{"id":1518,"date":"2020-09-15T12:01:26","date_gmt":"2020-09-15T12:01:26","guid":{"rendered":"https:\/\/aspree.org\/aus\/?page_id=1518"},"modified":"2024-08-04T03:09:18","modified_gmt":"2024-08-04T03:09:18","slug":"for-researchers","status":"publish","type":"page","link":"https:\/\/aspree.org\/aus\/for-researchers\/","title":{"rendered":"For researchers"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;off|desktop&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#26619A&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; custom_padding_tablet=&#8221;24vh||2vh||false|false&#8221; background_color_gradient_direction_tablet=&#8221;360deg&#8221; background_color_gradient_stops_tablet=&#8221;#2b87da 49%|#29c4a9 79%&#8221; background_color_gradient_start_position_tablet=&#8221;49%&#8221; background_color_gradient_end_position_tablet=&#8221;79%&#8221; background_size_tablet=&#8221;cover&#8221; background_position_tablet=&#8221;center_right&#8221; background_position_phone=&#8221;center_right&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#26619a&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;2_5,3_5&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; make_equal=&#8221;on&#8221; custom_padding_last_edited=&#8221;on|tablet&#8221; _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; width=&#8221;100%&#8221; max_width=&#8221;100%&#8221; custom_padding=&#8221;0px||0px|4%|false|false&#8221; custom_padding_tablet=&#8221;0px|||0%|false|false&#8221; custom_padding_phone=&#8221;&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;30px||||false|false&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_ds_breadcrumbs module_class=&#8221;light&#8221; _builder_version=&#8221;4.5.1&#8243; _module_preset=&#8221;default&#8221; locked=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_ds_breadcrumbs][et_pb_text _builder_version=&#8221;4.16&#8243; header_font=&#8221;|700|||||||&#8221; header_font_size=&#8221;42px&#8221; header_line_height=&#8221;1.15em&#8221; background_layout=&#8221;dark&#8221; width=&#8221;80%&#8221; max_width=&#8221;520px&#8221; module_alignment=&#8221;center&#8221; custom_margin=&#8221;3em||20px||false|false&#8221; custom_margin_tablet=&#8221;3em||||false|false&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; header_font_size_tablet=&#8221;34px&#8221; header_font_size_phone=&#8221;24px&#8221; header_font_size_last_edited=&#8221;on|desktop&#8221; module_alignment_tablet=&#8221;&#8221; module_alignment_phone=&#8221;&#8221; module_alignment_last_edited=&#8221;on|tablet&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1>FOR RESEARCHERS<\/h1>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.16&#8243; text_font_size=&#8221;24px&#8221; background_layout=&#8221;dark&#8221; width=&#8221;80%&#8221; max_width=&#8221;520px&#8221; module_alignment=&#8221;center&#8221; custom_margin=&#8221;||40px||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; text_font_size_tablet=&#8221;20px&#8221; text_font_size_phone=&#8221;16px&#8221; text_font_size_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>The ASPREE trial of low-dose aspirin showed that 100mg of enteric coated aspirin taken daily did not extend life free of disability in older adults.<\/p>\n<p>ASPREE XT is the continuing longitudinal follow-up of ASPREE participants\u00a0<a name=\"m_-928420564901614780_m_-8554914185731764565_m_2300815966603487365_m_2097184216436747422_m_-7883092006737572279_m_-60631347639280\"><\/a>seeking opportunities to prevent illness and disability in this age group.