Trial Outcomes & Findings for Aspirin for Treatment of Multiple Sclerosis-Related Fatigue (NCT NCT00467584)

NCT ID: NCT00467584

Last Updated: 2014-05-20

Results Overview

The Modified Fatigue Impact Scale is a list of 21 statements describing how fatigue may affect a person's functioning. Answers ranging from 0 (Never) to 4 (Almost always) were provided by the study subjects for the prior 4 week period. A total score was tallied from a possible 0 (no fatigue impact) to 84 (almost always impacted by fatigue). A lower total score indicates less fatigue-related impact while a higher total score indicates greater fatigue-related impact on a subject's functioning.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

62 participants

Primary outcome timeframe

Baseline, 8 weeks

Results posted on

2014-05-20

Participant Flow

Participants with Multiple Sclerosis were recruited from three Mayo Clinic sites (Arizona, Minnesota and Florida) beginning in July, 2007.

Participant milestones

Participant milestones
Measure
High Dose Aspirin
High Dose Aspirin; 1300 milligrams of aspirin per day, taken by mouth as two tablets, twice per day for 8 weeks High Dose Aspirin (1300 mg/day): 1300 milligrams per day (the equivalent of 4 regular aspirin tablets) taken by mouth as two tablets, twice a day in the morning and at noon for 8 weeks
Low Dose Aspirin
Low Dose Aspirin; 162 milligrams of aspirin per day (the equivalent of 2 baby aspirin tablets) taken by mouth as two tablets, twice a day in the morning and at noon for 8 weeks Low Dose Aspirin (162 mg/day): 162 milligrams per day (the equivalent of 2 baby aspirin tablets) taken by mouth as two tablets, twice a day in the morning and at noon for 8 weeks
Placebo
Placebo tablets, matching the active aspirin tablets in appearance, taken by mouth twice per day for 8 weeks Placebo: Placebo tablets matching the active aspirin tablets in appearance, taken as two tablets, twice per day for 8 weeks
Overall Study
STARTED
21
20
21
Overall Study
COMPLETED
17
15
20
Overall Study
NOT COMPLETED
4
5
1

Reasons for withdrawal

Reasons for withdrawal
Measure
High Dose Aspirin
High Dose Aspirin; 1300 milligrams of aspirin per day, taken by mouth as two tablets, twice per day for 8 weeks High Dose Aspirin (1300 mg/day): 1300 milligrams per day (the equivalent of 4 regular aspirin tablets) taken by mouth as two tablets, twice a day in the morning and at noon for 8 weeks
Low Dose Aspirin
Low Dose Aspirin; 162 milligrams of aspirin per day (the equivalent of 2 baby aspirin tablets) taken by mouth as two tablets, twice a day in the morning and at noon for 8 weeks Low Dose Aspirin (162 mg/day): 162 milligrams per day (the equivalent of 2 baby aspirin tablets) taken by mouth as two tablets, twice a day in the morning and at noon for 8 weeks
Placebo
Placebo tablets, matching the active aspirin tablets in appearance, taken by mouth twice per day for 8 weeks Placebo: Placebo tablets matching the active aspirin tablets in appearance, taken as two tablets, twice per day for 8 weeks
Overall Study
Withdrawal by Subject
4
5
1

Baseline Characteristics

Aspirin for Treatment of Multiple Sclerosis-Related Fatigue

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
High Dose Aspirin
n=21 Participants
High Dose Aspirin; 1300 milligrams of aspirin per day, taken by mouth as two tablets, twice per day for 8 weeks
Low Dose Aspirin
n=20 Participants
Low Dose Aspirin; 162 milligrams of aspirin per day taken by mouth as two tablets, twice per day for 8 weeks
Placebo
n=21 Participants
Placebo tablets, matching the active aspirin tablets in appearance, taken by mouth twice per day for 8 weeks
Total
n=62 Participants
Total of all reporting groups
Age, Continuous
46.6 years
STANDARD_DEVIATION 8.6 • n=5 Participants
47.0 years
STANDARD_DEVIATION 10.3 • n=7 Participants
47.4 years
STANDARD_DEVIATION 8.0 • n=5 Participants
47.0 years
STANDARD_DEVIATION 9.0 • n=4 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
15 Participants
n=7 Participants
18 Participants
n=5 Participants
50 Participants
n=4 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
5 Participants
n=7 Participants
3 Participants
n=5 Participants
12 Participants
n=4 Participants
Region of Enrollment
United States
21 participants
n=5 Participants
20 participants
n=7 Participants
21 participants
n=5 Participants
62 participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline, 8 weeks

Population: 62 patients were randomized; of these, 6 did not receive the intervention and an additional 4 discontinued without providing followup data. Therefore 52 were included in the analysis. The Wk 4 MFIS score was used if the subject withdrew prior to Wk 8. 1 subject each in the High Dose and Placebo groups provided MFIS data at Wk 4 but not Wk 8.

