Moderate Risk of CVDPhase 3ARRIVENCT00501059
A Study to Assess the Efficacy and Safety of Enteric-Coated Acetylsalicylic Acid in Patients at Moderate Risk of Cardiovascular Disease
A Phase 3 study testing Aspirin (Acetylsalicylic acid, BAYE4465) in people with Moderate Risk of CVD, run by Bayer at 466 sites in 8 countries.
Trial summary
The use of acetylsalicylic acid in the primary prevention of cardiovascular events has been extensively studied but to a lesser extent in patients with moderate levels of cardiovascular risk. Read more about this study
- Who is it for?
- Ages 55 years and older
- Conditions the study is for
- Moderate Risk of CVD
- What is being tested?
- Aspirin (Acetylsalicylic acid, BAYE4465)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 12,546 participants
- Where
- 466 sitesin 8 countries
- Study dates
- 5 Jul 2007to 15 Nov 2016
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 55 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Males aged 55 years and above with 2 to 4 risk factors. Male Risk Factors:
- 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
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- 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
Who cannot join
- History of a documented vascular event, such as MI, stroke, coronary artery angioplasty or stenting, coronary artery bypass graft, relevant arrhythmias, or congestive heart failure or vascular intervention
- 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
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- 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
Trial locations and contacts
466 sites in 8 countries.
466 sites in 8 countries
United Kingdom137 sites
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Aberdeen, AB25 2ZD
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Addlestone, Surrey, KT15 2BH
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Airedire, ML66DB
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Annan, Dumfries And Galloway, DG12 6BG
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Antrim, North Ireland, BT36 4PP
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Antrim, North Ireland, BT37 9QN
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Antrim, North Ireland, BT41 3AE
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Antrim, BT38 9TG
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Ballymena, Antrim, BT42 4JP
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Ballymena, Antrim, BT43 6JD
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Bangor, Gwynedd, BT19 1PP
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Barry, SOuth Glamorgan, CF63 4HP
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Bath, Avon, BA2 3HT
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Bath, Avon, BA2 4BY
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Bath, Somerset, BA1 2SR
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Bath, BA11 2FH
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Bath, BA2 4JT
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Belfast, BT1 2JR
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Belfast, BT12 5EY
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Belfast, BT12 5LT
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Belfast, BT13 3BW
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Belfast, BT15 2GE
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Belfast, BT5 7BP
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Belfast, BT8 6GR
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Belfast
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Bellshill, ML4 1PS
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Bishop Auckland, Durham, DL14 6AB
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Blackpool, Lancashire, FY3 7EN
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Blackpool, Lancashire, FY4 3AD
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Blantyre, G72 0BS
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Bolton, Lancashire, BL3 6TL
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Bolton, Lancashire, BL5 3UB
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Boscastle, Cornwall, PL35 0BG
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Bradford on Avon, Wiltshire, BA15 1DQ
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Brighton, West Sussex, BN2 1ES
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Bury Saint Edmonds, Suffolk, IP30 9QU
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Bury St Edmunds, Suffolk, IP31 2HD
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Bury St Edmunds, Suffolk, IP32 7EW
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Canterbury, Kent, CT1 3HX
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Cardiff, CF5 4AD
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Carryduff, Down, BT8 8HR
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Carstairs, Lanarkshire, ML11 8QD
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Chapelhall, Stratchclyde, ML6 8SR
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Chesterfield, Derbyshire, S40 4AA
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Chestfield, Kent, CT5 3QU
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Chippenham, Wiltshire, SN14 6GT
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Chippenham, Wiltshire, SN15 2SB
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Chipping Norton, Oxfordshire, OX75FA
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Coatbridge, Lanarkshire, ML5 3AP
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Coatrbridge, ML5 3BJ
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Corsham, Wiltshire, SN3 9DL
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Coventry, Warwickshire, CV6 4DD
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Coventry, Warwickshire, CV7 8LA
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Coventry, West Midlands, CV9 1EU
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Craigavon, Armagh, BT67 0LQ
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Crawley, West Sussex, RH10 1LL
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Crawley, West Sussex, RH10 7DX
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Crossgar, BT30 9JU
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Crumlin, Antrim, BT29 4LP
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Darlington, Durham, DL2 1AA
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Darlington, Durham, DL3 7JR
