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CompletedNCT03470337Updated Mar 19, 2018

Phlogenzym® in Patients With Acute Thrombophlebitis - Efficacy and Tolerance

A Phase 3 interventional study of Phlogenzym and Placebo in Thrombophlebitis Leg, sponsored by Mucos Pharma GmbH & Co. KG. Completed at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-03-19.

Sponsored by Mucos Pharma GmbH & Co. KG · Phase 3, Interventional, and Supportive care

Phase
Phase 3
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Oral enzyme therapy in patients with acute superficial vein inflammation (thrombophlebitis) can serve as an additional treatment option besides standard therapy with compression stockings, common pain medication and physical treatments. This randomized, double-blinded trial compares efficacy and safety with placebo.

Read the detailed description

Enzymes are absorbed in the small intestine and taken up into the bloodstream, at least to some extent. There, they act in an anti-inflammatory manner, as was first described for the serine protease trypsin. Similarly, the cysteine protease bromelain, extracted from the stems of pineapples, is an effective phytotherapeutical drug with anti-inflammatory properties.Proteases have also been indicated to show a certain improvement of the fluidity of the blood. An additional component of the oral enzyme combination can be rutoside, or rutin, a flavonoid known to have cytoprotective and anti-inflammatory properties.

02

Conditions studied

  • Thrombophlebitis Leg

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Keywords

  • Thrombophlebitis
03

In context

Thrombophlebitis

15 studies on the registry are indexed under Thrombophlebitis; 2 are open to participants now.

This study's enrollment of 100 is close to the median of 104 across 11 interventional studies indexed under Thrombophlebitis.

Browse Thrombophlebitis studies →

Lead sponsor

Mucos Pharma GmbH & Co. KG is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • male ог female patients with thrombophlebitis in the upper extremities (with ог without varicosis);
  • age \~ 18 years;
  • acute thrombophlebitis in the lower leg
  • moderate to severe pain as monitored on a visual analog scale (VAS, value ≥ 3 cm)
  • pain under pressure
  • presence of at least three of the following symptoms: skin redness, hyperthermia, phlebitic cords, feeling of heaviness and tenseness.

Exclusion criteria

Exclusion Criteria:

  • known deep phlebothrombosis
  • flourishing ulcus cruris
  • arterial occlusive disease
  • peripheral neuropathy
  • malignant disease
  • concomitant concomitant treatment ог а therapy which ended less than 7 days before baseline with , diuretics, anticoagulative agents, aggregation inhibitors and systemic/topical use of anti-inflammatory agents, other preparations for veins and analgesics;
  • known intolerance against the active ог the inactive ingredients of the study medication (especially lactose);
  • pregnancy
  • lactation,
  • known alcohol or drug abuse
  • participation in another clinical study
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Phase
Phase 3
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
100 participants (actual)

Study arms

  • Experimental
    Phlogenzym

    Treatment with German licensed drug Phlogenzym (6 tablets/day)

    Drug: Phlogenzym

  • Placebo comparator
    Placebo

    Placebo equates Phlogenzym but without active ingredients

    Other: Placebo

Interventions

  • DrugPhlogenzym

    Bromelain / Trypsin / Rutoside

    Also known as: Wobenzym plus

  • OtherPlacebo
06

What researchers measure

Primary outcomes

  1. Difference of pain at rest between values day 0 (baseline) and day 7

    Patients were asked to evaluate resting pain on day 0 (baseline) as well as day 7 on a 10-cm VAS (Visual Analogue Scale), with the left end (0 cm) indicating "no pain" and the right end (10 cm) "unbearable pain". The distance from the left end was recorded.

    Time frame: Change day 0 until day 7

  2. Responders

    Number of responders (pain value smaller or equal to 1 cm on visual analogue scale for pain (VAS, eft end (0 cm) indicating "no pain" and the right end (10 cm) "unbearable pain") on day 14

    Time frame: day 14

Other outcomes

  1. Pain under Pressure

    Meyer's pressure points at the lateral side of the tibia and Krieger's pressure point in the popliteal space, 4-point rating scale ranging from 0 (no pain) to 3 (severe pain)

    Time frame: 0, 4, 7, 14 days

  2. Symptoms

    skin redness, hyperthermia, palpable/visible phlebitic cords, heaviness, tenseness

    Time frame: 0, 4, 7, 14 days

  3. Sum Score of Symptoms

    Sum score of all described symptoms (skin redness, hyperthermia, palpable/visible phlebitic cords, heaviness, tenseness)

    Time frame: 0, 4, 7, 14 days

07

Study locations

1 site
  • Dr. Baumueller
    Fano, 61032, Italy
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 19, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03470337
Lead sponsor
Mucos Pharma GmbH & Co. KG
Responsible party
Sponsor
First posted
Mar 19, 2018
Start date
Sep 1996
Primary completion
Jun 1997
Completion
Jun 1997
Last update
Mar 19, 2018

Study contacts

Marcel Baumueller, MD
principal investigator · Private Practice
Gerhard Stauder, Dr
study director · Mucos Pharma GmbH & Co. KG (EX)

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2018. You cannot join it, but the record below documents what was studied.

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