The ARIES HeartMate 3 Pump IDE Study
Antiplatelet Removal and HemocompatIbility EventS With the HeartMate 3 Pump IDE Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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New
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Darlinghurst, New, Australia, 2010
- St. Vincent's Hospital, Sydney
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Victoria
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Melbourne, Victoria, Australia, 3004
- The Alfred Hospital
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Vienna, Austria, 1090
- AKH - Wien
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Edmonton, Canada, T6G 2B7
- University of Alberta Hospital
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Central Bohemia
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Prague, Central Bohemia, Czechia, 140 24
- IKEM Prague
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Pessac, France, 33600
- Hôpital Haut Levêque
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Toulouse, France, 31000
- CHU Rangueil Toulouse
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Milan, Italy
- Ospedale San Raffaele
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Astana, Kazakhstan, 10000
- National Research Center for Cardiac Surgery
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Birmingham, United Kingdom, B15 2GW
- Queen Elizabeth Hospital
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Arkansas
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Little Rock, Arkansas, United States, 72205
- Baptist Health Medical Center
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California
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La Jolla, California, United States, 92037
- University of California, San Diego
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Palo Alto, California, United States, 94304
- Stanford University Medical Center
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San Diego, California, United States, 92123
- Sharp Memorial Hospital
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San Francisco, California, United States, 94109
- California Pacific Medical Center - Van Ness Campus
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Colorado
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Aurora, Colorado, United States, 80045
- University of Colorado Hospital
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District of Columbia
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Washington, District of Columbia, United States, 20010
- Washington Hospital Center
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Florida
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Miami, Florida, United States, 33136
- Miami Transplant Institute - Jackson Memorial
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Orlando, Florida, United States, 32804
- AdventHealth Orlando
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Georgia
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Atlanta, Georgia, United States, 30322
- Emory University Hospital
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Atlanta, Georgia, United States, 30309
- Piedmont Heart Institute
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Illinois
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Chicago, Illinois, United States, 60637
- University of Chicago
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Oak Lawn, Illinois, United States, 60453
- Advocate Christ Medical Center
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Indiana
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Indianapolis, Indiana, United States, 46240
- St. Vincent Hospital
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Kansas
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Kansas City, Kansas, United States, 66160
- Kansas University Medical Center
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Louisiana
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New Orleans, Louisiana, United States, 70121
- Ochsner Medical Center
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
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Boston, Massachusetts, United States, 02115
- Brigham & Women's Hospital
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Michigan
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Ann Arbor, Michigan, United States, 48109
- University of Michigan
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Detroit, Michigan, United States, 48202
- Henry Ford Hospital
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Minnesota
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Minneapolis, Minnesota, United States, 55407
- Minneapolis Heart Institute
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Minneapolis, Minnesota, United States, 55455
- University of Minnesota Medical Center Fairview
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New York
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New York, New York, United States, 10029
- Mount Sinai Hospital
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New York, New York, United States, 10032
- New York-Presbyterian/Columbia University Medical Center
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New York, New York, United States, 10467
- Montefiore Medical Center - Moses Division
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Rochester, New York, United States, 14642
- University of Rochester Medical Center
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North Carolina
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Chapel Hill, North Carolina, United States, 27599
- University of North Carolina At Chapel Hill
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Charlotte, North Carolina, United States, 28203
- Carolinas Medical Center
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Durham, North Carolina, United States, 27710
- Duke University Medical Center
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Ohio
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Cincinnati, Ohio, United States, 45219
- The Christ Hospital
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Cleveland, Ohio, United States, 44195
- The Cleveland Clinic Foundation
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73112
- Integris Baptist Medical Center
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Oregon
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Portland, Oregon, United States, 97225
- Providence Heart & Vascular Institute
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Pennsylvania
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Philadelphia, Pennsylvania, United States, 19104
- Hospital of the University of Pennsylvania
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Philadelphia, Pennsylvania, United States, 19107
- Thomas Jefferson University Hospital
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Pittsburgh, Pennsylvania, United States, 15213
- University of Pittsburgh Medical Center
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Pittsburgh, Pennsylvania, United States, 15212
- Allegheny General Hospital - ASRI
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Texas
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Dallas, Texas, United States, 75246
- Baylor University Hospital
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Houston, Texas, United States, 77030
- Memorial Hermann Hospital
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Utah
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Salt Lake City, Utah, United States, 84132
- University of Utah Hospital
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Wisconsin
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Milwaukee, Wisconsin, United States, 53215
- Aurora Medical Group
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subject will receive the HeartMate 3 per standard of care (SOC) in accordance with the approved indications for use in the country of implant.
