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CompletedNCT03558854Updated Dec 1, 2021

Evaluation of Effectiveness of Acetylsalicylic Acid on Markers of Vascular Dysfunction in Scleroderma Patients

A Phase 4 interventional study of Acetylsalicylic acid and Placebo oral capsule in Systemic Sclerosis, sponsored by Federal University of São Paulo. Completed at 1 site in Brazil. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-12-01.

Sponsored by Federal University of São Paulo · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Systemic sclerosis is a chronic autoimmune disease characterized by vascular changes in the microcirculation (small blood vessels) and progressive fibrosis of the skin and internal organs. It is believed that vascular changes, expressed early by the Raynaud phenomenon, precede fibrosis and organic dysfunction. There is no available treatment that reverses the vascular damage caused by the disease to the moment, although there are several medications recommended for the relief of manifestations due to vascular injury. Acetylsalicylic acid (ASA) is one of the medications that can be used for the treatment of vascular injury present in systemic sclerosis, but still without a fully proven benefit. This study aims to evaluate the effectiveness of ASA on microcirculation alterations in patients with systemic sclerosis by performing three exams: periungual panoramic capillary microscopy, videocapillaroscopy and laser Doppler imaging. In addition, a blood sample will be collected for dosing the following vascular lesion markers: endothelin-1, von Willebrand factor, thromboxane, and platelet-derived, endothelial-derived and monocyte-derived microparticles.

02

Conditions studied

  • Systemic Sclerosis

Keywords

  • Systemic sclerosis
  • Acetylsalicylic acid
  • Vascular dysfunction
03

In context

Scleroderma, Systemic

688 studies on the registry are indexed under Scleroderma, Systemic; 223 are open to participants now.

This study's enrollment of 70 is above the median of 34 across 493 interventional studies indexed under Scleroderma, Systemic.

Browse Scleroderma, Systemic studies →

Lead sponsor

Federal University of São Paulo is the lead sponsor of 427 studies on the registry; 22 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Fulfill Systemic sclerosis EULAR/American College of Rheumatology 2013 classification criteria;
  • Pharmacological treatment with stable dosages for the last three months.

Exclusion criteria

Exclusion Criteria:

  • Pregnancy;
  • Use of anticoagulants, NSAIDs or antiplatelets drugs;
  • Diagnose of other autoimmune rheumatic diseases, coronary diseases, cerebrovascular diseases and severe peripheral artery diseases;
  • Active infection;
  • Contraindication to acetylsalicylic acid use.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
70 participants (actual)

Study arms

  • Active comparator
    ASA group

    Pill containing 100 mg of acetylsalicylic acid, taken once daily for 04 weeks

    Drug: Acetylsalicylic acid

  • Placebo comparator
    Placebo oral capsule group

    Identical pill containing placebo, taken once daily for 04 weeks

    Drug: Placebo oral capsule

Interventions

  • DrugAcetylsalicylic acid

    Patients will be randomized to take one pill of either acetylsalicylic acid or placebo once daily for 4 weeks

  • DrugPlacebo oral capsule

    Patients will be randomized to take one pill of either acetylsalicylic acid or placebo once daily for 4 weeks

06

What researchers measure

Primary outcomes

  1. Serum level of thromboxane B2

    Measured by ELISA

    Time frame: Baseline and 4 weeks

Secondary outcomes

  1. Serum level of platelet-derived, endothelial-derived and monocyte-derived microparticles

    Measured by flow cytometry

    Time frame: Baseline and 4 weeks

  2. Serum level of von Willebrand factor

    Measured by ELISA

    Time frame: Baseline and 4 weeks

  3. Serum level of endothelin-1

    Measured by ELISA

    Time frame: Baseline and 4 weeks

  4. Digital blood flow

    Measured by laser Doppler imaging

    Time frame: Baseline and 4 weeks

07

Study locations

1 site
  • Systemic Sclerosis Outpatient Clinic, Hospital São Paulo
    São Paulo, SP, Brazil
08

References and documents

Individual participant data

Plan to share: Undecided — Under discussion

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 1, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03558854
Lead sponsor
Federal University of São Paulo
Responsible party
Cristiane Kayser (Principal investigator, Federal University of São Paulo) — Principal investigator
First posted
Jun 15, 2018
Start date
Aug 28, 2018
Primary completion
Sep 2, 2021
Completion
Oct 26, 2021
Last update
Dec 1, 2021

Study contacts

Cristiane Kayser, PhD
study director · Federal University of São Paulo

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2021. You cannot join it, but the record below documents what was studied.

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