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Trial · NCT01408901

Treadmill Exercise and GM-CSF Study to Improving Functioning in Peripheral Artery Disease (PAD)

NCT01408901, Not applicable, Completed, Northwestern University; results first posted 2019-12-10

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Treadmill Exercise and GM-CSF Study to Improving Functioning in Peripheral Artery Disease (PAD). Trials, record NCT01408901. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01408901

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Treadmill Exercise and GM-CSF Study to Improving Functioning in Peripheral Artery Disease (PAD)
NCT number
NCT01408901
Status
Completed
Phases
Not applicable
Enrollment
210 participants, actual
Lead sponsor
Northwestern University
Conditions
Peripheral Arterial Disease
Interventions
Supervised Treadmill Exercise Therapy, Health education sessions (Control), granulocyte macrophage colony stimulating factor (GM-CSF)
First posted
2011-08-03
Last updated
2020-01-21
Results first posted
2019-12-10

Source ClinicalTrials.gov

Registered outcomes7

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange in Six-Minute Walk Performance at 12-week Follow-upchange from baseline to week 12
In the six-minute walk, participants walk back and forth along a 100-ft hallway for six minutes after standardized instructions to complete as many laps as possible. Distance covered in six minutes is recorded.
SecondaryChange in Brachial Artery Flow-mediated Dilation (FMD) at 12-week Follow-upchange from baseline to week 12
The brachial artery is imaged 5 to 9 cm above the antecubital fossa using a linear array vascular ultrasound transducer. Three video sequences are obtained. The first verifies the location and baseline hemodynamic state of the brachial artery. The second begins 20 seconds before cuff inflation and continues for 10 seconds after inflation. The third begins 15 seconds before cuff release and continues for 90 seconds after deflation. Brachial artery FMD is calculated as the percent change in brachial artery diameter at 60 seconds and at 90 seconds after the release of the cuff.
SecondaryChange in Maximal Treadmill Walking Time at 12-week Follow-upchange from baseline to week 12
The Gardner graded treadmill exercise test is the standard, accepted treadmill protocol for measuring change in maximal treadmill walking time in response to interventions among PAD participants. In the Gardner exercise protocol, speed is maintained at 2.0 miles per hour (mph) and treadmill grade increases by 2.0% every two minutes. If patients cannot begin walking at 2.0 mph, treadmill speed is started at 0.50 mph and increased by 0.50 mph every 2 minutes until the participant reaches 2.0 mph, after which the treadmill grade is increased every two minutes.
SecondaryChange in CD34_CD45lo at 12-week Follow-upchange from baseline to week 12
Red blood cells are lysed twice with freshly prepared lysis buffer. Remaining cells are stained with LIVE/DEAD® Fixable Dead Cell Stains for 20 minutes at room temperature and Fc receptors are blocked by incubating with Fc receptor blocking reagent for 10 minutes at 4oC. Samples are then stained with the following antibody cocktail for 30 minutes at 4oC: CD34 VioBlue, CD133-APC , CD45 AlexaFluor 700, and CD31 (PECAM-1) APC-eFluor® 780. Stained samples are acquired using a BD LSRII and analyzed using Flowjo software. The outcome is the absolute change in the percentages of cells.
SecondaryChange in CD34_CD45loCD133_ at 12-week Follow-upchange from baseline to week 12
Red blood cells are lysed twice with freshly prepared lysis buffer. Remaining cells are stained with LIVE/DEAD® Fixable Dead Cell Stains for 20 minutes at room temperature and Fc receptors are blocked by incubating with Fc receptor blocking reagent for 10 minutes at 4oC. Samples are then stained with the following antibody cocktail for 30 minutes at 4oC: CD34 VioBlue, CD133-APC , CD45 AlexaFluor 700, and CD31 (PECAM-1) APC-eFluor® 780. Stained samples are acquired using a BD LSRII and analyzed using Flowjo software. The outcome is the absolute change in the percentages of cells.
SecondaryChange in CD34_CD45lo_CD31_ at 12-week Follow-upchange from baseline to week 12
Red blood cells are lysed twice with freshly prepared lysis buffer. Remaining cells are stained with LIVE/DEAD® Fixable Dead Cell Stains for 20 minutes at room temperature and Fc receptors are blocked by incubating with Fc receptor blocking reagent for 10 minutes at 4oC. Samples are then stained with the following antibody cocktail for 30 minutes at 4oC: CD34 VioBlue, CD133-APC , CD45 AlexaFluor 700, and CD31 (PECAM-1) APC-eFluor® 780. Stained samples are acquired using a BD LSRII and analyzed using Flowjo software. The outcome is the absolute change in the percentages of cells.
SecondaryChange in CD34_CD45lo_CD31_CD133_ at 12-week Follow-upchange from baseline to week 12
Red blood cells are lysed twice with freshly prepared lysis buffer. Remaining cells are stained with LIVE/DEAD® Fixable Dead Cell Stains for 20 minutes at room temperature and Fc receptors are blocked by incubating with Fc receptor blocking reagent for 10 minutes at 4oC. Samples are then stained with the following antibody cocktail for 30 minutes at 4oC: CD34 VioBlue, CD133-APC , CD45 AlexaFluor 700, and CD31 (PECAM-1) APC-eFluor® 780. Stained samples are acquired using a BD LSRII and analyzed using Flowjo software. The outcome is the absolute change in the percentages of cells.

