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Optimal Dosing For Low-Dose Aspirin Chemoprophylaxis For VTE Following Total Joint Arthroplasty

Optimal Dosing For Low-Dose Aspirin Chemoprophylaxis For Venous Thromboembolism (VTE) Following Total Joint Arthroplasty - A Multi-center Prospective Randomized Control Trial.

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04295486
Enrollment
5478
Registered
2020-03-04
Start date
2021-03-01
Completion date
2027-03-01
Last updated
2026-03-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Venous Thromboembolism

Keywords

Chemoprophylaxis, Hip Surgery, Knee Surgery

Brief summary

This research study is attempting to answer the question of whether 81 mg aspirin once daily is as effective as 81 mg aspirin twice daily in preventing blood clots after total joint replacement surgery.

Interventions

DRUGAspirin

Non-enteric coated 81 mg Aspirin tablet.

Sponsors

University of Miami
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
19 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* \> 18 years of age * Planning to undergo a primary total hip or knee arthroplasty

Exclusion criteria

* High risk patients for VTE as defined by: * History of venous thromboembolism * Active malignancy * Known pro thrombotic condition * BMI \> 40 * Patients requiring anticoagulation for pre-existing conditions * Patients with the contraindication for use of aspirin or nonsteroidal antiinflammatory drugs for reasons such as peptic ulcer disease, intolerance, others. * Patients not fluent in the language of the informed consent form * Prisoners * Pregnancy * Reported to have mental illness or belonging to a vulnerable population

Design outcomes

Primary

MeasureTime frameDescription
Incidence of symptomatic thromboembolic events90 daysEfficacy of prophylaxis will be reported as the number of reported incidence of symptomatic Pulmonary Embolism (PE) and Deep Vein Thrombosis (DVT).

Secondary

MeasureTime frameDescription
Incidence of specific adverse events90 daysEfficacy of prophylaxis will be reported as the number of reported incidence of specific adverse events including gastrointestinal (GI) complications, post-operative hematoma, bleeding and wound complications and infections.

Countries

United States

Contacts

CONTACTRamakanth Yakkanti, MD
ramakanth.yakkanti@jhsmiami.org502-689-3127
PRINCIPAL_INVESTIGATORVictor Hernandez, MD

University of Miami

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 12, 2026