UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000061403
Receipt number R000069782
Scientific Title Effect of Pemafibrate on capillary red blood cell Flow, microvascular perfusion, and blood whole blood viscosity in patients with lower extremity arterial disease
Date of disclosure of the study information 2026/05/05
Last modified on 2026/04/28 15:20:40

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Basic information

Public title

Effect of Pemafibrate on capillary red blood cell Flow, microvascular perfusion, and blood whole blood viscosity in patients with lower extremity arterial disease

Acronym

Effect of Pemafibrate on capillary red blood cell Flow, microvascular perfusion, and blood whole blood viscosity in patients with lower extremity arterial disease

Scientific Title

Effect of Pemafibrate on capillary red blood cell Flow, microvascular perfusion, and blood whole blood viscosity in patients with lower extremity arterial disease

Scientific Title:Acronym

PEMA-FLOW study

Region

Japan


Condition

Condition

Lower extremity artery disease (LEAD)

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of the present is to examine the effect of pemafibrate on the blood viscosity in patients with LEAD.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Percentage change from baseline in capillary blood flow velocity around the dorsalis pedis artery at 12 weeks.

Key secondary outcomes

Change from baseline in capillary blood flow velocity around the dorsalis pedis artery at 12 weeks
Change and percentage change in capillary blood flow velocity around the dorsalis pedis artery at 24 weeks from baseline and from 12 weeks
Change and percentage change from baseline for the following items at 12 weeks:
Capillary blood flow velocity in the fingertips and nail folds
ABI, TBI
Various blood test items
Change and percentage change from baseline and from 12 weeks for the following items at 24 weeks:
Capillary blood flow velocity in the fingertips and nail folds
ABI, TBI
Various blood test items


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients aged 18 or older at the time of obtaining consent
Patients with lower extremity obstructive arteriosclerosis*1)
Patients who have had a plasma fibrinogen level of 325 mg/dL or higher at least once within 24 weeks prior to obtaining consent
Patients scheduled to receive pemafibrate for the treatment of hyperlipidemia*2)
Patients who have provided written consent from the subject themselves

Key exclusion criteria

Patients with a history of lower limb amputation due to peripheral artery disease
Patients who received oral anticoagulants for peripheral artery disease within 12 weeks prior to obtaining consent
Patients with atrial fibrillation, collagen disease, or severe anemia
Patients receiving treatment for malignant tumors
Patients receiving hemodialysis
Patients whose dyslipidemia medication was changed within 12 weeks prior to obtaining consent
Patients for whom pemafibrate administration is contraindicated
Patients with a history of hypersensitivity to the components of this drug
Patients with severe liver impairment, Child-Pugh class B or C cirrhosis
or patients with biliary obstruction
Patients with gallstones
Pregnant women or women who may be pregnant
Patients receiving cyclosporine or rifampicin
Patients receiving triglyceride-lowering therapy
Patients deemed inappropriate by the principal investigator or co-investigator

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Masafumi
Middle name
Last name Watanabe

Organization

Yamagata University School of Medicine

Division name

Department of Cardiology, Pulmonology, and Nephrology

Zip code

990-9585

Address

Iidanishi 2-2-2, Yamagata

TEL

023-628-5302

Email

m-watanabe@med.id.yamagata-u.ac.jp


Public contact

Name of contact person

1st name Yoichiro
Middle name
Last name Otaki

Organization

Yamagata University School of Medicine

Division name

Department of Cardiology, Pulmonology, and Nephrology

Zip code

990-9585

Address

Iidanishi2-2-2, Yamagata

TEL

023-628-5302

Homepage URL


Email

y-otaki@med.id.yamagata-u.ac.jp


Sponsor or person

Institute

Yamagata Uniersity School of Medicine

Institute

Department

Personal name



Funding Source

Organization

KOWA COMPANY, LTD.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

The Institutional Ethics Committee of the Yamagata University School of Medicine

Address

Iidanishi2-2-2

Tel

023-628-5047

Email

yu-ikekenkyu@jm.kj.yamagata-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

山形大学医学部附属病院


Other administrative information

Date of disclosure of the study information

2026 Year 05 Month 05 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 12 Month 22 Day

Date of IRB

2026 Year 12 Month 22 Day

Anticipated trial start date

2026 Year 05 Month 05 Day

Last follow-up date

2028 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Prospective observational study


Management information

Registered date

2026 Year 04 Month 28 Day

Last modified on

2026 Year 04 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000069782