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Darlington, Durham, DL3 8SQ
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Doncaster, South Yorkshire, DN1 2ET
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Doncaster, DN1 2EU
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Dronfield, Derbyshire, S18 8QY
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Dundee, DD19SY
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East Horsley, Surrey, KT24 6QT
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Eccles, Sheffield, S35 9XQ
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Ely, Cambridgeshire, CB7 4HF
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Ely, Cambridgeshire, CB7 5SQ
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Forth, Lanarkshire, ML1 8AJ
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Fowey, Cornwall, PL23 1DT
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Glasgow, Glasgow City, G20 0XA
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Glasgow, Stratchclyde, G45 9AW
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Glasgow, G21 1TR
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Glasgow, G5 0BQ
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Glasgow, G52 3QN
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Glasgow, G67 1BJ
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Hadleigh, Suffolk, IP7 5DN
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Hamilton, Stratchclyde, ML3 ODR
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Hamilton, ML3 7EN
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Hamilton, ML3 8AA
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High Valleyfield, Fife, KY12 8SJ
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Hinckley, Leicestershire, LE10 2SE
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Hitchin, Hertfordshire, SG4 9TH
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Inverness, IV2 4AG
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Ipswich, IP4 2PU
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Irvine, Ayrshire, KA12 0AY
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Johnstone, Stratchclyde, PA5 8EY
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Leeds, West Yorkshire, LS10 3NB
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Leeds, West Yorkshire, LS118BS
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Leeds, West Yorkshire, LS15 9JH
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Leeds, West Yorkshire, LS25 1AN
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Leeds, West Yorkshire, LS25 1HB
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Leeds, West Yorkshire, LS25 7AB
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Leeds, West Yorkshire, LS26 8SZ
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Leeds, West Yorkshire, LS9 9EF
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Leigh-on-Sea, Essex, SS9 2SQ
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Letchworth Garden City, Hertfordshire, SG6 4TS
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Letchworth Garden City, Hertfordshire, SG6 4UB
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Lockerbie, D11 2BJ
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London, SW12 8EU
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Luton, Bedfordshire, LU2 9SB
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Manchester, M13 9WL
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Motherwell, Stratchclyde, ML1 3JX
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New Stevenson, ML1 4LT
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Newcastle upon Tyne, Tyne and Wear, NE15 6TQ
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Newtonabbey, Antrim, BT37 9QU
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Paisley
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Penzance, Cornwall, TR18 4EL
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Penzance, Cornwall, TR18 4JH
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Penzance, Cornwall, TR19 7HX
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Peterborough, Cambridgeshire, PE2 5GP
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Peterborough, Cambridgeshire, PE7 3JL
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Peterborough, PE8 6PL
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Plymouth, Devon, PL6 7TH
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Radstock, Avon, BA3 2UH
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Rugby, Warwickshire, CV21 3SP
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Saltash, Cornwall, PL12 6DL
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Sandbach, Cheshire, CW11 1EQ
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Sheffield, South Yorkshire, S7 2DW
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Slough, Berkshire, SL1 1TT
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St Austell, Cornwall, PL26 7RL
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Stowmarket, Suffolk, IP14 1NL
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Thornhill, DG3 5AA
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Tiptree, Essex, CO5 0HB
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Trowbridge, Wiltshire, BA14 9AR
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Tyrone, North Ireland, BT80 8BG
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Watford, WD25 7NL
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Wellingborough, Northamptonshire, NN8 4RW
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Wells-next-the-Sea, Norfolk, NR23 1JP
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Westbury, Wiltshire, BA13 3FQ
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Whitstable, Kent, CT5 3SE
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Wishaw, ML2 7BQ
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Witley Bay, NE26 1NA
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Worcester Park, Surrey, KT4 7BX
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Wymondham, Norfolk, NR18 0RF
Germany136 sites
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Aachen, North Rhine-Westphalia, 52074
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Aachen, North Rhine-Westphalia, 52080
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Apolda, Thuringia, 99510
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Arnsberg, North Rhine-Westphalia, 59757
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Arzberg, Bavaria, 95659
