NIH-funded research R01 grant

Improving Chronic Limb-Threatening Ischemia in the U.S.

Official title: Improving Chronic Limb Threatening Ischemia Across the US

Funded at University of Alabama at Birmingham · NIH-11294860 · Data updated 2026-11-12

A nationwide study aims to understand why some people with severe leg artery disease progress to limb-threatening conditions and amputation, with an emphasis on Black adults and other communities.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Alabama at Birmingham
NIH-funded
Lab location1 site (Birmingham, United States)
Project startJune 22, 2026
Project endMarch 31, 2030
Funding year2026
Award (this year)$735,327
NIH project number1R01HL178865-01A1
Project IDNIH-11294860 on NIH RePORTER

Who could benefit from this research

Could help

Adults 21 years and older with PAD or at risk for CLTI, especially Black adults and residents of diverse geographic areas.

Less likely to help

Individuals without PAD risk factors or not residing in communities studied may not experience direct benefit.

What this research studies

This project uses data from a long-term community cohort to explore how social factors and health disparities influence risk of CLTI and amputation. It will look at how measures like the ankle-brachial index relate to future limb events in diverse populations. The goal is to identify population and individual factors that could guide prevention and reduce disparities in outcomes for people with PAD. Researchers will analyze health records, survey data, and regional information to pinpoint where interventions could help most.

Why it matters

Potential benefit: If successful, findings could lead to earlier identification of high-risk individuals and more equitable prevention and treatment strategies for CLTI.

How similar studies have gone: Prior work has linked social determinants to vascular outcomes, with ongoing efforts building on these associations.

Where this research is happening

  • University of Alabama at Birmingham
    Birmingham, United States
    Active

Researchers

  • Principal investigator: Jackson, Elizabeth a. — University of Alabama at Birmingham
  • Study coordinator: Jackson, Elizabeth a.

Related research

Other NIH-funded projects on the same topics.

  • Proteomics and precision treatment for severe limb-threatening PAD (CLTI)

    A patient-facing look at using blood protein data to predict outcomes and guide safer, more effective treatment for people with the most severe peripheral artery disease.

    NIH research New York University School of Medicine · New York, United States · NIH-11465702

  • Tailored treatment paths for people with severe limb-threatening leg artery disease

    This grant aims to use advanced analytics to create personalized treatment sequences for adults with chronic limb-threatening ischemia to improve survival and limb preservation.

    NIH research Univ of North Carolina Chapel Hill · Chapel Hill, United States · NIH-11393306

  • Fatty scarring in severe leg ischemia

    Researchers are seeing whether changing a cell signal called Hedgehog can reduce fat and scar tissue in calf muscles and help people with severe poor blood flow to the leg regain better blood flow and muscle function.

    NIH research University of Florida · Gainesville, United States · NIH-11253308

  • Using stem cells to improve blood flow in patients with severe leg ischemia

    This study is testing a new way to help veterans with chronic limb threatening ischemia, a serious condition that can lead to losing a limb, by using special cells to improve blood flow and heal damaged blood vessels.

    NIH research Veterans Health Administration · Decatur, UNITED STATES · NIH-11091415

  • Investigating how fatty fibrosis affects severe limb ischemia

    This study is looking at how fatty fibrosis affects people with chronic limb threatening ischemia (CLTI), a condition that causes poor blood flow and can lead to severe pain or even amputation, to find new ways to improve blood flow and muscle function in those struggling with this issue.

    NIH research University of Florida · Gainesville, United States · NIH-11002309

  • Using machine learning to predict disease progression and survival in patients with severe limb ischemia.

    This study is working on a smart system that helps doctors understand how serious chronic limb-threatening ischemia (CLTI) is for patients and how it changes over time, so they can give the best treatment possible and improve health outcomes.

    NIH research Univ of North Carolina Chapel Hill · Chapel Hill, United States · NIH-11001221

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.
Last reviewed 2026-11-14 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.