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Taking people in United StatesPhase 2

Calf stretching with dietary nitrate for walking problems in peripheral arterial disease

Tests passive calf stretching and dietary nitrate in people with peripheral arterial disease.

Key facts

Who runs it
University of Wisconsin, La Crosse
Where
La Crosse, United StatesSee the site
Trial code
Registry title
Passive Stretching in Peripheral Arterial Disease Patients
Status
Recruiting
Phase
Phase 2
People taking part
64 people, planned
Started
20 May 2024
Expected to end
31 Dec 2029
Type of study
Interventional, 2 groups
Treatments tested
  • Calf Plantar flexion
  • Dietary nitrate
Record updated
2 April 2025

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults with peripheral artery disease (narrowed leg arteries causing leg pain when walking). It tests calf stretching and dietary nitrate.

Age
40 Years to 90 Years
Sex
All
Disease stage
Peripheral artery disease with an ankle-brachial index of 0.90 or less. Condition stable for at least 3 months.
Earlier treatment
No regular exercise or heart rehabilitation program in the past 3 months. No major surgery or leg artery reopening procedure in the last 3 months.
Biomarker or test result
Ankle-brachial index (blood pressure ratio between ankle and arm) of 0.90 or less.

Main reasons for not taking part

  • Severe loss of blood flow to the leg, amputation, or leg pain at rest
  • Heart failure or kidney disease
  • Beet allergy
  • Crohn's disease
  • Current smoker

The registry criteria, word for word

Show all 2 criteriaShow less

Who can take part

  • Ankle-brachial index of 0.90 or less Stable condition for at least 3 months

Who cannot take part

  • Habitual exercise or cardiovascular rehabilitation program during the past 3 months Critical limb ischemia, amputation, or leg pain at rest Major surgery or lower extremity revascularization in the last 3 months Heart Failure Kidney disease Beet allergy Crohn's Current smoker

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 40 and 90 years old?

Where in United States

  • University of Wisconsin La CrosseLa Crosse, United StatesContact: Jacob T Caldwell, Ph.D.Taking people

About the trial

What the trial wants to find out

Peripheral artery disease (PAD) leads to higher mortality rates and strains healthcare systems due to increased costs. It causes leg pain during walking due to reduced blood flow. Nitric oxide (NO) deficiency contributes to vascular issues in PAD, with few effective treatments available. Passive calf muscle stretching boosts NO levels, vascular health, and walking ability in PAD patients. However, the inflammatory processes underlying these improvements are unclear. This study aims to track inflammatory markers and cardiovascular changes during 12 weeks of passive stretching. Additionally, combining stretching with dietary nitrate could further enhance walking capacity by reducing reactive oxygen species. The study will monitor inflammation, vascular function, and oxidative capacity to understand the effects on functional ability in PAD patients. This research is crucial for improving physical function and addressing exercise intolerance in PAD.

The 2 groups in the trial

  • Functional Walking capacityTreatment being tested

    Passive stretching of the calf muscles 5 days per week for 12-weeks

    Treatment: Calf Plantar flexion and Dietary nitrate

  • InflammationTreatment being tested

    Blood and muscle biopsy samples pre/post passive stretching to assess local and systemic inflammation

    Treatment: Calf Plantar flexion and Dietary nitrate

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Passive Stretching and Dietary Nitrate Rescue Functional Capacity in Peripheral Arterial Disease
Plain-language title
Calf stretching with dietary nitrate for walking problems in peripheral arterial diseaseGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 14 November 2026.
Fit questions
Built from NCT06420752, who can take part
Record updated
2 April 2025