Comparing morning versus bedtime aspirin for cardiovascular health
Official title: Randomized Comparison of Morning Versus Bedtime Administration of Aspirin: A Cardiovascular Circadian Chronotherapy (C3) Trial
Run by Herlev and Gentofte Hospital · NCT05932472 · Data updated 2026-11-12
This study is testing if taking aspirin at bedtime works better than taking it in the morning for people who are already using aspirin to protect their heart health.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 32706 (estimated) |
| Sponsor | Herlev and Gentofte Hospital Academic / other |
| Locations | 1 site (Hellerup) |
| Status | Recruiting |
| Started | January 15, 2024 |
| Main results expected | January 15, 2027 |
| Study ends | February 15, 2027 |
| Registry record updated | February 6, 2024 |
| Trial ID | NCT05932472 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older who are currently on chronic aspirin treatment.
✕Probably not a fit
Patients who are not currently taking aspirin or those under 18 years old may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This trial investigates whether taking aspirin at bedtime is more effective than taking it in the morning for reducing major adverse cardiovascular events in patients already on aspirin therapy. It utilizes a pragmatic, registry-based, open-label, randomized controlled design, leveraging Denmark's nationwide health registries for participant identification and data collection. Participants will provide electronic informed consent and will be randomized to either morning or bedtime aspirin administration without the need for in-person visits.
Why it matters
Potential benefit: If successful, this study could lead to improved cardiovascular outcomes for patients through optimized aspirin administration timing.
How similar studies have gone: Previous pilot studies have suggested potential benefits of bedtime aspirin administration, indicating a promising avenue for further investigation.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age \>=18 years * Current chronic treatment with aspirin (as recorded in the Danish National Prescription Registry and confirmed by the participant via questionnaire) * Signed informed consent Exclusion Criteria: * There are no exclusion criteria for this trial
Where it's running
-
Center for Translational Cardiology and Pragmatic Randomized Trials, Department of Cardiology, Copenhagen University Hospital - Herlev and Gentofte
Hellerup, Denmark Recruiting
Study contacts
- Principal investigator: Manan Pareek, MD, PhD — Center for Translational Cardiology and Pragmatic Randomized Trials, Department of Cardiology, Copenhagen University Hospital - Herlev and Gentofte
- Study coordinator: Niklas Dyrby Johansen, MD
- Email: niklas.dyrby.johansen@regionh.dk
- Phone: +4520204794
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Colchicine for preventing cardiovascular disease in adults with type 2 diabetes
A 24-week study will test whether low-dose colchicine can help protect blood vessels in adults with type 2 diabetes who have not yet developed artery disease, compared with a placebo.
-
See if Lepodisiran lowers coronary plaque in people with high Lp(a) and heart disease risk
This study tests whether lepodisiran can reduce heart-artery plaque in adults with high Lp(a) compared to placebo.
-
Moderate-Intensity Statin + Ezetimibe vs High-Intensity Statin in CKD with ASCVD
In adults with chronic kidney disease and established cardiovascular disease, this study tests whether a moderate-intensity statin plus ezetimibe can match the benefits of a high-intensity statin alone over three years.
-
Single versus dual antiplatelet therapy after drug-coated balloon angioplasty in elderly or high-bleeding-risk patients
This study tests whether taking one antiplatelet medicine is as safe and causes less bleeding than taking two medicines for people aged 75 or older, or adults at high bleeding risk, after drug-coated balloon angioplasty for coronary artery disease.
-
Investigating heart-related side effects of cancer immunotherapy
This study is testing whether cancer immunotherapy treatments can cause heart problems in patients with certain types of cancer.
-
Cardiovascular risk assessment for patients with lipid disorders in emergency care
This study is testing a new way to help emergency room patients with high cholesterol lower their heart disease risk by providing better care compared to the usual treatment.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.