A Study to Assess the Efficacy and Safety of Enteric-Coated Acetylsalicylic Acid in Patients at Moderate Risk of Cardiovascular Disease
NCT ID: NCT00501059
Last Updated: 2018-10-26
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE3
12546 participants
INTERVENTIONAL
2007-07-05
2016-11-15
Brief Summary
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Detailed Description
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Amendment #2 from 09-APR-2008:
* Systolic blood pressure (SBP) limit of 170 mmHg has been added to the exclusion criteria
* Exclusion of patients currently taking anticoagulant medication
* A longer interval between the daily dose of study drug and ibuprofen
* Revised wording in moderate risk definitions for coronary heart disease (CHD) and cerebrovascular disease (CVD): "To evaluate the clinical effects of a 100 mg/day enteric-coated acetylsalicylic acid versus placebo in the reduction of CVD events in patients at moderate risk of major CHD events (approximately 10 to 20% 10-year CHD risk; approximately 20 to 30% 10-year risk of CVD). This corresponds to a patient population mean 10-year CVD risk of approximately 30%."
Amendment #3 from 02-JAN-2009
• Increase in the number of allowed risk factors for males, age is no longer a risk factor
Amendment #4 from 02-OCT-2013
* The primary endpoint is changed to include confirmed UA and TIA.
* The estimated event rate is changed to 1.5% per year due to new information.
* Effect size (risk reduction) changed from 14.9% to 17 to 18%.
* Achieving 60,000 person-years instead of 1488 primary endpoint events
* Additional treatment and follow-up for a maximum of another 12 months.
* Change to reduced adverse event and concomitant therapy reporting
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
TRIPLE
Study Groups
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Acetylsalicylic acid (Aspirin, BAYE4465)
Participants received 1 tablet of enteric-coated acetylsalicylic acid \[100 milligram (mg)\] orally once daily.
Aspirin (Acetylsalicylic acid, BAYE4465)
100mg enteric coated Aspirin, taken daily
Placebo
Participants received 1 tablets of matching placebo orally once daily.
Placebo
Placebo, taken daily
Interventions
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Aspirin (Acetylsalicylic acid, BAYE4465)
100mg enteric coated Aspirin, taken daily
Placebo
Placebo, taken daily
Eligibility Criteria
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Inclusion Criteria
* Elevated cholesterol (Tchol\>200 mg/dL or LDL\>130 mg/dL; as measured at screening) irrespective of current treatment
* Current smoking: defined as any cigarette smoking in the past 12 months
* Low HDL cholesterol (HDL\<40 mg/dL; as measured at screening)
* Elevated blood pressure (SBP\>140 mmHg; as measured at screening)
* Currently on any medication to treat high blood pressure
* Positive family history of early CHD (a first-degree relative \[father, mother, brother, sister, son, daughter\] suffered a heart attack \[myocardial infarction\] before the age of 60 years)
* Females aged 60 and above with 3 or more risk factors. Female Risk Factors:
* Elevated cholesterol (Tchol\>240 mg/dL or LDL\>160 mg/dL; as measured at screening) irrespective of current treatment
* Current smoking: defined as any cigarette smoking in the past 12 months
* Low HDL cholesterol (HDL\<40 mg/dL; as measured at screening)
* Elevated blood pressure (SBP\>140 mmHg; as measured at screening)
* Currently on any medication to treat high blood pressure
* Positive family history of early CHD (a first-degree relative \[father, mother, brother, sister, son, daughter\] suffered a heart attack \[myocardial infarction\] before the age of 60 years)
* An understanding and willingness to comply with trial procedures and has given written informed consent to participate in the trial
Exclusion Criteria
* Patients who are at higher than moderate risk on the basis of their diabetes status, other factors known to the investigator, or the currently used national risk score
* Known contraindications to the study drug, e.g. hypersensitivity to acetylsalicylic acid
* Recent (in the past year) history of gastrointestinal or genitourinary bleeding or other bleeding disorders
