Aspirin Dosing for COPD

This study is looking at different doses of aspirin (81mg, 162mg, and 325mg) to see which is most effective for people with Chronic Obstructive Pulmonary Disease (COPD). Researchers believe that activated platelets, which are small blood cells involved in clotting, might also contribute to worse breathing symptoms in COPD. This trial will measure changes in specific markers in your urine and blood (urinary 11-dehydro-thromboxane B2 and serum thromboxane B2) over 10 weeks to understand how different aspirin doses affect these markers. You may be able to join if you are 40 to 80 years old, a former smoker with a significant smoking history, and have a specific lung function test result (FEV1/FVC < 0.7). The study is currently unclear on its recruitment status and plans to enroll 48 participants.

Study design
This is a randomized, double-blind, crossover study with 48 participants. You would receive each of the three aspirin doses in a specific order, with a break between each dose.
What's involved
You would take one aspirin pill daily and attend three follow-up visits after starting the study. At each visit, blood and urine samples will be collected.
Compensation
Not stated in the trial record.
Follow-up
You will have follow-up visits at two, six, and ten weeks after randomization.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT05265299

Trial to Determine Effective Aspirin Dose in COPD

Recruiting
PHASE3Ages 40–80InterventionalTreatment
Johns Hopkins University
~48 participants
Updated 2026-03-16 on ClinicalTrials.gov
What's tested:Aspirin 81mgAspirin 162 mgAspirin 325mg

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in urinary 11-dehydro-thromboxane B2 level
Measured over Baseline, week 2, week 6, week 10
+1 more outcome measured
Pulmonary Disease, Chronic Obstructive
1 sites across 1 states
Maryland1
  • Ashraf Fawzy, MD, MPH · PRINCIPAL_INVESTIGATOR · Johns Hopkins University

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Eligibility criteria

Inclusion

Age ≥40 years
Former smoker
At least 10 pack-year smoking history
Post-bronchodilator ratio of forced expiratory volume in 1 second to forced vital capacity (FEV1/FVC) \< 0.7

Exclusion

History of myocardial infarction, percutaneous coronary intervention, or stroke
Currently taking antiplatelet therapy (other than aspirin 81mg) or anticoagulant medication
Contraindication to aspirin (including low platelet count, hematocrit \<25%, known aspirin-exacerbated respiratory disease, bleeding disorder, history of bleeding or gastrointestinal (GI) ulcer, coagulopathy, or major surgery within 6 weeks before randomization)
Oral corticosteroids within the past 6 weeks
Currently taking immunosuppressant medication
Active malignancy (other than non-melanoma skin cancer)
Uncontrolled hypertension
Pregnant or planning pregnancy in the next year
Plans to move residence away from the immediate area within the next 3 months
  • Change in urinary 11-dehydro-thromboxane B2 levelBaseline, week 2, week 6, week 10

    Urine 11-dehydro-thromboxane B2 level (pg/mg Creatinine) - a urinary metabolite of thromboxane A2.

  • Change in serum thromboxane B2 levelBaseline, week 2, week 6, week 10

    Serum thromboxane B2