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.16&#8243; background_image=&#8221;https:\/\/aspree.org\/wp-content\/uploads\/sites\/2\/2020\/09\/asprinedit.jpg&#8221; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_code _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; height=&#8221;34em&#8221; height_tablet=&#8221;250px&#8221; height_phone=&#8221;250px&#8221; height_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; specialty=&#8221;on&#8221; padding_right_2=&#8221;0px&#8221; padding_left_2=&#8221;0px&#8221; padding_top_bottom_link_2=&#8221;false&#8221; padding_left_right_link_2=&#8221;true&#8221; module_class=&#8221;texture-left&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; inner_max_width=&#8221;80%&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||90px||false|false&#8221; border_color_bottom=&#8221;#bdbec0&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Anchors &#8221; _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; text_text_color=&#8221;#26619a&#8221; header_font=&#8221;|||on|||||&#8221; header_2_font=&#8221;|||on|||||&#8221; header_2_font_size=&#8221;32px&#8221; header_3_line_height=&#8221;2em&#8221; text_font_size_tablet=&#8221;28px&#8221; text_font_size_phone=&#8221;24px&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; header_2_font_size_tablet=&#8221;28px&#8221; header_2_font_size_phone=&#8221;24px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>THE ASPREE PROJECT<\/h2>\n<p>&nbsp;<\/p>\n<h3>\u2192\u00a0<a title=\"Link to ASPREE sub-studies page\" href=\"\/aus\/about-the-aspree-project\/sub-studies\/\">ASPREE sub-studies<\/a><\/h3>\n<h3>\u2192\u00a0<a title=\"link to ASPREE publications\" href=\"\/aus\/publications\/\" target=\"_blank\" rel=\"noopener noreferrer\">ASPREE publications<\/a><\/h3>\n<h3>\u2192\u00a0<a title=\"data-access\" href=\"#data-access\">Data access<\/a><\/h3>\n<h3>\u2192\u00a0<a title=\"PI Updates\" href=\"#data-access\">PI updates<\/a><\/h3>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;2_3&#8243; specialty_columns=&#8221;2&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_row_inner admin_label=&#8221;PUT CONTENT BELOW AS A TEXT AND IMAGES&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;840px&#8221; custom_padding=&#8221;|0px||0px|true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column_inner saved_specialty_column_type=&#8221;2_3&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;ASPREE clinical trial &amp; XT study summary&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;||||||||&#8221; header_font=&#8221;||||||||&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>THE ASPREE CLINICAL TRIAL\u00a0 (March 2010 &#8211; June 2017)<\/h3>\n<p>ASPREE (ASPirin in Reducing Events in the Elderly) was a large community-based clinical trial undertaken between 2010 and 2017 in Australia and the USA, involving 19,114 older adults: 16,703 participants from across south-eastern Australia and 2,411 from centres across the USA. While the Australian participants were mainly Caucasians aged 70 and above, approximately half of USA participants were ethnic minorities aged 65 years and older. At recruitment all participants were free of overt cardiovascular disease, dementia and physical disability.<\/p>\n<p>The primary objective of the ASPREE trial was to determine whether low-dose aspirin (100mg) could prolong disability-free survival &#8211; i.e. life free of dementia or persistent physical disability. Secondary objectives aimed to determine whether low-dose aspirin reduced the incidence of cardiovascular disease, cognitive decline, depression, cancer, physical disability and major bleeding episodes.\u00a0 The principal results were published in the <a href=\"\/aus\/publications\/\" title=\"link to publications\">New England Journal of Medicine<\/a> in September 2018.<\/p>\n<p>&nbsp;<\/p>\n<h3>THE ASPREE-XT FOLLOW-UP STUDY\u00a0 (June 2017 &#8211; current)<\/h3>\n<p>The ASPREE-XT study is continuing to follow-up ASPREE participants following cessation of the randomised\u00a0(aspirin or matched placebo) treatment phase. The large majority of participants are no longer taking aspirin. This observational phase of the study is aiming to determine whether any impacts of a prolonged course of aspirin therapy are delayed, as has been suggested with some cancers. ASPREE-XT, in conjunction with various sub-studies, is also examining whether genetic, lifestyle or environmental factors that may contribute to the maintenance of health and identify other opportunities to prevent illness and disability in this age group.