Aspirin Dose and Atherosclerosis in Patients With Heart Disease

Phase 4

Completed

• Conditions: Cardiovascular Diseases; Myocardial Infarction; Atherosclerosis
• Interventions: Drug: Aspirin

• Registration Number: NCT00272337
• Lead Sponsor: Florida Atlantic University

Brief Summary

The purpose of the study is to test higher versus lower doses of aspirin on markers of atherosclerosis in patients who have had a heart attack.

Detailed Description

Aspirin reduces risks of heart attacks, strokes, and deaths from cardiovascular causes in patients who have survived a prior event as well as during an acute heart attack.

Low dose aspirin is sufficient to achieve complete inhibition of platelet aggregability, or stickiness, and this is the mechanism whereby aspirin prevents formation of blood clots.

Our research is designed to explore whether higher doses of aspirin provide additional benefits on markers of atherosclerosis.

Study Timeline

• Study First Submitted: 2006-01-03
• Study First Submitted QC: 2006-01-03
• Study First Posted: 2006-01-05
• Study Start: 2006-10
• Primary Completion: 2009-06
• Study Completion: 2009-06
• Results First Submitted: 2012-05-16
• Results First Submitted QC: 2012-05-16
• Results First Posted: 2012-06-18
• Status Verified: 2018-12
• Last Update Submitted: 2018-12-04
• Last Update Posted: 2018-12-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 37

Inclusion Criteria

1. Age 40 to 80 years, inclusive.

2. Patients with stable coronary disease, with and without diabetes mellitus, defined by:

   1. angiographic evidence of 70% or greater stenosis, or
   2. previous percutaneous coronary intervention (PCI), or
   3. coronary artery bypass graft (CABG), or
   4. history of a MI, or
   5. positive exercise test

Exclusion Criteria

1. Patients taking greater than 81mg aspirin daily.
2. Patients taking any of the following medications for less than 3 months, or who plan to take them for the first time during the next 3 months: ACE-inhibitors, angiotensin receptor blockers, calcium channel blockers, or statins.
3. Patients within 6 months of a coronary intervention, including PCI or CABG.
4. Patients with a planned coronary intervention.
5. Patients taking anti-platelet drugs such as clopidogrel or non-steroidal anti-inflammatory drugs (NSAIDs) or anticoagulant drugs such as warfarin.
6. Patients who are currently cigarette smokers.
7. Women patients who are pregnant, planning to become pregnant, nursing a child, or taking hormone replacement therapy.
8. Patients with any coagulation, bleeding or blood disorders.
9. Patients who are sensitive or allergic to aspirin.
10. Patients with documented history of any gastrointestinal disorders, including bleeding ulcers.
11. Patients with any evidence of cancer or kidney, liver, lung, blood, or brain disorders.
12. Patients with asthma, rhinitis, or nasal polyps.
13. Patients with any abnormal laboratory value or physical finding that, in the view of the responsible clinician, may interfere with interpretation of the trial results, be indicative of an underlying disease state, or compromise the safety.
14. Patients with Class IV heart failure.
15. Patients with severe aortic insufficiency, or aortic regurgitation.
16. Patients with hearing loss or tinnitus.
17. Patients with tremors which cause them not to be able to remain motionless for approximately 30 seconds.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
1	Aspirin	81 mg Aspirin
2	Aspirin	162 mg Aspirin
4	Aspirin	650 mg Aspirin
5	Aspirin	1300 mg Aspirin
3	Aspirin	325 mg Aspirin

Primary Outcome Measures

Name	Time	Method
Change in Nitric Oxide Formation From Baseline to 3 Months.	Baseline to 3 Months (90-97 days)	Heme oxygenase a downstream target of nitric oxide formation

Trial Locations

Locations (2)

Florida Cardiovascular Research; 🇺🇸 Atlantis, Florida, United States

The Broward Heart Group, P.A.; 🇺🇸 Tamarac, Florida, United States