NIH-funded research R01 grant

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

Official title: Tailored Treatment Strategies for Patients with Chronic Limb Threatening Ischemia

Funded at Univ of North Carolina Chapel Hill · NIH-11393306 · Data updated 2026-11-12

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.

More Chronic Limb-Threatening Ischemia research and trials

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniv of North Carolina Chapel Hill
NIH-funded
Lab location1 site (Chapel Hill, United States)
Project startAugust 15, 2025
Project endMay 31, 2029
Funding year2026
Award (this year)$661,467
NIH project number5R01HL179230-02
Project IDNIH-11393306 on NIH RePORTER

Who could benefit from this research

Could help

Adults with chronic limb-threatening ischemia who have completed or are eligible for revascularization strategies and are under ongoing vascular care.

Less likely to help

Patients without CLTI or those not undergoing sequential treatment planning may not benefit.

What this research studies

If funded, researchers will analyze data from people with chronic limb-threatening ischemia to understand how medical care, wound care, and vascular procedures come together over time. They will apply machine learning to identify which treatment sequences work best for different patients, taking into account medical factors and social circumstances. The goal is to develop clear, personalized pathways that clinicians can follow to maximize limb preservation and survival. The work builds on prior trials and uses existing data to refine treatment decisions for people living with this serious condition.

Why it matters

Potential benefit: Better, more personalized treatment plans could improve survival and save limbs for people with CLTI.

How similar studies have gone: Previous trials like BEST-CLI showed which revascularization method works best in some cases; this study extends that work with data-driven sequencing.

Where this research is happening

  • Univ of North Carolina Chapel Hill
    Chapel Hill, United States
    Active

Researchers

  • Principal investigator: Mcginigle, Katharine L — Univ of North Carolina Chapel Hill
  • Study coordinator: Mcginigle, Katharine L

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

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

    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.

    NIH research University of Alabama at Birmingham · Birmingham, United States · NIH-11294860

  • 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.