Pentoxil

Intermittent Claudication, Alcoholic Liver Diseases, Peripheral Arterial Disease + 1 more

Treatment

4 FDA approvals

20 Active Studies for Pentoxil

What is Pentoxil

Pentoxifylline

The Generic name of this drug

Treatment Summary

Pentoxifylline (PTX) is a drug that helps to reduce the thickness of blood and has anti-inflammatory and anti-oxidant properties. It was first developed to treat intermittent claudication, a form of leg pain caused by poor circulation. PTX has been studied for its potential to treat many other conditions, like osteoradionecrosis, diabetic kidney disease, and inflammation from COVID-19. It has been available in Europe since 1972 and the United States since the late 1990s under the brand names TRENTAL and PENTOXIL. Generic versions of the drug are also available.

Trental

is the brand name

image of different drug pills on a surface

Pentoxil Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Trental

Pentoxifylline

1984

37

Approved as Treatment by the FDA

Pentoxifylline, also known as Trental, is approved by the FDA for 4 uses including Intermittent Claudication and Peripheral Arterial Disease (PAD) .

Intermittent Claudication

Helps manage Intermittent Claudication

Peripheral Arterial Disease (PAD)

Helps manage Peripheral Arterial Disease (PAD)

Intermittent Claudication

Helps manage Intermittent Claudication

Peripheral Arterial Disease

Helps manage Peripheral Arterial Disease (PAD)

Effectiveness

How Pentoxil Affects Patients

Pentoxifylline is a medicine related to theophylline and caffeine that is used to treat peripheral artery disease (PAD). It has anti-inflammatory, anti-oxidative, and blood-thinning properties. When taking pentoxifylline, people with cerebrovascular and coronary artery disease may be at risk of angina, arrhythmia, and low blood pressure. People taking warfarin should have their prothrombin times checked more frequently. Additionally, people with risk factors for bleeding like retinal bleeding, ulcers, and recent surgery should be monitored for signs of bleeding.

How Pentoxil works in the body

Pentoxifylline (PTX) helps treat peripheral arterial disease (PAD) by reducing blood viscosity, decreasing inflammation, and inhibiting white blood cell activation. It is thought to work by targeting a nuclear exporter protein and preventing molecules that suppress tumors from leaving cancerous cells. This keeps these tumor-suppressing molecules in the cell to stop it from reproducing. PTX also increases the response of certain receptors to adenosine and can raise intracellular cAMP levels. This leads to reduced inflammation, decreased pro-inflammatory molecules, increased anti-inflammatory molecules, and decreased production of f

When to interrupt dosage

The preferred measure of Pentoxil is contingent upon the diagnosed condition, including Venous Leg Ulcer (VLU), Alcoholic Liver Diseases and Peripheral Arterial Disease. The quantity of dosage is contingent upon the mode of delivery (e.g. Tablet, film coated, extended release or Gel - Topical) indicated in the table underneath.

Condition

Dosage

Administration

Peripheral Arterial Disease

400.0 mg, , 1.0 mg/mg, 0.02 mg/mg, 0.005 mg/mg

, Tablet, extended release, Tablet, extended release - Oral, Oral, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Kit - Topical, Kit, Topical, Tablet, film coated - Oral, Solution - Topical, Tablet, film coated, Solution, Gel, Gel - Topical

Venous Leg Ulcer (VLU)

400.0 mg, , 1.0 mg/mg, 0.02 mg/mg, 0.005 mg/mg

, Tablet, extended release, Tablet, extended release - Oral, Oral, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Kit - Topical, Kit, Topical, Tablet, film coated - Oral, Solution - Topical, Tablet, film coated, Solution, Gel, Gel - Topical

Intermittent Claudication

400.0 mg, , 1.0 mg/mg, 0.02 mg/mg, 0.005 mg/mg

, Tablet, extended release, Tablet, extended release - Oral, Oral, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Kit - Topical, Kit, Topical, Tablet, film coated - Oral, Solution - Topical, Tablet, film coated, Solution, Gel, Gel - Topical

Alcoholic Liver Diseases

400.0 mg, , 1.0 mg/mg, 0.02 mg/mg, 0.005 mg/mg

, Tablet, extended release, Tablet, extended release - Oral, Oral, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Kit - Topical, Kit, Topical, Tablet, film coated - Oral, Solution - Topical, Tablet, film coated, Solution, Gel, Gel - Topical

Warnings

Pentoxil has five contraindications. It should not be administered while suffering from the conditions in the following table.

Pentoxil Contraindications

Condition

Risk Level

Notes

Food Intolerance

Do Not Combine

methylxanthine

Do Not Combine

Cerebral Hemorrhage

Do Not Combine

Retinal Hemorrhage

Do Not Combine

Severe Hypersensitivity Reactions

Do Not Combine

Pentoxifylline may interact with Pulse Frequency

There are 20 known major drug interactions with Pentoxil.

Common Pentoxil Drug Interactions

Drug Name

Risk Level

Description

Abrocitinib

Major

The risk or severity of bleeding and thrombocytopenia can be increased when Pentoxifylline is combined with Abrocitinib.

Riociguat

Major

Pentoxifylline may increase the hypotensive activities of Riociguat.

Abacavir

Minor

Pentoxifylline may decrease the excretion rate of Abacavir which could result in a higher serum level.

Acebutolol

Minor

Pentoxifylline may increase the hypotensive activities of Acebutolol.

Aclidinium

Minor

Pentoxifylline may decrease the excretion rate of Aclidinium which could result in a higher serum level.