* Active diagnosed and documented reflux esophagitis
* Patients presenting with any medical condition, or psychiatric or substance abuse disorder, that, in the opinion of the investigator, is likely to affect the patient's ability to complete the study or precludes the patient's participation in the study
* Lactating women or women of childbearing potential
* Severe liver disease or damage based on the clinical judgment of the investigator
* Severe renal disease or damage based on the clinical judgement of the investigator
* A definite indication for acetylsalicylic acid therapy, other antiplatelet drug, or anticoagulant in the opinion of the physician
* A history of asthma induced by administration of salicylates or substances with a similar action, notably NSAIDS
* Chronic, frequent (\> 5 days/month) use of NSAIDs (including aspirin, or aspirin containing products), COX-2 inhibitors or metamizole
* Current participation in any other trials involving investigational products within 30 days prior to the Screening Visit
* Current use of an anticoagulant medication
* Sitting systolic blood pressure greater than 170 mmHg
55 Years
ALL
No
Sponsors
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Bayer
INDUSTRY
Responsible Party
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Principal Investigators
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Bayer Study Director
Role: STUDY_DIRECTOR
Bayer
Locations
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Birmingham, Alabama, United States
Graysville, Alabama, United States
Pell City, Alabama, United States
Phoenix, Arizona, United States
Scottsdale, Arizona, United States
Tucson, Arizona, United States
Hot Springs, Arkansas, United States
Fremont, California, United States
Huntington Park, California, United States
Los Angeles, California, United States
Rancho Cucamonga, California, United States
Rolling Hills Estates, California, United States
Helping Hands Clinical Trials
Santa Ana, California, United States
Newark, Delaware, United States
Medical Research Trust
Boynton Beach, Florida, United States
Gainesville, Florida, United States
Hialeah, Florida, United States
Medical Research Centers of South Florida, Inc.
Hollywood, Florida, United States
Office of Dr.Larry Levinson, DO
Hollywood, Florida, United States
Kissimmee, Florida, United States
Largo, Florida, United States
Marianna, Florida, United States
Panama City, Florida, United States
Tallahassee Memorial Family
Quincy, Florida, United States
Tampa, Florida, United States
Atlanta, Georgia, United States
Chicago, Illinois, United States
Chicago, Illinois, United States
Lockport, Illinois, United States
Vernon Hills, Illinois, United States
Evansville, Indiana, United States
Fort Wayne, Indiana, United States
Lebanon, Kentucky, United States
Prince Frederick, Maryland, United States
Bridgman, Michigan, United States
Cadillac, Michigan, United States
Interlochen, Michigan, United States
Troy, Michigan, United States
Port Gibson, Mississippi, United States
Florissant, Missouri, United States
Broken Bow, Nebraska, United States
Omaha, Nebraska, United States
Omaha, Nebraska, United States
Belvidere, New Jersey, United States
Cherry Hill, New Jersey, United States
Clifton, New Jersey, United States
Hainesport, New Jersey, United States
Jersey City, New Jersey, United States
Lawrenceville, New Jersey, United States
Linden, New Jersey, United States
PharmaTrials, Inc.
Perth Amboy, New Jersey, United States
Stratford, New Jersey, United States
Burlington, North Carolina, United States
Columbus, North Carolina, United States
Greensboro, North Carolina, United States
Raleigh, North Carolina, United States
Carlisle, Ohio, United States
Marion, Ohio, United States
Montgomery, Ohio, United States
Perrysburg, Ohio, United States
Doylestown, Pennsylvania, United States
Duncansville, Pennsylvania, United States
Sellersville, Pennsylvania, United States
Taylors, South Carolina, United States
Daingerfield, Texas, United States
McKinney, Texas, United States
Rockwall, Texas, United States
San Antonio, Texas, United States
San Marcos, Texas, United States
Stephenville, Texas, United States
Sugar Land, Texas, United States
Honaker, Virginia, United States
Merit Medical Group, Inc.
