Aspirin Dosing After Joint Replacement Surgery

This study is looking at whether taking 81 mg aspirin once a day is as good as taking it twice a day to prevent blood clots (venous thromboembolism or VTE) after total hip or knee replacement surgery. We want to see if one dose schedule is better at preventing these clots over 90 days. You might be able to join if you are 19 or older and planning to have a primary total hip or knee replacement. You cannot join if you have a history of blood clots, cancer, a known blood clotting disorder, a BMI over 40, need other blood thinners, or cannot take aspirin. The current status of this study is unclear.

Study design
This interventional study plans to include 5478 participants. It compares two different dosing schedules of 81 mg aspirin.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for 90 days to check for blood clots.

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NCT04295486

Optimal Dosing For Low-Dose Aspirin Chemoprophylaxis For VTE Following Total Joint Arthroplasty

Recruiting
PHASE2Ages 19+InterventionalPrevention
University of Miami
~5,478 participants
Updated 2026-03-11 on ClinicalTrials.gov
What's tested:Aspirin

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Incidence of symptomatic thromboembolic events
Measured over 90 days
Venous Thromboembolism
1 sites across 1 states
Florida1
  • Victor Hernandez, MD · PRINCIPAL_INVESTIGATOR · University of Miami

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Eligibility criteria

Inclusion

\> 18 years of age
Planning to undergo a primary total hip or knee arthroplasty

Exclusion

High risk patients for VTE as defined by:
History of venous thromboembolism
Active malignancy
Known pro thrombotic condition
BMI \> 40
Patients requiring anticoagulation for pre-existing conditions
Patients with the contraindication for use of aspirin or nonsteroidal antiinflammatory drugs for reasons such as peptic ulcer disease, intolerance, others.
Patients not fluent in the language of the informed consent form
Prisoners
Pregnancy
Reported to have mental illness or belonging to a vulnerable population
  • Incidence of symptomatic thromboembolic events90 days

    Efficacy of prophylaxis will be reported as the number of reported incidence of symptomatic Pulmonary Embolism (PE) and Deep Vein Thrombosis (DVT).