Trial Outcomes & Findings for Modulation of Immune Activation by Aspirin (NCT NCT02155985)

NCT ID: NCT02155985

Last Updated: 2017-06-12

Results Overview

Baseline is defined as the average of the Pre-Entry and Entry values. Week 11/12 is defined as the average of the Week 11 and Week 12 values. All values were log10 transformed prior to calculating change and conducting analyses. Values obtained within 6 days after the influenza vaccination were excluded. Absolute change was calculated as the value at week 11/12 minus the value at baseline. Mean changes were exponentiated to be back on the untransformed scale and corresponds to a mean fold change. Differences between arms are expressed as the percent difference between mean fold changes.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

121 participants

Primary outcome timeframe

Pre-entry and entry to weeks 11 and 12

Results posted on

2017-06-12

Participant Flow

The first participant enrolled on August 18, 2014. The last participant enrolled on March 6, 2015.

Participants were randomized to the three study arms using a 1:1:1 allocation ratio with permuted blocks of size 6 and without institutional balancing. There was no stratification.

Participant milestones

Participant milestones
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Overall Study
STARTED
40
41
40
Overall Study
COMPLETED
39
41
39
Overall Study
NOT COMPLETED
1
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Overall Study
Withdrawal by Subject
0
0
1
Overall Study
Lost to Follow-up
1
0
0

Baseline Characteristics

Modulation of Immune Activation by Aspirin

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=40 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=41 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=40 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Total
n=121 Participants
Total of all reporting groups
Age, Continuous
48 years
n=5 Participants
50 years
n=7 Participants
49 years
n=5 Participants
49 years
n=4 Participants
Age, Customized
20 - 29 years
5 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
7 participants
n=4 Participants
Age, Customized
30 - 39 years
7 participants
n=5 Participants
5 participants
n=7 Participants
7 participants
n=5 Participants
19 participants
n=4 Participants
Age, Customized
40 - 49 years
10 participants
n=5 Participants
12 participants
n=7 Participants
13 participants
n=5 Participants
35 participants
n=4 Participants
Age, Customized
50 - 59 years
15 participants
n=5 Participants
18 participants
n=7 Participants
13 participants
n=5 Participants
46 participants
n=4 Participants
Age, Customized
60 - 69 years
3 participants
n=5 Participants
4 participants
n=7 Participants
5 participants
n=5 Participants
12 participants
n=4 Participants
Age, Customized
70 - 79 years
0 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
2 participants
n=4 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
10 Participants
n=7 Participants
5 Participants
n=5 Participants
23 Participants
n=4 Participants
Sex: Female, Male
Male
32 Participants
n=5 Participants
31 Participants
n=7 Participants
35 Participants
n=5 Participants
98 Participants
n=4 Participants
Race/Ethnicity, Customized
White Non-Hispanic
21 participants
n=5 Participants
18 participants
n=7 Participants
21 participants
n=5 Participants
60 participants
n=4 Participants
Race/Ethnicity, Customized
Black Non-Hispanic
11 participants
n=5 Participants
19 participants
n=7 Participants
11 participants
n=5 Participants
41 participants
n=4 Participants
Race/Ethnicity, Customized
Hispanic (Regardless of Race)
7 participants
n=5 Participants
4 participants
n=7 Participants
8 participants
n=5 Participants
19 participants
n=4 Participants
Race/Ethnicity, Customized
Asian, Pacific Islander
1 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
Region of Enrollment
United States
40 participants
n=5 Participants
41 participants
n=7 Participants
40 participants
n=5 Participants
121 participants
n=4 Participants
Smoking Status
Never
19 participants
n=5 Participants
25 participants
n=7 Participants
26 participants
n=5 Participants
70 participants
n=4 Participants
Smoking Status
Previously
11 participants
n=5 Participants
7 participants
n=7 Participants
6 participants
n=5 Participants
24 participants
n=4 Participants
Smoking Status
Currently
10 participants
n=5 Participants
9 participants
n=7 Participants
8 participants
n=5 Participants
27 participants
n=4 Participants
Statin Use
Off Statins
33 participants
n=5 Participants
35 participants
n=7 Participants
34 participants
n=5 Participants
102 participants
n=4 Participants
Statin Use
Pravastatin
3 participants
n=5 Participants
0 participants
n=7 Participants
3 participants
n=5 Participants
6 participants
n=4 Participants
Statin Use
Atorvastatin
3 participants
n=5 Participants
5 participants
n=7 Participants
3 participants
n=5 Participants
11 participants
n=4 Participants
Statin Use
Rosuvastatin
1 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
2 participants
n=4 Participants
BMI, Continuous
25.9 kg/m^2
n=5 Participants
25.8 kg/m^2
n=7 Participants
27.3 kg/m^2
n=5 Participants
26.0 kg/m^2
n=4 Participants
CD4 Count, Continuous
573 cells/mm^3
n=5 Participants
629 cells/mm^3
n=7 Participants
642 cells/mm^3
n=5 Participants
599 cells/mm^3
n=4 Participants
HIV-1 RNA, Categorical
<40 copies/mL
40 participants
n=5 Participants
38 participants
n=7 Participants
40 participants
n=5 Participants
118 participants
n=4 Participants
HIV-1 RNA, Categorical
41 copies/mL
0 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
HIV-1 RNA, Categorical
45 copies/mL
0 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
HIV-1 RNA, Categorical
162 copies/mL
0 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
Platelets, Continuous
222.5 10^9/L
n=5 Participants
229 10^9/L
n=7 Participants
224.5 10^9/L
n=5 Participants
226 10^9/L
n=4 Participants
Hemoglobin, Continuous
14.2 g/dL
n=5 Participants
14.1 g/dL
n=7 Participants
14.2 g/dL
n=5 Participants
14.2 g/dL
n=4 Participants

