Independent · non-commercial · publishes on a quarterly cycle|Current cycle 2026 Q3
Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Indication assessment · Cardiovascular

Peripheral arterial disease with intermittent claudication — indication assessment

Atherosclerotic obstruction of the lower-limb arteries producing exertional ischaemic symptoms, with objective confirmation by ankle–brachial index or imaging.

Document identifier
CEI-IN-16
Series
Indication assessment
Version
1.0
Published
06 Aug 2026
Last reviewed
06 Aug 2026
Next review
06 Aug 2028
Identifier
10.71829/cei.ind.16
Certainty
Not rated
Cycle
2026 Q3
ICD-11
BD40
Category
Cardiovascular

§1Assessment

§1.1Definition

Atherosclerotic obstruction of the lower-limb arteries producing exertional ischaemic symptoms, with objective confirmation by ankle–brachial index or imaging.

§1.2Anchor and additional outcomes

The Institute designates one anchor outcome per indication so that estimates for different compounds are reported on a common measure. The anchor for this indication is the first outcome below.

  1. Maximum walking distance
  2. Pain-free walking distance
  3. Ankle–brachial index
  4. Major adverse limb events

§1.3State of the evidence

Distribution of certainty ratingsShare of assessed outcomes at each certainty level.1compounds
HighModerateLowVery low
Figure 1. Certainty ratings across the 1 compound the Institute assesses for this indication. A high rating for one compound says nothing about another.

The Institute assesses 1 compound in this indication, drawing on 4 trial records and 0 evidence syntheses. [1,2]

References cited on this page

References are numbered in order of first citation in this document. Each superscript in the text links to its entry below.

  1. Wilding JPH, Batterham RL, Calanna S, Davies M, Van Gaal LF, Lingvay I, McGowan BM, Rosenstock J, Tran MTD, Wadden TA, Wharton S, Yokote K, Zeuthen N, Kushner RF. Once-weekly semaglutide in adults with overweight or obesity. New England Journal of Medicine 2021;384(11):989–1002. doi:10.1056/NEJMoa2032183 · PMID 33567185
  2. Davies M, Færch L, Jeppesen OK, Pakseresht A, Pedersen SD, Perreault L, Rosenstock J, Shimomura I, Viljoen A, Wadden TA, Lingvay I. Semaglutide 2·4 mg once a week in adults with overweight or obesity, and type 2 diabetes (STEP 2): a randomised, double-blind, double-dummy, placebo-controlled, phase 3 trial. The Lancet 2021;397(10278):971–984. doi:10.1016/S0140-6736(21)00213-0 · PMID 33667417

Identifiers are reproduced only where the Institute holds them. Where a digital object identifier or PubMed identifier is not shown, the Institute has recorded the journal and year and has not constructed an identifier.

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