Common blood thinners may calm artery inflammation in at-risk patients
NCT ID NCT07169513
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tests whether two widely used anti-platelet drugs, aspirin and clopidogrel, can reduce inflammatory markers in people with silent atherosclerosis (hardening of the arteries without symptoms). Researchers will measure changes in monocyte-platelet aggregates, a sign of inflammation, in 60 participants over time. The goal is to understand how these drugs affect the body's inflammatory response, not to treat symptoms directly.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Aspirin and clopidogrel (anti-platelet drugs)
- What this could lead to
- If successful, this could show that common anti-platelet drugs reduce inflammation in people with silent atherosclerosis, pointing toward better ways to prevent heart problems.
- What could go wrong
- This is a small, early mechanistic study (60 people) that measures blood markers, not clinical outcomes like heart attacks. It may not prove any direct benefit or change treatment.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2025
An estimate. Start dates often move.
- Expected to finish
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Jul 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Group 1: * Male or female age 18 years or older * Willing to participate in the study, and able to give informed consent * Negative pregnancy test for a childbearing age woman * Receiving standard of care * Confirmed atherosclerotic cardiovascular risk based on clinical assessment Group 2: * Male or female age 18 years or older * Willing to participate in the study, and able to give informed consent * Receiving standard of care * Negative pregnancy test for a childbearing age woman * Confirmed diagnosis of peripheral arterial disease (ankle-brachial index below 0.9) with Rutherford grade 1-3. Exclusion Criteria: Group 1: * Diabetes * Receiving any anti-platelet medications within the last two weeks * Receiving any anticoagulant medications within the last two weeks * Receiving statin medications within the last two weeks * Known major organ dysfunction * Significant co-morbidities * Pregnancy or lactating woman * Unwilling, or unable to give informed consent * Presence of co-existing autoimmune disease * Hypersensitivity to aspirin or clopidogrel * Severe hepatic impairment (Child-Pugh grade C) * Active peptic ulcer * Presence of co-existing inflammatory or autoimmune diseases * Frequent use of medications known to affect platelet function five days before baseline phlebotomy and during the study * Non-steroidal anti-inflammatory drugs (NSAIDs) * Antihistamines * Selective serotonin reuptake inhibitors * Platelet count \< 100 × 109 /L or \> 450 × 109 /L * Anaemia * Any known bleeding diathesis * Currently involved in other clinical research studies Group 2: * Diabetes * Patients with PAD Rutherford category of more than 3 * Receiving any anticoagulant medications within the last two weeks * Known major organ dysfunction * Pregnancy or lactating woman * Unwilling, or unable, to give informed consent * Hypersensitivity to aspirin or clopidogrel * Severe hepatic impairment (Child-Pugh grade C) * Active peptic ulcer * Presence of co-existing autoimmune disease * Frequent use of medications known to affect platelet function five days before baseline phlebotomy and during the study * Non-steroidal anti-inflammatory drugs (NSAIDs) * Antihistamines * Selective serotonin reuptake inhibitors * Platelet count \< 100 × 109 /L or \> 450 × 109 /L * Anaemia * Any known bleeding diathesis * Currently involved in other clinical research studies
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Guy's and St Thomas' NHS Foundation Trust
London, SE1 7EH, United Kingdom
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