- Subject will receive the HeartMate 3 as their first durable VAD.
- Subject must provide written informed consent prior to any clinical investigation related procedure.
- In female patients of child bearing capability, subject will not be currently pregnant or breastfeeding and on appropriate contraception.
Exclusion Criteria:
- Post-implant additional temporary or permanent mechanical circulatory support (MCS).
- Investigator mandated antiplatelet therapy for other conditions (including mandated presence or absence of antiplatelet agent).
- Patients who are nil per os (NPO) post-implant through day 7.
- Subjects with a known allergy to acetylsalicylic acid (aspirin).
- Participation in any other clinical investigation(s) involving an MCS device, or interventional investigation(s) likely to confound study results or affect study outcome.
- Presence of other anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the investigator's opinion, could limit the subject's ability to participate in the clinical investigation or to comply with follow-up requirements, or impact the scientific soundness of the clinical investigation results.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Placebo Comparator: Placebo Arm
LVAD Patients on the placebo arm will be given placebo medication
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Subjects will undergo Heartmate 3 LVAD implant prior to randomization
Subjects will be randomized to either Placebo or Aspirin post implant
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Active Comparator: Active Arm
LVAD Patients on the active arm will be given 100mg Aspirin
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Subjects will undergo Heartmate 3 LVAD implant prior to randomization
Subjects will be randomized to either Placebo or Aspirin post implant.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Powered Primary Endpoint of Survival Free of Non-surgical Major Hemocompatibility Related Adverse Events
Time Frame: 12 Months
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The primary end point was a composite of survival free of non-surgical major hemocompatibility related adverse events (specifically stroke, pump thrombosis, major non-surgical bleeding, and arterial peripheral thromboembolism) at 1-year post implant.
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12 Months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Rates of Non-surgical Major Hemorrhagic Events
Time Frame: Through Study Completion with a Median Follow up of 14 Months
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The rate of non-surgical hemorrhagic events were compared between the two arms of the study.
Non-surgical Major Hemorrhagic events: Hemorrhagic event rate per patient year was calculated by dividing all non-surgical bleeding events and hemorrhagic stroke events by the cumulative years of study exposure.
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Through Study Completion with a Median Follow up of 14 Months
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Rates of Bleeding Events
Time Frame: Through Study Completion with a Median Follow up of 14 Months
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The bleeding rate was calculated by dividing the number of bleeding events by the cumulative duration of study exposure (years of support).
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Through Study Completion with a Median Follow up of 14 Months
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Rates of Non-surgical Major Thrombotic Events
Time Frame: Through Study Completion with a Median Follow up of 14 Months
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The rates of non-surgical major thrombotic events was compared between the two arms of the study.
The thrombotic event rate per patient year was calculated by dividing the number of non-surgical ischemic strokes, pump thrombosis and arterial peripheral thromboembolic events by the cumulative years of study exposure
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Through Study Completion with a Median Follow up of 14 Months
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Rates of Stroke
Time Frame: Through Study Completion with a Median Follow up of 14 Months
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The stroke rate was calculated based on the number of strokes experienced by subjects, 14 days or more after device implant, and while on their treatment assignment, divided by the cumulative duration of study exposure (years of support).
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Through Study Completion with a Median Follow up of 14 Months
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Survival Rates
Time Frame: 24 Months
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The overall survival rate was analyzed using a Kaplan-Meier analysis and the treatment groups were compared using log-rank test.
Survival was calculated starting at 14 days post implant.
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24 Months
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Risk of Non-Surgical Bleeding Events
Time Frame: 24 Months
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Risk of non-surgical bleeding events was analyzed using a Kaplan-Meier analysis.
The treatment groups were compared using a log-rank test.