Richlands, Virginia, United States
Benningen am Neckar, Baden-Wurttemberg, Germany
Deggingen, Baden-Wurttemberg, Germany
Dossenheim, Baden-Wurttemberg, Germany
Ettlingen, Baden-Wurttemberg, Germany
Graben-Neudorf, Baden-Wurttemberg, Germany
Heilbronn, Baden-Wurttemberg, Germany
Hockenheim, Baden-Wurttemberg, Germany
Ludwigsburg, Baden-Wurttemberg, Germany
Schwetzingen, Baden-Wurttemberg, Germany
Sinzheim, Baden-Wurttemberg, Germany
Stockach, Baden-Wurttemberg, Germany
Stuttgart, Baden-Wurttemberg, Germany
Trossingen, Baden-Wurttemberg, Germany
Weinheim, Baden-Wurttemberg, Germany
Arzberg, Bavaria, Germany
Bergrheinfeld, Bavaria, Germany
Dinkelsbühl, Bavaria, Germany
Gars, Bavaria, Germany
Hohenau, Bavaria, Germany
Künzing, Bavaria, Germany
München, Bavaria, Germany
Oberaurach, Bavaria, Germany
Sand Am Main, Bavaria, Germany
Schrobenhausen, Bavaria, Germany
Spalt, Bavaria, Germany
Straßkirchen, Bavaria, Germany
Sulzbach-Rosenberg, Bavaria, Germany
Ursensollen, Bavaria, Germany
Cottbus, Brandenburg, Germany
Elsterwerda, Brandenburg, Germany
Gransee, Brandenburg, Germany
Ketzin, Brandenburg, Germany
Potsdam, Brandenburg, Germany
Frankfurt am Main, Hesse, Germany
Frankfurt am Main, Hesse, Germany
Hanau, Hesse, Germany
Kelkheim, Hesse, Germany
Rotenburg an der Fulda, Hesse, Germany
Wetter, Hesse, Germany
Aurich, Lower Saxony, Germany
Bockenem, Lower Saxony, Germany
Braunschweig, Lower Saxony, Germany
Horneburg, Lower Saxony, Germany
Jühnde, Lower Saxony, Germany
Loxstedt, Lower Saxony, Germany
Nienburg, Lower Saxony, Germany
Northeim, Lower Saxony, Germany
Papenburg, Lower Saxony, Germany
Stuhr, Lower Saxony, Germany
Wardenburg, Lower Saxony, Germany
Weyhe, Lower Saxony, Germany
Winsen, Lower Saxony, Germany
Aachen, North Rhine-Westphalia, Germany
Aachen, North Rhine-Westphalia, Germany
Arnsberg, North Rhine-Westphalia, Germany
Bad Lippspringe, North Rhine-Westphalia, Germany
Bad Salzuflen, North Rhine-Westphalia, Germany
Bad Salzuflen, North Rhine-Westphalia, Germany
Bad Sassendorf, North Rhine-Westphalia, Germany
Bergkamen, North Rhine-Westphalia, Germany
Bochum, North Rhine-Westphalia, Germany
Cologne, North Rhine-Westphalia, Germany
Dortmund, North Rhine-Westphalia, Germany
Dortmund, North Rhine-Westphalia, Germany
Dortmund, North Rhine-Westphalia, Germany
Duisburg, North Rhine-Westphalia, Germany
Essen, North Rhine-Westphalia, Germany
Essen, North Rhine-Westphalia, Germany
Essen, North Rhine-Westphalia, Germany
Essen, North Rhine-Westphalia, Germany
Essen, North Rhine-Westphalia, Germany
Freudenberg, North Rhine-Westphalia, Germany
Greven, North Rhine-Westphalia, Germany
Hamm, North Rhine-Westphalia, Germany
Hünxe, North Rhine-Westphalia, Germany
Kamp-Lintfort, North Rhine-Westphalia, Germany
Krefeld, North Rhine-Westphalia, Germany
Langenfeld, North Rhine-Westphalia, Germany
Lienen, North Rhine-Westphalia, Germany
Lippetal, North Rhine-Westphalia, Germany
Löhne, North Rhine-Westphalia, Germany
Marl, North Rhine-Westphalia, Germany
Münster, North Rhine-Westphalia, Germany
Netphen, North Rhine-Westphalia, Germany
Porta Westfalica, North Rhine-Westphalia, Germany
Remscheid, North Rhine-Westphalia, Germany
Siegen, North Rhine-Westphalia, Germany
Viersen, North Rhine-Westphalia, Germany