<\/p>\n<p><a href=\"\/aus\/about-us\/\" title=\"link to organisational structure\">Monash University<\/a> leads the ASPREE project in Australia and the Berman Center for Outcomes and Clinical Research leads in the USA.<\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#26619a&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;At A Glance&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;d100a70a-4a1b-4c0a-852d-deb7ebdb8d36&#8243; background_layout=&#8221;dark&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>AT A GLANCE<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_3,1_3,1_3&#8243; use_custom_gutter=&#8221;on&#8221; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;5fc07e0a-53a2-4b20-aac9-883fa2ab9fbb&#8221; background_color=&#8221;#ffffff&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_code admin_label=&#8221;Image (as background)&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_image=&#8221;https:\/\/aspree.org\/wp-content\/uploads\/sites\/2\/2020\/09\/230_Mobile_Labs_Study_Participants_352288.jpg&#8221; width=&#8221;100%&#8221; height=&#8221;220px&#8221; custom_margin=&#8221;0px||0px||true|false&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_code][et_pb_text admin_label=&#8221;Project Features&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; text_line_height=&#8221;1.8em&#8221; header_2_font=&#8221;|600|||||||&#8221; header_4_text_align=&#8221;center&#8221; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;0px||0px||true|false&#8221; custom_padding=&#8221;5%|5%|5%|5%|true|true&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>\u00a0<strong>Project Features<\/strong><\/h3>\n<ul>\n<li>Large community-dwelling cohort, mostly aged &gt;70 years at enrolment<\/li>\n<li>RCT of 50% aspirin (100mg): 50% placebo for median 4.7 years<\/li>\n<li>Standardised data collection and management<\/li>\n<li>Endpoints adjudicated by clinical specialists blinded to treatment arm<\/li>\n<li>High levels of compliance with study procedures and medication<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;5fc07e0a-53a2-4b20-aac9-883fa2ab9fbb&#8221; background_color=&#8221;#ffffff&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_code admin_label=&#8221;Image (as background)&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_image=&#8221;https:\/\/aspree.org\/wp-content\/uploads\/sites\/2\/2020\/08\/hal-gatewood-iPl3q-gEGzY-unsplashcrop.jpg&#8221; width=&#8221;100%&#8221; height=&#8221;220px&#8221; custom_margin=&#8221;0px||0px||true|false&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_code][et_pb_text admin_label=&#8221;Key Publications&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; text_line_height=&#8221;1.8em&#8221; header_2_font=&#8221;|600|||||||&#8221; header_4_text_align=&#8221;center&#8221; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;0px||0px||true|false&#8221; custom_padding=&#8221;5%|5%|5%|5%|true|true&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3><strong>Key Publications in NEJM (2018)\u00a0<\/strong><\/h3>\n<p>&nbsp;<\/p>\n<ul>\n<li><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa1800722?query=featured_home\" target=\"_blank\" rel=\"noopener noreferrer\" title=\"link to NEJM\">Effect of Aspirin on Disability-free Survival in the Healthy Elderly (primary paper)<\/a><\/li>\n<li><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa1803955?query=featured_home\" target=\"_blank\" rel=\"noopener noreferrer\" title=\"link to NEJM\">Effect of Aspirin on All-Cause Mortality in the Healthy Elderly<\/a><\/li>\n<li><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa1805819?query=featured_home\" target=\"_blank\" rel=\"noopener noreferrer\" title=\"link to NEJM\">Effect of Aspirin on Cardiovascular Events and Bleeding in the Healthy Elderly<\/a><\/li>\n<li><a href=\"\/aus\/publications\/\" title=\"link to ASPREE publications\">Further sub-analyses are