CClinicalTrials.gg
CompletedNCT03579732ENgAGE-TaiwanUpdated Sep 29, 2020

EffectiveNess of Low Dose Aspirin in GastrointEstinal Cancer Prevention - Taiwan

An observational study in Colorectal Neoplasms, sponsored by Bayer. Completed at 1 site in Taiwan. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2020-09-29.

Sponsored by Bayer · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
4,710,504
Ages
40 Years and older
Sex
All
01

Study summary

The study evaluates the protective effect of low-dose aspirin use on gastrointestinal cancers (colorectal, esophageal and gastric cancers) in long-term users, episodic users and non-users of aspirin in Taiwan.

Read the detailed description

The primary objective is to investigate the protective effect of long-term low dose use of aspirin on colorectal, esophageal and gastric cancer in adult subjects from Taiwan.

Secondary objectives are to evaluate the protective effect by duration of low-dose aspirin use on colorectal cancer, the effect of discontinuation of aspirin on colorectal cancer prevention, the staging distribution of colorectal cancer and the description of fatal cases due to colorectal cancer.

Aspirin use will be identified through Taiwanese National Health Insurance (NIH) data from 2000 to 2015. Cancer cases and staging of the three cancer types will be ascertained through the Taiwan Cancer Registry, using data from 2000 to 2014. Fatal cases will be ascertained using Mortality database from 2000 to 2015.

02

Conditions studied

  • Colorectal Neoplasms

Keywords

  • Low-dose aspirin,
  • Cancer prevention
03

In context

Colorectal Neoplasms

5,599 studies on the registry are indexed under Colorectal Neoplasms; 1,458 are open to participants now.

This study's enrollment of 4,710,504 is above the median of 250 across 1,226 observational studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Bayer is the lead sponsor of 1,643 studies on the registry; 57 are open to participants now.

Of its 209 completed or terminated interventional studies of FDA-regulated products, 129 (62%) have results posted.

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

04

Who can participate

Ages eligible
40 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Subjects will be selected from the Taiwanese National Health Insurance (NIH) database.

Inclusion criteria

  • Age 40 or older at the cohort entry date.
  • Taiwanese National Health Insurance enrollees with non-missing and consistent age and gender information.

Exclusion criteria

Exclusion Criteria:

  • Subjects with any cancer diagnosis before cohort entry date.
  • No use of National Health Insurance before the cohort entry date.
  • Low dose aspirin prescription before cohort entry date.
  • Subjects with conditions contra-indicated for low dose aspirin use before cohort entry date.
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
4,710,504 participants (actual)
Patient registry
No

Groups and cohorts

  • Long-term users

    Adults using low-dose aspirin for \> 3 years

    Drug: Aspirin (Acetylsalicylic Acid, BAYE4465)

  • Episodic users

    Adults using low-dose aspirin inconsistently, or consistently but \< 3 years

    Drug: Aspirin (Acetylsalicylic Acid, BAYE4465)

  • Former users

    Subset of adult Episodic users of aspirin who discontinued the drug for at least 1 year before case/ control date

    Drug: Aspirin (Acetylsalicylic Acid, BAYE4465)

  • Non-consumers

    Adults who did not use low-dose aspirin

    Other: No drug

Interventions

  • DrugAspirin (Acetylsalicylic Acid, BAYE4465)

    Low dose of aspirin, i.e. \< 150 mg daily

  • OtherNo drug

    Non-consumers

    Also known as: No aspirin

06

What researchers measure

Primary outcomes

  1. Number of subjects with colorectal cancer

    Number of subjects with colorectal cancer for each cohort (long-term, episodic and former users of aspirin, and non-users).

    Time frame: Up to 14 years

  2. Number of subjects with esophageal cancer

    Number of subjects with esophageal cancer for each cohort (long-term, episodic and former users of aspirin, and non-users).

    Time frame: Up to 14 years

  3. Number of subjects with gastric cancer

    Number of subjects with gastric cancer for each cohort (long-term, episodic and former users of aspirin, and non-users).

    Time frame: Up to 14 years

Secondary outcomes

  1. Duration of aspirin use to colorectal cancer

    The duration of low-dose aspirin use in years to colorectal cancer.

    Time frame: Up to 14 years

  2. Time from aspirin discontinuation to colorectal cancer

    Period of time in years from discontinuation of aspirin use to detection of colorectal cancer.

    Time frame: Up to 14 years

  3. Stage of colorectal cancer

    The stage of cancer will be determined according to the International Classification of Diseases for Oncology (ICD-O-3).

    Time frame: Up to 14 years

  4. Number of fatal cases due to colorectal cancer

    Derived from Taiwan Mortality database.

    Time frame: Up to 14 years

07

Study locations

1 site
  • National University of Taiwan Hospital
    Taipeh, 100, Taiwan
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 29, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03579732
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Jul 9, 2018
Start date
Jun 29, 2018
Primary completion
Sep 30, 2019
Completion
Sep 30, 2019
Last update
Sep 29, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2020. You cannot join it, but the record below documents what was studied.

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