Aspirin study for kidney patients halted early – did the risks outweigh the benefits?
NCT ID NCT03796156
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at whether taking a daily low-dose aspirin could help people with chronic kidney disease avoid their first heart attack or stroke. Over 4,600 participants were randomly assigned to take aspirin or receive usual care. The trial was stopped early, and the final results are not yet clear. Aspirin can reduce blood clots but also raises the chance of dangerous bleeding.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Aspirin (low-dose, 75 mg)
- What this could lead to
- If it had succeeded, this could have shown that daily low-dose aspirin safely reduces the risk of first heart attack or stroke in people with chronic kidney disease.
- What could go wrong
- The trial was terminated early, so results are limited. Aspirin also increases bleeding risk, which may outweigh benefits in this population.
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
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
4,633 people
The number who actually took part.
- Started
-
Feb 2019
- Finished
-
Sep 2025
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Males and females aged 18 years and over at the date of screening * .Subjects with CKD (reduced eGFR and/or albuminuria) defined as: • estimated glomerular filtration rate \[eGFR\] \<60mL/min/1.73m2 for at least 90 days, and/or • kidney disease code on the GP electronic patient AND most recent eGFR in CKD-defining range (\<60mL/min/1.73m2), and/or • albuminuria or proteinuria (defined as urine albumin:creatinine ratio \[ACR\] ≥3mg/mmol, and/or urine protein:creatinine ratio \[PCR\] ≥15mg/mmol, and/or +protein or greater on reagent strip) * Subjects who are willing to give permission for their paper and electronic medical records to be accessed by trial investigators * Subjects who are willing to be contacted and interviewed by trial investigators * Subjects who can communicate well with the investigator or designee, understand the requirements of the study and understand and sign the written informed consent Exclusion Criteria * Subjects with CKD GFR category 5 * Subjects with pre-existing cardiovascular disease (angina, myocardial infarction, stroke, transient ischaemic attack (TIA), significant peripheral vascular disease, coronary or peripheral revascularisation for atherosclerotic disease) * Subjects with a current pre-existing condition associated with increased risk of bleeding other than CKD * Subjects currently prescribed anticoagulants or antiplatelet agent, or taking over the counter (OTC) aspirin continuously * Subjects who are currently and regularly taking other drugs with a potentially serious interaction with aspirin * Subjects with a known allergy to aspirin or definite previous clinically important adverse reaction * Subjects with poorly controlled hypertension (systolic blood pressure \[BP\] ≥180 mmHg and/or diastolic BP ≥105 mmHg) * . Subjects with other conditions which in the opinion of their General Practitioner (GP) would preclude prescription of aspirin in routine clinical practice, for example significant anaemia or thrombocytopenia * Subjects who are pregnant or likely to become pregnant during the study period * Subjects with malignancy that is life-threatening or likely to limit prognosis, other life-threatening co-morbidity, or terminal illness * Subjects whose behaviour or lifestyle would render them less likely to comply with study medication * Subjects in prison * Subjects currently participating in another clinical trial of an investigational medicinal product or who have taken part in such a trial in the last three months (Covid-19 vaccine studies are acceptable)
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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.
Contacts and locations
Locations
-
Nottingham Clinical Trials Unit
Nottingham, NG7 2RD, United Kingdom
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