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Aurich, Lower Saxony, 26603
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Bad Bramstedt, Schleswig-Holstein, 24576
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Bad Lippspringe, North Rhine-Westphalia, 33175
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Bad Salzuflen, North Rhine-Westphalia, 32105
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Bad Salzuflen, North Rhine-Westphalia, 32108
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Bad Sassendorf, North Rhine-Westphalia, 59505
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Benningen am Neckar, Baden-Wurttemberg, 71726
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Bergkamen, North Rhine-Westphalia, 59192
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Bergrheinfeld, Bavaria, 97493
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Berlin, 10249
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Berlin, 10407
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Berlin, 12099
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Berlin, 13055
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Berlin, 13057
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Berlin, 13405
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Berlin, 13467
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Berlin, 14050
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Beucha, Saxony, 04824
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Bitterfeld-Wolfen, Saxony-Anhalt, 06749
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Blankenhain, Thuringia, 99444
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Bochum, North Rhine-Westphalia, 44797
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Bockenem, Lower Saxony, 31167
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Borna, Saxony, 04552
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Braunschweig, Lower Saxony, 38100
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Cologne, North Rhine-Westphalia, 51069
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Cottbus, Brandenburg, 03046
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Daaden, 57567
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Deggingen, Baden-Wurttemberg, 73326
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Delitzsch, Saxony, 04509
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Dinkelsbühl, Bavaria, 91550
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Dortmund, North Rhine-Westphalia, 44139
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Dortmund, North Rhine-Westphalia, 44328
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Dortmund, North Rhine-Westphalia, 44339
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Dossenheim, Baden-Wurttemberg, 69221
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Dresden, Saxony, 01069
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Dresden, Saxony, 01127
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Dresden, Saxony, 01277
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Duisburg, North Rhine-Westphalia, 47199
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Elsterwerda, Brandenburg, 04910
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Essen, North Rhine-Westphalia, 45130
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Essen, North Rhine-Westphalia, 45136
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Essen, North Rhine-Westphalia, 45276
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Essen, North Rhine-Westphalia, 45355
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Essen, North Rhine-Westphalia, 45359
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Ettlingen, Baden-Wurttemberg, 78275
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Frankfurt am Main, Hesse, 60599
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Frankfurt am Main, Hesse, 65929
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Freudenberg, North Rhine-Westphalia, 57258
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Gars, Bavaria, 83536
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Graben-Neudorf, Baden-Wurttemberg, 76676
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Gransee, Brandenburg, 16775
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Greven, North Rhine-Westphalia, 48268
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Grimma, Thuringia, 04668
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Halle, Saxony-Anhalt, 06124
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Hamburg, 22041
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Hamburg, 22143
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Hamburg, 22177
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Hamburg, 22299
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Hamburg, 22335
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Hamm, North Rhine-Westphalia, 59069
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Hanau, Hesse, 63450
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Heilbronn, Baden-Wurttemberg, 74080
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Hockenheim, Baden-Wurttemberg, 68766
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Hohenau, Bavaria, 94545
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Horneburg, Lower Saxony, 21640
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Hünxe, North Rhine-Westphalia, 46569
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Jühnde, Lower Saxony, 37127
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Kallstadt, Rhineland-Palatinate, 67169
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Kamp-Lintfort, North Rhine-Westphalia, 47475
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Kelkheim, Hesse, 65779
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Ketzin, Brandenburg, 14669
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Krefeld, North Rhine-Westphalia, 47798
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Künzing, Bavaria, 94550
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Langenfeld, North Rhine-Westphalia, 40764
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Leipzig, Saxony, 04103
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Leipzig, Saxony, 04249
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Lienen, North Rhine-Westphalia, 49536
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Lippetal, North Rhine-Westphalia, 59510
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Löhne, North Rhine-Westphalia, 32584
