Can a blood thinner combo save limbs in diabetes and hypertension?
NCT ID NCT07832578
First seen Sep 22, 2026 · Last updated Sep 22, 2026
Summary
Researchers compare low-dose rivaroxaban plus aspirin with aspirin alone in adults aged 40 to 70 who have chronic limb-threatening ischemia along with diabetes, hypertension, and high cholesterol. The trial tests whether the combination reduces major limb events like amputation and major cardiovascular events like heart attack and stroke over six months. Participants are randomly assigned to one of the two treatments and monitored for bleeding, wound healing, and quality of life.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- low-dose rivaroxaban plus aspirin
- What this could lead to
- If the combination works better than aspirin alone, it could offer a way to reduce limb amputations and heart problems in people with narrowed leg arteries.
- What could go wrong
- This is an early-phase trial with 78 participants, so results may not hold in larger groups. The combination also carries a risk of bleeding, which researchers monitor.
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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Early phase 1
The earliest testing in people: a first look at safety, in a very small group.
- Participants
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About 78 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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Apr 2027
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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40 to 70 years
- 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: * All patients of CLTI managed conservatively * ASA score of 3 or more * Age 40-70 yrs * Diagnosed case of Diabetes mellitus type 2 (HbA1c \>8) * Blood Pressue ( \>130/90 , \<180/100 ) * Hypercholestrolemia (Total cholesterol ≥200 mg/dL ) * ABPI \< 0.6 * Claudication distance \< 100 meters * Provided written informed consent (for prospective or interventional studies) Exclusion Criteria: * Cholesterol \>300mg/dl * HbA1c \>12 mg/dl * Previous amputation or debridement of vascular ulcers * Diagnosed varicose veins * History of SEPS(subfacial endoscopic perforator surgery) * Active bleeding disorder * Recent major surgery (\<1 month) * Renal failure requiring dialysis * Coagulopathy * Pregnancy or breastfeeding
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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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Mayo Hospital Lahore
RECRUITINGLahore, Punjab Province, 54000, Pakistan
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