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Learn more about what is involved by downloading our Study Participant Frequently Asked Questions (FAQ) or by contacting the research coordinator.
Download FAQ (PDF 53 KB)
CLEVER - Peripheral Arterial Disease - Iliac
CLEVER - Peripheral Arterial Disease - Iliac
Title: CLEVER

Study Sponsor: National Institutes of Health Heart, Lung and Blood Institute
Principal Investigator: Alan T. Hirsch MD.
Study Synopsis: This trial is designed to determine optimal treatment for persons who experience pain, cramps, or fatigue in their legs.
If eligible, you may receive one of the 3 treatments:
- Optimal Medical Care (claudication drug plus home-based exercise)
- Stent Placement (A metal scaffold would be placed in the blocked artery)
- Supervised Exercise (Exercise therapy with an instructor for 26 weeks)
Patients will be followed for 18 months. We will be evaluating improvement in walking distance and a decrease of symptoms. Approximately 217 patients from about 30 U.S. and Canadian study sites will be enrolled in this study.
Study Status: Open for enrollment
How do I qualify? Patients who may qualify will have symptoms of leg pain or cramping while walking.
Who do I contact for more information? Holly MacDonald RN or contact research at 612.863.3980
Inclusion Criteria
- Symptoms of intermittent claudication
- Age > 50
- Resting ABI <0.9
- Positive noninvasive evaluation for significant aortoiliac PAD
- Resting thigh-brachial index < 1.0, and
- Either doubling of aortic or iliac artery peak systolic velocity by pulsed Doppler, OR occluded iliac artery by Doppler or angiography, OR common femoral artery Doppler systolic acceleration time > 140 msec, OR aortoiliac stenosis with at least a 20 mm Hg systolic pressure gradient by simultaneous catheter measurements.
- Ankle pressure reduced by 25 mm Hg after exercise
- For diabetics: HbA1C < 8% pre-treadmill
- Able to comply with follow-up procedures (i.e., 26 weeks of supervised exercise) and quarterly MD/RC visits
Exclusion Criteria
- Critical limb ischemia
- Biliateral aortoiliac arterial insufficiency with 1 side not amenable to stenting.
- Ambulation limited by co-morbid conditions (i.e., CHF, COPD, etc.)
- Contraindication to exercise testing
- Previous ipsilateral aortic or iliac artery revascularization
- Recent (<1 yr.) infrainguinal revascularization
- Abdominal aortic aneurysm >3 cm or iliac artery aneurysm>1.5 cm
- Weight > 350 lbs. (159 kg.)
- Absolute contraindication to contrast dye
- Allergy or intolerance to cilostazol, stainless steel or nitinol
- Nonatherosclerotic cause of PAD
- Common femoral occlusion by angiography or duplex US
