Exercise and nitric oxide in peripheral artery disease

Response to Exercise and Nitric Oxide in PAD: the RESIST PAD Trial

NIH-funded research Northwestern University · NIH-11162330

A supervised walking program that increases nitric oxide in the blood to help people with peripheral artery disease walk farther.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionNorthwestern University NIH-funded
Lab location1 site (Chicago, United States)
Project IDNIH-11162330 on NIH RePORTER

What this research studies

You would join a randomized trial at Northwestern where about 200 people with PAD are assigned to supervised walking or comparison care. Before and after exercise tests, researchers will take blood samples during a maximal treadmill test to measure change in plasma nitrite and may collect small muscle biopsies to study muscle mitochondria and blood flow. The team will track walking distance and function over about 12 weeks and link those gains to changes in nitric oxide and muscle biology. The study is designed to learn why some people with PAD improve with exercise while others do not.

Who could benefit from this research

Good fit: Adults with lower extremity peripheral artery disease who can walk on a treadmill and attend supervised exercise sessions at the study site are ideal candidates.

Not a fit: People without PAD or those unable to do supervised exercise or treadmill testing are unlikely to benefit from this trial.

Why it matters

Potential benefit: If successful, this work could help predict who will benefit from exercise and lead to better, more personalized ways to improve walking in PAD.

How similar studies have performed: Small preliminary studies showed that exercise increases plasma nitrite and that larger increases were linked to better walking, but this larger randomized mechanistic trial is a novel test of that idea.

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.