PRIMARY outcome

Timeframe: Pre-entry and entry to weeks 11 and 12

Population: Analysis used the per-protocol population. Participants 1) without baseline AND week 11/12 sCD14 values, or 2) with premature discontinuation of study treatment, or 3) with a serious bacterial infection while on treatment, or 4) with \<70% self-reported adherence (based on all available days of recall) to study treatment were excluded.

Baseline is defined as the average of the Pre-Entry and Entry values. Week 11/12 is defined as the average of the Week 11 and Week 12 values. All values were log10 transformed prior to calculating change and conducting analyses. Values obtained within 6 days after the influenza vaccination were excluded. Absolute change was calculated as the value at week 11/12 minus the value at baseline. Mean changes were exponentiated to be back on the untransformed scale and corresponds to a mean fold change. Differences between arms are expressed as the percent difference between mean fold changes.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=38 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=38 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=36 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Change in sCD14 From Baseline to Week 11/12
0.99 fold change
Interval 0.94 to 1.04
1.03 fold change
Interval 0.98 to 1.08
0.97 fold change
Interval 0.93 to 1.02

SECONDARY outcome

Timeframe: After study entry to Week 16

Population: All randomized participants.

Safety was summarized as the highest grade sign/symptom, laboratory event, or diagnosis per participant. Grading (Grade 0: normal, Grade 1: mild, Grade 2: moderate, Grade 3: severe, Grade 4: life-threatening) was done by site clinicians using DAIDS AE Grading table.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=40 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=41 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=40 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Safety
Grade 3
0 Participants
1 Participants
2 Participants
Safety
Grade 0
37 Participants
37 Participants
33 Participants
Safety
Grade 1
1 Participants
1 Participants
1 Participants
Safety
Grade 2
2 Participants
2 Participants
4 Participants

SECONDARY outcome

Timeframe: Treatment dispensation to Week 12

Population: All randomized participants.

Tolerability was summarized as the number of participants successfully completing the protocol-defined treatment period.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=40 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=41 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=40 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Tolerability
38 Participants
40 Participants
38 Participants

SECONDARY outcome

Timeframe: Pre-entry and entry to weeks 11 and 12

Population: Analysis used the per-protocol population as in the primary analyses.

Baseline is defined as the average of the Pre-Entry and Entry values. Week 11/12 is defined as the average of the Week 11 and Week 12 values. All values were log10 transformed prior to calculating change and conducting analyses. Values obtained within 6 days after the influenza vaccination were excluded. Absolute change was calculated as the value at week 11/12 minus the value at baseline. Mean changes were exponentiated to be back on the untransformed scale and corresponds to a mean fold change.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=38 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=38 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=36 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Change in sCD163 From Baseline to Week 11/12
1.12 fold change
Interval 1.03 to 1.23
1.03 fold change
Interval 0.94 to 1.13
0.98 fold change
Interval 0.89 to 1.07

SECONDARY outcome

Timeframe: Entry to Week 12

Population: Analysis used the per-protocol population as in the primary analyses.

