Regulation of Platelet Function in Older Patients With Atrial Fibrillation

July 23, 2026 updated by: Michael Holinstat, University of Michigan

The goal of this observational study is to learn about the effects of antiplatelet drugs on patients over the age of 80 with atrial fibrillation. The main question it aims to answer is:

-Is platelet reactivity effectively controlled in patients over the age of 80 diagnosed with atrial fibrillation following the Watchman procedure.

Study Overview

Status

Not yet recruiting

Conditions

Detailed Description

Cardiovascular disease remains the leading cause of death and the risk for morbidity and mortality due to cardiovascular disease is thought to increases with age. Platelets play a key role in cardiovascular disease as their activation is essential for the formation of an arterial thrombus, the precursor to myocardial infarction and stroke. Additionally, thrombosis has been shown to be linked to cardiac pathologies including atrial fibrillation. The link between optimal prevention of thrombosis and limiting the risk associated with increased bleeding has not been fully elucidated. Hence, our understanding of the prothrombotic state of the platelet and thrombotic risk in people over the age of 80 is not well understood. In this study, we evaluate the prothrombotic state of the platelets in patients in the cardiovascular clinic over the age of 80 diagnosed with atrial fibrillation who are taking antiplatelet medications to determine the benefits of these interventions in prevention of thrombotic events, propagation of the risk for atrial fibrillation, and bleeding

Study Type

Observational

Enrollment (Estimated)

50

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

The study population consists of patients over the age of 80 who have been diagnosed with atrial fibrillation and will receive the Watchman Procedure and receive antiplatelet drugs following procedure.

Description

Inclusion Criteria:

  • diagnosed with atrial fibrillation, scheduled for a Watchman Procedure

Exclusion Criteria:

  • Healthy, taking antiplatelet medication

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Patients with atrial fibrillation over the age of 80
Patients over the age of 80 diagnosed with atrial fibrillation receiving ether aspirin alone or aspirin and clopidogrel

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Platelet reactivity
Time Frame: blood draw will occur prior to Watchman procedure and antiplatelet administration and 90 days following Watchman procedure while patients are taking antiplatelet drugs
platelet reactivity will be measured before and after antiplatelet treatment in patients over 80. Outcomes will include 1) platelet aggregation, 2) integrin activation, 3) alpha and dense granule secretion, 4) T-TAS activation, and 5) TEG.
blood draw will occur prior to Watchman procedure and antiplatelet administration and 90 days following Watchman procedure while patients are taking antiplatelet drugs

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Michigan

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

August 1, 2026

Primary Completion (Estimated)

August 1, 2028

Study Completion (Estimated)

August 1, 2028

Study Registration Dates

First Submitted

July 20, 2026

First Submitted That Met QC Criteria

July 23, 2026

First Posted (Actual)

July 24, 2026

Study Record Updates

Last Update Posted (Actual)

July 24, 2026

Last Update Submitted That Met QC Criteria

July 23, 2026

Last Verified

July 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • HUM00295130

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

IPD information will be made available on a request basis and determination will be made with HIPAA policies being taken into consideration and the treating physician.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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