Page last updated: 2024-10-23

aspirin and Varicose Ulcer

aspirin has been researched along with Varicose Ulcer in 21 studies

Aspirin: The prototypical analgesic used in the treatment of mild to moderate pain. It has anti-inflammatory and antipyretic properties and acts as an inhibitor of cyclooxygenase which results in the inhibition of the biosynthesis of prostaglandins. Aspirin also inhibits platelet aggregation and is used in the prevention of arterial and venous thrombosis. (From Martindale, The Extra Pharmacopoeia, 30th ed, p5)
acetylsalicylate : A benzoate that is the conjugate base of acetylsalicylic acid, arising from deprotonation of the carboxy group.
acetylsalicylic acid : A member of the class of benzoic acids that is salicylic acid in which the hydrogen that is attached to the phenolic hydroxy group has been replaced by an acetoxy group. A non-steroidal anti-inflammatory drug with cyclooxygenase inhibitor activity.

Varicose Ulcer: Skin breakdown or ulceration in the drainage area of a VARICOSE VEIN, usually in the leg.

Research Excerpts

ExcerptRelevanceReference
"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."9.22Low-dose aspirin as an adjuvant treatment for venous leg ulceration: study protocol for a randomized controlled trial (Aspirin4VLU). ( Bullen, C; Jull, A; Kerse, N; Parag, V; Wadham, A; Waters, J, 2016)
"To determine the effect of aspirin on ulcer healing rate in patients with chronic venous insufficiency, and to establish prognostic factors that influence ulcer evolution."9.16Influence of aspirin therapy in the ulcer associated with chronic venous insufficiency. ( Antonio, J; del Río Solá, ML; Fajardo, G; Vaquero Puerta, C, 2012)
"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."5.22Low-dose aspirin as an adjuvant treatment for venous leg ulceration: study protocol for a randomized controlled trial (Aspirin4VLU). ( Bullen, C; Jull, A; Kerse, N; Parag, V; Wadham, A; Waters, J, 2016)
"To determine the effect of aspirin on ulcer healing rate in patients with chronic venous insufficiency, and to establish prognostic factors that influence ulcer evolution."5.16Influence of aspirin therapy in the ulcer associated with chronic venous insufficiency. ( Antonio, J; del Río Solá, ML; Fajardo, G; Vaquero Puerta, C, 2012)
" We conducted 31 semi-structured telephone interviews of patients who participated in the Aspirin in Venous Leg Ulcer (ASPiVLU) randomised controlled trail (RCT) or ASPiVLU cohort study."3.96Rationale for participation in venous leg ulcer clinical research: Patient interview study. ( Richards, C; Team, V; Turnour, L; Weller, CD, 2020)
"Aspirin is an inexpensive, widely used medication but its safety and efficacy in the treatment of VLUs remains to be established."2.87AVURT: aspirin versus placebo for the treatment of venous leg ulcers - a Phase II pilot randomised controlled trial. ( Bland, M; Buckley, H; Chetter, I; Clark, L; Cook, L; Dumville, J; Fenner, C; Forsythe, R; Gabe, R; Harding, K; Hinchliffe, R; Layton, A; Lindsay, E; McDaid, C; Moffatt, C; Rolfe, D; Sbizzera, I; Stansby, G; Tilbrook, H; Torgerson, D; Vowden, P; Williams, L, 2018)
"Secondary outcomes are ulcer recurrence, wound pain, quality of life and wellbeing, adherence to study medication, adherence to compression therapy, serum inflammatory markers, hospitalisations, and adverse events at 24 weeks."2.82Aspirin in venous leg ulcer study (ASPiVLU): study protocol for a randomised controlled trial. ( Aldons, P; Barker, A; Dapiran, E; Darby, I; Haines, T; Loveland, P; Madan, JJ; McNeil, J; Sinha, S; Underwood, M; Vicaretti, M; Ward, S; Weller, CD; Wolfe, R; Woodward, M, 2016)
"Aspirin is an inexpensive, widely used medication but its safety and efficacy in the treatment of VLUs remains to be established."2.80Aspirin for Venous Ulcers: Randomised Trial (AVURT): study protocol for a randomised controlled trial. ( Bland, M; Buckley, H; Chetter, I; Clark, L; Cook, L; Dumville, J; Forsythe, RO; Gabe, R; Harding, K; Hinchliffe, RJ; Layton, A; Lindsay, E; McDaid, C; Moffatt, C; Phillips, C; Rolfe, D; Stansby, G; Tilbrook, H; Torgerson, D; Vowden, P; Williams, L, 2015)
"An increased rate of venous ulcer healing with the use of oral enteric-coated aspirin (300 mg) daily has been reported."2.68The effect of aspirin on haemostatic activity in the treatment of chronic venous leg ulceration. ( Davies, JA; Goodfield, MJ; Ibbotson, SH; Layton, AM, 1995)
"Aspirin is a generally well-tolerated drug that is now widely used in aged patients for its antithrombotic action."2.55Aspirin treatment for chronic wounds: Potential beneficial and inhibitory effects. ( Darby, IA; Weller, CD, 2017)
"Venous ulcers affect approximately 1% of the world's population, increasing healthcare expenditures and decreasing quality of life."2.43Venous ulcers: pathophysiology and treatment options. ( Eaglstein, WH; Falabella, A; Kirsner, RS; Trent, JT, 2005)