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Loxstedt, Lower Saxony, 27612
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Ludwigsburg, Baden-Wurttemberg, 71640
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Ludwigshafen am Rhein, Rhineland-Palatinate, 67063
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Magdeburg, Saxony-Anhalt, 39104
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Mainz, Rhineland-Palatinate, 55116
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Mainz, Rhineland-Palatinate, 55127
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Markkleeberg, Saxony, 04416
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Marl, North Rhine-Westphalia, 45770
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Meissen, Saxony, 01662
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München, Bavaria, 80336
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Münster, North Rhine-Westphalia, 48167
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Nassau, Rhineland-Palatinate, 56377
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Netphen, North Rhine-Westphalia, 57250
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Nienburg, Lower Saxony, 31582
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Northeim, Lower Saxony, 37154
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Oberaurach, Bavaria, 97514
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Oberwiesenthal, Saxony, 09484
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Papenburg, Lower Saxony, 26871
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Porta Westfalica, North Rhine-Westphalia, 32457
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Potsdam, Brandenburg, 14778
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Rehburg-Loccum, 31547
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Reinfeld, Schleswig-Holstein, 23858
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Remscheid, North Rhine-Westphalia, 42897
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Rhaunen, Rhineland-Palatinate, 55624
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Riede, 27339
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Riesa, Saxony, 01587
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Rotenburg an der Fulda, Hesse, 36199
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Sand Am Main, Bavaria, 97522
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Schrobenhausen, Bavaria, 86529
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Schwetzingen, Baden-Wurttemberg, 68723
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Siegen, North Rhine-Westphalia, 57072
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Sinzheim, Baden-Wurttemberg, 76547
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Spalt, Bavaria, 91174
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Speyer, Rhineland-Palatinate, 67346
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Stockach, Baden-Wurttemberg, 78333
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Straßkirchen, Bavaria, 94342
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Stuhr, Lower Saxony, 28816
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Stuttgart, Baden-Wurttemberg, 70378
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Sulzbach-Rosenberg, Bavaria, 92237
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Thedinghausen, 27321
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Trossingen, Baden-Wurttemberg, 78647
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Ursensollen, Bavaria, 92289
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Viersen, North Rhine-Westphalia, 41751
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Wardenburg, Lower Saxony, 26203
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Weinheim, Baden-Wurttemberg, 69469
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Welver, North Rhine-Westphalia, 59514
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Wermsdorf, Saxony, 04779
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Wetter, Hesse, 35083
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Wetter, North Rhine-Westphalia, 58300
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Weyhe, Lower Saxony, 28844
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Winsen, Lower Saxony, 21423
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Witten, North Rhine-Westphalia, 58455
United States73 sites
Study site
Atlanta, Georgia, 30318
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Belvidere, New Jersey, 07823
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Birmingham, Alabama, 39294
Medical Research Trust
Boynton Beach, Florida, 33426
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Bridgman, Michigan, 49106
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Broken Bow, Nebraska, 68822
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Burlington, North Carolina, 27215
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Cadillac, Michigan, 49601
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Carlisle, Ohio, 45005-3320
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Cherry Hill, New Jersey, 08084
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Chicago, Illinois, 60628
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Chicago, Illinois, 60631-1958
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Clifton, New Jersey, 07013
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Columbus, North Carolina, 28722
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Daingerfield, Texas, 75638
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Doylestown, Pennsylvania, 18901
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Duncansville, Pennsylvania, 16635
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Evansville, Indiana, 47713
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Florissant, Missouri, 63031
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Fort Wayne, Indiana, 46804
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Fremont, California, 94536-3702
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Gainesville, Florida, 32601
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Graysville, Alabama, 35073
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Greensboro, North Carolina, 27401
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Hainesport, New Jersey, 08036
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Hialeah, Florida, 33016
Medical Research Centers of South Florida, Inc.