Welver, North Rhine-Westphalia, Germany
Wetter, North Rhine-Westphalia, Germany
Witten, North Rhine-Westphalia, Germany
Kallstadt, Rhineland-Palatinate, Germany
Ludwigshafen am Rhein, Rhineland-Palatinate, Germany
Mainz, Rhineland-Palatinate, Germany
Mainz, Rhineland-Palatinate, Germany
Nassau, Rhineland-Palatinate, Germany
Rhaunen, Rhineland-Palatinate, Germany
Speyer, Rhineland-Palatinate, Germany
Beucha, Saxony, Germany
Borna, Saxony, Germany
Delitzsch, Saxony, Germany
Dresden, Saxony, Germany
Dresden, Saxony, Germany
Dresden, Saxony, Germany
Leipzig, Saxony, Germany
Leipzig, Saxony, Germany
Markkleeberg, Saxony, Germany
Meissen, Saxony, Germany
Oberwiesenthal, Saxony, Germany
Riesa, Saxony, Germany
Wermsdorf, Saxony, Germany
Bitterfeld-Wolfen, Saxony-Anhalt, Germany
Halle, Saxony-Anhalt, Germany
Magdeburg, Saxony-Anhalt, Germany
Bad Bramstedt, Schleswig-Holstein, Germany
Reinfeld, Schleswig-Holstein, Germany
Apolda, Thuringia, Germany
Blankenhain, Thuringia, Germany
Grimma, Thuringia, Germany
Berlin, , Germany
Berlin, , Germany
Berlin, , Germany
Berlin, , Germany
Berlin, , Germany
Berlin, , Germany
Berlin, , Germany
Berlin, , Germany
Daaden, , Germany
Hamburg, , Germany
Hamburg, , Germany
Hamburg, , Germany
Hamburg, , Germany
Hamburg, , Germany
Rehburg-Loccum, , Germany
Riede, , Germany
Thedinghausen, , Germany
Bishopstown, Cork, Ireland
Kilmallock, Limerick, Ireland
Rathkeale, Limerick, Ireland
Tallow, Waterford, Ireland
Enniscorthy, Wexford, Ireland
Gorey, Wexford, Ireland
Bray, Wicklow, Ireland
Cork, , Ireland
Dublin, , Ireland
Chieti, Abruzzo, Italy
Foggia, Apulia, Italy
Amandola, Ascoli Piceno, Italy
Napoli, Campania, Italy
Reggio Emilia, Emilia-Romagna, Italy
Chiavari, Genova, Italy
Rome, Lazio, Italy
Rome, Lazio, Italy
Como, Lombardy, Italy
Varese, Lombardy, Italy
Legnano, Milano, Italy
Novara, Piedmont, Italy
Turin, Piedmont, Italy
Catania, Sicily, Italy
Chieri, Torino, Italy
Moncalieri, Torino, Italy
Grosseto, Tuscany, Italy
Asti, , Italy
Bergamo, , Italy
Reggio Emilia, , Italy
Bialystok, , Poland
Bydgoszcz, , Poland
Bydgoszcz, , Poland
Chrzanów, , Poland
Czechowice-Dziedzice, , Poland
Elblag, , Poland
Gdansk, , Poland
Gdansk, , Poland
Gdansk, , Poland
Gdynia, , Poland
Gliwice, , Poland
Grodzisk Mazowiecki, , Poland
Katowice, , Poland
Katowice, , Poland
Krakow, , Poland
Krakow, , Poland
Krakow, , Poland
Krakow, , Poland
Krakow, , Poland
Krakow, , Poland
Kutno, , Poland
Linia, , Poland
Lodz, , Poland
Lublin, , Poland
Lublin, , Poland
Lublin, , Poland
Malbork, , Poland
Małaszewicze, , Poland
Nakło nad Notecią, , Poland
Olkusz, , Poland
Ostrów Wielkopolski, , Poland
Poznan, , Poland
Przeworsk, , Poland
Radom, , Poland
Skierniewice, , Poland
Skierniewice, , Poland
Sobótka, , Poland
Sopot, , Poland
Szczyrk, , Poland
Warsaw, , Poland
Warsaw, , Poland
Warsaw, , Poland
Wąbrzeźno, , Poland
Wejherowo, , Poland
Wola, , Poland
Wroclaw, , Poland
Wroclaw, , Poland
Włocławek, , Poland
Zabrze, , Poland
Łańcut, , Poland
Guaynabo, , Puerto Rico
Manatí, , Puerto Rico
Orocovis, , Puerto Rico
San Juan, , Puerto Rico
Trujilo Alto, , Puerto Rico
Sobrado Dos Monxes, A Coruña, Spain
La Roda, Albacete, Spain
Benidorm, Alicante, Spain
Elche, Alicante, Spain
