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RecruitingNCT07832578Updated Sep 22, 2026

Comparison of Aspirin Alone Versus Low-Dose Rivaroxaban Plus Aspirin in Chronic Limb-Threatening Ischemia

An Early Phase 1 interventional study of Aspirin tablet and Low-Dose Rivaroxaban Plus Aspirin, in Limb Ischemia, sponsored by King Edward Medical University. Recruiting at 1 site in Pakistan. Open to participants aged 40 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-09-22.

Sponsored by King Edward Medical University · Early Phase 1, Interventional, and Treatment

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Jun 2026, registered Sep 2026).
  • Started Jun 2026; still recruiting 5 months later.
Phase
Early Phase 1
Study type
Interventional
Enrollment
78
Allocation
Randomized
Ages
40 Years to 70 Years
Sex
All
01

Study summary

The goal of this **clinical trial** is to compare the effectiveness of **low-dose rivaroxaban plus aspirin versus aspirin alone** in patients aged 40-70 years with **chronic limb-threatening ischemia, diabetes mellitus, hypertension, and hypercholesterolemia**. The main questions it aims to answer are:

  • Does low-dose rivaroxaban plus aspirin reduce **major adverse limb events (MALE)**, such as acute limb ischemia and amputation?
  • Does the combination therapy reduce **major adverse cardiovascular events (MACE)**, such as myocardial infarction and stroke, and improve limb-related outcomes?

Researchers will compare **low-dose rivaroxaban (2.5 mg twice daily) plus aspirin (75-100 mg daily)** with **aspirin alone** to see if combination therapy provides better outcomes over a period of **6 months**.

Participants will:

  • Undergo baseline clinical assessment, blood tests, ABPI/TBI, and Doppler/duplex assessment.
  • Be randomly assigned to either the rivaroxaban plus aspirin group or the aspirin-alone group.
  • Attend follow-up visits at specified intervals for assessment of **WIFI score, ABPI, wound healing, MALE, MACE, and quality of life**.
  • Be assessed for treatment compliance, side effects, and bleeding during follow-up.
02

Conditions studied

  • Limb Ischemia

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Keywords

  • aspirin
  • Low-Dose Rivaroxaban
03

In context

Ischemia

545 studies on the registry are indexed under Ischemia; 72 are open to participants now.

This study's planned enrollment of 78 is close to the median of 74 across 356 interventional studies indexed under Ischemia.

Browse Ischemia studies →

Lead sponsor

King Edward Medical University is the lead sponsor of 82 studies on the registry; 27 are open to participants now.

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

04

Who can participate

Ages eligible
40 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • All patients of CLTI managed conservatively
  • of 3 or more
  • Age 40-70 yrs
  • Diagnosed case of Diabetes mellitus type 2 ( >8)
  • Blood Pressue ( >130/90 , \<180/100 )
  • Hypercholestrolemia (Total cholesterol ≥200 mg/dL )
  • ABPI \< 0.6
  • Claudication distance \< 100 meters
  • Provided written (for prospective or interventional studies)

Exclusion criteria

Exclusion Criteria:

  • Cholesterol >300mg/dl
  • >12 mg/dl
  • Previous amputation or debridement of vascular ulcers
  • Diagnosed varicose veins
  • History of SEPS(subfacial endoscopic perforator surgery)
  • Active bleeding disorder
  • Recent major surgery (\<1 month)
  • Renal failure requiring dialysis
  • Coagulopathy
  • Pregnancy or breastfeeding
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
78 participants (estimated)

Study arms

  • Active comparator
    Aspirin

    Drug: Aspirin tablet

  • Active comparator
    Low-Dose Rivaroxaban and Aspirin,

    Low dose Rivaroxaban 2.5 mg used orally twice a day in combination with Aspirin is a vascular protective dose as described in COMPASS and VOYEGAR PAD trials. This low dose has antithrombotic effect without full anticoagulation ,thus less bleeding risk compared to standard anticoagulant dose.

    Drug: Low-Dose Rivaroxaban Plus Aspirin,

Interventions

  • 75 mg once daily

  • DrugLow-Dose Rivaroxaban Plus Aspirin,

    Drug pages: Rivaroxaban · Aspirin

    Low dose Rivaroxaban 2.5 mg used orally twice a day in combination with Aspirin is a vascular protective dose as described in COMPASS and VOYEGAR PAD trials. This low dose has antithrombotic effect without full anticoagulation ,thus less bleeding risk compared to standard anticoagulant dose.

06

What researchers measure

Primary outcomes

  1. Major Adverse Limb Events (MALEs)

    Time frame: 6 months

  2. Major Adverse Cardiovascular Events

    Time frame: 6 months

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2026 (actual). Primary completion is estimated for Dec 2026, 6 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 7, 2026
First posted
Sep 22, 2026
StartActual
Jun 1, 2026
Primary completionEst.
Dec 1, 2026
CompletionEst.
Apr 1, 2027
Last update
Sep 22, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07832578
Lead sponsor
King Edward Medical University
Responsible party
javeria khalid (principle investigator, King Edward Medical University) — Principal investigator
First posted
Sep 22, 2026
Start date
Jun 1, 2026
Primary completion
Dec 1, 2026 (estimated)
Completion
Apr 1, 2027 (estimated)
Last update
Sep 22, 2026

Study contacts

Hafsa Farooq, MBBS
Contact
hafsafarooqiqbal.99@gmail.com
+923335700188

Oversight

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

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Studies of the drugs tested here: Aspirin · Rivaroxaban

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