Cocoa Flavanols for Better Walking in Peripheral Artery Disease

COCOA flavanols to improve walking performance in PAD: the COCOA-PAD II Trial

NIH-funded research Northwestern University · NIH-11114049

This project explores if cocoa flavanols can help older adults with Peripheral Artery Disease walk further and more easily.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionNorthwestern University NIH-funded
Lab location1 site (Chicago, United States)
Project IDNIH-11114049 on NIH RePORTER

What this research studies

Peripheral Artery Disease (PAD) can make walking difficult and lead to a decline in physical ability, especially for people aged 65 and older. This happens because the calf muscles don't get enough blood flow during activity, leading to damage and reduced energy production. We are looking into whether natural compounds found in cocoa, called flavanols, can improve blood flow and repair muscle damage in the legs. Our goal is to see if taking cocoa flavanols can help people with PAD walk longer distances and maintain their independence. This will be a large, multi-center study comparing cocoa flavanols to a placebo.

Who could benefit from this research

Good fit: Ideal candidates are people aged 65 or older who have been diagnosed with lower extremity Peripheral Artery Disease and experience walking difficulties.

Not a fit: Patients without Peripheral Artery Disease or those who do not experience walking impairment related to PAD may not receive direct benefit from this specific intervention.

Why it matters

Potential benefit: If successful, this could offer a new, natural way to improve walking ability and slow functional decline for people living with Peripheral Artery Disease.

How similar studies have performed: A previous pilot study showed that cocoa flavanols significantly improved walking distance in participants with PAD compared to a placebo.

Where this research is happening

Chicago, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.