Petrel, Alicante, Spain
Xixona, Alicante, Spain
Vic (Barcelona), Catalonia, Spain
Begonte, Lugo, Spain
Viveiro, Lugo, Spain
Espinardo, Murcia, Spain
Ourense, Ourense, Spain
Oviedo, Principality of Asturias, Spain
Oviedo, Principality of Asturias, Spain
Posada de Llanes, Principality of Asturias, Spain
Gümar, Santa Cruz De Tenerife, Spain
La Victoria, Santa Cruz De Tenerife, Spain
Alcover, Tarragona, Spain
Albacete, , Spain
Alicante, , Spain
Badajoz, , Spain
Barcelona, , Spain
Barcelona, , Spain
Barcelona, , Spain
Huelva, , Spain
León, , Spain
León, , Spain
Lugo, , Spain
Madrid, , Spain
Madrid, , Spain
Madrid, , Spain
Murcia, , Spain
Murcia, , Spain
Murcia, , Spain
Salamanca, , Spain
Santander, , Spain
Valladolid, , Spain
Ballymena, Antrim, United Kingdom
Ballymena, Antrim, United Kingdom
Crumlin, Antrim, United Kingdom
Newtonabbey, Antrim, United Kingdom
Craigavon, Armagh, United Kingdom
Bath, Avon, United Kingdom
Bath, Avon, United Kingdom
Radstock, Avon, United Kingdom
Irvine, Ayrshire, United Kingdom
Luton, Bedfordshire, United Kingdom
Slough, Berkshire, United Kingdom
Ely, Cambridgeshire, United Kingdom
Ely, Cambridgeshire, United Kingdom
Peterborough, Cambridgeshire, United Kingdom
Peterborough, Cambridgeshire, United Kingdom
Sandbach, Cheshire, United Kingdom
Boscastle, Cornwall, United Kingdom
Fowey, Cornwall, United Kingdom
Penzance, Cornwall, United Kingdom
Penzance, Cornwall, United Kingdom
Penzance, Cornwall, United Kingdom
Saltash, Cornwall, United Kingdom
St Austell, Cornwall, United Kingdom
Chesterfield, Derbyshire, United Kingdom
Dronfield, Derbyshire, United Kingdom
Plymouth, Devon, United Kingdom
Carryduff, Down, United Kingdom
Annan, Dumfries And Galloway, United Kingdom
Bishop Auckland, Durham, United Kingdom
Darlington, Durham, United Kingdom
Darlington, Durham, United Kingdom
Darlington, Durham, United Kingdom
Leigh-on-Sea, Essex, United Kingdom
Tiptree, Essex, United Kingdom
High Valleyfield, Fife, United Kingdom
Glasgow, Glasgow City, United Kingdom
Bangor, Gwynedd, United Kingdom
Hitchin, Hertfordshire, United Kingdom
Letchworth Garden City, Hertfordshire, United Kingdom
Letchworth Garden City, Hertfordshire, United Kingdom
Canterbury, Kent, United Kingdom
Chestfield, Kent, United Kingdom
Whitstable, Kent, United Kingdom
Carstairs, Lanarkshire, United Kingdom
Coatbridge, Lanarkshire, United Kingdom
Forth, Lanarkshire, United Kingdom
Blackpool, Lancashire, United Kingdom
Blackpool, Lancashire, United Kingdom
Bolton, Lancashire, United Kingdom
Bolton, Lancashire, United Kingdom
Hinckley, Leicestershire, United Kingdom
Wells-next-the-Sea, Norfolk, United Kingdom
Wymondham, Norfolk, United Kingdom
Antrim, North Ireland, United Kingdom
Antrim, North Ireland, United Kingdom
Antrim, North Ireland, United Kingdom
Tyrone, North Ireland, United Kingdom
Wellingborough, Northamptonshire, United Kingdom
Chipping Norton, Oxfordshire, United Kingdom
Eccles, Sheffield, United Kingdom
Bath, Somerset, United Kingdom
Barry, SOuth Glamorgan, United Kingdom
Doncaster, South Yorkshire, United Kingdom
Sheffield, South Yorkshire, United Kingdom
Chapelhall, Stratchclyde, United Kingdom
Glasgow, Stratchclyde, United Kingdom
Hamilton, Stratchclyde, United Kingdom
