Phase II A Trial of Curcumin Among Patients With Prevalent Subclinical Neoplastic Lesions (Aberrant Crypt Foci)
Phase IIA Trial of Curcumin Among Patients With Prevalent Subclinical Neoplastic Lesions (Aberrant Crypt Foci)
10 other identifiers
interventional
44
1 country
1
Brief Summary
Chemoprevention is the use of certain substances to keep cancer from forming, growing, or coming back. Curcumin is a compound found in plants that may prevent colon cancer from forming. This phase II trial is studying how well curcumin works in preventing colon cancer in smokers with aberrant crypt foci.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Oct 2006
Typical duration for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 16, 2006
CompletedFirst Posted
Study publicly available on registry
August 17, 2006
CompletedStudy Start
First participant enrolled
October 1, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2011
CompletedResults Posted
Study results publicly available
August 27, 2015
CompletedAugust 27, 2015
March 1, 2014
1.9 years
August 16, 2006
April 18, 2014
July 30, 2015
Conditions
Outcome Measures
Primary Outcomes (2)
Baseline in Prostaglandin E2 (PGE2) Within Aberrant Crypt Foci (ACF)
Baseline prostaglandin E2 (PGE2) values found in rectal aberrant crypt foci (ACF) tissue
Baseline
Post-treatment in Prostaglandin E2 (PGE2) Within Aberrant Crypt Foci (ACF)
Post-treatment prostaglandin E2 (PGE2) values found in rectal aberrant crypt foci (ACF) tissue
At 30 day
Secondary Outcomes (23)
Baseline in 5-hydroxy-eicosatetraenoic Acid (5-HETE) Within Aberrant Crypt Foci (ACF)
Baseline
Post-treatment in 5-hydroxy-eicosatetraenoic Acid (5-HETE) Within Aberrant Crypt Foci (ACF)
At 30 Day
Baseline in Prostaglandin E2 (PGE2) Level in Normal Mucosa
Baseline
Post-treatment in Prostaglandin E2 (PGE2) Level in Normal Mucosa
At 30 day
Baseline in 5-hydroxy-eicosatetraenoic Acid (5-HETE) Level in Normal Mucosa
Baseline
- +18 more secondary outcomes
Study Arms (2)
2g (curcumin)
EXPERIMENTALPatients receive 2 grams of oral curcumin once daily. Treatment continues for up to 30 days in the absence of unacceptable toxicity or disease progression.
4g (curcumin)
EXPERIMENTALPatients receive 4 grams of oral curcumin once daily. Treatment continues for up to 30 days in the absence of unacceptable toxicity or disease progression.
Interventions
Correlative studies
Given orally
Eligibility Criteria
You may qualify if:
- Current smoker with \> 3 pack-year total smoking history
- Subjects taking NSAIDS or ASA \< 10 days month are eligible but must undergo 14 day washout and refrain from use during the study
- Subjects who are:
- Having a clinically indicated screening/surveillance colonoscopy (e.g. due to risk factors, personal history, or symptoms) OR
- Not having a colonoscopy but are otherwise eligible. These subjects would undergo a flexible sigmoidoscopy.
- ECOG performance status 0-2 (Karnofsky \> 60%)
- No severe organ dysfunction which might increase bleeding risk:
- Demonstrated by: Normal hematologic status (WBC \> 3,000/mm\^3, hemoglobin \> 10.0 gm/dl, and platelet-count \>100,000/mm\^3), normal hepatic function (bilirubin \< 1.5 mg/dl, transaminases \< 1.5x institutional norms), and normal renal function (serum creatinine \< 2.0 mg/dl, documented in clinical chart 28 days prior to enrollment
- Healthy current smokers (1 cigarette in previous yr) with \> 3-pack year of cigarette smoking and able to provide written informed consent; there are no gender restrictions
- The effects of curcumin on the developing human fetus at the recommended therapeutic dose are unknown; for this reason women of childbearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation; should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her study physician immediately
- Ability to understand and the willingness to sign a written informed consent document
You may not qualify if:
- NSAID or ASA use \> 10 days /month; any current glucocorticoid use or omega 3-fatty acid supplement use
- Evidence of the following chronic medical conditions such as:
- Pregnant or lactating women and/or women who are contemplating pregnancy during the duration of the protocol
- History of chronic inflammatory bowel disease or prior pelvic irradiation
- History of peptic ulcer disease (PUD) endoscopically confirmed \< 5 yrs from enrollment date
- Newly diagnosed colorectal cancer or advanced adenoma \< 1 yr from enrollment
- Unspecified history of bleeding or coagulation disorder reported by patient or in medical history
- Hereditary Colon Cancer syndromes (FAP or HNPCC)
- Participants may not be receiving any other investigational agents
- History of contact dermatitis from turmeric
- Uncontrolled inter-current illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
- Pregnant women are excluded from this study because curcumin is an agent with the potential for teratogenic or abortifacient effects; because there is an unknown but potential risk for adverse events in nursing infants secondary to treatment of the mother with curcumin, breastfeeding should be discontinued if the mother is treated with curcumin
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Chao Family Comprehensive Cancer Center
Orange, California, 92868, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Frank L. Meyskens, Jr.
- Organization
- University of California, Irvine
Study Officials
- PRINCIPAL INVESTIGATOR
Frank Meyskens
Chao Family Comprehensive Cancer Center
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- LTE60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- NIH
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 16, 2006
First Posted
August 17, 2006
Study Start
October 1, 2006
Primary Completion
September 1, 2008
Study Completion
January 1, 2011
Last Updated
August 27, 2015
Results First Posted
August 27, 2015
Record last verified: 2014-03