Daily Aspirin vs. Split Dosing in High-Risk Pregnancies (DASH)

This study is looking at how different ways of taking aspirin might help pregnant people at high risk for preeclampsia (a serious blood pressure condition) and preterm birth (birth before 37 weeks of pregnancy). Researchers want to see if taking 162mg of aspirin once a day works better than taking 81mg twice a day (every 12 hours) to prevent these problems. You might be able to join if you are 16-55 years old, are less than 16 weeks pregnant with one baby, and have certain risk factors for preeclampsia. The main goal is to see how well aspirin thins the blood, measured by a test called PFA-100 epinephrine closure time, 2-4 weeks after you start taking it. The current recruitment status is unclear.

Study design
This is an unblinded randomized study, meaning you and the researchers will know which aspirin dose you are taking. It plans to enroll 400 participants.
What's involved
You would be enrolled before 16 weeks of pregnancy and have your blood thinning response measured 2-4 weeks after starting aspirin, and again at 28-32 weeks of pregnancy.
Compensation
Not stated in the trial record.
Follow-up
Your blood thinning response will be assessed at 2-4 weeks after aspirin initiation and again at 28-32 weeks gestation.

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NCT06826859

Daily Aspirin vs Split Dosing in High-risk Pregnancies (DASH)

Recruiting
PHASE1Ages 16–55InterventionalPrevention
Thomas Jefferson University
~400 participants
Updated 2025-07-17 on ClinicalTrials.gov
What's tested:Daily aspirin (ASA)Split dose aspirin (ASA)

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Aspirin Response PFA-100 epinephrine closure time (seconds)
Measured over 2-4 weeks after aspirin initiation
Preterm Birth
Preeclampsia
1 sites across 1 states
Pennsylvania1

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Eligibility criteria

Inclusion

Singleton gestation gestational age \<16 0/7 weeks, dating confirmed with ultrasound
≥1 high risk factor for preeclampsia or ≥2 moderate risk factors as per United States Preventative Services Task Force (2021)
Recommendation for 162mg aspirin daily in pregnancy
Age 16-55 years old

Exclusion

Contraindication to aspirin
Current or planned use of any other anticoagulation
Thrombocytopenia, other known platelet or bleeding disorder
Abnormally elevated baseline PFA-100 epinephrine closure time prior to aspirin initiation
  • Aspirin Response PFA-100 epinephrine closure time (seconds)2-4 weeks after aspirin initiation

    Difference in PFA-100 epinephrine closure time (seconds)