Status:

NOT_YET_RECRUITING

Randomized Clinical Trial for Ewing Amputation in the VA

Lead Sponsor:

VA Office of Research and Development

Conditions:

Peripheral Arterial Disease

Eligibility:

All Genders

Phase:

NA

Brief Summary

This study follows the Pilot Investigation of Ewing Amputation for Veterans with PAD Undergoing a Below Knee Amputation. The 2 year pilot feasibility phase has concluded recruitment and enrollment. T...

Detailed Description

Major amputations lead to significant challenges for Veterans and their loved ones. Thus, amputations and the care of amputees are a major focus of the VHA. Hence, the tripartite goals of the VHA Ampu...

Eligibility Criteria

Inclusion

  • Veterans who have reasonable blood flow to heal a TTA (defined as palpable popliteal pulse or palpable femoral pulse with popliteal artery signal)
  • Veterans with an expectation of participating in rehabilitation and resuming ambulation after amputation (defined by the Veteran interest, recent ambulation by the Veteran, ability to participate in physical therapy as deemed by the investigators' physical therapy team)
  • Veterans who will be undergoing below knee amputation for reasons other than infection (uninfected patients) or Veterans who have had foot infection localized below the ankle (retinaculum uninfected) that has been adequately debrided and treated with appropriate antibiotic course.

Exclusion

  • Veterans with end-stage renal disease (ESRD)
  • Veterans requiring major amputation due to infection that includes the ankle retinaculum
  • Veterans deemed to have inadequate blood flow to heal a TTA
  • Veterans who cannot participate in rehabilitation or are not expected to be able to ambulate with a prosthesis for any reason
  • Veterans who were randomized for their other limb (to prevent Veteran from the possibility of having 2 different amputations)

Key Trial Info

Start Date :

January 15 2026

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 15 2030

Estimated Enrollment :

120 Patients enrolled

Trial Details

Trial ID

NCT05437562

Start Date

January 15 2026

End Date

January 15 2030

Last Update

December 31 2025

Active Locations (3)

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Page 1 of 1 (3 locations)

1

Atlanta VA Medical and Rehab Center, Decatur, GA

Decatur, Georgia, United States, 30033-4004

2

Tennessee Valley Healthcare System Nashville Campus, Nashville, TN

Nashville, Tennessee, United States, 37212-2637

3

Michael E. DeBakey VA Medical Center, Houston, TX

Houston, Texas, United States, 77030-4211