End-Stage Renal Disease
Conditions
Keywords
aspirin, aspirin resistance, hemodialysis, cardiovascular, Prevalence of aspirin resistance, cardiovascular events, and safety profile
Brief summary
The study is prospectively initiated to: (1) evaluate the alterations in platelet function to aspirin therapy and the prevalence of aspirin resistance in patients with chronic kidney disease undergoing hemodialysis, and (2) compare the incidence of vascular events (myocardial infarction, cardiac death, stroke, vascular access thrombosis, or revascularization procedure) and the safety profile among placebo-treated, aspirin-resistant and aspirin-sensitive patients.
Interventions
aspirin 100 mg qd for 3 years
Sponsors
Study design
Eligibility
Inclusion criteria
* patients with end-stage renal disease who are undergoing long-term hemodialysis.
Exclusion criteria
Patients will be excluded if there is evidence of * a recent history of acute uremia, * previous adverse reaction to a aspirin or history of aspirin hypersensitivity (eg, aspirin-induced asthma or angioedema), * concurrent treatment with other antiplatelet agent (clopidogrel or ticlopidine), steroidal drugs, or nonsteroidal anti-inflammatory drugs, * high immediate risk for bleeding (eg, active peptic ulceration, recent injury, or hemophilia), or * life-threatening condition other than end-stage renal disease or vascular disease (eg, non-skin cancer).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the prevalence of aspirin resistance | 3 years |
Secondary
| Measure | Time frame |
|---|---|
| the incidence of vascular events (myocardial infarction, cardiac death, stroke, vascular access thrombosis, or revascularization procedure) | 3 years |
Countries
Taiwan