Evidence map›Paper›PMID 26554558›Full record

Trial reportTrials2015

Aspirin for Venous Ulcers: Randomised Trial (AVURT): study protocol for a randomised controlled trial.

Helen Tilbrook, Rachael O Forsythe, Debbie Rolfe, Laura Clark, Martin Bland, Hannah Buckley, Ian Chetter, Liz Cook, Jo Dumville, Rhian Gabe and 11 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02333123 (Aspirin for Venous Ulcers), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02333123 phase2terminatednot on this map

Aspirin for Venous Ulcers: Randomised Trial (AVURT)

TypeinterventionalSponsorSt George's, University of LondonRan2015 to 2016Enrolled26ConditionsVenous Leg UlcerArmsAspirin, Placebo (for Aspirin)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 12 institutions in 1 country.

Helen TilbrookDepartment of Health Sciences, York Trials Unit, University of York, York, UK. helen.tilbrook@york.ac.uk.
Rachael O ForsytheSt George's Vascular Institute, St George's Healthcare NHS Trust, Blackshaw Road, London, SW17 0QT, UK. rachael.forsythe@ed.ac.uk.
Debbie RolfeSt George's University of London, London, UK. drolfe@sgul.ac.uk.
Laura ClarkDepartment of Health Sciences, York Trials Unit, University of York, York, UK. laura.clark@york.ac.uk.
Martin BlandDepartment of Health Sciences, York Trials Unit, University of York, York, UK. martin.bland@york.ac.uk.
Hannah BuckleyDepartment of Health Sciences, York Trials Unit, University of York, York, UK. hannah.buckley@york.ac.uk.
Ian ChetterHull York Medical School, University of Hull, Kingston upon Hull, UK. ian.chetter@hey.nhs.uk.
Liz CookDepartment of Health Sciences, York Trials Unit, University of York, York, UK. liz.cook@york.ac.uk.
Jo DumvilleSchool of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK. jo.dumville@manchester.ac.uk.
Rhian GabeDepartment of Health Sciences, York Trials Unit, University of York, York, UK. rhian.gabe@york.ac.uk.
Keith HardingWound Healing Research Unit, Cardiff University, Cardiff, UK. hardingkg@cf.ac.uk.
Alison LaytonHarrogate and District NHS Foundation Trust, London, UK. alison.layton@hdft.nhs.uk.
Ellie LindsayThe Lindsay Leg Club Foundation, London, UK. ellie@legclubfoundation.com.
Catriona McDaidDepartment of Health Sciences, York Trials Unit, University of York, York, UK. catriona.mcdaid@york.ac.uk.
Christine MoffattSchool of Health Sciences, University of Nottingham, Nottingham, UK. christine.moffatt@nottingham.ac.uk.
Ceri PhillipsSwansea Centre for Health Economics, Swansea University, Swansea, UK. C.J.Phillips@swansea.ac.uk.
Gerard StansbySchool of Surgical and Reproductive Sciences, Newcastle University, Newcastle upon Tyne, UK. Gerard.Stansby@nuth.nhs.uk.
Peter VowdenUniversity of Bradford, Bradford, UK. peter.vowden@mac.com.
Laurie WilliamsSt George's Vascular Institute, St George's Healthcare NHS Trust, Blackshaw Road, London, SW17 0QT, UK. laurie.williams49@gmail.com.
David TorgersonDepartment of Health Sciences, York Trials Unit, University of York, York, UK. david.torgerson@york.ac.uk.
Robert J HinchliffeSt George's Vascular Institute, St George's Healthcare NHS Trust, Blackshaw Road, London, SW17 0QT, UK. rhinchli@sgul.ac.uk.
University of York · GBSt George’s University Hospitals NHS Foundation Trust · GBSt George's, University of London · GBCardiff University · GBHarrogate and District NHS Foundation Trust · GBHull York Medical School · GBNewcastle University · GBSwansea University · GBThe Lindsay Leg Club Foundation · GBUniversity of Bradford · GBUniversity of Manchester · GBUniversity of Nottingham · GB

Funding

Department of Health HTA/13/87/08
6 · The paper itself

Abstract

backgroundVenous leg ulcers (VLUs) are the commonest cause of leg ulceration, affecting 1 in 100 adults. There is a significant health burden associated with VLUs - it is estimated that the cost of treatment for 1 ulcer is up to £1300 per year in the NHS. The mainstay of treatment is with graduated compression bandaging; however, treatment is often prolonged and up to one quarter of venous leg ulcers do not heal despite standard care. Two previous trials have suggested that low-dose aspirin, as an adjunct to standard care, may hasten healing, but these trials were small and of poor quality. Aspirin is an inexpensive, widely used medication but its safety and efficacy in the treatment of VLUs remains to be established. METHODS/

designAVURT is a phase II randomised double blind, parallel-group, placebo-controlled efficacy trial. The primary objective is to examine whether aspirin, in addition to standard care, is effective in patients with chronic VLUs (i.e. over 6 weeks in duration or a history of VLU). Secondary objectives include feasibility and safety of aspirin in this population. A target of 100 participants, identified from community leg ulcer clinics and hospital clinics, will be randomised to receive either 300 mg of aspirin once daily or placebo. All participants will receive standard care with compression therapy. The primary outcome will be time to healing of the reference ulcer. Follow-up will occur for a maximum of 27 weeks. The primary analysis will use a Cox proportional hazards model to compare time to healing using the principles of intention-to-treat. Secondary outcomes will include ulcer size, pain evaluation, compliance and adverse events. DISCUSSION: The AVURT trial will investigate the efficacy and safety of aspirin as a treatment for VLU and will inform on the feasibility of proceeding to a larger phase III study. This study will address the paucity of information currently available regarding aspirin therapy to treat VLU.

trial registrationThe study is registered on a public database with clinicaltrials.gov ( NCT02333123 ; registered on 5 November 2014).

Indexed as

AspirinChronic DiseaseClinical ProtocolsCombined Modality TherapyCompression BandagesDouble-Blind MethodEnglandFeasibility StudiesHumansIntention to Treat AnalysisProportional Hazards ModelsResearch DesignTime FactorsTreatment OutcomeVaricose UlcerWound HealingAspirin

Identifiers

PMID26554558
PMCPMC4641424
OpenAlexW2173901263

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.