Vasospastic Syndrome
Conditions
Keywords
Vasospastic syndrome, Vascular dysregulation
Brief summary
To explore the efficacy of triflusal in patients with symptomatic peripheral microcirculation dysfunction. Triflusal is a salicylate compound approved in several countries as antithrombotic agent and it additionally has vasodilatory effect. The hypothesis is to explore if there is a improvement of peripheral microcirculation by triflusal.
Interventions
Dose: 300mg bid, Mode of administration: oral, Duration: from randomization to 6 week, crossover-design.
Dose: 150mg bid, Mode of administration: oral, from randomization to 6weeks, crossover-design.
Sponsors
Study design
Eligibility
Inclusion criteria
* Between 40 and 70 years of age * Diagnosed vasospastic syndrome with nailfold capillaroscopy (Fingertip is subjected to carbon dioxide at -15°C for 60 seconds. People found to have a blood-flow standstill of at least 12s in one or more capillaries were defined as having vasospasticity) * More than seven points in 10-question interview provided by Nagashima et al. * Written informed consent
Exclusion criteria
* Prior documented diabetes * Overt peripheral artery disease * Pregnant or nursing * bleeding tendency * Any contraindication of antiplatelet agent * Thrombocytopenia (platelet \< 100,000mm3) * Chronic liver disease (ALT \> 100 IU/L or AST \> 100 IU/L) or renal dysfunction (creatinine \> 4.0 mg/dl) * Patients who can not stop to take aspirin
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary Outcome - The amount of blood flow measured by finger doppler ultrasonography. The improvement of subjective symptom measured by questionaire. | 6 weeks | Comparison of the PSV (peak systolic velocity) and EDV (end diastolic velocity) measured by finger doppler ultrasonography between disgren and aspirin groups after 6 weeks treatment. |
Countries
South Korea