Hollywood, Florida, 33021
Office of Dr.Larry Levinson, DO
Hollywood, Florida, 33021
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Honaker, Virginia, 24260
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Hot Springs, Arkansas, 71913-4457
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Huntington Park, California, 90255
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Interlochen, Michigan, 49643-9264
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Jersey City, New Jersey, 07306
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Kissimmee, Florida, 34741
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Largo, Florida, 33770
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Lawrenceville, New Jersey, 08648
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Lebanon, Kentucky, 40033
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Linden, New Jersey, 07036
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Lockport, Illinois, 60491
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Los Angeles, California, 90025
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Marianna, Florida, 32446-2120
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Marion, Ohio, 43302
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McKinney, Texas, 75069
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Montgomery, Ohio, 45242
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Newark, Delaware, 19702
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Omaha, Nebraska, 68114
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Omaha, Nebraska, 68116-2004
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Panama City, Florida, 32401
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Pell City, Alabama, 35125
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Perrysburg, Ohio, 43551
PharmaTrials, Inc.
Perth Amboy, New Jersey, 08861
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Phoenix, Arizona, 85051
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Port Gibson, Mississippi, 39150
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Prince Frederick, Maryland, 20678
Tallahassee Memorial Family
Quincy, Florida, 32351
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Raleigh, North Carolina, 27609
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Rancho Cucamonga, California, 91730
Merit Medical Group, Inc.
Richlands, Virginia, 24641-2067
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Rockwall, Texas, 75032
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Rolling Hills Estates, California, 90274
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San Antonio, Texas, 78205-1116
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San Marcos, Texas, 78666
Helping Hands Clinical Trials
Santa Ana, California, 92704
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Scottsdale, Arizona, 85260
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Sellersville, Pennsylvania, 18960
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Stephenville, Texas, 76401
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Stratford, New Jersey, 08084
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Sugar Land, Texas, 77478
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Tampa, Florida, 33614
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Taylors, South Carolina, 29687
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Troy, Michigan, 48085
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Tucson, Arizona, 85712
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Vernon Hills, Illinois, 60061
Poland50 sites
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Bialystok, 15-183
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Bydgoszcz, 85-863
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Bydgoszcz
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Chrzanów
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Czechowice-Dziedzice
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Elblag, 82-300
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Gdansk, 80-286
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Gdansk, 80-461
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Gdansk, 80-822
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Gdynia, 81-317
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Gliwice, 44-109
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Grodzisk Mazowiecki, 05-825
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Katowice, 40-226
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Katowice, 40-752
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Krakow, 30-424
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Krakow, 31-011
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Krakow, 31-156
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Krakow, 31-567
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Krakow, 31-637
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Krakow
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Kutno, 99-300
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Łańcut
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Linia, 84-223
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Lodz
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Lublin, 20-044
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Lublin, 20-258
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Lublin
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Małaszewicze
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Malbork, 82-200
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Nakło nad Notecią, 98-100
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Olkusz
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Ostrów Wielkopolski, 63-400
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Poznan, 60-539
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Przeworsk, 37-200
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Radom, 26-600
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Skierniewice, 96-100
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Skierniewice
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Sobótka
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Sopot, 81-746
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Szczyrk, 43-370
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Wąbrzeźno
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Warsaw, 01-192
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Warsaw, 02-507
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Warsaw, 02-796
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Wejherowo
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Włocławek
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Wola
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Wroclaw, 50-127
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Wroclaw, 51-112
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Zabrze