Research

Studies (21)

TimeframeStudies, this research(%)All Research%
pre-19901 (4.76)18.7374
1990's5 (23.81)18.2507
2000's1 (4.76)29.6817
2010's12 (57.14)24.3611
2020's2 (9.52)2.80

Authors

AuthorsStudies
Weller, CD5
Richards, C1
Turnour, L1
Team, V1
Martin, C1
Bouguettaya, A1
Underwood, M2
Barker, AL1
Haines, T2
Pouniotis, D1
Wolfe, R2
Jull, A2
Wadham, A2
Bullen, C2
Parag, V2
Kerse, N2
Waters, J2
Bundrick, JB1
Litin, SC1
Tilbrook, H2
Clark, L2
Cook, L2
Bland, M2
Buckley, H2
Chetter, I2
Dumville, J2
Fenner, C1
Forsythe, R1
Gabe, R2
Harding, K2
Layton, A2
Lindsay, E2
McDaid, C2
Moffatt, C2
Rolfe, D2
Sbizzera, I1
Stansby, G2
Torgerson, D2
Vowden, P2
Williams, L2
Hinchliffe, R1
Helen, T1
Liz, C1
Laura, C1
Illary, S1
Martin, B1
Hannah, B1
Ian, C1
Jo, D1
Chris, F1
Rachael, F1
Rhian, G1
Keith, H1
Alison, L1
Ellie, L1
Catriona, MD1
Christine, M1
Debbie, R1
Gerard, S1
David, T1
Peter, V1
Laurie, W1
Robert, H1
Varatharajan, L1
Thapar, A1
Davies, AH1
Forsythe, RO1
Phillips, C1
Hinchliffe, RJ1
de Oliveira Carvalho, PE1
Magolbo, NG1
De Aquino, RF1
Barker, A1
Darby, I1
Ward, S1
Aldons, P1
Dapiran, E1
Madan, JJ1
Loveland, P1
Sinha, S1
Vicaretti, M1
Woodward, M1
McNeil, J1
Darby, IA1
del Río Solá, ML1
Antonio, J1
Fajardo, G1
Vaquero Puerta, C1
Trent, JT1
Falabella, A1
Eaglstein, WH1
Kirsner, RS1
Ibbotson, SH2
Layton, AM2
Davies, JA2
Goodfield, MJ2
Ruckley, CV1
Prescott, RJ1
Marshall, RE1
Tyrrell, MR1
Renton, EJ1
Michaëlsson, G1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Low Dose Aspirin for Venous Leg Ulcers: a Randomised Trial[NCT02158806]Phase 3251 participants (Actual)Interventional2015-03-31Completed
Aspirin for Venous Ulcers: Randomised Trial (AVURT)[NCT02333123]Phase 226 participants (Actual)Interventional2015-07-10Terminated (stopped due to Recruitment halted following TSC meeting due to poor recruitment and study unlikely to complete. Funders withdrew continued support)
Non-invasive Measurement of Microvascular Blood Flow During Mild External Compression of the Leg[NCT01804478]20 participants (Actual)Interventional2005-05-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Estimated Ulcer Area

Change in estimated ulcer area from baseline to 24 weeks (NCT02158806)
Timeframe: Baseline, 24 weeks

Interventionsquare centimetres (Mean)
Aspirin4.1
Placebo4.8

Change in Health-related Quality of Life (EuroQol-5D 3L)

