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Not yet recruitingNCT07908082ASPIRE-GCAUpdated Oct 30, 2026

Aspirin for the Prevention of Ischemic Complications in Giant Cell Arteritis

A Phase 3 interventional study of Acetyl Salicylic Acid (ASA) and Placebo in Giant Cell Arteritis (GCA), Acute Coronary Syndrome (ACS) and Ishemic and Thrombotic Complications, sponsored by Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal. Not yet recruiting at 1 site in Canada. Open to participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2026-10-30.

Sponsored by Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal · Phase 3, Interventional, and Prevention

Updated Oct 30, 2026Newly registeredGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
50 Years and older
Sex
All
01

Study summary

The ASPIRE-GCA Pilot trial will assess the feasibility of a future randomized controlled trial (RCT) evaluating the efficacy of low-dose ASA in preventing ischemic complications in patients with Giant Cell Arteritis (GCA).

ASPIRE-GCA Pilot builds on extensive preparatory work and the findings from this study will inform key feasibility outcomes, including recruitment rate, study-drug delivery and treatment initiation, medication adherence, participant retention, and completeness of follow-up data.

Read the detailed description

ASPIRE-GCA Pilot is a national, multicenter, randomized, double-blind, placebo-controlled, decentralized trial conducted in centers of the Canadian Vasculitis Research Network (CanVasc), designed to evaluate the feasibility of conducting the full international RCT.

To examine this objective, 120 eligible patients with newly diagnosed GCA will be randomized at a 1:1 ratio to receive low-dose ASA (80 mg/day) or placebo for 52 weeks, in addition to standard-of-care therapy for GCA. Participants will then be followed for 13 months.

02

Conditions studied

  • Giant Cell Arteritis (GCA)
  • Acute Coronary Syndrome (ACS)
  • Ishemic and Thrombotic Complications
03

In context

Giant Cell Arteritis

147 studies on the registry are indexed under Giant Cell Arteritis; 49 are open to participants now.

This study's planned enrollment of 120 is above the median of 64 across 65 interventional studies indexed under Giant Cell Arteritis.

Browse Giant Cell Arteritis studies →

Lead sponsor

Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal is the lead sponsor of 34 studies on the registry; 16 are open to participants now.

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

04

Who can participate

Ages eligible
50 Years and older
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

  1. Adults with newly diagnosed GCA (≤30 days since diagnosis);
  2. GCA fulfilling the 2022 ACR-EULAR Classification Criteria for GCA, supported by positive temporal artery histology, or compatible cranial or large-vessel imaging;
  3. Initiation of standard-of-care treatment for GCA, with or without intravenous ;
  4. Ability to provide and participate in virtual study procedures.

Exclusion criteria

Exclusion Criteria:

  1. Established indication for antiplatelet therapy (e.g., prior or current myocardial infarction, ischemic stroke, , or known coronary, cerebrovascular, or peripheral arterial disease);
  2. All-cause bilateral permanent vision loss during the screening period;
  3. Chronic use of therapeutic anticoagulation at baseline;
  4. Presence of a condition that, in the investigator's opinion, is expected to limit survival to less than 1 year;
  5. Any to low-dose ASA according to the product monograph.
Terms in these criteria, in plain language(4)

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    Acetyl Salicylic Acid (ASA)

    Participants will receive low-dose ASA (80 mg orally once daily) for 52 weeks, in addition to standard-of-care therapy for GCA.

    Drug: Acetyl Salicylic Acid (ASA)

  • Placebo comparator
    Control Arm

    Participants will receive a matching low-dose ASA placebo (orally once daily) for 52 weeks, in addition to standard-of-care therapy for GCA.

    Drug: Placebo

Interventions

  • Participants will receive blinded low-dose ASA (80 mg orally once daily) for 52 weeks.

  • DrugPlacebo

    Participants will receive blinded low-dose ASA placebo (orally once daily) for 52 weeks.

06

What researchers measure

Primary outcomes

  1. Recruitment rate defined as the number of participants randomized per center-month.

    Number of participants randomized per center-month, counting each center from the date it is activated and able to enroll participants until completion of recruitment.

    Time frame: Through study completion, an average of 18 months

Secondary outcomes

  1. Study treatment initiation, assessed as the proportion of randomized participants who initiate study treatment.

    Time frame: Up to month 3 following randomization

  2. Time to study treatment initiation, assessed as the number of days from randomization to first study treatment administration among randomized participants who initiate treatment.

    Time frame: Up to 30 days following randomization

  3. Treatment adherence, assessed using the proportion of days covered.

    The proportion of days covered is calculated as the number of days covered by the dispensed study medication divided by the total number of days in the treatment period, multiplied by 100.

    Time frame: Up to 12 months following randomization

  4. Participant retention, defined as the proportion of randomized participants completing the 12-month follow-up visit.

    Time frame: Up to 12 months following randomization

  5. Completeness of follow-up data, assessed as the proportion of randomized participants completing the 12-month visit for whom all clinical outcome data required for the definitive trial are available.

    Time frame: Up to 12 months following randomization

  6. Study-drug delivery performance, assessed as the proportion of participants experiencing ≥1 delivery-related delay resulting in delayed treatment initiation or treatment interruption.

    Time frame: Up to 12 months following randomization

  7. Barriers for recruitment, assessed by the frequency of reasons for ineligibility.

    Time frame: Through study completion, an average of 18 months

  8. Barriers for adherence, assessed by the frequency of reasons for treatment discontinuation.

    Time frame: Through study completion, an average of 18 months

  9. Barriers for retention, assessed by the frequency of reasons for withdrawal from the trial.

    Time frame: Through study completion, an average of 18 months

Other outcomes

  1. Time to first ischemic event (in days)

    The efficacy composite outcome of the full trial will be the time to first ischemic event, defined as the first occurence of ischemic death, new ischemic vision loss, ischemic stroke, transient ischemic attack, myocardial infarction, unstable angina requiring hospitalization, or acute limb ischemia requiring intervention.

    Time frame: Up to 12 months following randomization

  2. Time to first major bleeding event (in days)

    Major bleeding is defined according to the Bleeding Academic Research Consortium criteria.

    Time frame: Up to 12 months following randomization

07

Study locations

1 site
08

References and documents

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Oct 2027; primary completion for Oct 2030, 36 months later.

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

Registered
Oct 14, 2026
First posted
Oct 30, 2026
StartEst.
Oct 2027
Primary completionEst.
Oct 2030
CompletionEst.
Oct 2030
Last update
Oct 30, 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.
Registered
First appeared on the registry. No changes since
Oct 30, 2026
Show all 1 update
  1. Oct 30, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07908082
Lead sponsor
Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal
Responsible party
Jean-Paul Makhzoum (Director - Vasculitis Research Program, Principal Investigator, Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal) — Principal investigator
First posted
Oct 30, 2026
Start date
Oct 2027 (estimated)
Primary completion
Oct 2030 (estimated)
Completion
Oct 2030 (estimated)
Last update
Oct 30, 2026

Study contacts

Jean-Paul Makhzoum, MD
Contact
jean-paul.makhzoum@umontreal.ca
514-338-2222 ext. 2725
Jean-Paul Makhzoum, MD
study chair · Vasculitis Clinic, Hopital du Sacre-Coeur de Montreal, University of Montreal

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Aspirin

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