Spain36 sites
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Albacete, 2260
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Alcover, Tarragona, 43460
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Alicante, 03007
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Badajoz, 06140
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Barcelona, 08017
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Barcelona, 08023
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Barcelona, 08025
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Begonte, Lugo, 27373
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Benidorm, Alicante, 03503
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Elche, Alicante
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Espinardo, Murcia, 30100
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Gümar, Santa Cruz De Tenerife, 38591
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Huelva, 21003
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La Roda, Albacete, 06230
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La Victoria, Santa Cruz De Tenerife, 38380
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León, 24001
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León
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Lugo, 27770
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Madrid, 28003
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Madrid, 28030
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Madrid, 28032
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Murcia, 300005
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Murcia, 30007
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Murcia, 30008
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Ourense, Ourense, 32003
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Oviedo, Principality of Asturias, 33009
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Oviedo, Principality of Asturias, 33013
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Petrel, Alicante, 03610
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Posada de Llanes, Principality of Asturias, 33594
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Salamanca, 27-31
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Santander, 39009
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Sobrado Dos Monxes, A Coruña, 15813
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Valladolid, 47007
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Vic (Barcelona), Catalonia, 08500
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Viveiro, Lugo, 27850
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Xixona, Alicante, 03100
Italy20 sites
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Amandola, Ascoli Piceno, 63021
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Asti, 14100
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Bergamo, 24128
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Catania, Sicily, 95124
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Chiavari, Genova, 16043
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Chieri, Torino, 10023
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Chieti, Abruzzo, 66100
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Como, Lombardy, 22066
Study site
Foggia, Apulia, 71100
Study site
Grosseto, Tuscany, 58100
Study site
Legnano, Milano, 20025
Study site
Moncalieri, Torino, 10024
Study site
Naples, Campania, 80131
Study site
Novara, Piedmont, 28100
Study site
Reggio Emilia, Emilia-Romagna, 42019
Study site
Reggio Emilia, 42123
Study site
Rome, Lazio, 00157
Study site
Rome, Lazio, 00161
Study site
Turin, Piedmont, 10023
Study site
Varese, Lombardy, 21100
Ireland9 sites
Study site
Bishopstown, Cork
Study site
Bray, Wicklow
Study site
Cork
Study site
Dublin, 2
Study site
Enniscorthy, Wexford
Study site
Gorey, Wexford
Study site
Kilmallock, Limerick
Study site
Rathkeale, Limerick
Study site
Tallow, Waterford
Puerto Rico5 sites
Study site
Guaynabo, 00968
Study site
Manati, 00674
Study site
Orocovis, 00720
Study site
San Juan, 00918
Study site
Trujillo Alto, 00976
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled, Multi-Center, Parallel Group Study to Assess the Efficacy (Reduction of Cardiovascular Disease Events) and Safety of 100 mg Enteric-Coated Acetylsalicylic Acid in Patients at Moderate Risk of Cardiovascular Disease
The use of acetylsalicylic acid in the primary prevention of cardiovascular events has been extensively studied but to a lesser extent in patients with moderate levels of cardiovascular risk. The current study is designed to prove the efficacy and tolerability of 100 mg enteric-coated Aspirin versus placebo in the prevention of cardiovascular disease (CVD) events, which include fatal and nonfatal myocardial infarction, fatal and nonfatal stroke and CV death, in a population with no history of known CVD who are at moderate risk of major CHD events (approximately 10-20% 10 year CHD risk). This corresponds to a patient population mean 10-year CVD risk of approximately 30%. Subjects are treated in a standard care setting and may receive treatment for the underlying risk factors as defined by the treating physician. Outcome events will be adjudicated by an Endpoint Adjudication Committee and the study will be monitored by an independent Data Safety Monitoring Board.
Read the detailed description
Summary of substantial Protocol amendments
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
- Moderate Risk of CVD
- Being tested
- Aspirin (Acetylsalicylic acid, BAYE4465), Placebo
- Keywords
- Primary prevention of coronary heart disease, Stroke and cardiovascular death, Aspirin
- Medical subject headings
- Stroke
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Aspirin (Acetylsalicylic acid, BAYE4465)Drug
100mg enteric coated Aspirin, taken daily
PlaceboDrug
Placebo, taken daily
| Study group | Role | What they receive |
|---|---|---|
| Acetylsalicylic acid (Aspirin, BAYE4465) | Experimental | Participants received 1 tablet of enteric-coated acetylsalicylic acid [100 milligram (mg)] orally once daily. Receives: Drug: Aspirin (Acetylsalicylic acid, BAYE4465) |
| Placebo | Placebo comparator | Participants received 1 tablets of matching placebo orally once daily. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to the First Occurrence of the Composite Outcome of MI (Myocardial Infarction), Stroke, Cardiovascular Death, UA (Unstable Angina) or TIA (Transient Ischemic Attack)
The primary efficacy endpoint was a composite outcome consisting of the first occurrence of confirmed MI, stroke, cardiovascular death, UA, TIA. The time to event was defined as the number of days from the date of randomization to the date of the event confirmed by adjudication. The numbers of days for milestones when 1%, 2%, 3% and 4% of the subjects have reached endpoint events were estimated from Kaplan-Meier-Analyses.
