Trial of Aspirin and Arginine Restriction in Colorectal Cancer

NCT00578721 | Completed Phase 2 Results DMC

• 1 other identifier: UCI 07-47 HS# 2007-5892
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this research study is to understand the effects of oral aspirin taken daily with an arginine-restricted diet on certain colorectal cancer biomarkers in treated colorectal cancer patients. Patients with colorectal cancer are at high risk for recurrence and for development of secondary colorectal cancers in the future. Specific chemicals (polyamines, prostaglandins) in the body referred to as biomarkers can be measured to help understand a person's risk for developing colorectal cancer. Specific biomarkers associated with colorectal cancer have been identified in prior laboratory studies. By measuring these predefined biomarkers before and after the study intervention, we can assess how they are affected by the intervention, and gain knowledge about their usefulness in colorectal cancer patients on clinical trial. This study is a Phase IIa clinical biomarker study, using oral aspirin 325 mg taken daily with an arginine-restricted diet designed to reduce arginine intake by at least 30% during the 12-week study period. The biomarkers will be obtained from patient by performing endoscopy (a procedure used to look at the inside of the bowel, rectum and colon) and biopsy (taking samples of tissue), phlebotomy (drawing blood), and urine collection. Biopsies are done to evaluate changes in tissue content that may relate to early events in colon cancer formation. This was the procedure used to diagnose your condition initially. There will be 24 patients enrolled into this study performed through University of California Irvine Medical Center.

Conditions

Colorectal Cancer

Keywords

Colorectal cancer; aspirin

Outcome Measures

Primary Outcomes (1)

• Rectal Tissue Putrescine Reduction

  To demonstrate a \> 50% decrease in rectal tissue putrescine levels from baseline in study subjects, as a measure of polyamine reduction in the target tissue of colorectal cancer patients.

  12 weeks

Secondary Outcomes (1)

• Safety/Toxicity

  12 weeks

Study Arms (1)

325 mg Aspirin

EXPERIMENTAL

325 mg aspirin po qd with arginine-restricted diet

Drug: Aspirin

Interventions

Aspirin DRUG

325 mg taken daily with an arginine-restricted diet

325 mg Aspirin

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Subjects must be 18-80 years of age with a history of surgically removed colon or rectal cancer, and have received treatment for their disease using drugs (adjuvant chemotherapy)
• Subjects must have colon or rectal cancer with stage I, II, or III disease
• Subjects should not have further treatment with radiation therapy. Subjects having already received adjuvant (i.e., post-operative) radiation therapy to the colon or rectum will be excluded. However, subjects receiving radiation therapy prior to surgery for rectal cancer are eligible for enrollment.
• Subject's tumor must have been completely removed within the past 12 months, with first surveillance colonoscopy anticipated 12 weeks after study treatment start date (i.e. one-year after surgical removal).
• Subjects must be in good physical status
• If subjects are premenopausal and perimenopausal women, they must be using adequate birth control methods.
• Subjects must have no history of another invasive cancer within 5 years
• Subjects must have no further chemotherapy anticipated.
• Subjects don't have special dietary requirements or additives. Subjects must not be consuming a diet that would preclude taking the study medication.
• Subjects must have no concomitant use of calcium supplements (\> 520mg/day).
• Subjects must have no history of abnormal wound healing or repair, or conditions that predispose to the same.
• Subjects don't have personal history of colon resection of or inflammatory bowel disease.
• Subjects must give informed consent via consent form approved by the local Human Subjects Committee (Institutional Review Board).
• If subjects are taking aspirin 81mg by mouth daily they will be eligible
• Subjects must have no history of allergies or adverse reactions to aspirin.

You may not qualify if:

• Subjects already received radiation therapy to the colon or rectum.
• Subjects adhering to vegetarian diets.
• Subjects are pregnant or lactating women.
• Subjects are breastfeeding
• Subjects are already taking aspirin 325mg by mouth daily.
• Subjects are taking combination medication with more than 81mg aspirin.
• Subjects are currently being treated for gastric/duodenal ulcer or experiencing symptoms at study entry.
• Subjects have a history of any medical condition that would place them at risk as a result of a blood donation, they will be excluded from the study.
• Subjects are taking blood-thinning drugs as warfarin (Coumadin)
• Subjects are allergic to fenoprofen, ibuprofen, indomethacin, ketoprofen, meclofenamate sodium, naproxen, sulindac, tolmetin, or an orange food coloring known as tartrazine.
• Subjects have liver damage or severe kidney failure

Sponsors & Collaborators

• University of California, Irvine: lead

Study Sites (1)

Chao Family Comprehensive Cancer Center

Orange, California, 92868, United States

Location

Related Publications (1)

• Zell JA, Taylor TH, Albers CG, Carmichael JC, McLaren CE, Wenzel L, Stamos MJ. Phase IIa Clinical Biomarker Trial of Dietary Arginine Restriction and Aspirin in Colorectal Cancer Patients. Cancers (Basel). 2023 Mar 31;15(7):2103. doi: 10.3390/cancers15072103.

  PMID: 37046763 RESULT

MeSH Terms

Conditions

Colorectal Neoplasms

Interventions

Aspirin

Condition Hierarchy (Ancestors)

Intestinal Neoplasms; Gastrointestinal Neoplasms; Digestive System Neoplasms; Neoplasms by Site; Neoplasms; Digestive System Diseases; Gastrointestinal Diseases; Colonic Diseases; Intestinal Diseases; Rectal Diseases

Intervention Hierarchy (Ancestors)

Salicylates; Hydroxybenzoates; Phenols; Benzene Derivatives; Hydrocarbons, Aromatic; Hydrocarbons, Cyclic; Hydrocarbons; Organic Chemicals

Results Point of Contact

• Title: Jason Zell, DO, MPH, MS
• Organization: UC Irvine Health - Chao Family Comprehensive Cancer Center

jzell@hs.uci.edu

714-456-5153

Study Officials

• Jason Zell, MD

  Chao Family Comprehensive Cancer Center

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: December 18, 2007
• First Posted: December 21, 2007
• Study Start: September 24, 2008
• Primary Completion: November 26, 2013
• Study Completion: November 26, 2013
• Last Updated: July 7, 2023
• Results First Posted: June 26, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)