NCT02066688

Brief Summary

Folic acid (FA) and its derivatives (folate) which play a role in nucleotide synthesis and methylation reactions as well as calcium and vitamin D are assumed to be effective in the prevention of colorectal polyps and Colorectal cancer (CRC). The aim of this study is to investigate the roles of FA as well as calcium and vitamin D in the prevention of CRC.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
2,400

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Jan 2013

Longer than P75 for phase_2

Geographic Reach
1 country

1 active site

Status
unknown

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

Study Start

First participant enrolled

January 1, 2013

Completed
1.1 years until next milestone

First Submitted

Initial submission to the registry

February 17, 2014

Completed
2 days until next milestone

First Posted

Study publicly available on registry

February 19, 2014

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2015

Completed
2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2017

Completed
Last Updated

February 20, 2014

Status Verified

February 1, 2014

Enrollment Period

2.9 years

First QC Date

February 17, 2014

Last Update Submit

February 18, 2014

Conditions

Outcome Measures

Primary Outcomes (1)

  • The primary objective of this study is to investigate the incidence of colorectal adenoma (CRA) after Folic acid, calcium and vitamin D intervention.

    baseline and 3 years

Secondary Outcomes (6)

  • the incidence of advanced colorectal adenoma (A-CRA) after Folic acid, calcium and vitamin D intervention.

    baseline and 3 years

  • changes in serum calcium

    baseline and 3 years

  • changes in serum FA

    baseline and 3 years

  • the incidence of colorectal cancer (CRC) after Folic acid, calcium and vitamin D intervention.

    baseline and 3 years

  • changes in clinical symptoms scores (positive immunochemical fecal occult blood test (iFOBT), diarrhea, or constipation et al)

    baseline and 3 years

  • +1 more secondary outcomes

Other Outcomes (1)

  • Changes in routine blood count, urine and stool routine test, liver and kidney functions

    baseline and 3 years

Study Arms (4)

FA

EXPERIMENTAL

Patients receive oral folic acid pill 1 mg daily for 36 months in the absence of unacceptable toxicity or any other adverse effects (FA Arm).

Drug: folic acid

FA+Ca

EXPERIMENTAL

Patients receive oral folic acid pill 1 mg+ calcium 1200mg +vitamin D3 250 IU daily for 36 months in the absence of unacceptable toxicity or any other adverse effects(FA+Ca arm).

Drug: folic acid calcium vitamin D3

Ca

EXPERIMENTAL

Patients receive oral calcium 1200mg +vitamin D3 250 IU daily for 36 months in the absence of unacceptable toxicity or any other adverse effects (Ca Arm).

Drug: calcium

blank control group

PLACEBO COMPARATOR

Patients receive oral placebo once daily for 36 months in the absence of unacceptable toxicity or any other adverse effects.

Interventions

Patients receive oral folic acid 1mg daily for 36 months in the absence of unacceptable toxicity or any other adverse effects.

FA

Patients receive oral folic acid 1mg + calcium 1200mg +vitamin D3 250 IU daily for 36 months in the absence of unacceptable toxicity or any other adverse effects .

FA+Ca

calcium 1200mg/d + vitamin D3 250 IU/d daily supplements

Ca

Eligibility Criteria

Age50 Years - 80 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • individuals aged 50-80 years
  • Patients had undergone complete colonoscopy with no adenoma found
  • Those who voluntarily sign the consent form after being fully informed and understanding the purpose and procedures of the study, characters of the disease, effect of medications, methods of related examinations, and potential risk/benefits of the study

You may not qualify if:

  • Patients who are hypersensitive or intolerant to the drugs
  • Patients who are intolerant to another colonoscopy examination
  • Pregnant women, woman during breast-feeding period, or women with expect pregnancy
  • Patients with diabetes mellitus, severe heart or renal disease,or cancer history
  • Patients with malignant neoplasm, or suspicious colorectal cancer
  • Patients who are not able to cooperate
  • Individuals who are involved in designing, planning or performing this experiment
  • Patients with medical conditions who are not appropriate to participate the study
  • Patients who are take aspirin or cyclooxygenase 2 inhibitor (COX2).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Renji Hospital

Shanghai, 200001, China

RECRUITING

MeSH Terms

Conditions

Colorectal Neoplasms

Interventions

Folic AcidCalcium

Condition Hierarchy (Ancestors)

Intestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal Diseases

Intervention Hierarchy (Ancestors)

PterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsMetals, Alkaline EarthElementsInorganic ChemicalsMetalsBlood Coagulation FactorsBiological Factors

Study Officials

  • Jing-yuan Fang, MD., Ph D.

    Shanghai Jiao Tong University School of Medicine

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Jing-Yuan Fang, M.D.,Ph D.

CONTACT

Ying-xuan Chen, M.D.,Ph D.

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
FACTORIAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director of Department of Gastroenterology

Study Record Dates

First Submitted

February 17, 2014

First Posted

February 19, 2014

Study Start

January 1, 2013

Primary Completion

December 1, 2015

Study Completion

December 1, 2017

Last Updated

February 20, 2014

Record last verified: 2014-02

Locations