ongoing<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;5fc07e0a-53a2-4b20-aac9-883fa2ab9fbb&#8221; background_color=&#8221;#ffffff&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_code admin_label=&#8221;Image (as background)&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_image=&#8221;https:\/\/aspree.org\/wp-content\/uploads\/sites\/2\/2020\/09\/39_Aspree-Group-and-staff_371748.jpg&#8221; width=&#8221;100%&#8221; height=&#8221;220px&#8221; custom_margin=&#8221;0px||0px||true|false&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_code][et_pb_text admin_label=&#8221;Substudies&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; text_line_height=&#8221;1.8em&#8221; header_2_font=&#8221;|600|||||||&#8221; header_4_text_align=&#8221;center&#8221; background_color=&#8221;#ffffff&#8221; custom_margin=&#8221;0px||0px||true|false&#8221; custom_padding=&#8221;5%|5%|5%|5%|true|true&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3><strong>ASPREE Sub-studies<\/strong><\/h3>\n<p>ASPREE embedded a series of <a href=\"\/aus\/about-the-aspree-project\/sub-studies\/\" title=\"link to sub-studies\">sub-studies<\/a> into the project. These have explored the impact of low-dose aspirin on other conditions associated with ageing including hearing loss, macular disease, bleeding and anaemia.<\/p>\n<p><a title=\"link to aspree publications\" href=\"\/aus\/publications\/\" target=\"_blank\" rel=\"noopener noreferrer\">Published sub-study papers include:<\/a>\u00a0 genomic studies, depression, epigenetics, falls and fractures, sepsis, and sex hormone studies in older women.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; specialty=&#8221;on&#8221; admin_label=&#8221;TABBED CONTENT (LIGHT)&#8221; module_class=&#8221;tabs&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; inner_max_width=&#8221;80%&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||90px||false|false&#8221; border_width_bottom=&#8221;1px&#8221; border_color_bottom=&#8221;#bdbec0&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;TITLE&#8221; _builder_version=&#8221;4.16&#8243; header_2_font=&#8221;|600|||||||&#8221; header_2_font_size=&#8221;32px&#8221; header_2_font_size_tablet=&#8221;28px&#8221; header_2_font_size_phone=&#8221;24px&#8221; header_2_font_size_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3 id=\"data-access\">Documentation and data access<\/h3>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;ASPREE Clinical Trial Protocol&#8221; module_class=&#8221;tab-link&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; link_text_color=&#8221;#2F2F2F&#8221; custom_margin=&#8221;||20px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><a href=\"#\">The ASPREE Clinical Trial Protocol<\/a><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;ASPREE-XT study Protocol&#8221; module_class=&#8221;tab-link&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; link_text_color=&#8221;#2F2F2F&#8221; custom_margin=&#8221;||20px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><a href=\"#\">The ASPREE-XT Study Protocol<\/a><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Data Access &amp; Collaboration&#8221; module_class=&#8221;tab-link&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; link_text_color=&#8221;#2F2F2F&#8221; custom_margin=&#8221;||20px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><a href=\"#h202skkymzgplm3dmwuz3vafb1dalqtc\">Data access and collaboration<\/a><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;PI Updates&#8221; module_class=&#8221;tab-link&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; link_text_color=&#8221;#2F2F2F&#8221; custom_margin=&#8221;||20px||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<a href=\"#h221skkyn0igi1e7aij9f908s1f3sajt\"><\/a>PI updates for researchers[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;2_3&#8243; specialty_columns=&#8221;2&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_row_inner admin_label=&#8221;TAB CONTENT&#8221; module_class=&#8221;tab-content&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;840px&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column_inner