The Modified Fatigue Impact Scale is a list of 21 statements describing how fatigue may affect a person's functioning. Answers ranging from 0 (Never) to 4 (Almost always) were provided by the study subjects for the prior 4 week period. A total score was tallied from a possible 0 (no fatigue impact) to 84 (almost always impacted by fatigue). A lower total score indicates less fatigue-related impact while a higher total score indicates greater fatigue-related impact on a subject's functioning.

Outcome measures

Outcome measures
Measure
High Dose Aspirin
n=17 Participants
High Dose Aspirin; 1300 milligrams of aspirin per day, taken by mouth as two tablets, twice per day for 8 weeks
Low Dose Aspirin
n=15 Participants
Low Dose Aspirin; 162 milligrams of aspirin per day taken by mouth as two tablets, twice per day for 8 weeks
Placebo
n=20 Participants
Placebo tablets, matching the active aspirin tablets in appearance, taken by mouth twice per day for 8 weeks
Modified Fatigue Impact Scale Score
MFIS Total Score at Baseline
48 units on a scale
Standard Deviation 13
50 units on a scale
Standard Deviation 15
49 units on a scale
Standard Deviation 13
Modified Fatigue Impact Scale Score
MFIS Total Score at 8 Weeks
37 units on a scale
Standard Deviation 11
45 units on a scale
Standard Deviation 17
44 units on a scale
Standard Deviation 13
Modified Fatigue Impact Scale Score
Change in MFIS Total Score
-11.4 units on a scale
Standard Deviation 13.9
-5.1 units on a scale
Standard Deviation 15.7
-5.5 units on a scale
Standard Deviation 9.8

Adverse Events

High Dose Aspirin

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Low Dose Aspirin

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

Placebo

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
High Dose Aspirin
n=17 participants at risk
High Dose Aspirin; 1300 milligrams of aspirin per day, taken by mouth as two tablets, twice per day for 8 weeks
Low Dose Aspirin
n=15 participants at risk
Low Dose Aspirin; 162 milligrams of aspirin per day taken by mouth as two tablets, twice per day for 8 weeks
Placebo
n=20 participants at risk
Placebo tablets, matching the active aspirin tablets in appearance, taken by mouth twice per day for 8 weeks
Skin and subcutaneous tissue disorders
Rash
5.9%
1/17 • Number of events 1 • Baseline to 8 weeks
0.00%
0/15 • Baseline to 8 weeks
0.00%
0/20 • Baseline to 8 weeks
Gastrointestinal disorders
Dyspepsia
11.8%
2/17 • Number of events 2 • Baseline to 8 weeks
0.00%
0/15 • Baseline to 8 weeks
0.00%
0/20 • Baseline to 8 weeks
Gastrointestinal disorders
Pharyngitis
5.9%
1/17 • Number of events 1 • Baseline to 8 weeks
0.00%
0/15 • Baseline to 8 weeks
0.00%
0/20 • Baseline to 8 weeks
Renal and urinary disorders
Hemorrhagic cystitis
5.9%
1/17 • Number of events 1 • Baseline to 8 weeks
0.00%
0/15 • Baseline to 8 weeks
0.00%
0/20 • Baseline to 8 weeks
General disorders
Fever
5.9%
1/17 • Number of events 1 • Baseline to 8 weeks
0.00%
0/15 • Baseline to 8 weeks
5.0%
1/20 • Number of events 1 • Baseline to 8 weeks
Musculoskeletal and connective tissue disorders
Leg pain
0.00%
0/17 • Baseline to 8 weeks
0.00%
0/15 • Baseline to 8 weeks
5.0%
1/20 • Number of events 1 • Baseline to 8 weeks
Eye disorders
Conjunctivitis
0.00%
0/17 • Baseline to 8 weeks
0.00%
0/15 • Baseline to 8 weeks
5.0%
1/20 • Number of events 1 • Baseline to 8 weeks
Skin and subcutaneous tissue disorders
Nevus removal
0.00%
0/17 • Baseline to 8 weeks
0.00%
0/15 • Baseline to 8 weeks
5.0%
1/20 • Number of events 1 • Baseline to 8 weeks
Gastrointestinal disorders
Vomiting
5.9%
1/17 • Number of events 1 • Baseline to 8 weeks
0.00%
0/15 • Baseline to 8 weeks
0.00%
0/20 • Baseline to 8 weeks

Additional Information

Dr. Dean M. Wingerchuk

Mayo Clinic

Phone: 480-301-6328

Results disclosure agreements

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