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CompletedNCT00262561Updated Jan 28, 2014

Resistance to Aspirin and/or Clopidogrel Among Patients With PAD.

A Phase 4 interventional study of Aspirin in Intermittent Claudication, sponsored by Aalborg University Hospital. Completed at 1 site in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-01-28.

Sponsored by Aalborg University Hospital · Phase 4, Interventional, and Diagnostic

Phase
Phase 4
Study type
Interventional
Enrollment
263
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

263 patients with peripheral atherosclerosis were examined to evaluate the activity of the platelets during the standard treatment, including aspirin. A subgroup of 43 received 600 mg of clopidogrel 2 h before platelet reactivity analysis.

The main hypothesis is that high platelet activity at the beginning of the study is associated with a higher risk of atherothrombosis. Follow up time is 5 years.

Read the detailed description

Patients with peripheral atherosclerosis are at high risk of atherothrombosis, mainly heart attack and stroke. The medical treatment of these patients include platelet inhibiting drugs, usually aspirin, to reduce the risk of ischemic events. Clopidogrel is another platelet inhibiting drug, which is prescribed less often, primarily because of the high costs compared to aspirin.

Phenomena of 'resistance' to these drugs have been described by numerous investigators. Essentially resistance means that the effect of the drug described is less than expected or missing, as measured by various laboratory methods. We do not know which way resistance is best described, but it has been described that patients who are 'resistant' to either drug are less protected against future heart attacks or strokes.

Main objectives:

  • To measure the activity of platelets in these patients during aspirin treatment.
  • To measure the activity of platelets in a minor population of these patients during clopidogrel treatment.
  • To evaluate the prognostic significance of resistance to aspirin in these patients.

Methods:

Platelet activity is measured by the PFA-100 (Dade Behring) and by traditional turbidimetric aggregation.

Endpoints:

Myocardial infarction, unstable angina, cerebral infarction, transitory cerebral ischaemia, sudden deterioration of symptoms, percutaneous or surgical vascular intervention, amputation, death.

02

Conditions studied

  • Intermittent Claudication

Keywords

  • Intermittent Claudication
  • Aspirin resistance
  • Clopidogrel resistance
03

In context

Intermittent Claudication

254 studies on the registry are indexed under Intermittent Claudication; 45 are open to participants now.

This study's enrollment of 263 is above the median of 70 across 199 interventional studies indexed under Intermittent Claudication.

Browse Intermittent Claudication studies →

Lead sponsor

Aalborg University Hospital is the lead sponsor of 195 studies on the registry; 39 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Atherosclerosis of the lower limbs, defined by one of the following criteria: Ankle-Brachial Pressure Index (ABPI)\< 0.9, intermittent claudication, ischaemic pain at rest, ischaemic ulcers or gangrene.
  • Age > 18 years
  • For fertile women: Use of safe contraception (intrauterine contraceptive device, the pill, hormonal skin patches, progestogen injections, progestogen implant, vaginal ring)

Exclusion criteria

Exclusion Criteria:

  • Allergy to either Aspirin or Clopidogrel
  • Known bleeding disorder
  • Platelet count \< 140 mia/L or > 400 mia/L
  • Intake of NSAID's, SSRI's or Dipyridamol within the preceding 14 days
  • Not radically treated gastrointestinal ulceration within the last 6 month
  • Greater surgical procedures performed within the last 3 month
  • Severe renal disease
  • Severe hepatic disease
  • Breast feeding
  • Pregnancy
05

Study design

Phase
Phase 4
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
263 participants (actual)

Study arms

  • Active comparator
    Aspirin

    All participants get Aspirin, and platelet reactivity measurements are performed.

    Drug: Aspirin

Interventions

  • DrugAspirin

    The effect of Aspirin on platelet function was assessed.

06

What researchers measure

Primary outcomes

  1. Myocardial infarction, Unstable angina, Cerebral infarction, Transitory cerebral ischaemia, Percutaneous or surgical vascular intervention, Sudden deterioration of symptoms, Amputation, Death.

    Time frame: 5 years

07

Study locations

1 site
  • Department of Vascular Surgery, Aalborg Hospital
    Aalborg, 9000, Denmark
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 28, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00262561
Lead sponsor
Aalborg University Hospital
Collaborators
Danish Heart Foundation
Responsible party
Esben Hjorth Madsen (M.D., Aalborg University Hospital) — Principal investigator
First posted
Dec 7, 2005
Start date
Jan 2006
Primary completion
Jan 2008
Completion
Jan 2008
Last update
Jan 28, 2014

Study contacts

Nils Johannesen, MD
principal investigator · Department of Vascular Surgery, Aalborg Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2014. You cannot join it, but the record below documents what was studied.

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