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24 Months
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Rate of Rehospitalization
Time Frame: Through Study Completion with a Median Follow up of 14 Months
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This study assessed changes in the rehospitalization as a result of removal of antiplatelet therapy from the antithrombotic regimen.
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Through Study Completion with a Median Follow up of 14 Months
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Economic Cost Implications - Total Estimated Cost for Bleeding Events (CMS Cost Basis)
Time Frame: 12 Months
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Cost of bleeding episodes was calculated based on a previously published economic model, adjusted for inflation using the US Bureau of Labor Statistics Medical Consumer Price Index.
To ensure uniformity in care practices and relevance of the previously published model, only US subjects were included.
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12 Months
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Economic Cost Implications - Average Cost Per Bleeding Event
Time Frame: 12 Months
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These values were derived by dividing the total estimated cost for bleeding events by the number of events to determine the average cost per bleeding event.
Consequently, a measure of dispersion is not available for these outcomes.
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12 Months
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Economic Cost Implications - Average Cost Per Study Patient Over the First-year Post-implant
Time Frame: 12 Months
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These values were derived by dividing the total estimated cost for bleeding events by the number of patients to obtain the average cost per study patient.
Consequently, a measure of dispersion is not available for these outcomes.
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12 Months
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Economic Cost Implications - Cost of Bleeding Hospitalization for 1000 LVAD Implants Over the First-year Post-implant
Time Frame: 12 Months
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Cost of bleeding episodes was calculated based on a previously published economic model, adjusted for inflation using the US Bureau of Labor Statistics Medical Consumer Price Index.
To ensure uniformity in care practices and relevance of the previously published model, only US subjects were included.
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12 Months
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Mehra MR, Netuka I, Uriel N, Katz JN, Pagani FD, Jorde UP, Gustafsson F, Connors JM, Ivak P, Cowger J, Ransom J, Bansal A, Takeda K, Agarwal R, Byku M, Givertz MM, Bitar A, Hall S, Zimpfer D, Vega JD, Kanwar MK, Saeed O, Goldstein DJ, Cogswell R, Sheikh FH, Danter M, Pya Y, Phancao A, Henderson J, Crandall DL, Sundareswaran K, Soltesz E, Estep JD; ARIES-HM3 Investigators. Aspirin and Hemocompatibility Events With a Left Ventricular Assist Device in Advanced Heart Failure: The ARIES-HM3 Randomized Clinical Trial. JAMA. 2023 Dec 12;330(22):2171-2181. doi: 10.1001/jama.2023.23204.
- Gustafsson F, Uriel N, Netuka I, Katz JN, Pagani FD, Connors JM, Jorde UP, Zimpfer D, Pya Y, Conway J, Anyanwu A, Scandroglio AM, Sulemanjee N, Atluri P, Keebler M, Selzman CH, Alexis JD, Hayward C, Henderson J, Dirckx N, Gazzola C, Mehra MR; ARIES Investigators. Aspirin and Hemocompatibility After LVAD Implantation in Patients With Atherosclerotic Vascular Disease: A Secondary Analysis From the ARIES-HM3 Randomized Clinical Trial. JAMA Cardiol. 2025 Mar 1;10(3):235-242. doi: 10.1001/jamacardio.2024.4849.
- Mehra MR, Crandall DL, Gustafsson F, Jorde UP, Katz JN, Netuka I, Uriel N, Connors JM, Sood P, Heatley G, Pagani FD. Aspirin and left ventricular assist devices: rationale and design for the international randomized, placebo-controlled, non-inferiority ARIES HM3 trial. Eur J Heart Fail. 2021 Jul;23(7):1226-1237. doi: 10.1002/ejhf.2275. Epub 2021 Jul 1.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Cardiovascular Diseases
- Heart Diseases
- Heart Failure
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Inflammatory Agents
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Fibrin Modulating Agents
- Antirheumatic Agents
- Sensory System Agents
- Analgesics, Non-Narcotic
- Analgesics
- Antipyretics
- Anti-Inflammatory Agents, Non-Steroidal
- Cyclooxygenase Inhibitors
- Fibrinolytic Agents
- Platelet Aggregation Inhibitors
- Aspirin
Other Study ID Numbers
Other Study ID Numbers
- ABT-CIP-10305
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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