Trial Outcomes & Findings for A Study of Aspirin and Simvastatin in Pulmonary Arterial Hypertension (NCT NCT00384865)

NCT ID: NCT00384865

Last Updated: 2017-07-21

Results Overview

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

64 participants

Primary outcome timeframe

Measured at 6 months

Results posted on

2017-07-21

Participant Flow

Participant milestones

Participant milestones
Measure
Aspirin 81 mg + Simvastatin 40 mg
Simvastatin: Simvastatin 40 mg, taken orally, once a day for 6 months Aspirin: Aspirin 81 mg, taken orally, once a day for 6 months
Aspirin 81 mg + Placebo
Aspirin: Aspirin 81 mg, taken orally, once a day for 6 months Placebo: Placebo, taken orally, once a day for 6 months
Placebo + Simvastatin 40 mg
Simvastatin: Simvastatin 40 mg, taken orally, once a day for 6 months Placebo: Placebo, taken orally, once a day for 6 months
Placebo + Placebo
Placebo: Placebo, taken orally, once a day for 6 months
Overall Study
STARTED
16
16
16
16
Overall Study
Completed Six Month Assessment
11
12
15
11
Overall Study
COMPLETED
16
16
16
16
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study of Aspirin and Simvastatin in Pulmonary Arterial Hypertension

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Aspirin 81 mg + Simvastatin 40 mg
n=16 Participants
Simvastatin: Simvastatin 40 mg, taken orally, once a day for 6 months Aspirin: Aspirin 81 mg, taken orally, once a day for 6 months
Aspirin 81 mg + Placebo
n=16 Participants
Aspirin: Aspirin 81 mg, taken orally, once a day for 6 months Placebo: Placebo, taken orally, once a day for 6 months
Placebo + Simvastatin 40 mg
n=16 Participants
Simvastatin: Simvastatin 40 mg, taken orally, once a day for 6 months Placebo: Placebo, taken orally, once a day for 6 months
Placebo + Placebo
n=16 Participants
Placebo: Placebo, taken orally, once a day for 6 months
Total
n=64 Participants
Total of all reporting groups
Age, Continuous
59.6 Years
STANDARD_DEVIATION 16.6 • n=5 Participants
56.75 Years
STANDARD_DEVIATION 13.2 • n=7 Participants
58.6 Years
STANDARD_DEVIATION 11.7 • n=5 Participants
63.5 Years
STANDARD_DEVIATION 14.2 • n=4 Participants
59.6 Years
STANDARD_DEVIATION 13.9 • n=21 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
15 Participants
n=7 Participants
15 Participants
n=5 Participants
14 Participants
n=4 Participants
55 Participants
n=21 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
9 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
0 Participants
n=4 Participants
8 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
14 Participants
n=5 Participants
15 Participants
n=7 Participants
11 Participants
n=5 Participants
16 Participants
n=4 Participants
56 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
3 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
5 Participants
n=4 Participants
13 Participants
n=21 Participants
Race (NIH/OMB)
White
13 Participants
n=5 Participants
11 Participants
n=7 Participants
12 Participants
n=5 Participants
9 Participants
n=4 Participants
45 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
3 Participants
n=21 Participants
Region of Enrollment
United States
16 Participants
n=5 Participants
16 Participants
n=7 Participants
16 Participants
n=5 Participants
16 Participants
n=4 Participants
64 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Measured at 6 months

Outcome measures

Outcome measures
Measure
Aspirin 81 mg
n=32 Participants
Aspirin 81 mg, taken orally, once a day for 6 months
Aspirin Placebo
n=33 Participants
Placebo, taken orally, once a day for 6 months
Simvastatin 40 mg
n=32 Participants
Simvastatin 40 mg, taken orally, once a day for 6 months
Simvastatin Placebo
n=33 Participants
Placebo, taken orally, once a day for 6 months
Distance Walked in Six Minutes
438.0 meters
Interval 415.9 to 460.1
438.5 meters
Interval 419.2 to 457.8
425.0 meters
Interval 400.2 to 449.9
452.7 meters
Interval 431.9 to 473.4

SECONDARY outcome

Timeframe: Measured at 6 months

Defined by the addition of new PAH therapies or dose increases in previously stable PAH therapy, hospitalization for right-sided heart failure, lung transplantation, atrial septostomy, and cardiovascular and all-cause death.

Outcome measures

Outcome measures
Measure
Aspirin 81 mg
n=32 Participants
Aspirin 81 mg, taken orally, once a day for 6 months
Aspirin Placebo
n=33 Participants
Placebo, taken orally, once a day for 6 months
Simvastatin 40 mg
n=32 Participants
Simvastatin 40 mg, taken orally, once a day for 6 months
Simvastatin Placebo
n=33 Participants
Placebo, taken orally, once a day for 6 months
Time to Clinical Worsening Events (Number of Events)
2 events
6 events
4 events
4 events

