Physiological Effects of Altering Cancer-related Inflammation
Pilot Study to Investigate the Physiological Effects Associated With Down-regulation of Host-tumour Inflammatory Responses in Colon Cancer
2 other identifiers
interventional
60
1 country
1
Brief Summary
This prospective pilot study will examine whether the previously reported effects of NSAIDs on colorectal cancer may be modulated through alterations in tissue gene expression, up regulation of local immune cell infiltrates or down-regulation of the systemic inflammatory response.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
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
January 29, 2013
CompletedStudy Start
First participant enrolled
February 1, 2013
CompletedFirst Posted
Study publicly available on registry
February 7, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2014
CompletedFebruary 7, 2013
February 1, 2013
1.8 years
January 29, 2013
February 5, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Klintrup-Makinen immune score
To evaluate the local inflammatory effects associated with down-regulation of the systemic inflammatory response prior to curative surgery as measured by Klintrup-Makinen immune score
Approx 4 weeks (post-treatment and surgery)
Secondary Outcomes (3)
Systemic inflammatory response
Approx 4 weeks (post-treatment and surgery)
Assessment of gene inflammatory profile
Approx 4 weeks (post-treatment and surgery)
Local inflammatory response
Approx 4 weeks (post-treatment and surgery)
Study Arms (3)
Aspirin
ACTIVE COMPARATOR20 patients randomised to aspirin 75mg PO once daily
Ibuprofen
ACTIVE COMPARATOR20 patients randomised to ibuprofen 400mg PO three times daily
Control
NO INTERVENTION20 patients randomised to receive no treatment
Interventions
Eligibility Criteria
You may qualify if:
- aged 18 to 75 years old
- histologically confirmed colon cancer
- evidence of systemic inflammation (C-reactive protein \>10mg/l)
- candidate for elective primary curative resection
You may not qualify if:
- Age \<18yrs or \>75yrs
- emergency presentation
- rectal cancer
- distal metastatic disease at presentation
- provision of neo-adjuvant chemo-radiotherapy
- long-term use of aspirin or anti-inflammatory medications (NSAIDS, or steroids
- hypersensitivity to product or excipients or evidence of previous hypersensitivity reactions such as asthma, rhinitis, angioedema or urticaria in response to aspirin, ibuprofen or other NSAID
- intolerance of NSAIDs/ aspirin due to allergy or side effects
- active peptic ulcer disease
- previous history of recurrent gastrointestinal bleeding or bleeding/perforation secondary to previous NSAID use
- previous treatment for gastrointestinal cancer
- alcohol excess (above recommended guidelines)
- chronic renal impairment
- moderate to severe heart failure
- hepatic impairment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- NHS Greater Glasgow and Clydelead
- Academy of Medical Sciencescollaborator
- Wellcome Trustcollaborator
Study Sites (1)
Glasgow Royal Infirmary - Walton Building
Glasgow, G4 0SF, United Kingdom
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Campbell Roxburgh
University of Glasgow
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- BASIC SCIENCE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 29, 2013
First Posted
February 7, 2013
Study Start
February 1, 2013
Primary Completion
December 1, 2014
Last Updated
February 7, 2013
Record last verified: 2013-02