Measured: Until follow-up (approximate 6 years)
Secondary outcomes (5)
Time to the First Occurrence of the Composite Outcome of Cardiovascular Death, MI, or Stroke (Ischemic, Hemorrhagic, or Unknown)
The time to Composite outcome consisting of the first occurrence of cardiovascular death, MI, or stroke (ischemic, hemorrhagic, or unknown) was defined as the number of days from the date of randomization to the date of the event confirmed by adjudication. The numbers of days for milestones when 1%, 2%, 3% and 4% of the subjects have reached endpoint events were estimated from Kaplan-Meier-Analyses.
Measured: Until follow-up (approximate 6 years)
Time to the First Occurrence of the Individual Components of the Primary: Non-fatal MI, Total MI, Non-fatal Stroke, Total Stroke, Cardiovascular Death, UA and TIA
The time to event was defined as the number of days from the date of randomization to the date of the event confirmed by adjudication. The numbers of days for milestones when 1%, 2%, 3% and 4% of the subjects have reached endpoint events were estimated from Kaplan-Meier-Analyses.
Measured: Until follow-up (approximately 6 years)
Time to All-cause Mortality, the First Occurrence of All Cancers Excluding Non-melanoma Skin Cancer (NMSC) and the First Occurrence of Colon Cancer
The time to event was defined as the number of days from the date of randomization to the date of the event confirmed by adjudication. The numbers of days for milestones when 1%, 2%, 3% and 4% of the subjects have reached endpoint events were estimated from Kaplan-Meier-Analyses.
Measured: Until follow-up (approximately 6 years)
Incidence of All-cause Mortality, All Cancers Excluding Non-melanoma Skin Cancer and Colon Cancer
Measured: Until follow-up (approximately 6 years)
Incidence of Confirmed MI, Stroke, Cardiovascular Death, UA, and TIA Separately
The percentages of subjects with the efficacy endpoints of confirmed MI, stroke, cardiovascular death, UA and TIA are reported separately. *all other CV death without fatal MI and fatal stroke
Measured: Until follow-up (approximately 6 years)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Jul 2007 (estimated)
- Study start5 Jul 2007
- Primary completion15 Nov 2016
- Study completion15 Nov 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Moderate Risk of CVDStudies of the same condition, open and under way.
- More trials run by BayerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 12,546 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bayer Study Director, Study director, Bayer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00501059
- Sponsor's protocol ID
- 12198
- Other IDs
- 2006-003622-29
- Acronym
- ARRIVE
- Status last verified
- Sep 2018
- First submitted
- 12 Jul 2007
- Last updated
- 26 Oct 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
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.
PubMed 30158069
Study at a glance
From the registry record, last updated by the sponsor on 26 Oct 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled, Multi-Center, Parallel Group Study to Assess the Efficacy (Reduction of Cardiovascular Disease Events) and Safety of 100 mg Enteric-Coated Acetylsalicylic Acid in Patients at Moderate Risk of Cardiovascular Disease
- ClinicalTrials.gov ID
- NCT00501059
- Acronym / sponsor ID
- ARRIVE / 12198
- Conditions
- Moderate Risk of CVD
- Keywords
- Primary prevention of coronary heart disease, Stroke and cardiovascular death, Aspirin
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 12,546 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Study start
- 5 Jul 2007 (actual)
- Primary completion
- 15 Nov 2016 (actual)
- Study completion
- 15 Nov 2016 (actual)
- First posted
- 13 Jul 2007 (estimated)
- Results
- Posted 8 Jan 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The use of acetylsalicylic acid in the primary prevention of cardiovascular events has been extensively studied but to a lesser extent in patients with moderate levels of cardiovascular risk. The current study is designed to prove the efficacy and tolerability of 100 mg enteric-coated Aspirin versus placebo in the prevention of cardiovascular disease (CVD) events, which include fatal and nonfatal myocardial infarction, fatal and nonfatal stroke and CV death, in a population with no history of known CVD who are at moderate risk of major CHD events (approximately 10-20% 10 year CHD risk). This corresponds to a patient population mean 10-year CVD risk of approximately 30%. Subjects are treated in a standard care setting and may receive treatment for the underlying risk factors as defined by the treating physician. Outcome events will be adjudicated by an Endpoint Adjudication Committee and the study will be monitored by an independent Data Safety Monitoring Board.
