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Impact of single versus double dose acetylsalicylic acid on platelet function in patients with type 2 diabetes
ISRCTN ISRCTN34087526
ClinicalTrials.gov identifier
Public title Impact of single versus double dose acetylsalicylic acid on platelet function in patients with type 2 diabetes
Scientific title Impact of single versus double dose acetylsalicylic acid on platelet function in patients with type 2 diabetes: a randomised crossover study
Acronym ASP
Serial number at source 10708
Study hypothesis The high residual platelet reactivity commonly seen in aspirin-treated patients with type 2 diabetes mellitus might be overcome by giving higher or more frequent doses of aspirin. The study will evaluate the impact of single, double or twice daily dosing regimens on platelet function in patients with type 2 diabetes mellitus who do not have cardiovascular disease.

More details can be found at http://public.ukcrn.org.uk/search/StudyDetail.aspx?StudyID=10708
Lay summary Lay summary under review
Ethics approval South East London Research Ethics Committee 3 First MREC approval date 07/09/2011, 11/LO/1200
Study design Randomised; Interventional; Design type: Treatment
Countries of recruitment United Kingdom
Disease/condition/study domain Diabetes (type 2)
Participants - inclusion criteria 1. Have type 2 diabetes (defined according to the European Association for the Study of Diabetes (EASD) guidelines)
2. Are aged >18 years and <55 years
3. Have not had a coronary event or other indication requiring ASA
4. Are on diet alone or stable doses of antihyperglycaemic medication, i.e. the type of medication or dose used has not been changed for at least 3 months
5. Have HbA1c levels ≤ 8.0%
6. Have triglycerides ≤ 2mmol/l; Target Gender: Male & Female; Upper Age Limit 54 years ; Lower Age Limit 18 years
Participants - exclusion criteria 1. Have cardiovascular disease, including coronary heart disease, stroke and peripheral artery disease
2. Have been taking any dose of ASA, non-steroidal anti-inflammatory
drugs, any antiplatelet or antithrombotic drugs within the last 30 days
3. Have a history of peptic ulcer disease
4. Are treated with insulin
5. Have high blood pressure (>150 mmHg systolic or >100 mmHg
diastolic
6. Have a known bleeding disorder
7. Have a known gastrointestinal disorder
8. Have evidence of severe hepatic disease or ALT >3 times the upper limit of normal at screening
9. Have evidence of severe renal dysfunction or estimated glomerular filtration rate (eGFR) <40ml/min/1.73m2 at screening
10. Have a contraindication to ASA, such as allergy or active bleeding
11. Have a planned intervention or surgery in the next 3 months
12. Are pregnant or lactating women
13. Are currently taking part, or have completed, an Investigational
Medicinal Product (IMP) trial within the last 3 months
14. Are unsuitable for the trial as decided by a clinician
Anticipated start date 30/11/2011
Anticipated end date 31/05/2012
Status of trial Ongoing
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants Planned Sample Size: 24; UK Sample Size: 24
Interventions Acetylsalicylic acid (ASA), Three two-week treatment regimens will be applied in randomized order in participant individuals, namely:
1. ASA 100mg once daily
2. ASA 200mg once daily
3. ASA 100mg twice daily

There will be a two-week washout period between each treatment period.; Follow Up Length: 3 month(s); Study Entry : Registration and One or More Randomisations
Primary outcome measure(s) Change in platelet reactivity between baseline and the end of each treatment period.; Timepoint(s): Measures of platelet reactivity taken at baseline and at the end of each treatment period
Secondary outcome measure(s) A variety of COX-1 dependent and independent platelet function tests.; Timepoint(s): Platelet function tests carried out at baseline and at the end of each treatment period
Sources of funding British Heart Foundation (BHF) (UK) Grant Codes: PG/11/29/28852
Trial website
Publications
Contact name Prof  Rury  Holman
  Address Diabetes Trials Unit
Oxford Centre for Diabetes, Endocrinology and Metabolism
Old Road, Headington
  City/town Oxford
  Zip/Postcode OX3 7LJ
  Country United Kingdom
  Email trg@dtu.ox.ac.uk
Sponsor University of Oxford (UK)
  Address Research Services
Clinical Trials and Research Governance
Joint Research Office
Block 60
Churchill Hospital, Headington
  City/town Oxford
  Zip/Postcode OX2 6HE
  Country United Kingdom
  Sponsor website: http://www.admin.ox.ac.uk/researchsupport/ctrg/
Date applied 31/01/2012
Last edited 14/02/2012
Date ISRCTN assigned 31/01/2012
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