Can your genes predict blood thinner effectiveness?
NCT ID NCT03188705
First seen Jul 31, 2026 · Last updated Jul 31, 2026
Summary
This trial investigates whether genetic variations in the CES1 gene influence how the body responds to the blood thinners clopidogrel and aspirin. Healthy Amish adults will take clopidogrel for a week, then a single dose of aspirin, with blood tests measuring platelet function before and after. The goal is to understand how these genetic differences might alter drug effectiveness, which could one day help tailor antiplatelet therapy to individual patients.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Clopidogrel and aspirin
- What this could lead to
- If genetic differences are found, it could lead to personalized antiplatelet therapy, improving safety and effectiveness for people with heart disease.
- What could go wrong
- This is a small, early-phase study in healthy volunteers, so results may not apply to patients with heart disease. Genetic effects may be subtle or not clinically significant.
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 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
6 people
The number who actually took part.
- Started
-
Oct 2019
- Finished
-
Jan 2020
- 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
-
20 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Accepted
You do not need to have the condition being studied to take part.
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: * Age 20 years or older * Of Old Order Amish descent Exclusion Criteria: * Currently pregnant or less than 6 months have passed since delivery * Currently breast feeding * Has a history of a bleeding disorder or major spontaneous bleed, such as peptic ulcer, epistasis, or intracranial bleed * Has severe hypertension, defined by a blood pressure above 160/95 mm Hg * Takes medications that would affect the outcome(s) to be measured and cannot willingly and safely, in the opinion of the treating physician and study physician, discontinue these medications for 1 week prior to protocol initiation * Is taking vitamins or other supplements and is unwilling to discontinue use for at least 1 week prior to study * Has a coexisting malignancy * Has a creatinine level greater than 2.0 mg/dl, aspartate transaminase (AST) or alanine transaminase (ALT) greater than two times the upper limit of normal, hematocrit less than 32%, or a thyroid-stimulating hormone (TSH) less than 0.4 or greater than 5.5 mIU/L * Has a bleeding disorder or history of gastrointestinal bleeding or other major bleeding episode * Is currently taking aspirin, clopidogrel, or anti-coagulants, such as warfarin, heparin, or GPIIb/IIIa antagonists, and have conditions that might place the participant at increased risk from withdrawal of these medications 14 days prior to protocol initiation * History of unstable angina, heart attack, angioplasty (including stent placement), coronary artery bypass surgery, atrial fibrillation, stroke or transient ischemic attacks, diabetes, or deep vein thrombosis or other thrombosis * Has polycythemia, or thrombocytosis, defined by a platelet count greater than 500,000 * Has thrombocytopenia, defined by a platelet count less than 75,000 * Has had surgery within the last 6 months * Has an aspirin or clopidogrel allergy
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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
-
Amish Research Clinic
Lancaster, Pennsylvania, 17602, United States
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