Absolute change was calculated as the value at week 12 minus the value at entry.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=35 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=35 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=33 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Change in Expression of CD14dimCD16+ From Entry to Week 12
0.13 percentage of CD14dimCD16+
Interval -0.88 to 1.14
0.27 percentage of CD14dimCD16+
Interval -0.74 to 1.28
0.15 percentage of CD14dimCD16+
Interval -0.86 to 1.16

SECONDARY outcome

Timeframe: Entry to Week 12

Population: Analysis used the per-protocol population as in the primary analyses.

Absolute change was calculated as the value at week 12 minus the value at entry.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=35 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=35 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=33 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Change in Expression of CD69+ on CD14dimCD16+ From Entry to Week 12
-0.12 percent of CD14dimCD16+ expressing CD69+
Interval -4.52 to 4.29
-2.22 percent of CD14dimCD16+ expressing CD69+
Interval -6.62 to 2.19
1.82 percent of CD14dimCD16+ expressing CD69+
Interval -2.58 to 6.23

SECONDARY outcome

Timeframe: Entry to Week 12

Population: Analysis used the per-protocol population as in the primary analyses.

Absolute change was calculated as the value at week 12 minus the value at entry.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=35 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=35 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=33 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Change in Expression of CD14+CD16- From Entry to Week 12
7.71 percentage of CD14+CD16-
Interval 1.52 to 13.89
-0.48 percentage of CD14+CD16-
Interval -6.66 to 5.71
2.62 percentage of CD14+CD16-
Interval -3.56 to 8.81

SECONDARY outcome

Timeframe: Entry to Week 12

Population: Analysis used the per-protocol population as in the primary analyses.

Absolute change was calculated as the value at week 12 minus the value at entry.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=35 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=35 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=33 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Change in Expression of CD69+ on CD14+CD16- From Entry to Week 12
4.16 percent of CD14+CD16- expressing CD69+
Interval -2.18 to 10.49
-0.27 percent of CD14+CD16- expressing CD69+
Interval -6.6 to 6.07
3.33 percent of CD14+CD16- expressing CD69+
Interval -3.01 to 9.66

SECONDARY outcome

Timeframe: Entry to Week 12

Population: Analysis used the per-protocol population as in the primary analyses.

Absolute change was calculated as the value at week 12 minus the value at entry.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=35 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=35 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=33 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Change in Expression of CD14+CD16+ From Entry to Week 12
-7.86 percentage of CD14+CD16+
Interval -14.24 to -1.47
0.19 percentage of CD14+CD16+
Interval -6.19 to 6.58
-2.88 percentage of CD14+CD16+
Interval -9.26 to 3.51

SECONDARY outcome

Timeframe: Entry to Week 12

Population: Analysis used the per-protocol population as in the primary analyses.

Absolute change was calculated as the value at week 12 minus the value at entry.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=35 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=35 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=33 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Change in Expression of CD69+ on CD14+CD16+ From Entry to Week 12
1.07 percent of CD14+CD16+ expressing CD69+
Interval -5.29 to 7.43
-3.48 percent of CD14+CD16+ expressing CD69+
Interval -9.83 to 2.88
2.12 percent of CD14+CD16+ expressing CD69+
Interval -4.24 to 8.48

SECONDARY outcome

Timeframe: Entry to Week 12

Population: Analysis used the per-protocol population as in the primary analyses.

Absolute change was calculated as the value at week 12 minus the value at entry.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=35 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=35 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=33 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Change in Expression of CD38+HLA-DR+ on CD4+ From Entry to Week 12
-1.46 percent of CD4+ expressing CD38+HLA-DR+
Interval -2.98 to 0.05
-0.94 percent of CD4+ expressing CD38+HLA-DR+
Interval -2.45 to 0.58
-0.03 percent of CD4+ expressing CD38+HLA-DR+
Interval -1.56 to 1.51

SECONDARY outcome

Timeframe: Entry to Week 12

Population: Analysis used the per-protocol population as in the primary analyses.

