Low-dose aspirin as an adjuvant treatment for venous leg ulceration: study protocol for a randomized controlled trial (Aspirin4VLU)

J Adv Nurs. 2016 Mar;72(3):669-79. doi: 10.1111/jan.12864. Epub 2015 Dec 28.

Abstract

Aim: The aim of this study was to determine the effect of low-dose aspirin on venous leg ulcer healing when used in addition to compression.

Background: The mainstay of treatment for venous leg ulcers is compression therapy and there are few adjuvant treatments to accelerate healing.

Design: Pragmatic, community-based, double-blind, randomized trial.

Methods: Participants with venous leg ulcers will receive either 150 mg aspirin or placebo daily for up to 24 weeks. Participants will receive background treatment with compression therapy (system of choice guided by participant and/or clinical preference) delivered through district nursing services. The primary outcome will be time-to-healing. Secondary outcomes will include proportion healed at 24 weeks, change in ulcer area, change in health-related quality of life, adherence, efficacy of blinding and adverse events. The trial was funded in June 2014.

Discussion: The trial commenced in March 2015 and is successfully recruiting. The trial is one of three trials that will contribute to an individual participant data meta-analysis to be undertaken at the York Trials Centre.

Trial registration: Registered 5 June 2014 ClinicalTrials.gov NCT02158806. Protocol version 1·1, 14 April 2015.

Keywords: aspirin; community nursing; protocol; randomized controlled trial; venous leg ulcer.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Aspirin / therapeutic use*
  • Compression Bandages*
  • Cost-Benefit Analysis
  • Dose-Response Relationship, Drug
  • Double-Blind Method
  • Female
  • Humans
  • Leg Ulcer / drug therapy*
  • Leg Ulcer / nursing*
  • Male
  • Middle Aged
  • New Zealand
  • Time Factors
  • Treatment Outcome
  • Varicose Ulcer / drug therapy*
  • Varicose Ulcer / nursing*
  • Wound Healing / drug effects*

Substances

  • Aspirin

Associated data

  • ClinicalTrials.gov/NCT02158806