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CompletedNCT01578382Updated Jun 18, 2021

Pathophysiology of Martorell Hypertensive Ischemic Leg Ulcer (HYTILU)

An observational study in Hypertensive Ischemic Leg Ulcer and Calciphylaxis, sponsored by University of Zurich. Completed at 1 site in Switzerland. Open to participants aged 20 Years to 90 Years. Per ClinicalTrials.gov, last updated 2021-06-18.

Sponsored by University of Zurich · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
120
Ages
20 Years to 90 Years
Sex
All
01

Study summary

Martorell hypertensive ischemic leg ulcer is a severe type of skin necrosis (skin infarction) which occurs in long-term hypertensive subjects.

Calciphylaxis (calcific uremic arteriolopathy) is a severe type of skin necrosis (skin infarction) which occurs in subjects with end-stage kidney disease or after kidney transplantation.

Read the detailed description

Comparative study including

  • 20 consecutive patients with Martorell HYTILU
  • 10 consecutive patients with Calciphylaxis (calcific uremic arteriolopathy)
  • 20 patients with venous ulcer

The following parameters are measured in the blood serum:

White blood count; c-reactive protein; creatinine; calcium (total); free (ionized) calcium; phosphate; albumin; 25-hydroxyvitamin-D; 1-25-dihydroxyvitamin-D; homocysteine; cystatin C alphafetoin, osteoprotegerin; fibroblast growth factor 23 (FGF-23); globular arrest 1 (GLA-1)

The following parameters are measured in samples of diseased (necrobiotic) skin:

alphafetoin, osteoprotegerin; fibroblast growth factor 23 (FGF-23); globular arrest 1 (GLA-1)

02

Conditions studied

  • Hypertensive Ischemic Leg Ulcer
  • Calciphylaxis

Keywords

  • Martorell hypertensive ischemic leg ulcer
  • Calciphylaxis (calcific uremic arteriolopathy)
  • Ischemic subcutaneous arteriolosclerosis
  • Hypertension
  • Diabetes
  • Medial calcinosis
  • Wound healing
03

In context

Calciphylaxis

23 studies on the registry are indexed under Calciphylaxis; 10 are open to participants now.

This study's enrollment of 120 is below the median of 450 across 10 observational studies indexed under Calciphylaxis.

Browse Calciphylaxis studies →

Lead sponsor

University of Zurich is the lead sponsor of 1,049 studies on the registry; 133 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
20 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

n=20: Having Martorell hypertensive ischemic leg ulcer (as defined above) or n=10: Having Calciphylaxis (calcific uremic arteriolopathy (as defined above) or n=20: Having a venous ulcer (as defined above) (controls)

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Having Martorell hypertensive ischemic leg ulcer (as defined above) or
  • Having Calciphylaxis (calcific uremic arteriolopathy (as defined above) or
  • Having a venous ulcer (as defined above)

Exclusion criteria

Exclusion Criteria:

  • None
05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
120 participants (actual)
Biospecimen retention
Samples with dna

Groups and cohorts

  • Hypertensive ischemic leg ulcer

    Twenty consecutive patients with Martorell HYTILU as defined in: Arch Dermatol 2010;146:961-968

  • Calciphylaxis

    Ten subjects with calciphylaxis (calcific uremic arteriolopathy) as described in: Vasa 1998;27:137-143

  • Venous ulcer (controls)

    Twenty subjects with venous ulcers (CEAP C4-6) as described in: J Vasc Surg. 2004 Dec;40(6):1248-52

06

What researchers measure

Primary outcomes

  1. Martorell HYTILU and calciphylaxis show both decreased tissue protection mechanisms against tissue calcification

    Comparison of the calcification-protective factors GLA-1(serum protein alpha2-Heremans-Schmid glycoprotein/fetuin A), Osteoprotegerin, Fibroblast Growth Factor 23, and Alphafetoin in: * Martorell HYTILU (A1) * Calciphylaxis (calcific uremic arteriolopathy)(A2) * Venous ulcers (as control group)(B)

    Time frame: 36 months

Secondary outcomes

  1. Martorell hypertensive ischemic leg ulcer and calciphylaxis are both characterized by non-infectious inflammation

    Comparison of C-reactive protein, procalcitonin and white blood cell count in: * Martorell HYTILU (A1) * Calciphylaxis (calcfic uremic arteriolopathy) (A2) * Venous ulcers (control group) (B)

    Time frame: 36 months

07

Study locations

1 site
  • Department of Dermatology, University Hospital of Zurich
    Zurich, ZH CH-8091, Switzerland
08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Sep 2011, a primary completion of Dec 2019 and a completion of Dec 2019. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
May 2, 2011
First posted
Apr 16, 2012
Start
Sep 2011
Primary completionActual
Dec 2019
CompletionActual
Dec 2019
Last update
Jun 18, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 18, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01578382
Responsible party
Sponsor
First posted
Apr 16, 2012
Start date
Sep 2011
Primary completion
Dec 2019
Completion
Dec 2019
Last update
Jun 18, 2021

Study contacts

Jürg Hafner, Professor
principal investigator · Department of Dermatology, University Hospital of Zurich, Switzerland

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2021. You cannot join it, but the record below documents what was studied.

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