Mean difference in change measured by EuroQol 5D (EQ5D 3L) from baseline to 24 weeks. Crude health state scores for each group are not shown (health state is scored 0 to 100 at baseline and 24 weeks); higher mean differences in change from baseline to 24 weeks within groups indicate greater change on health state for that group. (NCT02158806)
Timeframe: Baseline, 24 weeks

Interventionscore on a scale (Mean)
Aspirin7.4
Placebo4.0

Number of Participants With Adherence to Treatment

Adherence to study medication as measured by pill counts (agreement between expected number of tablets remaining after healing and days to healing) (NCT02158806)
Timeframe: 24 weeks

InterventionParticipants (Count of Participants)
Aspirin92
Placebo92

Number of Participants With Healed Venous Leg Ulcers

Number of participants in each arm with completely healed reference ulcers at 24 weeks (NCT02158806)
Timeframe: 24 weeks

InterventionParticipants (Count of Participants)
Aspirin88
Placebo101

Time to Complete Healing of Reference Ulcer

Time to event (complete healing defined as intact skin with absence of scab) (NCT02158806)
Timeframe: 24 weeks

Interventiondays (Median)
Aspirin77
Placebo69

Change in Health-related Quality of Life (Charing Cross Venous Ulcer Questionnaire)

Mean difference in change in Charing Cross Venous Ulcer Questionnaire (CXVUQ)) from baseline to 24 weeks. Crude subscale scores for each group are not shown (each crude subscale is scored 0 to 100 at baseline and 24 weeks); higher mean differences in change from baseline to 24 weeks within groups indicate greater change on the subscales for that group. (NCT02158806)
Timeframe: 24 weeks

,
Interventionscore on a scale (Mean)
Social functionDomestic activitiesCosmesisEmotional statusOverall
Aspirin-6.2-6.6-6.1-9.4-7.3
Placebo-4.7-5.2-4.9-6.5-5.5

Change in Health-related Quality of Life (Short Form 36)

Mean difference in change in Short Form 36 (SF36) from baseline to 24 weeks. Crude subscale scores for each group are not shown (each crude subscale is scored 0 to 100 at baseline and 24 weeks); higher mean differences in change from baseline to 24 weeks within groups indicate greater change on the subscales for that group. (NCT02158806)
Timeframe: Baseline, 24 weeks

,
Interventionunits on a scale (Mean)
Physical FunctioningRole PhysicalBodily PainGeneral HealthVitalitySocial FunctioningRole EmotionalMental Health
Aspirin5.011.711.4-1.13.95.810.5-1.2
Placebo3.810.39.0-0.8-0.34.96.81.2

Reviews

5 reviews available for aspirin and Varicose Ulcer

ArticleYear
Clinical pearls in general internal medicine.
    Disease-a-month : DM, 2018, Volume: 64, Issue:8

    Topics: Adult; Aged; Aged, 80 and over; Aortic Valve Stenosis; Aspirin; Calcium; Cardiac Tamponade; Clavicle

2018
Oral aspirin for treating venous leg ulcers.
    The Cochrane database of systematic reviews, 2016, Feb-18, Volume: 2

    Topics: Administration, Oral; Adult; Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Compression Bandages;

2016
Aspirin treatment for chronic wounds: Potential beneficial and inhibitory effects.
    Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society, 2017, Volume: 25, Issue:1

    Topics: Animals; Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Chronic Disease; Cyclooxygenase Inhibitor

2017
Venous ulcers: pathophysiology and treatment options.
    Ostomy/wound management, 2005, Volume: 51, Issue:5

    Topics: Anti-Inflammatory Agents; Aspirin; Bandages; Chronic Disease; Debridement; Diosmin; Growth Substance

2005
Pharmacological treatments for venous leg ulcers.
    Journal of wound care, 1999, Volume: 8, Issue:4

    Topics: Anabolic Agents; Aspirin; Cinnarizine; Fibrinolytic Agents; Histamine H1 Antagonists; Humans; Pentox

1999

Trials

10 trials available for aspirin and Varicose Ulcer

ArticleYear
Once daily 300 mg aspirin with compression versus compression alone in patients with chronic venous leg ulcers (ASPiVLU): A randomised, double-blinded, multicentre, placebo-controlled, clinical trial.
    Journal of tissue viability, 2021, Volume: 30, Issue:4

    Topics: Adult; Aspirin; Compression Bandages; Humans; Prospective Studies; Varicose Ulcer; Wound Healing

2021
Low dose aspirin as adjuvant treatment for venous leg ulceration: pragmatic, randomised, double blind, placebo controlled trial (Aspirin4VLU).
    BMJ (Clinical research ed.), 2017, Nov-24, Volume: 359