saved_specialty_column_type=&#8221;2_3&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Header&#8221; _builder_version=&#8221;4.16&#8243; header_2_font=&#8221;|600|||||||&#8221; header_2_font_size=&#8221;32px&#8221; header_2_font_size_tablet=&#8221;28px&#8221; header_2_font_size_phone=&#8221;24px&#8221; header_2_font_size_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>ASPREE Clinical Trial Protocol<\/h2>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;ASPREE Protocol summary&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#26619a&#8221; link_text_color=&#8221;#c9a700&#8243; header_2_text_color=&#8221;#26619a&#8221; header_3_text_color=&#8221;#26619a&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Objectives and measures of the ASPREE clinical trial<\/h2>\n<ul>\n<li>The primary objective was to determine whether low-dose aspirin prolonged life free of dementia or persistent physical disability in the healthy elderly.<\/li>\n<li>Secondary objectives related to the effects of low-dose aspirin on the key outcome areas of death, CVD, dementia and cognitive decline, depression cancer, physical disability and major bleeding episodes.<\/li>\n<\/ul>\n<h2>Protocol summary<\/h2>\n<ul>\n<li>ASPREE was a double-blind, randomised, placebo-controlled primary prevention trial to determine whether daily active treatment of 100 mg enteric-coated aspirin extended the duration of disability-free life in healthy participants aged 70 years and above.<\/li>\n<li>The study examined whether the potential benefits of low-dose aspirin (particularly the prevention of heart disease, stroke, certain cancers and dementia) outweighed the risks (particularly from GI bleeding and haemorrhagic stroke) in this age group.<\/li>\n<li>Participants were\u00a0eligible for the trial if they did not have a current clinical indication for aspirin (i.e. overt cardiovascular disease) or contraindication (i.e. allergy or increased risk of bleeding) \u00a0and did not have dementia, significant physical disability, low haemoglobin levels, or a condition that was likely to be fatal during the 5 years of the trial. \u00a0All were capable of attending their usual General Practitioner\u2019s (GP\u2019s) clinic\u00a0and providing informed consent.<\/li>\n<li>Sample size estimate required 19,000 participants to provide 90% power of a true relative risk benefit of 0.90 for the primary endpoint (a composite of all-cause mortality, incident dementia and persistent physical disability) in an intention-to-treat analysis with an average follow-up of 5 years.<\/li>\n<li>The trial received financial support from the\u00a0<a style=\"font-size: 16px\" title=\"NIA website\" href=\"http:\/\/www.nia.nih.gov\/\" target=\"_blank\" rel=\"noopener noreferrer\">National Institute on Aging<\/a>\u00a0and the <a title=\"NCI website\" href=\"https:\/\/www.cancer.gov\/\" target=\"_blank\" rel=\"noopener noreferrer\">National Cancer Institute\u00a0<\/a>(NIA and NCI; part of the National Institutes of Health in the USA), the\u00a0<a title=\"NHMRC website\" href=\"http:\/\/www.nhmrc.gov.au\/\" target=\"_blank\" rel=\"noopener noreferrer\">National Health and Medical Research Council of Australia, <\/a><a href=\"https:\/\/www.monash.edu\/\" target=\"_blank\" rel=\"noopener noreferrer\">Monash University<\/a> <span style=\"font-size: 16px\">and the\u00a0<\/span><a style=\"font-size: 16px\" title=\"VCA website\" href=\"https:\/\/www.victoriancanceragency.vic.gov.au\/\" target=\"_blank\" rel=\"noopener noreferrer\">Victorian Cancer Agency<\/a><span style=\"font-size: 16px\">. <\/span><\/li>\n<li><span style=\"font-size: 16px\">Bayer Pharma (Germany) provided in-kind support through the provision of low-dose aspirin and matching placebo and had no other involvement in the trial.<\/span><\/li>\n<li>The trial was conducted in community settings.<\/li>\n<\/ul>\n<p>Download the <a title=\"ASPREE Trial Protocol\" href=\"\/wp-content\/uploads\/sites\/2\/2020\/09\/ASPREE-Protocol-AUS-Version-9-Nov-2014.