Absolute change was calculated as the value at week 12 minus the value at entry.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=35 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=35 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=33 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Change in Expression of CD38+HLA-DR+ on CD8+ From Entry to Week 12
-1.16 percent of CD8+ expressing CD38+HLA-DR+
Interval -2.85 to 0.54
-1.47 percent of CD8+ expressing CD38+HLA-DR+
Interval -3.17 to 0.23
-0.48 percent of CD8+ expressing CD38+HLA-DR+
Interval -2.21 to 1.24

SECONDARY outcome

Timeframe: Entry to Week 12

Population: Analysis used the per-protocol population as in the primary analyses.

Absolute change was calculated as the value at week 12 minus the value at entry.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=35 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=35 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=33 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Change in Expression of PD-1+ on CD4+ From Entry to Week 12
-0.46 percentage of CD4+ expressing PD-1+
Interval -1.81 to 0.88
-0.19 percentage of CD4+ expressing PD-1+
Interval -1.53 to 1.16
-0.75 percentage of CD4+ expressing PD-1+
Interval -2.11 to 0.62

SECONDARY outcome

Timeframe: Entry to Week 12

Population: Analysis used the per-protocol population as in the primary analyses.

Absolute change was calculated as the value at week 12 minus the value at entry.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=35 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=35 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=33 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Change in Expression of PD-1+ on CD8+ From Entry to Week 12
-0.18 percentage of CD8+ expressing PD-1+
Interval -1.54 to 1.18
-0.07 percentage of CD8+ expressing PD-1+
Interval -1.44 to 1.29
-0.74 percentage of CD8+ expressing PD-1+
Interval -2.13 to 0.64

SECONDARY outcome

Timeframe: Pre-entry and entry to weeks 11 and 12

Population: Analysis used the per-protocol population as in the primary analyses.

Baseline is defined as the average of the Pre-Entry and Entry values. Week 11/12 is defined as the average of the Week 11 and Week 12 values. All values were log10 transformed prior to calculating change and conducting analyses. Values obtained within 6 days after the influenza vaccination were excluded. Absolute change was calculated as the value at week 11/12 minus the value at baseline. Mean changes were exponentiated to be back on the untransformed scale and corresponds to a mean fold change.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=38 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=38 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=36 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Change in IL-6 From Baseline to Week 11/12
1.03 fold change
Interval 0.87 to 1.21
1.13 fold change
Interval 0.96 to 1.33
0.92 fold change
Interval 0.78 to 1.09

SECONDARY outcome

Timeframe: Pre-entry and entry to weeks 11 and 12

Population: Analysis used the per-protocol population as in the primary analyses.

Baseline is defined as the average of the Pre-Entry and Entry values. Week 11/12 is defined as the average of the Week 11 and Week 12 values. All values were log10 transformed prior to calculating change and conducting analyses. Values obtained within 6 days after the influenza vaccination were excluded. Absolute change was calculated as the value at week 11/12 minus the value at baseline. Mean changes were exponentiated to be back on the untransformed scale and corresponds to a mean fold change.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=38 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=38 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=35 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Change in D-dimer From Baseline to Week 11/12
1.08 fold change
Interval 0.97 to 1.19
0.99 fold change
Interval 0.89 to 1.1
1.02 fold change
Interval 0.91 to 1.13

SECONDARY outcome

Timeframe: Entry to Week 12

Population: Analysis used the per-protocol population as in the primary analyses.

Absolute change was calculated as the value at week 12 minus the value at entry.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=38 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=37 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=35 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Change in Kynurenine to Tryptophan Ratio From Entry to Week 12
0.45 1000 ng/ml kynurenine : ng/ml tryptophan
Interval -1.78 to 2.69
-2.60 1000 ng/ml kynurenine : ng/ml tryptophan
Interval -4.9 to -0.3
-1.26 1000 ng/ml kynurenine : ng/ml tryptophan
Interval -3.59 to 1.07

SECONDARY outcome

Timeframe: Entry to Week 12

Population: Analysis used the per-protocol population as in the primary analyses.

Absolute change was calculated as the value at week 12 minus the value at entry.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=38 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=36 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=33 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Change in Serum Thromboxane B2 From Entry to Week 12
0.28 fold change
Interval 0.2 to 0.38
0.20 fold change
Interval 0.15 to 0.28
1.21 fold change
Interval 0.86 to 1.69

SECONDARY outcome

Timeframe: Entry to Week 12

Population: Analysis used the per-protocol population as in the primary analyses.

