S0820 Adenoma and Second Primary Prevention Trial

  • STATUS
    Recruiting
  • End date
    Jul 2, 2029
  • participants needed
    1340
  • sponsor
    Southwest Oncology Group
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Updated on 2 March 2021
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Investigator
Patricia N. O'Kane, B.S.
Primary Contact
MercyOne Waterloo Medical Center (1.5 mi away) Contact
+1033 other location
aspirin
anticoagulants
adenoma
unstable angina
rectal carcinoma

Summary

The investigators hypothesize that the combination of eflornithine and sulindac will be effective in reducing a three-year event rate of adenomas and second primary colorectal cancers in patients previously treated for Stages 0 through III colon or rectal cancer.

Description

The purpose of this study is to assess whether the combination of eflornithine 500 mg and sulindac 150 mg (compared to corresponding placebos) has efficacy against colorectal lesions with respect to high-grade dysplasia, adenomas with villous features, adenomas 1 cm or greater, multiple adenomas, any adenomas >/= 0.3 cm, total advanced colorectal events, or total colorectal events.

Details
Condition Colorectal Cancer, Rectal disorder, Colon Cancer Screening, Rectal Disorders, Colon cancer; rectal cancer, colorectal neoplasm, cancer, colorectal, colorectal tumor, tumors, colorectal
Treatment Eflornithine placebo & sulindac placebo, eflornithine & sulindac placebo, Eflornithine placebo & sulindac, Eflornithine plus sulindac
Clinical Study IdentifierNCT01349881
SponsorSouthwest Oncology Group
Last Modified on2 March 2021

Eligibility

 Yes No Not Sure

Inclusion Criteria

Is your age greater than or equal to 18 yrs?
Gender: Male or Female
Do you have any of these conditions: Rectal Disorders or Colorectal Cancer or Rectal disorder or Colon Cancer Screening or Colon cancer; rectal cancer?
Do you have any of these conditions: colorectal tumor or Rectal Disorders or Rectal disorder or Colorectal Cancer or colorectal neoplasm or tumors, colorectal or Colon cancer; rectal canc...?
Do you have any of these conditions: colorectal tumor or Rectal disorder or Colon Cancer Screening or tumors, colorectal or Colorectal Cancer or colorectal neoplasm or Colon cancer; recta...?
Do you have any of these conditions: Rectal disorder or colorectal neoplasm or Colon Cancer Screening or colorectal tumor or cancer, colorectal or Rectal Disorders or Colorectal Cancer or...?
Do you have any of these conditions: Colon Cancer Screening or colorectal neoplasm or tumors, colorectal or colorectal tumor or Rectal disorder or Rectal Disorders or Colorectal Cancer or...?
History of Stage 0-III colon or rectal cancer with primary resection 1 year previously
Post-operative colonoscopy and CT scans of chest, abdomen & pelvis showing no evidence of disease
Must not have cardiovascular risk factors including unstable angina, history of myocardial infarction, or cerebrovascular accident, coronary artery bypass surgery, or NY Heart Assoc Class III or IV heart failure
Patients must not have known uncontrolled hyperlipidemia (defined as LDL-C >/= 190 mg/dL or triglycerides >/= 500 mg/dL within the past 3 years or uncontrolled high blood pressure (systolic blood pressure > 150 mm Hg) within 28 days prior to registration
At least 30 days from completion of adjuvant chemo and RT
Presence of gastroesophageal reflux disease acceptable if controlled with medications
Not receiving or planning to receive concomitant intravenous corticosteroids on a regular basis,nonsteroidal anti-inflammatory drugs (NSAIDs), nor anticoagulants on a regular predictable intermittent basis. NSAID use must not exceed 10 days per month; Maximum aspirin dose
mg per day or two 325 mg tablets per week. Inhaled steroids (i.e. for asthma or related conditions) are allowed
Able to swallow oral medications
Laboratory: WBC 4.0 x 1000/mcL, platelets 100,000/mcL and hemoglobin > 11.0 g/dL. (A total WBC 3.1 x 1000/mcL is allowed for non-Hispanic black males and total WBC 3.4 x 1000/mcL for non-Hispanic black females. Serum bilirubin 2.0 mg/dL and AST (SGOT) or ALT(SGPT) 2 x IULN. Serum creatinine 1.5 x IULN
Zubrod PS 0-1, 18 years of age or older
Will not participate in any other clinical trial for the treatment or prevention of cancer unless off protocol treatment, on follow-up phase only
Offered opportunity to participate in blood specimen banking

Exclusion Criteria

History of colon resection > 40 cm
Mid-low rectal cancer
Recurrent or metastatic disease
High cardiovascular risk; Uncontrolled hypertension
Planned radiation therapy or additional chemotherapy
Documented history of gastric/duodenal ulcer within last 12 months and/or current treatment or active symptoms of gastric/duodenal ulcer
Known history of familial adenomatous polyposis, hereditary nonpolyposis colorectal cancer, or inflammatory bowel disease
dB uncorrectable hearing loss for age of any of the five tested frequencies on prestudy audiogram
Known hypersensitivity to sulindac or excipient byproducts. Previous asthma, urticaria, or allergic-type reaction to aspirin or other NSAIDs
Significant medical or psychiatric condition that would preclude study completion (8 years)
No other prior malignancy except adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, or other cancer for which the patient has been disease-free for > 5 years
Pregnant or nursing women. Women/men of reproductive potential must agree to use effective contraception
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