SECONDARY outcome

Timeframe: Measured at 6 months

Please refer to the Adverse Event Tables for specific information

Outcome measures

Outcome measures
Measure
Aspirin 81 mg
n=32 Participants
Aspirin 81 mg, taken orally, once a day for 6 months
Aspirin Placebo
n=33 Participants
Placebo, taken orally, once a day for 6 months
Simvastatin 40 mg
n=32 Participants
Simvastatin 40 mg, taken orally, once a day for 6 months
Simvastatin Placebo
n=33 Participants
Placebo, taken orally, once a day for 6 months
Adverse Events
59 events
66 events
66 events
58 events

Adverse Events

Aspirin 81 mg

Serious events: 4 serious events
Other events: 32 other events
Deaths: 0 deaths

Aspirin Placebo

Serious events: 1 serious events
Other events: 33 other events
Deaths: 0 deaths

Simvastatin 40 mg

Serious events: 0 serious events
Other events: 32 other events
Deaths: 0 deaths

Simvastatin Placebo

Serious events: 0 serious events
Other events: 33 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Aspirin 81 mg
n=32 participants at risk
Aspirin 81 mg, taken orally, once a day for 6 months
Aspirin Placebo
n=33 participants at risk
Placebo, taken orally, once a day for 6 months
Simvastatin 40 mg
n=32 participants at risk
Simvastatin 40 mg, taken orally, once a day for 6 months
Simvastatin Placebo
n=33 participants at risk
Placebo, taken orally, once a day for 6 months
Blood and lymphatic system disorders
Major Bleeding Episode
12.5%
4/32 • Number of events 4 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
3.0%
1/33 • Number of events 1 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
0.00%
0/32 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
0.00%
0/33 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization

Other adverse events

Other adverse events
Measure
Aspirin 81 mg
n=32 participants at risk
Aspirin 81 mg, taken orally, once a day for 6 months
Aspirin Placebo
n=33 participants at risk
Placebo, taken orally, once a day for 6 months
Simvastatin 40 mg
n=32 participants at risk
Simvastatin 40 mg, taken orally, once a day for 6 months
Simvastatin Placebo
n=33 participants at risk
Placebo, taken orally, once a day for 6 months
Respiratory, thoracic and mediastinal disorders
Upper Respiratory Infection
31.2%
10/32 • Number of events 10 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
33.3%
11/33 • Number of events 11 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
37.5%
12/32 • Number of events 12 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
27.3%
9/33 • Number of events 9 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
General disorders
Bruising
25.0%
8/32 • Number of events 8 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
24.2%
8/33 • Number of events 8 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
31.2%
10/32 • Number of events 10 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
18.2%
6/33 • Number of events 6 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
Musculoskeletal and connective tissue disorders
Myalgia
9.4%
3/32 • Number of events 3 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
15.2%
5/33 • Number of events 5 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
9.4%
3/32 • Number of events 3 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
15.2%
5/33 • Number of events 5 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
General disorders
Headache
15.6%
5/32 • Number of events 5 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
9.1%
3/33 • Number of events 3 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
15.6%
5/32 • Number of events 5 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
9.1%
3/33 • Number of events 3 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
Gastrointestinal disorders
Diarrhea
9.4%
3/32 • Number of events 3 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
12.1%
4/33 • Number of events 4 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
9.4%
3/32 • Number of events 3 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
12.1%
4/33 • Number of events 4 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
Infections and infestations
Other Infections
12.5%
4/32 • Number of events 4 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
12.1%
4/33 • Number of events 4 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
12.5%
4/32 • Number of events 4 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
12.1%
4/33 • Number of events 4 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
Respiratory, thoracic and mediastinal disorders
Dyspnea
6.2%
2/32 • Number of events 2 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
12.1%
4/33 • Number of events 4 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
9.4%
3/32 • Number of events 3 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
9.1%
3/33 • Number of events 3 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
Skin and subcutaneous tissue disorders
Rash
9.4%
3/32 • Number of events 3 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
9.1%
3/33 • Number of events 3 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
12.5%
4/32 • Number of events 4 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
6.1%
2/33 • Number of events 2 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
Musculoskeletal and connective tissue disorders
Arthralgia
9.4%
3/32 • Number of events 3 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
9.1%
3/33 • Number of events 3 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
12.5%
4/32 • Number of events 4 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
6.1%
2/33 • Number of events 2 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
Respiratory, thoracic and mediastinal disorders
Chest Pain
3.1%
1/32 • Number of events 1 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
9.1%
3/33 • Number of events 3 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
3.1%
1/32 • Number of events 1 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
9.1%
3/33 • Number of events 3 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
Hepatobiliary disorders
Increased Transaminases
3.1%
1/32 • Number of events 1 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
9.1%
3/33 • Number of events 3 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
6.2%
2/32 • Number of events 2 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
6.1%
2/33 • Number of events 2 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
General disorders
Insomnia
3.1%
1/32 • Number of events 1 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
6.1%
2/33 • Number of events 2 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
3.1%
1/32 • Number of events 1 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
6.1%
2/33 • Number of events 2 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
Blood and lymphatic system disorders
Minor Bleeding Episode
34.4%
11/32 • Number of events 11 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
36.4%
12/33 • Number of events 12 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
43.8%
14/32 • Number of events 14 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization
39.4%
13/33 • Number of events 13 • Adverse event data was collected for each subject from screening through 6 months after enrollment/randomization

Additional Information

Steven Kawut

Penn

Phone: 215-573-0258

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place