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Active, not recruitingNCT02301286ASPIRINUpdated Mar 18, 2024

A Trial of Aspirin on Recurrence and Survival in Colon Cancer Patients

A Phase 3 interventional study of Acetylsalicylic acid and Placebo Acetylsalicylic acid in Colon Cancer and Adjuvant Therapy, sponsored by Leiden University. Active, not recruiting at 32 sites in Netherlands. Open to participants aged 45 Years and older. Per ClinicalTrials.gov, last updated 2024-03-18.

Sponsored by Leiden University · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
770
Allocation
Randomized
Ages
45 Years and older
Sex
All
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Study summary

The purpose of this study is to determine whether acetylsalicylic acidis effective on the recurrence and survival of colon cancer patients.

Read the detailed description

The purpose of this study is to determine the effect of 80mg acetylsalicylic acid (given orally once daily for 5 years) on 5 year overall survival (OS) for stage II and III colon cancer patients of 45 years of age and older. Preclinical, epidemiologic and clinical evidence suggest that acetylsalicylic acid use may reduce overall cancer risk and mortality in colon cancer patients. It is a phase III double blind placebo controlled, randomized trial of adjuvant low-dose acetylsalicylic acid in colon cancer patients. Patients will be stratified at randomization by centre, age (\<70 and ≥70 years) chemotherapy use (any versus none) and disease stage.

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Conditions studied

  • Colon Cancer
  • Adjuvant Therapy

Keywords

  • Acetylsalicylic acid
  • Colon cancer
  • Survival
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In context

Colonic Neoplasms

1,432 studies on the registry are indexed under Colonic Neoplasms; 357 are open to participants now.

This study's enrollment of 770 is above the median of 90 across 1,034 interventional studies indexed under Colonic Neoplasms.

Browse Colonic Neoplasms studies →

Lead sponsor

Leiden University is the lead sponsor of 19 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
45 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age ≥45 years
  • Patients must have TNM stage that is one of the following: pT3-4; N0-2 and M0, or pT1-2 and N1-2 (UICC stage II and III) (in case of >1 tumour: largest tumour is stage II or III)
  • Patients must have completed surgical resection (R0) (both laparoscopic and open surgery) within 12 weeks of randomisation

Exclusion criteria

Exclusion Criteria:

  • Patients with rectal cancer (defined as tumour within 15 cm from the anal verge)
  • Patients currently taking oral anti-coagulants or use of LMWH
  • Patients currently taking acetylsalicylic acid for any reason
  • Patients with a history of bleeding disorders or active gastric or duodenal ulcers
  • Patients currently taking high dose systemic glucocorticoids.(≥ 30 mg predniso(lo)n)
  • Patients with (suspected) (non-) polyposis syndrome (FAP/AFAP, MAP, Lynch syndrome)
  • Patients with >100 polyps of the colon or a known hereditary syndrome of the colon in a first degree family member
  • Allergy or intolerance to salicylates.
  • Patients with a history of other malignancies in the last 5 years, except for SCC or CIN.
  • Presence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
770 participants (actual)

Study arms

  • Experimental
    Aspirin

    Patients treated with acetylsalicylic acid 80 mg once daily for 5 years. Patients will be stratified according to the admission of adjuvant chemotherapy.

    Drug: Acetylsalicylic acid

  • Placebo comparator
    Placebo

    Patients treated with placebo. Patients will be stratified according to the admission of adjuvant chemotherapy.

    Drug: Placebo Acetylsalicylic acid

Interventions

  • DrugAcetylsalicylic acid

    Also known as: Aspirin

  • DrugPlacebo Acetylsalicylic acid

    Also known as: Placebo

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What researchers measure

Primary outcomes

  1. 5 year overall survival

    The time to an event for OS is defined as the time interval between the date of randomisation and the date of death.

    Time frame: 5 years

Secondary outcomes

  1. Disease Free Survival

    The time to an event for DFS is defined as the time interval between the date of randomisation and the date of disease recurrence or death, whichever comes first. Recurrence of a disease can be a loco-regional recurrence, a distant recurrence or a new primary colon cancer. The evidence for recurrence must be documented in the patients' file.

    Time frame: 5 years

  2. Time to Treatment Failure

    The time elapsed between randomisation until treatment discontinuation due to disease progression, unacceptable toxicity, death or any other event of interest.

    Time frame: 5 years

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Study locations

32 sites
  • Ziekenhuisgroep Twente
    Almelo, Netherlands
  • Meander MC
    Amersfoort, Netherlands
  • Wilhelmina Ziekenhuis
    Assen, Netherlands
  • Amphia Ziekenhuis
    Breda, Netherlands
  • IJsselland Ziekenhuis
    Capelle aan den IJssel, Netherlands
  • Reinier de Graaf Gasthuis
    Delft, Netherlands
  • Deventer Ziekenhuis
    Deventer, Netherlands
  • Slingeland Ziekenhuis
    Doetinchem, Netherlands
  • NijSmellinghe
    Drachten, Netherlands
  • Ziekenhuis Gelderse Vallei
    Ede, Netherlands
  • Catharina Ziekenhuis
    Eindhoven, Netherlands
  • Maxima MC
    Eindhoven, Netherlands
  • MST
    Enschede, Netherlands
  • Admiraal de Ruijter Ziekenhuis
    Goes, Netherlands
  • Beatrix Ziekenhuis
    Gorinchem, Netherlands
  • Groene Hart Ziekenhuis
    Gouda, Netherlands
  • Ziekenhuis St. Jansdal
    Harderwijk, Netherlands
  • Elkerliek Ziekenhuis
    Helmond, Netherlands
  • Spaarne Gasthuis
    Hoofddorp, Netherlands
  • Leiden University Medical Center
    Leiden, Netherlands
  • Alrijne Ziekenhuis
    Leiderdorp, Netherlands
  • HMC
    Leidschendam, Netherlands
  • St. Antonius Ziekenhuis
    Nieuwegein, Netherlands
  • Ikazia Ziekenhuis
    Rotterdam, Netherlands
  • Antonius Ziekenhuis
    Sneek, Netherlands
  • ZorgSaam Zeeuws Vlaanderen
    Terneuzen, Netherlands
  • HAGA ziekenhuis
    The Hague, Netherlands
  • ETZ
    Tilburg, Netherlands
  • Diakonessenhuis
    Utrecht, Netherlands
  • VieCuri Medisch Centrum
    Venlo, Netherlands
  • Streekziekenhuis Koningin Beatrix (SKB)
    Winterswijk, Netherlands
  • Lange Land Ziekenhuis
    Zoetermeer, Netherlands
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 18, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02301286
Lead sponsor
Leiden University
Collaborators
Stichting voor Patienten met Kanker aan het Spijsverteringskanaal (SPKS), Dutch Colorectal Cancer Group, Stichting Geriatrische Oncologie Nederland (GeriOnNe), Fonds NutsOhra, Innovatiefonds Zorgverzekeraars
Responsible party
GJLiefers (Surgical Oncologist, Leiden University Medical Center) — Principal investigator
First posted
Nov 25, 2014
Start date
Jan 2015
Primary completion
Dec 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Mar 18, 2024

Study contacts

G.J. Liefers, MD PhD
principal investigator · Leiden University Medical Center
J.E.A. Portielje, Professor
principal investigator · Leiden University Medical Center
R. Fodde, Professor
principal investigator · Erasmus Medisch Centrum

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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