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Healthy, no Evidence of DiseasePhase 2NCT00365209

Phase II A Trial of Curcumin Among Patients With Prevalent Subclinical Neoplastic Lesions (Aberrant Crypt Foci)

A Phase 2 study testing laboratory biomarker analysis, pharmacological study and curcumin in people with Healthy, no Evidence of Disease and Tobacco Use Disorder, run by National Cancer Institute (NCI) at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Chemoprevention is the use of certain substances to keep cancer from forming, growing, or coming back. Curcumin is a compound found in plants that may prevent colon cancer from forming. This phase II trial is studying how well curcumin works in preventing colon cancer in smokers with aberrant crypt foci. Read more about this study

Who is it for?
Ages 40 years and olderHealthy volunteers can take part
What is being tested?
laboratory biomarker analysis, pharmacological study and curcumin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
44 participants
Where
1 siteUnited States
Study dates
Oct 2006to Jan 2011
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Current smoker with > 3 pack-year total smoking history
  • Subjects taking NSAIDS or ASA < 10 days month are eligible but must undergo 14 day washout and refrain from use during the study
  • Subjects who are:
  • Having a clinically indicated screening/surveillance colonoscopy (e.g. due to risk factors, personal history, or symptoms) OR
  • