Trial Outcomes & Findings for Aspirin for Exercise in Multiple Sclerosis (ASPIRE) (NCT NCT03824938)

NCT ID: NCT03824938

Last Updated: 2023-10-27

Results Overview

Duration of time exercising before reaching peak exertion, defined as cadence drop below 40 revolutions per minute (RPM) for \>/= 5 seconds, or patient reaches volitional exhaustion in accordance with American Thoracic Society standard test termination criteria.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

60 participants

Primary outcome timeframe

from start of exercise test until self-reported exhaustion, up to 30 minutes

Results posted on

2023-10-27

Participant Flow

Out of the 97 screened, 60 were enrolled in the study.

Out of the 60 enrolled, 37 completed at least one visit.

Participant milestones

Participant milestones
Measure
Placebo First, Then Aspirin, Then Acetaminophen
First session: Placebo 650 mg capsule by mouth, single dose. A placebo pill is administered in the laboratory one hour before participant completes a maximal exercise test. Second session: Aspirin 650 mg capsule by mouth, single dose. A 650mg dose of aspirin is administered in the laboratory one hour before participant completes a maximal exercise test. Third session: Acetaminophen 650 mg capsule by mouth, single dose. A 650mg dose of acetaminophen is administered in the laboratory one hour before participant completes a maximal exercise test.
Placebo First, Then Acetaminophen, Then Aspirin
First session: Placebo 650 mg capsule by mouth, single dose. A placebo pill is administered in the laboratory one hour before participant completes a maximal exercise test. Second session: Acetaminophen 650 mg capsule by mouth, single dose. A 650mg dose of acetaminophen is administered in the laboratory one hour before participant completes a maximal exercise test. Third session: Aspirin 650 mg capsule by mouth, single dose. A 650mg dose of aspirin is administered in the laboratory one hour before participant completes a maximal exercise test.
Aspirin First, Then Placebo, Then Acetaminophen
First session: Aspirin 650 mg capsule by mouth, single dose. A 650mg dose of aspirin is administered in the laboratory one hour before participant completes a maximal exercise test. Second session: Placebo 650 mg capsule by mouth, single dose. A placebo pill is administered in the laboratory one hour before participant completes a maximal exercise test. Third session: Acetaminophen 650 mg capsule by mouth, single dose. A 650mg dose of acetaminophen is administered in the laboratory one hour before participant completes a maximal exercise test.
Aspirin First, Then Acetaminophen, Then Placebo
First session: Aspirin 650 mg capsule by mouth, single dose. A 650mg dose of aspirin is administered in the laboratory one hour before participant completes a maximal exercise test. Second session: Acetaminophen 650 mg capsule by mouth, single dose. A 650mg dose of acetaminophen is administered in the laboratory one hour before participant completes a maximal exercise test. Third session: Placebo 650 mg capsule by mouth, single dose. A placebo pill is administered in the laboratory one hour before participant completes a maximal exercise test.
Acetaminophen First, Then Placebo, Then Aspirin
First session: Acetaminophen 650 mg capsule by mouth, single dose. A 650mg dose of acetaminophen is administered in the laboratory one hour before participant completes a maximal exercise test. Second session: Placebo 650 mg capsule by mouth, single dose. A placebo pill is administered in the laboratory one hour before participant completes a maximal exercise test. Third session: Aspirin 650 mg capsule by mouth, single dose. A 650mg dose of aspirin is administered in the laboratory one hour before participant completes a maximal exercise test.
Acetaminophen First, Then Aspirin, Then Placebo
First session: Acetaminophen 650 mg capsule by mouth, single dose. A 650mg dose of acetaminophen is administered in the laboratory one hour before participant completes a maximal exercise test. Second session: Aspirin 650 mg capsule by mouth, single dose. A 650mg dose of aspirin is administered in the laboratory one hour before participant completes a maximal exercise test. Third session: Placebo 650 mg capsule by mouth, single dose. A placebo pill is administered in the laboratory one hour before participant completes a maximal exercise test.
Overall Study
STARTED
7
8
7
5
7
3
Overall Study
COMPLETED
5
6
7
3
6
2
Overall Study
NOT COMPLETED
2
2
0
2
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo First, Then Aspirin, Then Acetaminophen
First session: Placebo 650 mg capsule by mouth, single dose. A placebo pill is administered in the laboratory one hour before participant completes a maximal exercise test. Second session: Aspirin 650 mg capsule by mouth, single dose. A 650mg dose of aspirin is administered in the laboratory one hour before participant completes a maximal exercise test. Third session: Acetaminophen 650 mg capsule by mouth, single dose. A 650mg dose of acetaminophen is administered in the laboratory one hour before participant completes a maximal exercise test.
Placebo First, Then Acetaminophen, Then Aspirin
First session: Placebo 650 mg capsule by mouth, single dose. A placebo pill is administered in the laboratory one hour before participant completes a maximal exercise test. Second session: Acetaminophen 650 mg capsule by mouth, single dose. A 650mg dose of acetaminophen is administered in the laboratory one hour before participant completes a maximal exercise test. Third session: Aspirin 650 mg capsule by mouth, single dose. A 650mg dose of aspirin is administered in the laboratory one hour before participant completes a maximal exercise test.
Aspirin First, Then Placebo, Then Acetaminophen
First session: Aspirin 650 mg capsule by mouth, single dose. A 650mg dose of aspirin is administered in the laboratory one hour before participant completes a maximal exercise test. Second session: Placebo 650 mg capsule by mouth, single dose. A placebo pill is administered in the laboratory one hour before participant completes a maximal exercise test. Third session: Acetaminophen 650 mg capsule by mouth, single dose. A 650mg dose of acetaminophen is administered in the laboratory one hour before participant completes a maximal exercise test.
Aspirin First, Then Acetaminophen, Then Placebo
First session: Aspirin 650 mg capsule by mouth, single dose. A 650mg dose of aspirin is administered in the laboratory one hour before participant completes a maximal exercise test. Second session: Acetaminophen 650 mg capsule by mouth, single dose. A 650mg dose of acetaminophen is administered in the laboratory one hour before participant completes a maximal exercise test. Third session: Placebo 650 mg capsule by mouth, single dose. A placebo pill is administered in the laboratory one hour before participant completes a maximal exercise test.
Acetaminophen First, Then Placebo, Then Aspirin
First session: Acetaminophen 650 mg capsule by mouth, single dose. A 650mg dose of acetaminophen is administered in the laboratory one hour before participant completes a maximal exercise test. Second session: Placebo 650 mg capsule by mouth, single dose. A placebo pill is administered in the laboratory one hour before participant completes a maximal exercise test. Third session: Aspirin 650 mg capsule by mouth, single dose. A 650mg dose of aspirin is administered in the laboratory one hour before participant completes a maximal exercise test.
Acetaminophen First, Then Aspirin, Then Placebo
First session: Acetaminophen 650 mg capsule by mouth, single dose. A 650mg dose of acetaminophen is administered in the laboratory one hour before participant completes a maximal exercise test. Second session: Aspirin 650 mg capsule by mouth, single dose. A 650mg dose of aspirin is administered in the laboratory one hour before participant completes a maximal exercise test. Third session: Placebo 650 mg capsule by mouth, single dose. A placebo pill is administered in the laboratory one hour before participant completes a maximal exercise test.
Overall Study
Withdrawal by Subject
2
1
0
2
0
1
Overall Study
Lost to Follow-up
0
1
0
0
1
0