Johnstone, Stratchclyde, United Kingdom
Motherwell, Stratchclyde, United Kingdom
Bury Saint Edmonds, Suffolk, United Kingdom
Bury St Edmunds, Suffolk, United Kingdom
Bury St Edmunds, Suffolk, United Kingdom
Hadleigh, Suffolk, United Kingdom
Stowmarket, Suffolk, United Kingdom
Addlestone, Surrey, United Kingdom
East Horsley, Surrey, United Kingdom
Worcester Park, Surrey, United Kingdom
Newcastle upon Tyne, Tyne and Wear, United Kingdom
Coventry, Warwickshire, United Kingdom
Coventry, Warwickshire, United Kingdom
Rugby, Warwickshire, United Kingdom
Coventry, West Midlands, United Kingdom
Brighton, West Sussex, United Kingdom
Crawley, West Sussex, United Kingdom
Crawley, West Sussex, United Kingdom
Leeds, West Yorkshire, United Kingdom
Leeds, West Yorkshire, United Kingdom
Leeds, West Yorkshire, United Kingdom
Leeds, West Yorkshire, United Kingdom
Leeds, West Yorkshire, United Kingdom
Leeds, West Yorkshire, United Kingdom
Leeds, West Yorkshire, United Kingdom
Leeds, West Yorkshire, United Kingdom
Bradford-on-Avon, Wiltshire, United Kingdom
Chippenham, Wiltshire, United Kingdom
Chippenham, Wiltshire, United Kingdom
Corsham, Wiltshire, United Kingdom
Trowbridge, Wiltshire, United Kingdom
Westbury, Wiltshire, United Kingdom
Aberdeen, , United Kingdom
Airedire, , United Kingdom
Antrim, , United Kingdom
Bath, , United Kingdom
Bath, , United Kingdom
Belfast, , United Kingdom
Belfast, , United Kingdom
Belfast, , United Kingdom
Belfast, , United Kingdom
Belfast, , United Kingdom
Belfast, , United Kingdom
Belfast, , United Kingdom
Belfast, , United Kingdom
Bellshill, , United Kingdom
Blantyre, , United Kingdom
Cardiff, , United Kingdom
Coatrbridge, , United Kingdom
Crossgar, , United Kingdom
Doncaster, , United Kingdom
Dundee, , United Kingdom
Glasgow, , United Kingdom
Glasgow, , United Kingdom
Glasgow, , United Kingdom
Glasgow, , United Kingdom
Hamilton, , United Kingdom
Hamilton, , United Kingdom
Inverness, , United Kingdom
Ipswich, , United Kingdom
Lockerbie, , United Kingdom
London, , United Kingdom
Manchester, , United Kingdom
New Stevenson, , United Kingdom
Paisley, , United Kingdom
Peterborough, , United Kingdom
Thornhill, , United Kingdom
Watford, , United Kingdom
Wishaw, , United Kingdom
Witley Bay, , United Kingdom
Countries
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References
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Gaziano JM, Brotons C, Coppolecchia R, Cricelli C, Darius H, Gorelick PB, Howard G, Pearson TA, Rothwell PM, Ruilope LM, Tendera M, Tognoni G; ARRIVE Executive Committee. Use of aspirin to reduce risk of initial vascular events in patients at moderate risk of cardiovascular disease (ARRIVE): a randomised, double-blind, placebo-controlled trial. Lancet. 2018 Sep 22;392(10152):1036-1046. doi: 10.1016/S0140-6736(18)31924-X. Epub 2018 Aug 26.
Related Links
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Click here to find information about studies related to Bayer Healthcare products conducted in Europe
Other Identifiers
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2006-003622-29
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
12198
Identifier Type: -
Identifier Source: org_study_id
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