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Antiplatelet Agent
Aspirin Dosing for COPD
Phase 3
Recruiting
Led By Ashraf Fawzy, MD, MPH
Research Sponsored by Johns Hopkins University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Age ≥40 years
Be older than 18 years old
Must not have
Active malignancy (other than non-melanoma skin cancer)
Currently taking antiplatelet therapy or anticoagulant medication
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline, week 2, week 6, week 10
Awards & highlights
No Placebo-Only Group
All Individual Drugs Already Approved
Approved for 10 Other Conditions
Pivotal Trial
Summary
This trial looks at how taking aspirin may help people with COPD by blocking platelet activation, which can lead to fewer COPD flare-ups & lower mortality.
Who is the study for?
This trial is for individuals over 40 years old with a history of smoking and diagnosed COPD, indicated by specific lung function tests. It's not suitable for those who've had recent heart problems or strokes, are pregnant or planning to be, have certain heart findings on CT scans, bleeding disorders, uncontrolled high blood pressure, or are on immunosuppressants.
What is being tested?
The study aims to find the best aspirin dose (81mg, 162mg, or 325mg) for reducing platelet activation in COPD patients without cardiovascular disease. This could lead to fewer respiratory symptoms and flares. The results will help design larger trials focused on clinical outcomes.
What are the potential side effects?
Aspirin may cause side effects like gastrointestinal issues such as stomach pain and ulcers; bleeding problems; allergic reactions including breathing difficulties if one has an aspirin allergy; and possibly increased bruising due to its blood-thinning properties.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am 40 years old or older.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have an active cancer other than non-melanoma skin cancer.
Select...
I am currently on medication to prevent blood clots.
Select...
I am currently on medication that suppresses my immune system.
Select...
I have had a heart attack, stroke, or a procedure to open my heart's arteries.
Select...
My blood pressure is not controlled by medication.
Select...
I have not taken oral corticosteroids in the last 6 weeks.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ baseline, week 2, week 6, week 10
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline, week 2, week 6, week 10
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Change in serum thromboxane B2 level
Change in urinary 11-dehydro-thromboxane B2 level
Secondary study objectives
Change in proportion of platelets displaying CD154
Change in proportion of platelets displaying CD62P
Change in proportion of platelets displaying CD63
+1 moreAwards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
All Individual Drugs Already Approved
Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
Approved for 10 Other Conditions
This treatment demonstrated efficacy for 10 other conditions.
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
Trial Design
6Treatment groups
Experimental Treatment
Group I: Sequence 6Experimental Treatment3 Interventions
* Week 1-2: aspirin 81mg
* Week 5-6: aspirin 325mg
* Week 9-10: aspirin 162mg
Group II: Sequence 5Experimental Treatment3 Interventions
* Week 1-2: aspirin 162mg
* Week 5-6: aspirin 325mg
* Week 9-10: aspirin 81mg
Group III: Sequence 4Experimental Treatment3 Interventions
* Week 1-2: aspirin 325mg
* Week 5-6: aspirin 162mg
* Week 9-10: aspirin 81mg
Group IV: Sequence 3Experimental Treatment3 Interventions
* Week 1-2: aspirin 325mg
* Week 5-6: aspirin 81mg
* Week 9-10: aspirin 162mg
Group V: Sequence 2Experimental Treatment3 Interventions
* Week 1-2: aspirin 162mg
* Week 5-6: aspirin 81mg
* Week 9-10: aspirin 325mg
Group VI: Sequence 1Experimental Treatment3 Interventions
* Week 1-2: aspirin 81mg
* Week 5-6: aspirin 162mg
* Week 9-10: aspirin 325mg
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Acetylsalicylic acid
FDA approved
Acetylsalicylic acid
FDA approved
Find a Location
Who is running the clinical trial?
Johns Hopkins UniversityLead Sponsor
2,339 Previous Clinical Trials
14,881,718 Total Patients Enrolled
National Heart, Lung, and Blood Institute (NHLBI)NIH
3,943 Previous Clinical Trials
47,797,895 Total Patients Enrolled
Ashraf Fawzy, MD, MPHPrincipal InvestigatorJohns Hopkins University
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have an active cancer other than non-melanoma skin cancer.I cannot take aspirin due to a health condition or recent major surgery.Your breathing test shows that you have trouble exhaling air from your lungs.I am currently on medication to prevent blood clots.I am 40 years old or older.I am currently on medication that suppresses my immune system.You are planning to move away from the area within the next 3 months.You have smoked the equivalent of at least 10 packs of cigarettes per year for multiple years.I have had a heart attack, stroke, or a procedure to open my heart's arteries.You used to smoke cigarettes.You have signs of calcium buildup in your heart's blood vessels on a CT scan.My blood pressure is not controlled by medication.I have not taken oral corticosteroids in the last 6 weeks.
Research Study Groups:
This trial has the following groups:- Group 1: Sequence 4
- Group 2: Sequence 1
- Group 3: Sequence 2
- Group 4: Sequence 6
- Group 5: Sequence 3
- Group 6: Sequence 5
Awards:
This trial has 4 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
- All Individual Drugs Already Approved - Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
- Approved for 10 Other Conditions - This treatment demonstrated efficacy for 10 other conditions.
- Pivotal Trial - The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.