Absolute change was calculated as the value at week 12 minus the value at entry.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=38 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=37 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=33 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Change in Urine Thromboxane Per Creatinine From Entry to Week 12
0.25 fold change
Interval 0.19 to 0.32
0.23 fold change
Interval 0.18 to 0.3
0.96 fold change
Interval 0.71 to 1.3

SECONDARY outcome

Timeframe: Entry to Week 12

Population: Analysis used the per-protocol population as in the primary analyses.

Absolute change was calculated as the value at week 12 minus the value at entry.

Outcome measures

Outcome measures
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=34 Participants
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=33 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=32 Participants
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Change in Brachial Artery Flow-mediated Dilation (FMD) From Entry to Week 12
-0.32 percentage of brachial artery diameter
Interval -1.17 to 0.54
-0.98 percentage of brachial artery diameter
Interval -1.85 to -0.11
-0.20 percentage of brachial artery diameter
Interval -1.08 to 0.69

Adverse Events

Aspirin 300 mg + Aspirin 100 mg Placebo

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

Aspirin 100 mg + Aspirin 300 mg Placebo

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

Aspirin 300 mg + Aspirin 100 mg Placebos

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Aspirin 300 mg + Aspirin 100 mg Placebo
n=40 participants at risk
At week 0, participants were prescribed aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 100 mg + Aspirin 300 mg Placebo
n=41 participants at risk
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study product tablets to allow for a 4-week washout period. Aspirin Placebo for aspirin
Aspirin 300 mg + Aspirin 100 mg Placebos
n=40 participants at risk
At week 0, participants were prescribed a placebo for aspirin 300 mg (one tablet) and placebo for aspirin 100 mg (one tablet) once daily. At week 12, participants were to stop both study products tablets to allow for a 4-week washout period. Placebo for aspirin
Infections and infestations
Acute sinusitis
0.00%
0/40 • From baseline to Week 16.
Protocol required reporting: post-entry signs/symptoms \>=Grade 3, laboratory results \>=Grade 2, new diagnoses and events that led to a change in treatment, regardless of grade. The DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (V1.0, December 2004 (Clarification, August, 2009)) and Expedited AE Manual (V2.0) were used.
0.00%
0/41 • From baseline to Week 16.
Protocol required reporting: post-entry signs/symptoms \>=Grade 3, laboratory results \>=Grade 2, new diagnoses and events that led to a change in treatment, regardless of grade. The DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (V1.0, December 2004 (Clarification, August, 2009)) and Expedited AE Manual (V2.0) were used.
5.0%
2/40 • From baseline to Week 16.
Protocol required reporting: post-entry signs/symptoms \>=Grade 3, laboratory results \>=Grade 2, new diagnoses and events that led to a change in treatment, regardless of grade. The DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (V1.0, December 2004 (Clarification, August, 2009)) and Expedited AE Manual (V2.0) were used.
Investigations
Neutrophil count decreased
0.00%
0/40 • From baseline to Week 16.
Protocol required reporting: post-entry signs/symptoms \>=Grade 3, laboratory results \>=Grade 2, new diagnoses and events that led to a change in treatment, regardless of grade. The DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (V1.0, December 2004 (Clarification, August, 2009)) and Expedited AE Manual (V2.0) were used.
2.4%
1/41 • From baseline to Week 16.
Protocol required reporting: post-entry signs/symptoms \>=Grade 3, laboratory results \>=Grade 2, new diagnoses and events that led to a change in treatment, regardless of grade. The DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (V1.0, December 2004 (Clarification, August, 2009)) and Expedited AE Manual (V2.0) were used.
10.0%
4/40 • From baseline to Week 16.
Protocol required reporting: post-entry signs/symptoms \>=Grade 3, laboratory results \>=Grade 2, new diagnoses and events that led to a change in treatment, regardless of grade. The DAIDS Table for Grading the Severity of Adult and Pediatric Adverse Events (V1.0, December 2004 (Clarification, August, 2009)) and Expedited AE Manual (V2.0) were used.

Additional Information

ACTG Clinicaltrials.gov Coordinator

ACTG Network Coordinating Center, Social and Scientific Systems, Inc.

Phone: (301) 628-3313

Results disclosure agreements

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

Restriction type: LTE60