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Table 1 Studies with venoactive drugs using water displacement leg/foot volumetry as an efficacy endpoint

From: Water displacement leg volumetry in clinical studies - A discussion of error sources

First author, year of publ.

Patients

Centres

Drug/Reference (No. of patients with data)

Effect (volume)

Comments

Casley-Smith 1988 [33]

CVI Grade [I-]* III (Widmer)

* not clear whether I-II was included

Monocentre, hospital.

One study country (Australia)

Calcium dobesilate (n = 15), placebo (n = 15).

Treatment duration 6 weeks

-85 mL vs. pbo

Change pre-post 4 mL (pbo)

SE ca. 27 mL

Rudofsky 1990 [7]

CVI Grade I-II (Widmer)

Multicentre.

One study country (Germany)

Ruscus + hesperidine-methylchalcone

(n = 70), placebo (n = 71)

Treatment duration 8 weeks

-47 mL vs. pbo (varicosis)

-65 mL vs. pbo

(postthrombotic syndrome)

Change pre-post ca. +30 mL

(pbo) SE* ca. 6 mL

Vanscheidt 2002a[10]

CVI Grade I-II

(Widmer)

Multicentre.

One study country (Germany)

Ruscus extract (n = 77), placebo (n = 71)

Treatment duration 12 weeks

-21 mL vs. pbo.

Change pre-post +6 mL (pbo)

Diebschlag 1994[5]

CVI Grade II (Widmer)

Monocentre.

One study country (Germany)

Oxerutin 500 and 1000 mg (n = 2 × 20),

placebo (n = 20).

Treatment duration 12 weeks

-8 and -19 mL vs. pbo (500 and 1000 mg, resp.; corrected diff. vs. less affected leg)

Change pre-post ± 1 mL (pbo)

SE* ca. 1 mL

Unkauf 1996 [9]

CVI Grade II

(Widmer)

Multicentre, outpatients.

One study country (Germany)

Oxerutin (n = 64), placebo (n = 56); stockings in both groups.

Treatment duration 12 weeks

-31 mL vs. pbo

Change pre-post -33 mL (pbo)

Ihme 1996 [28]

CVI Grade I-II

(Widmer)

Monocentre, hospital.

One study country (Germany)

Buckwheat herb tea (n = 36), placebo (n = 31).

Treatment duration 3 months

-78 mL vs. pbo

Change pre-post +110 mL (pbo) SE* ca. 56 mL.

Volumes determined by two different volumetric measurements

Vanscheidt 2002b[32]

CVI Grade C3-C5

(CEAP)

Multicentre, outpatients.

Multinational (Germany, Austria, Switzerland)

Coumarin + troxerutin (n = 113), placebo (n = 113).

Treatment duration 16 weeks

-30 mL vs. pbo

SE ca. 12 mL

Diehm 1996 [6]

CVI mainly Grade I

(Widmer)

Multicentre, hospital.

Prob. one study country (Germany)

HCSE (n = 95), placebo (n = 46),

compression (n = 99).

Treatment duration 12 weeks

-54 mL vs. pbo

Change pre-post ca. +10 ± 15 mL (mean ± SE; pbo) and -47 ± 8 mL (compression)

Diehm 2000 (not published, according to [8])

CVI Grade II-III

(Widmer)

Multicentre, hospital.

Prob. one study country (Germany)

HCSE (n = 143), placebo (n = 70), compression (n = 142).

Treatment duration 16 weeks

-20 mL vs. pbo

Change pre-post ca. +2 ± 10 mL (mean ± SE* pbo) and -89 ± 10 mL (compression)

Danielsson 2002[14]

CVI Grade C2-C4

(-C6) (CEAP)

Monocentre, hospital.

One study country (Sweden)

Flavonoids (n = 48), placebo (n = 49).

Treatment duration 2 months

+7.5 mL vs. pbo

Change pre-post +4 mL (pbo)

SE* ca. 4 mL.

Volumetry after 20 knee bends

Kiesewetter 2000 [19]

CVI Grade I-II

(Widmer)

Multicentre, outpatients.

One study country (Germany)

Red vine leaf extract (360 mg: n = 86; 720 mg: n = 84), placebo (n = 87).

Treatment duration 12 weeks

-76 and -100 g vs. pbo (360 and 720 mg, respectively)

Change pre-post ca. +34 g (pbo).

SE* ca. 10 g

  1. CVI: Chronic venous insufficiency; SE: Standard error; *: SE estimated from published data on group size and standard deviation; pbo: placebo; CEAP: Clinical Etiological Anatomical Pathophysiological CVI classification; HCSE: Horse chestnut seed extract