Outcomes7

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYChange in Six-Minute Walk Performance at 12-week Follow-upchange from baseline to week 12
Data were imputed for participants who were lost to follow-up or who canceled the visit. Variables used for imputation were age, ankle brachial index, body mass index, sex, race, smoking status, baseline outcome values, leg symptoms, and comorbidities. SAS procedure MI was used to obtain 20 imputed data sets.
metersMEAN
SECONDARYChange in Brachial Artery Flow-mediated Dilation (FMD) at 12-week Follow-upchange from baseline to week 12
Data were imputed for participants who were lost to follow-up or who canceled the visit. Variables used for imputation were age, ankle brachial index, body mass index, sex, race, smoking status, baseline outcome values, leg symptoms, and comorbidities. SAS procedure MI was used to obtain 20 imputed data sets.
percent changeMEDIAN
SECONDARYChange in Maximal Treadmill Walking Time at 12-week Follow-upchange from baseline to week 12
Data were imputed for participants who were lost to follow-up or who canceled the visit. Variables used for imputation were age, ankle brachial index, body mass index, sex, race, smoking status, baseline outcome values, leg symptoms, and comorbidities. SAS procedure MI was used to obtain 20 imputed data sets.
minutesMEAN
SECONDARYChange in CD34_CD45lo at 12-week Follow-upchange from baseline to week 12
Note: It is pre-specified in the study protocol that investigators will determine whether a supervised treadmill exercise intervention alone (Group C) is associated with greater increases in CD34+ cells at 12-week follow-up, compared to Group D. Therefore, only group C and group D are included here.
percentage of cellsMEAN
SECONDARYChange in CD34_CD45loCD133_ at 12-week Follow-upchange from baseline to week 12
Note: It is pre-specified in the study protocol that investigators will determine whether a supervised treadmill exercise intervention alone (Group C) is associated with greater increases in CD34+ cells at 12-week follow-up, compared to Group D. Therefore, only group C and group D are included here.
percentage of cellsMEAN
SECONDARYChange in CD34_CD45lo_CD31_ at 12-week Follow-upchange from baseline to week 12
Note: It is pre-specified in the study protocol that investigators will determine whether a supervised treadmill exercise intervention alone (Group C) is associated with greater increases in CD34+ cells at 12-week follow-up, compared to Group D. Therefore, only group C and group D are included here.
percentage of cellsMEAN
SECONDARYChange in CD34_CD45lo_CD31_CD133_ at 12-week Follow-upchange from baseline to week 12
Note: It is pre-specified in the study protocol that investigators will determine whether a supervised treadmill exercise intervention alone (Group C) is associated with greater increases in CD34+ cells at 12-week follow-up, compared to Group D. Therefore, only group C and group D are included here.
percentage of cellsMEAN

Results by group20

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Change in Six-Minute Walk Performance at 12-week Follow-upA: GM-CSF + Supervised Treadmill Exercise Therapy22.295% Confidence Interval 5.4 to 39.0meters
Change in Six-Minute Walk Performance at 12-week Follow-upB: GM-CSF + Attention Control Group-6.495% Confidence Interval -23.0 to 10.1meters
Change in Six-Minute Walk Performance at 12-week Follow-upC: Placebo + Supervised Exercise Therapy28.595% Confidence Interval 11.7 to 45.4meters
Change in Six-Minute Walk Performance at 12-week Follow-upD: Placebo + Attention Control Group-5.095% Confidence Interval -22.3 to 12.2meters
Change in Brachial Artery Flow-mediated Dilation (FMD) at 12-week Follow-upA: GM-CSF + Supervised Treadmill Exercise Therapy-0.37Inter-Quartile Range -2.50 to 1.28percent change
Change in Brachial Artery Flow-mediated Dilation (FMD) at 12-week Follow-upB: GM-CSF + Attention Control Group0.10Inter-Quartile Range -1.49 to 1.18percent change
Change in Brachial Artery Flow-mediated Dilation (FMD) at 12-week Follow-upC: Placebo + Supervised Exercise Therapy0.14Inter-Quartile Range -1.53 to 1.50percent change
Change in Brachial Artery Flow-mediated Dilation (FMD) at 12-week Follow-upD: Placebo + Attention Control Group-0.72Inter-Quartile Range -2.02 to 1.64percent change
Change in Maximal Treadmill Walking Time at 12-week Follow-upA: GM-CSF + Supervised Treadmill Exercise Therapy3.595% Confidence Interval 2.5 to 4.5minutes
Change in Maximal Treadmill Walking Time at 12-week Follow-upB: GM-CSF + Attention Control Group-0.195% Confidence Interval -1.1 to 0.9minutes