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">ASPREE Clinical Trial Protocol<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=&#8221;TAB CONTENT&#8221; module_class=&#8221;tab-content&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;840px&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column_inner saved_specialty_column_type=&#8221;2_3&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Header&#8221; _builder_version=&#8221;4.16&#8243; header_2_font=&#8221;|600|||||||&#8221; header_2_font_size=&#8221;32px&#8221; header_2_font_size_tablet=&#8221;28px&#8221; header_2_font_size_phone=&#8221;24px&#8221; header_2_font_size_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>ASPREE-XT Study Protocol<\/h2>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;ASPREE-XT Protocol Summary&#8221; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#26619a&#8221; link_text_color=&#8221;#c9a700&#8243; header_2_text_color=&#8221;#26619a&#8221; header_3_text_color=&#8221;#26619a&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Objectives and measures of the ASPREE follow up study, ASPREE-XT<\/h2>\n<ul>\n<li>The primary objective of ASPREE-XT is to determine whether there are delayed effects after a median 4.7 years of treatment with daily low-dose aspirin.\u00a0 Suggestive evidence of such a \u2018legacy\u2019 effect has been identified with cancer and ASPREE-XT will provide an opportunity to confirm or refute this observation in a post clinical trial setting.<\/li>\n<li>Similar observations will be made on other outcomes including all-cause mortality, physical disability, cancer, dementia and cognitive impairment, depression and frailty and the incidence of cardiovascular disease.<\/li>\n<li>An additional objective is to study the impact of genomic, lifestyle and environmental factors on the maintenance of good physical and cognitive health amongst older adults.<\/li>\n<\/ul>\n<h2>Protocol summary<\/h2>\n<ul>\n<li>ASPREE-XT is a longitudinal, observational follow-up study of ASPREE participants.<\/li>\n<li>The study will determine whether legacy effects of aspirin develop following an earlier period of treatment with low-dose aspirin.<\/li>\n<li>An additional objective is to identify genomic, lifestyle and environmental factors that may contribute to the maintenance of good health in older adults.<\/li>\n<li>Study methodology and measures are similar to that of the ASPREE clinical trial.<\/li>\n<li>ASPREE-XT is funded by the\u00a0<a title=\"NIA website\" href=\"http:\/\/www.nia.nih.gov\/\" target=\"_blank\" rel=\"noopener noreferrer\">National Institute on Aging<\/a>\u00a0 and the\u00a0<a title=\"NCI website\" href=\"https:\/\/www.cancer.gov\/\" target=\"_blank\" rel=\"noopener noreferrer\">National Cancer Institute\u00a0<\/a>(NIA and NCI; part of the National Institutes of Health in the USA) and the<a title=\"NHMRC website\" href=\"http:\/\/www.nhmrc.gov.au\/\" target=\"_blank\" rel=\"noopener noreferrer\">\u00a0National Health and Medical Research Council of Australia<\/a>.<\/li>\n<li>The study is conducted in community settings.<\/li>\n<\/ul>\n<p>Download the <a title=\"The ASPREE- XT Protocol \" href=\"https:\/\/aspree.org\/wp-content\/uploads\/sites\/2\/2023\/08\/ASPREE-XT-Protocol-v7-Feb-2023.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">ASPREE-XT Study Protocol<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=&#8221;TAB CONTENT&#8221; module_class=&#8221;tab-content&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;840px&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column_inner saved_specialty_column_type=&#8221;2_3&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Header&#8221; _builder_version=&#8221;4.16&#8243; header_2_font=&#8221;|600|||||||&#8221; header_2_font_size=&#8221;32px&#8221; header_2_font_size_tablet=&#8221;28px&#8221; header_2_font_size_phone=&#8221;24px&#8221; header_2_font_size_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2><span>Data