Baseline Characteristics

Aspirin for Exercise in Multiple Sclerosis (ASPIRE)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Participants
n=37 Participants
ASPIRE trial sample characteristics of the 37 active study participants.
Age, Continuous
42.3 years
STANDARD_DEVIATION 11.5 • n=5 Participants
Sex: Female, Male
Female
30 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
33 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=5 Participants
Race (NIH/OMB)
White
31 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
37 participants
n=5 Participants

PRIMARY outcome

Timeframe: from start of exercise test until self-reported exhaustion, up to 30 minutes

Duration of time exercising before reaching peak exertion, defined as cadence drop below 40 revolutions per minute (RPM) for \>/= 5 seconds, or patient reaches volitional exhaustion in accordance with American Thoracic Society standard test termination criteria.

Outcome measures

Outcome measures
Measure
Acetaminophen
n=32 Participants
Participants received acetaminophen 650 mg capsule by mouth, single dose at any study visits, one hour before the initiation of the exercise test.
Placebo
n=32 Participants
Participants received placebo 650 mg capsule by mouth, single dose at any study visits, one hour before the initiation of the exercise test.
Aspirin
n=31 Participants
Participants received aspirin 650 mg capsule by mouth, single dose at any study visits, one hour before the initiation of the exercise test.
Time-to-exhaustion
578.2 seconds
Standard Deviation 82.1
551.7 seconds
Standard Deviation 78.4
331.6 seconds
Standard Deviation 76.6

PRIMARY outcome

Timeframe: from start of exercise test until self-reported exhaustion, up to 30 minutes

Change in body temperature from pre- to post- maximal exercise test.

Outcome measures

Outcome measures
Measure
Acetaminophen
n=32 Participants
Participants received acetaminophen 650 mg capsule by mouth, single dose at any study visits, one hour before the initiation of the exercise test.
Placebo
n=32 Participants
Participants received placebo 650 mg capsule by mouth, single dose at any study visits, one hour before the initiation of the exercise test.
Aspirin
n=31 Participants
Participants received aspirin 650 mg capsule by mouth, single dose at any study visits, one hour before the initiation of the exercise test.
Exercise-induced Body Temperature Change
0.31 degrees Fahrenheit
Standard Deviation 0.35
0.68 degrees Fahrenheit
Standard Deviation 0.35
0.006 degrees Fahrenheit
Standard Deviation 0.32

Adverse Events

Placebo

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

Aspirin

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

Acetaminophen

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Victoria M. Leavitt, MD

Columbia University Irving Medical Center

Phone: 212-342-1351

Results disclosure agreements

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