referred for a revasularizarition procedure)

Exclusion Criteria:

• dementia
• diabetes
• illness or reason to be unable to participate, f.ex. general weakness, amputation or arthritis
• acute illness, f.ex. inflammation, unstable angina
• other reasons which contraindicate participation/treadmill exercise
• intake of Trental and/or Teofyllamin
• weight > 100kg

• Herning Hospital
• Viborg Hospital