Access and Collaboration<\/span><\/h2>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Data Access &amp; Collaboration&#8221; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#26619a&#8221; link_text_color=&#8221;#c9a700&#8243; header_2_text_color=&#8221;#26619a&#8221; header_3_text_color=&#8221;#26619a&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>ASPREE clinical trial data is managed through a partnership of USA and Australian study collaborators. Data is available to partnering and external researchers for projects of appropriate scientific merit. Expressions of interest to analyse data from the ASPREE clinical trial and\/or sub-studies including biospecimens, are co-ordinated through the <a href=\"https:\/\/ams.aspree.org\/public\/#hero\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/ams.aspree.org\/public\/request-data\/access-aspree-data\/&amp;source=gmail&amp;ust=1627372689889000&amp;usg=AFQjCNG4ySVO5y4qCZbV0qMcLGWGVOrELA\">ASPREE Access Management Site<\/a>\u00a0(AMS).<\/p>\n<p>View a list of approved projects in the AMS <a href=\"https:\/\/aspree.org\/aus\/wp-content\/uploads\/sites\/2\/2024\/08\/AMSApprovedProjectsReport_Aug2024.pdf\" target=\"_blank\" rel=\"noopener\">here<\/a>.<\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=&#8221;TAB CONTENT&#8221; module_class=&#8221;tab-content&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; max_width=&#8221;840px&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column_inner saved_specialty_column_type=&#8221;2_3&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Header&#8221; _builder_version=&#8221;4.16&#8243; header_2_font=&#8221;|600|||||||&#8221; header_2_font_size=&#8221;32px&#8221; header_2_font_size_tablet=&#8221;28px&#8221; header_2_font_size_phone=&#8221;24px&#8221; header_2_font_size_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2><span>PI updates for researchers<\/span><\/h2>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;PI Updates&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#26619a&#8221; link_text_color=&#8221;#c9a700&#8243; header_2_text_color=&#8221;#26619a&#8221; header_3_text_color=&#8221;#26619a&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h3>ASPREE Update #9 (01.03.2022)<\/h3>\n<p>This brief update aims to keep researchers informed of developments with the ASPREE project. It is being sent to key ASPREE committee members, collaborators and end-point adjudicators. For further information about matters in this newsletter please feel free to contact a study PI.<\/p>\n<p>Dear Colleagues,<\/p>\n<p><strong>ASPREE participants with moderate alcohol intake had a reduced risk of CVD events and death<\/strong><br \/><em>Compatible with similar evidence of benefit from alcohol seen in studies of younger people<\/em><br \/>Confounding by association of alcohol use with socio-economic status and lifestyle factors cannot be excluded.<br \/><a href=\"https:\/\/academic.oup.com\/eurjpc\/advance-article-abstract\/doi\/10.1093\/eurjpc\/zwab177\/6413669\" target=\"_blank\" rel=\"noopener\">Neumann J et al. Eur J Preventive Cardiol 2021 DOI: 10.1093\/eurjpc\/zwab177<\/a><\/p>\n<p><strong>Low-dose aspirin (LDA) does not slow onset of frailty in older adults<\/strong><br \/><em>Previously noted association of frailty with low-grade inflammation raised possibility that LDA might be beneficial<\/em><br \/>There remains no proven intervention effective in delaying frailty.<br \/><a href=\"https:\/\/academic.oup.com\/biomedgerontology\/advance-article\/doi\/10.1093\/gerona\/glab340\/6425227?login=true\" target=\"_blank\" rel=\"noopener\">Espinoza SE et al. J Gerontol A Biol Sci Med Sci. 2021 Nov 10:glab340. doi: 10.1093\/gerona\/glab340<\/a><\/p>\n<p><strong>The draft US Preventive Services Task Force Statement recommends against the initiation of low-dose aspirin for primary prevention of CVD in adults \u2265 60 years<\/strong><br \/><em>This new recommendation was significantly influenced by the results of the ASPREE RCT<\/em><br \/>The Task Force noted the role of aspirin in primary prevention would evolve \u2018in the context of declining smoking rates, increasing statin use and more aggressive hypertension management\u2019.