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A multi-centre double blind randomised controlled trial of aspirin and/or folate supplementation for the prevention of recurrent colorectal adenomas
Source of recordUK Clinical Trials Gateway
ISRCTNISRCTN22669537
Date ISRCTN assigned01/07/2001
Local reference number(s)ukCAP
Public titleA multi-centre double blind randomised controlled trial of aspirin and/or folate supplementation for the prevention of recurrent colorectal adenomas
Scientific title
AcronymN/A
Disease/condition/study domainColon, rectum
Study hypothesisTo determine whether aspirin (300 mg/day) and/or folic acid (0.5 mg/day) could be used to prevent further colorectal adenomas in the high risk group of patients with previous colorectal adenomas removed by colonoscopy.
Design/methodologyRandomised controlled trial
Research ethics review1. LREC approval (Nottingham): gained on 19/11/98 (ref: EC98/203)
2. MREC approval (Trent): gained on 02/12/03 (ref: 98/4/055)
Countries of trialUnited Kingdom, Denmark
Participants - inclusion criteriaEligible patients who have had:
1. Removal of adenomas greater than 0.5 cm after fixation or adenomas greater than 0.7 cm at the time of removal, within the last six months
2. A previous history of removal of such adenomas and have had adenoma of any size removed in the six months prior to recruitment These adenomas will be histologically confirmed and removed by either colonoscopy, flexi-sigmoidoscopy or via Transanal Endoscopic Microsurgery (TEMS) procedure
Participants - exclusion criteria1. Over 75 years at time of recruitment
2. Serious medical conditions likely to preclude successful completion of the trial
3. Existing use of prescribed Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) including aspirin
4. Known aspirin intolerance or sensitivity
5. Active bleeding disorders or upper Gastrointestinal (GI) ulceration, including use of anticoagulants
6. Previous resection of the large bowel
Patient information material
Anticipated start date01/12/1997
Anticipated end date01/07/2005
Status of trialCompleted
Target number of participants1,000
InterventionsArm A: Aspirin and Folate
Arm B: Aspirin and Placebo Folate
Arm C: Placebo Aspirin and Folate
Arm D: Placebo Aspirin and Placebo Folate Aspirin 300 mg E.C/day Folate 500 ug/day
Primary outcome measure(s)Percentage of patients who developed one or more recurrent colorectal adenomas or cancers
Secondary outcome measure(s)1. Number of recurrent adenomas detected during follow-up
2. Percentage of patients who developed advanced colorectal neoplasia during follow-up
Sources of fundingCancer Research UK (UK)
Sponsor nameCancer Research UK
Sponsor detailsPO Box 123
Lincoln's Inn Fields
London
United Kingdom
WC2A 3PX
Sponsor telephone+44 (0)20 7317 5186
Sponsor fax+44 (0)20 7487 4302
Sponsor emailkate.law@cancer.org.uk
Sponsor websitehttp://www.cancer.org.uk
Contact nameProf Richard Logan
Contact detailsSchool of Community Health Sciences
Medical School
University of Nottingham
Nottingham
United Kingdom
NG7 2UH
Contact telephone+44 (0)115 823 0452
Contact fax+44 (0)115 823 0464
Contact emailRichard.Logan@nottingham.ac.uk
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN22669537
Date last extracted from ISRCTN register17/04/2008
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