    Topics: Adjuvants, Pharmaceutic; Adult; Aged; Aspirin; Dose-Response Relationship, Drug; Double-Blind Method

2017
AVURT: aspirin versus placebo for the treatment of venous leg ulcers - a Phase II pilot randomised controlled trial.
    Health technology assessment (Winchester, England), 2018, Volume: 22, Issue:55

    Topics: Aged; Aspirin; Chronic Disease; Compression Bandages; Double-Blind Method; Female; Humans; Male; Mid

2018
Aspirin versus placebo for the treatment of venous leg ulcers-a phase II, pilot, randomised trial (AVURT).
    Trials, 2019, Jul-26, Volume: 20, Issue:1

    Topics: Adult; Aged; Aged, 80 and over; Aspirin; Cardiovascular Agents; Compression Bandages; Double-Blind M

2019
Aspirin for Venous Ulcers: Randomised Trial (AVURT): study protocol for a randomised controlled trial.
    Trials, 2015, Nov-10, Volume: 16

    Topics: Aspirin; Chronic Disease; Clinical Protocols; Combined Modality Therapy; Compression Bandages; Doubl

2015
Low-dose aspirin as an adjuvant treatment for venous leg ulceration: study protocol for a randomized controlled trial (Aspirin4VLU).
    Journal of advanced nursing, 2016, Volume: 72, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Aspirin; Compression Bandages; Cost-Benefit Analysis; Dose-Response

2016
Aspirin in venous leg ulcer study (ASPiVLU): study protocol for a randomised controlled trial.
    Trials, 2016, Apr-11, Volume: 17

    Topics: Aspirin; Australia; Clinical Protocols; Combined Modality Therapy; Cyclooxygenase Inhibitors; Double

2016
Influence of aspirin therapy in the ulcer associated with chronic venous insufficiency.
    Annals of vascular surgery, 2012, Volume: 26, Issue:5

    Topics: Adult; Aged; Aged, 80 and over; Aspirin; Bandages, Hydrocolloid; Cardiovascular Agents; Chi-Square D

2012
The effect of aspirin on haemostatic activity in the treatment of chronic venous leg ulceration.
    The British journal of dermatology, 1995, Volume: 132, Issue:3

    Topics: Aspirin; Double-Blind Method; Factor VIII; Female; Fibrinogen; Hemostasis; Humans; Male; Plasminogen

1995
Randomised trial of oral aspirin for chronic venous leg ulcers.
    Lancet (London, England), 1994, Jul-16, Volume: 344, Issue:8916

    Topics: Administration, Oral; Aged; Aged, 80 and over; Aspirin; Bandages; Chronic Disease; Combined Modality

1994

Other Studies

6 other studies available for aspirin and Varicose Ulcer

ArticleYear
Rationale for participation in venous leg ulcer clinical research: Patient interview study.
    International wound journal, 2020, Volume: 17, Issue:6

    Topics: Aged; Aged, 80 and over; Aspirin; Female; Humans; Leg Ulcer; Male; Middle Aged; Motivation; Patient

2020
Adjunctive aspirin for venous ulcer healing.
    Phlebology, 2014, Volume: 29, Issue:6

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Aspirin; Humans; Varicose Ulcer

2014
Aspirin can aid bandage as the best treatment for leg ulcers.
    Nursing older people, 2016, May-27, Volume: 28, Issue:5

    Topics: Aspirin; Compression Bandages; Humans; Leg Ulcer; Varicose Ulcer; Wound Healing

2016
Treatment of chronic leg ulcers.
    Lancet (London, England), 1994, Nov-26, Volume: 344, Issue:8935

    Topics: Aspirin; Bandages; Chronic Disease; Clinical Trials as Topic; Combined Modality Therapy; Data Interp

1994
Treatment of chronic leg ulcers.
    Lancet (London, England), 1994, Nov-26, Volume: 344, Issue:8935

    Topics: Aspirin; Bandages; Chronic Disease; Clinical Trials as Topic; Combined Modality Therapy; Humans; Var

1994
Effects of antihistamines, acetylsalicylic acid and prednisone on cutaneous reactions to kallikrein and prostaglandin E1.
    Acta dermato-venereologica, 1970, Volume: 50, Issue:1

    Topics: Adult; Aspirin; Bradykinin; Chronic Disease; Cyproheptadine; Drug Hypersensitivity; Eczema; Female;

1970