Participant flow36

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
6-Week Follow-UpSTARTEDA: GM-CSF + Supervised Treadmill Exercise Therapy53
6-Week Follow-UpSTARTEDB: GM-CSF + Attention Control Group53
6-Week Follow-UpSTARTEDC: Placebo + Supervised Exercise Therapy53
6-Week Follow-UpSTARTEDD: Placebo + Attention Control Group51
6-Week Follow-UpCOMPLETEDA: GM-CSF + Supervised Treadmill Exercise Therapy50
6-Week Follow-UpCOMPLETEDB: GM-CSF + Attention Control Group51
6-Week Follow-UpCOMPLETEDC: Placebo + Supervised Exercise Therapy50
6-Week Follow-UpCOMPLETEDD: Placebo + Attention Control Group47
6-Week Follow-UpNOT COMPLETEDA: GM-CSF + Supervised Treadmill Exercise Therapy3
6-Week Follow-UpNOT COMPLETEDB: GM-CSF + Attention Control Group2

Adverse events124

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAching or soreness in feetMusculoskeletal and connective tissue disordersA: GM-CSF + Supervised Treadmill Exercise Therapy3853126
otherAching or soreness in feetMusculoskeletal and connective tissue disordersB: GM-CSF + Attention Control Group3653103
otherAching or soreness in feetMusculoskeletal and connective tissue disordersC: Placebo + Supervised Exercise Therapy2953100
otherAching or soreness in feetMusculoskeletal and connective tissue disordersD: Placebo + Attention Control Group225161
otherAching or soreness in thighsMusculoskeletal and connective tissue disordersA: GM-CSF + Supervised Treadmill Exercise Therapy275374
otherAching or soreness in thighsMusculoskeletal and connective tissue disordersB: GM-CSF + Attention Control Group275353
otherAching or soreness in thighsMusculoskeletal and connective tissue disordersC: Placebo + Supervised Exercise Therapy265392
otherAching or soreness in thighsMusculoskeletal and connective tissue disordersD: Placebo + Attention Control Group215153
otherAching or soreness in lower backMusculoskeletal and connective tissue disordersA: GM-CSF + Supervised Treadmill Exercise Therapy3453120
otherAching or soreness in lower backMusculoskeletal and connective tissue disordersB: GM-CSF + Attention Control Group3753115

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityA: GM-CSF + Supervised Treadmill Exercise Therapy253
Total, all-cause mortalityB: GM-CSF + Attention Control Group153
Total, all-cause mortalityC: Placebo + Supervised Exercise Therapy053
Total, all-cause mortalityD: Placebo + Attention Control Group051
Total, other adverse eventsA: GM-CSF + Supervised Treadmill Exercise Therapy5253
Total, other adverse eventsB: GM-CSF + Attention Control Group4953
Total, other adverse eventsC: Placebo + Supervised Exercise Therapy5053
Total, other adverse eventsD: Placebo + Attention Control Group4851
Total, serious adverse eventsA: GM-CSF + Supervised Treadmill Exercise Therapy1753
Total, serious adverse eventsB: GM-CSF + Attention Control Group1353

Papers13

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
24080099BACKGROUNDPubMed
24982117BACKGROUNDPubMed
25908727BACKGROUNDPubMed
26324152BACKGROUNDPubMed
29141087RESULTPubMed
30418100DERIVEDPubMed
30661439DERIVEDPubMed
32390569DERIVEDPubMed
32416309DERIVEDPubMed
34075780DERIVEDPubMed

1 to 10 of 13

See all 13 papers

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
R01HL107510PROgenitor Cell Release Plus Exercise To Improve Functional Performance In PADMCDERMOTT, MARY MCGRAENORTHWESTERN UNIVERSITY AT CHICAGONATIONAL HEART, LUNG, AND BLOOD INSTITUTE2011 to 2015

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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