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The Pharmacogenetics of Aspirin Resistance - The Pharmacogenetics of Aspirin Resistance

Phase 1
Conditions
Aspirin resistance: Vascular diseases are common problems and aspirin is used as an anti-platelet drug to prevent thrombosis. However, aspirin's anti-platelet effect may not be uniform in all patients. From a biochemical perspective, aspirin resistance refers to patients who do not display an adequate degree of platelet inhibition on formal laboratory tests. Published data suggest that 5 - 45% of patients are 'aspirin resistant'. The mechanisms of aspirin resistance are poorly understood.
Registration Number
EUCTR2006-001232-42-GB
Lead Sponsor
Royal Group of Hospitals Trust
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
150
Inclusion Criteria

Healthy individuals, age 18 - 60 years.
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

Use of other anti-platelet drugs (thienopyridines, GPIIb/IIIa antagonists, dipyridamole) because these drugs would also interfere with platelet function assays;
Use of other non-steroidal anti-inflammatory drugs, because of pharmacodynamic interactions;
History of dyspepsia or peptic ulceration requiring treatment with proton pump inhibitor or H2-antagonist, in view of the increased risk of gastrointestinal haemorrhagic complications;
History of systemic inflammatory diseases, in view of the need for these patients to take anti-inflammatory drugs;
History of asthma;
Use of other medications including aspirin (including herbal preparations);
Family or personal history of bleeding disorders, in order to reduce the potential for haemorrhagic complications;
Use of oral anticoagulants;
Platelet count outside the normal range (150,000 - 450,000 / ml), as these patients require further investigation and aspirin use is contra-indicated in patients with significant thrombocytopaenia;
Significant anaemia (Hb < 10g/dl), as these patients may require further investigation;
Recent major surgery, in view of the potential for haemorrhagic complications;
Known significant malignant disease, in view of the potential for haemorrhagic complications;
Known aspirin allergy;
Women of childbearing potential, except in the following circumstances for the duration of the trial:
oMonogamous relationship and partner sterilized, or
oFor personal reasons not sexually active, or
oUse of double barrier methods of contraception
(in these situations the patient will sign an additional consent form to indicate that they will take measures to avoid becoming pregnant during the trial);
History of lactose intolerance;
History of gout;
History of severe renal or hepatic dysfunction;
Planned surgery during participation in trial;
Excessive alcohol ingestion (>40 units per week);
Inability to provide informed consent.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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