Literature DB >> 10506039

Randomised, double blind placebo controlled trial of pentoxifylline in the treatment of venous leg ulcers.

J J Dale1, C V Ruckley, D R Harper, B Gibson, E A Nelson, R J Prescott.   

Abstract

OBJECTIVE: To determine whether pentoxifylline 400 mg (Trental 400) taken orally three times daily, in addition to ambulatory compression bandages and dressings, improves the healing rate of pure venous ulcers.
DESIGN: Randomised, double blind placebo controlled trial, parallel group study of factorial design, permitting the simultaneous evaluation of alternative pharmaceutical, bandaging, and dressings materials.
SETTING: Leg ulcer clinics of a teaching and a district general hospital in southern Scotland. PARTICIPANTS: 200 patients with confirmed venous ulcers and in whom other major causal factors were excluded.
INTERVENTIONS: Pentoxifylline 400 mg three times daily or placebo. MAIN OUTCOME MEASURE: Complete healing (full epithelialisation) of all ulcers on the trial leg.
RESULTS: Complete healing occurred in 65 of the 101 (64%) patients receiving pentoxifylline and 52 of the 99 (53%) patients receiving placebo.
CONCLUSIONS: The difference in the healing rates between patients taking pentoxifylline and those taking placebo did not reach statistical significance.

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Year:  1999        PMID: 10506039      PMCID: PMC28239          DOI: 10.1136/bmj.319.7214.875

Source DB:  PubMed          Journal:  BMJ        ISSN: 0959-8138


  7 in total

1.  Pericapillary fibrin in the ulcer-bearing skin of the leg: the cause of lipodermatosclerosis and venous ulceration.

Authors:  K G Burnand; I Whimster; A Naidoo; N L Browse
Journal:  Br Med J (Clin Res Ed)       Date:  1982-10-16

2.  Oxpentifylline treatment of venous ulcers of the leg.

Authors:  M P Colgan; J A Dormandy; P W Jones; I G Schraibman; D G Shanik; R A Young
Journal:  BMJ       Date:  1990-04-14

3.  Chronic ulcer of the leg: clinical history.

Authors:  M J Callam; D R Harper; J J Dale; C V Ruckley
Journal:  Br Med J (Clin Res Ed)       Date:  1987-05-30

4.  Relation between postphlebitic changes in the deep veins and results of surgical treatment of venous ulcers.

Authors:  K Burnand; M L Thomas; T O'Donnell; N L Browse
Journal:  Lancet       Date:  1976-05-01       Impact factor: 79.321

5.  Hemorheologic approach in the treatment of diabetic foot ulcers.

Authors:  A Ramani; G N Kundaje; M N Nayak
Journal:  Angiology       Date:  1993-08       Impact factor: 3.619

6.  [Pentoxifylline medication within the scope of leg-ulcer therapy. Results of a field study using Trental 400].

Authors:  K Pemler; B Penth; H J Adams
Journal:  Fortschr Med       Date:  1979-06-07

7.  Leg ulcers: epidemiology and aetiology.

Authors:  J V Cornwall; C J Doré; J D Lewis
Journal:  Br J Surg       Date:  1986-09       Impact factor: 6.939

  7 in total
  10 in total

1.  Treatment of venous leg ulcers. Nice study, pity about the sample size.

Authors:  F Dobbs
Journal:  BMJ       Date:  2000-02-12

Review 2.  Determination of the clinical importance of study results.

Authors:  Malcolm Man-Son-Hing; Andreas Laupacis; Keith O'Rourke; Frank J Molnar; Jeffery Mahon; Karen B Y Chan; George Wells
Journal:  J Gen Intern Med       Date:  2002-06       Impact factor: 5.128

Review 3.  Pentoxifylline for treating venous leg ulcers.

Authors:  Andrew B Jull; Bruce Arroll; Varsha Parag; Jill Waters
Journal:  Cochrane Database Syst Rev       Date:  2012-12-12

Review 4.  Evidence-Based Clinical Practice Points for the Management of Venous Ulcers.

Authors:  Ravul Jindal; D B Dekiwadia; Pinjala Rama Krishna; Ajay K Khanna; Malay D Patel; Shoaib Padaria; Roy Varghese
Journal:  Indian J Surg       Date:  2018-01-27       Impact factor: 0.656

Review 5.  Contemporary issues in the prevention and management of postthrombotic syndrome.

Authors:  Sara R Vazquez; Andrew Freeman; Ryan C VanWoerkom; Matthew T Rondina
Journal:  Ann Pharmacother       Date:  2009-09-08       Impact factor: 3.154

Review 6.  Neutrophil activity in chronic venous leg ulcers--a target for therapy?

Authors:  Jodi C McDaniel; Sashwati Roy; Traci A Wilgus
Journal:  Wound Repair Regen       Date:  2013-03-28       Impact factor: 3.617

7.  Comprehensive decision-analytic model and Bayesian value-of-information analysis: pentoxifylline in the treatment of chronic venous leg ulcers.

Authors:  Cynthia P Iglesias; Karl Claxton
Journal:  Pharmacoeconomics       Date:  2006       Impact factor: 4.981

8.  Evaluation of pentoxifylline and ferrous sulfate for treatment of lower limb venous ulcers.

Authors:  Priscilla Cardoso Lemos; Esdras Marques Lins; Flavia Cristina Morone Pinto; José Lamartine de Andrade Aguiar; Fernanda Appolonio; Francisco Breno
Journal:  J Vasc Bras       Date:  2021-05-24

9.  Venous ulcer review.

Authors:  Paul Bevis; Jonothan Earnshaw
Journal:  Clin Cosmet Investig Dermatol       Date:  2011-03-03

10.  Evaluating the effects of pentoxifylline administration on experimental pressure sores in rats by biomechanical examinations.

Authors:  Kobra Velaei; Mohammad Bayat; Giti Torkman; Fatemealsadat Rezaie; Abdollah Amini; Mohsen Noruzian; Azaedh Tavassol; Mehernoush Bayat
Journal:  Lab Anim Res       Date:  2012-09-26
  10 in total

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