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NCT06228820: ART

Aspirin Resistance in Trinidad.

Completed Phase 2 Last updated 12 September 2025
What this trial tests

Phase 2 trial testing Aspirin 81Mg Ec Tab in Platelet Dysfunction Due to Drugs in 48 participants. Completed in 15 December 2024.

Timeline
15 January 2024
Primary endpoint
15 December 2024
15 December 2024

Quick facts

Lead sponsorThe University of The West Indies
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment48
Start date15 January 2024
Primary completion15 December 2024
Estimated completion15 December 2024
Sites1 location across Trinidad and Tobago

Drugs / interventions tested

Conditions studied

Sponsor

The University of The West Indies

Who can join

Adults 18 to 74, any sex, with Platelet Dysfunction Due to Drugs. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Aspirin's beneficial effect is mediated via the inhibition of arachidonic acid (AA) activation of platelets. It is detected by demonstrating a decrease in platelet function and/or a decrease in prostaglandin metabolites. Besides inhibiting the formation of thromboxane A2 from arachidonic acid, Aspirin has a host of platelet-independent effects that complement its platelet-inhibitory effects. The phenomenon of "Aspirin resistance" is based on the observation of clinical events in some patients taking Aspirin and/or a diminished platelet aggregation inhibitory response to Aspirin therapy. It has been suggested that many individuals taking Aspirin have become resistant to this drug. Unfortunately, laboratory assays used to monitor the efficacy of Aspirin are far from accurate, and the results are not reproducible. Multiple studies demonstrate non-compliance using repeat testing for platelet inhibition in patients with an initial inadequate response to Aspirin. When the test is repeated under the condition that the ingestion of the test Aspirin is assured, the patients' platelets are inhibited. Patients with an inadequate Aspirin response have an increased likelihood of subsequent vascular events.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Pharmacodynamic Comparison of Two Aspirin Formulations in the Caribbean: The ARC Study.
    Seecheran N, McCallum P, Grimaldos K, Ramcharan P, et al · · 2024 · cited 1× · PMID 39008026 · DOI 10.1007/s40119-024-00373-6

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