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Phase 3 N=37 Randomized Single-blind Treatment

Aspirin for Exercise in Multiple Sclerosis (ASPIRE)

Multiple Sclerosis

Enrolled (actual)
37
Serious AEs
0.0%
Results posted
Oct 2023
Primary outcome: Primary: Time-to-exhaustion — 551.7; 331.6; 578.2 seconds

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Aspirin 650mg Oral Capsule (Drug); Acetaminophen Tablet 650mg (Drug); Placebo (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Columbia University
Primary completion
Feb 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Time-to-exhaustion
551.7; 331.6; 578.2
PRIMARY
Exercise-induced Body Temperature Change
0.68; 0.006; 0.31

Summary

This study investigates the use of aspirin as an exercise pre-treatment to reduce overheating and exhaustion, which may potentially allow many more people with multiple sclerosis to participate in and benefit from exercise. The design is double-blind, within-subject, with three arms: participants will receive one of three treatments at three separate study visits: aspirin, acetaminophen, and placebo, followed by completion of a maximal exercise test.

Eligibility Criteria

Inclusion Criteria

  • Diagnosis of relapsing-remitting MS
  • self-reported heat-sensitivity to exercise
  • Expanded Disability Status Scale (EDSS) total score ≤ 6.0
  • exacerbation-free (and no use of corticosteroids) for 6 weeks prior
  • BMI ≤ 40

Exclusion Criteria

  • prior history of significant head injury, stroke, or other neurological disease/disorder
  • current daily use of antipyretics or pain medication
  • currently in a major depressive episode
  • vascular disease of the legs, uncontrolled high blood pressure
  • uncontrolled diabetes mellitus or problem with blood sugar levels
  • contraindications to aspirin use (history of confirmed peptic ulcer, gastrointestinal or severe gynecological bleeding)
  • tarry stool or known fecal occult blood
  • uncontrolled syndrome of asthma, rhinitis, or nasal polyps
  • contraindications to acetaminophen use (severe active hepatic disease, Hepatitis C Virus)
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03824938). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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