<br \/><a href=\"https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/draft-recommendation\/aspirin-use-to-prevent-cardiovascular-disease-preventive-medication\" target=\"_blank\" rel=\"noopener\">USPSTF. Aspirin use to prevent cardiovascular disease: preventive medication. Oct 12, 2021<\/a><\/p>\n<p>Distributed on behalf of the ASPREE PIs<br \/>John McNeil (<a href=\"mailto:john.mcneil@monash.edu\" target=\"_blank\" rel=\"noopener noreferrer\">john.mcneil@monash.edu<\/a>)<br \/>Anne Murray (<a href=\"mailto:AMurray@bermancenter.org\" target=\"_blank\" rel=\"noopener noreferrer\">AMurray@bermancenter.org<\/a>)<br \/>Andy Chan (<a href=\"mailto:ACHAN@mgh.harvard.edu\" target=\"_blank\" rel=\"noopener noreferrer\">ACHAN@mgh.harvard.edu<\/a>)<br \/>Danny Liew (<a href=\"mailto:danny.liew@monash.edu\" target=\"_blank\" rel=\"noopener noreferrer\">danny.liew@monash.edu<\/a>)<\/p>\n<p>To subscribe to this newsletter please email <a href=\"mailto:john.mcneil@monash.edu\" target=\"_blank\" rel=\"noopener noreferrer\">john.mcneil@monash.edu<\/a>.<\/p>\n<p>View past\u00a0<a href=\"https:\/\/aspree.org\/wp-content\/uploads\/sites\/2\/2022\/03\/PAST-ASPREE-PI-NEWSLETTERS.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">ASPREE PI Updates<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; min_height=&#8221;100px&#8221; height=&#8221;100px&#8221; max_height=&#8221;100px&#8221; custom_margin=&#8221;-1px||-1px||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Page updated&#8221; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||0px|||&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Page updated: 4 August 2024<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;90px||70px||false|false&#8221; border_width_top=&#8221;1px&#8221; border_color_top=&#8221;#cecece&#8221; saved_tabs=&#8221;all&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row use_custom_gutter=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;News for Researchers Header&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;d100a70a-4a1b-4c0a-852d-deb7ebdb8d36&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>NEWS FOR RESEARCHERS<\/h2>\n<p>[\/et_pb_text][et_pb_blog fullwidth=&#8221;off&#8221; posts_number=&#8221;3&#8243; include_categories=&#8221;16&#8243; excerpt_length=&#8221;100&#8243; show_author=&#8221;off&#8221; show_date=&#8221;off&#8221; show_categories=&#8221;off&#8221; masonry_tile_background_color=&#8221;rgba(0,0,0,0)&#8221; _builder_version=&#8221;4.20.4&#8243; header_level=&#8221;h4&#8243; header_font=&#8221;|600|||||||&#8221; header_font_size=&#8221;22px&#8221; custom_margin=&#8221;||40px||false|false&#8221; header_font_size_tablet=&#8221;20px&#8221; header_font_size_phone=&#8221;18px&#8221; header_font_size_last_edited=&#8221;on|desktop&#8221; border_width_all=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_blog][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Information about the ASPREE Trial and follow up ASPREE-XT observational study for researchers<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"_links":{"self":[{"href":"https:\/\/aspree.org\/aus\/wp-json\/wp\/v2\/pages\/1518"}],"collection":[{"href":"https:\/\/aspree.org\/aus\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/aspree.org\/aus\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/aspree.org\/aus\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/aspree.org\/aus\/wp-json\/wp\/v2\/comments?post=1518"}],"version-history":[{"count":245,"href":"https:\/\/aspree.org\/aus\/wp-json\/wp\/v2\/pages\/1518\/revisions"}],"predecessor-version":[{"id":10205,"href":"https:\/\/aspree.org\/aus\/wp-json\/wp\/v2\/pages\/1518\/revisions\/10205"}],"wp:attachment":[{"href":"https:\/\/aspree.org\/aus\/wp-json\/wp\/v2\/media?parent=1518"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}