Pentoxil Toxicity & Overdose Risk

Signs of an overdose on pentoxifylline can appear 4-5 hours after ingestion, and include agitation, increased body temperature, low blood pressure, seizures, drowsiness, and loss of consciousness. To treat these symptoms, doctors may recommend maintaining proper respiration and blood pressure, and administering activated charcoal to absorb excess pentoxifylline. Even very high doses of the drug have been survived.

Pentoxil Novel Uses: Which Conditions Have a Clinical Trial Featuring Pentoxil?

68 active trials are currently evaluating the potential of Pentoxil to treat Venous Leg Ulcer (VLU), Intermittent Claudication and Alcoholic Liver Diseases.

Condition

Clinical Trials

Trial Phases

Intermittent Claudication

7 Actively Recruiting

Not Applicable, Phase 1, Phase 3, Phase 2

Alcoholic Liver Diseases

2 Actively Recruiting

Not Applicable, Phase 2

Peripheral Arterial Disease

36 Actively Recruiting

Not Applicable, Phase 3, Phase 1, Early Phase 1, Phase 2, Phase 4

Venous Leg Ulcer (VLU)

21 Actively Recruiting

Phase 1, Phase 2, Not Applicable, Phase 3, Phase 4

Patient Q&A Section about pentoxil

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is Pentoxil used for?

"This medication is used to improve the symptoms of a blood flow problem in the legs/arms called intermittent claudication. Intermittent claudication is when you have cramps or pain in your muscles during exercise, including walking. Pentoxifylline can help improve these symptoms by decreasing the muscle aching/pain/cramps during exercise."

Answered by AI

Is pentoxifylline a blood thinner?

"According to the research, pentoxifylline has the ability to thin the blood by increasing the deformability of red blood cells. This makes the cells easier to move and improves their rheological properties."

Answered by AI

Is pentoxifylline a blood pressure medication?

"The use of Trental (pentoxifylline) may increase the effectiveness of blood pressure medications. Close monitoring of blood pressure levels is necessary, and the dosage of blood pressure medication may need to be reduced."

Answered by AI

Clinical Trials for Pentoxil

Image of University of Nebraska at Omaha Health Science Collaborative in Omaha, United States.

Pulse Arrival Time for Peripheral Artery Disease

18+
All Sexes
Omaha, NE

1\) The purpose of this study is to assess segmental pulse arrival time (PAT) as an alternative biomarker to detect lower-extremity peripheral artery disease (PAD). The secondary purpose will be to investigate the impacts of age on segmental PAT. The subject population will include any adults 19 years of age or older with or without PAD. Exclusion criteria include having an aortic aneurysm with or without previous intervention, previous revascularization surgeries of the arteries in the legs/aorta, walking impairments independent of PAD, gangrene or ulcers of the toes/feet, and currently pregnant or breastfeeding. 3) All aims of the present study will be completed with a single laboratory visit. Descriptive measurements will include height, weight, age, sex, body fat percentage, and self-reported medication and health history. Subjects will lie in the supine position for 20-min. After rest, either the ankle-brachial index (ABI) or PAT will be assessed. After 10-min of further rest, the other measurement will be performed. ABIs will be assessed according to current guidelines: blood pressures will be assessed in the dorsal pedis and tibialis posterior arteries of both legs and the brachial arteries of both arms using a blood pressure cuff and Doppler ultrasound. PAT will be simultaneously assessed in both arms and legs using an investigational device with a 3-lead electrocardiogram sensor and four photoplethysmography (PPG) sensors. A PPG sensor will be applied to both middle fingers and both big toes. Signals will be collected for 15-min. Thermal images of the fingers and toes will be assessed before and after using the investigational device. After assessment of ABI and PAT, subjects will participate in a 6-min walking test (6MWT) to objectively establish walking capacity. The 6MWT will be performed in accordance with current guidelines. Cones will be separated by 30 meters on a straight flat walkway. Subjects will be instructed to walk back and forth between the cones as fast as they can for 6-min. Subjects will be allowed to rest during the test, if necessary, but the stopwatch will continue to run. Segmental PATs will be compared with ABI and 6-min walking time to determine if segmental PATs can predict lower-extremity PAD (ABI) and the associated walking impairment (6MWT). This study is expected to last \~2hrs. 4) There will be no follow-up.

Waitlist Available
Has No Placebo

University of Nebraska at Omaha Health Science Collaborative

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Image of Site 17 in Guntersville, United States.

BR-AC for Venous Leg Ulcers

18+
All Sexes
Guntersville, AL

This study examines a patient population with a non-healing, non-infected venous leg ulcer (VLU) having adequate arterial perfusion with confirmed venous reflux. It is hypothesized that weekly applications of the human placental allograft BioREtain® Amnion Chorion (BR-AC) applied to a non-healing VLU will result in a higher proportion of wounds showing complete healing within 12 weeks of initiating therapy, compared to standard care alone. This study has a crossover period, where subjects on standard care alone who do not achieve complete healing within 12 weeks of initiating therapy will be allowed to crossover to receive BR-AC over 12 additional weeks, to evaluate if their wound can achieve complete healing.

Recruiting
Has No Placebo

Site 17 (+23 Sites)

Bert Slade, MD

BioStem Technologies

Have you considered Pentoxil clinical trials?

We made a collection of clinical trials featuring Pentoxil, we think they might fit your search criteria.
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Have you considered Pentoxil clinical trials?

We made a collection of clinical trials featuring Pentoxil, we think they might fit your search criteria.
Go to Trials