Detailed description
Summary of substantial Protocol amendments
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
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Acetylsalicylic acid (Aspirin, BAYE4465) | Experimental | Drug: Aspirin (Acetylsalicylic acid, BAYE4465)Participants received 1 tablet of enteric-coated acetylsalicylic acid [100 milligram (mg)] orally once daily. |
| Placebo | Placebo comparator | Drug: PlaceboParticipants received 1 tablets of matching placebo orally once daily. |
Who may qualify
- Ages
- 55 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (15 listed)
- Males aged 55 years and above with 2 to 4 risk factors. Male Risk Factors:
- Females aged 60 and above with 3 or more risk factors. Female Risk Factors:
- An understanding and willingness to comply with trial procedures and has given written informed consent to participate in the trial
Key exclusion criteria (15 listed)
- History of a documented vascular event, such as MI, stroke, coronary artery angioplasty or stenting, coronary artery bypass graft, relevant arrhythmias, or congestive heart failure or vascular intervention
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Aspirin (Acetylsalicylic acid, BAYE4465)100mg enteric coated Aspirin, taken daily | Drug | Acetylsalicylic acid (Aspirin, BAYE4465) |
| PlaceboPlacebo, taken daily | Drug | Placebo |
Primary outcome
Time to the First Occurrence of the Composite Outcome of MI (Myocardial Infarction), Stroke, Cardiovascular Death, UA (Unstable Angina) or TIA (Transient Ischemic Attack)
Time frame: Until follow-up (approximate 6 years)
The primary efficacy endpoint was a composite outcome consisting of the first occurrence of confirmed MI, stroke, cardiovascular death, UA, TIA. The time to event was defined as the number of days from the date of randomization to the date of the event confirmed by adjudication. The numbers of days for milestones when 1%, 2%, 3% and 4% of the subjects have reached endpoint events were estimated from Kaplan-Meier-Analyses.
5 secondary outcomes
Time to the First Occurrence of the Composite Outcome of Cardiovascular Death, MI, or Stroke (Ischemic, Hemorrhagic, or Unknown)
Time frame: Until follow-up (approximate 6 years)
Time to the First Occurrence of the Individual Components of the Primary: Non-fatal MI, Total MI, Non-fatal Stroke, Total Stroke, Cardiovascular Death, UA and TIA
Time frame: Until follow-up (approximately 6 years)
Time to All-cause Mortality, the First Occurrence of All Cancers Excluding Non-melanoma Skin Cancer (NMSC) and the First Occurrence of Colon Cancer
Time frame: Until follow-up (approximately 6 years)
Incidence of All-cause Mortality, All Cancers Excluding Non-melanoma Skin Cancer and Colon Cancer
Time frame: Until follow-up (approximately 6 years)
Incidence of Confirmed MI, Stroke, Cardiovascular Death, UA, and TIA Separately
Time frame: Until follow-up (approximately 6 years)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Oct 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 30158069Gaziano 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.
- Click here to find information about studies related to Bayer Healthcare products conducted in EuropeLink provided by the sponsor.
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bayer Study Director study director
Bayer
466 sites in 8 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Aspirin (Acetylsalicylic acid, BAYE4465) in people with Moderate Risk of CVD, run by Bayer at 466 sites in 8 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 15 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 466 sites in United Kingdom, Germany, United States, Poland, Spain and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 8 Jan 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Time to the First Occurrence of the Composite Outcome of MI (Myocardial Infarction), Stroke, Cardiovascular Death, UA (Unstable Angina) or TIA (Transient Ischemic Attack) (time frame: Until follow-up (approximate 6 years)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00501059, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Oct 2018; AzTrials last refreshed its copy on 26 Oct 2026.