Clinical trial • Phase II • Oncology|Gastroenterology

Acetylsalicylic acid for Colorectal cancer

Phase II trial of Acetylsalicylic acid for Colorectal cancer.

Overview

Trial Therapeutic Area
Oncology|Gastroenterology
Trial Disease
Colorectal cancer
Trial Stage
Phase II
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
16-10-2024
First CTIS Authorization Date
05-11-2024

Trial design

Acetylsalicylic acid dosing arms described: 100 mg/24h, 100 mg/12h, 300 mg/day (no placebo or external comparator specified).-controlled Phase II trial across 1 site in Spain.

Comparator
Acetylsalicylic acid dosing arms described: 100 mg/24h, 100 mg/12h, 300 mg/day (no placebo or external comparator specified).
Target Sample Size
60
Trial Duration For Participant
14

Eligibility

Recruits 60 No vulnerable population selected (isVulnerablePopulationSelected = false). A subject information and informed consent form is provided (document 'L1_SIS and ICF_es'); participants are adults (Age ≥ 18) so consent is provided by the participant. No assent process is specified..

Pregnancy Exclusion
Pregnancy or breastfeeding status.
Vulnerable Population
No vulnerable population selected (isVulnerablePopulationSelected = false). A subject information and informed consent form is provided (document 'L1_SIS and ICF_es'); participants are adults (Age ≥ 18) so consent is provided by the participant. No assent process is specified.

Inclusion criteria

  • {"criterion_text":"- Age ≥ 18 years and < 80 years.\n- Recent diagnosis (colon or rectal cancer, established by endoscopy and subsequently confirmed by anatomo-pathological study).\n- Coagulation study within the normal range and usual biochemical parameters without clinically significant deviations that, in the opinion of the investigator, could interfere with the study procedures.\n- In the obese group, patients with BMI ≥ 30 will be selected. In the non-obese group, patients with BMI ≤ 25 will be selected."}

Exclusion criteria

  • {"criterion_text":"- Allergy to ASA or other salicylates, non-steroidal anti-inflammatory drugs or tartrazine (cross-reaction) or any of the excipients. Allergy to other salicylates, non-steroidal anti-inflammatory drugs or tartrazine (cross-reaction) or any of the excipients.\n- History of drug use or alcohol abuse.\n- Diseases with coagulation disorders, mainly hemophilia or hypoprothrombinemia.\n- Treatment with methotrexate at doses of 15 mg/week or higher\n- Patients with nasal polyps associated with asthma that are induced or exacerbated by acetylsalicylic acid.\n- Rectal cancer requiring neoadjuvant treatment within three weeks of starting treatment with ASA.\n- Previous use of ASA, NSAIDs, antiplatelet agents, corticosteroids or misoprostol in the 15 days prior to diagnosis and/or anticipated need for treatment with any of these drugs during the study period.\n- History of peptic ulcer or active peptic ulcer or any other GI disease that may be considered a contraindication to the use of ASA, without concomitant use of proton pump inhibitors.\n- Diagnosis of bleeding disorders or gastric perforation after treatment with acetylsalicylic acid or other non-steroidal anti-inflammatory drugs.\n- Diagnosis of cancer (excluding non-melanoma skin cancer) in the previous 3 years\n- Conditions involving serious comorbidity, excluding diabetes and including respiratory, cardiac, liver and kidney diseases.\n- Active smoking\n- Pregnancy or breastfeeding status."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Effect of two courses (1 week/course) of different doses of ASA on COX-1 and COX-2 in patients diagnosed with colorectal cancer","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
60
Recruitment Window Months
30
Consent Approach
Informed consent required from participants (adults aged ≥18). A Subject Information Sheet and Informed Consent Form is provided (document title 'L1_SIS and ICF_es'). No assent process or multiple age-specific consent documents are specified. The consent document available is in Spanish (document filename suffix '_es').

Geography

Total Number Of Sites
1
Total Number Of Participants
60

Spain

Earliest CTIS Part Ii Submission Date
23-10-2024
Latest Decision Or Authorization Date
05-11-2024
Processing Time Days
13
Number Of Sites
1
Number Of Participants
60

Sites

Site Name
Hospital Clinico Universitario Lozano Blesa
Department Name
Digestive system
Contact Person Name
Carlos Sostres
Contact Person Email
carlossostres@gmail.com

Sponsor

Primary sponsor

Full Name
Fundacion Instituto De Investigacion Sanitaria Aragon
Organisation Type
Laboratory/Research/Testing facility
Country Of Registered Address
Spain

Investigational products

Investigational Product Name
ACETYLSALICYLIC ACID
Active Substance
Acetylsalicylic acid
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Dose Levels
100 mg/24h; 100 mg/12h; 300 mg/day
Frequency
once daily (100 mg/24h or 300 mg/day) or twice daily (100 mg/12h)
Maximum Dose
300 mg/day
Investigational Product Name
OMEPRAZOLE
Active Substance
Omeprazole
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Dose Levels
20 mg (max daily dose amount indicated 20 mg)
Frequency
once daily
Maximum Dose
20 mg/day

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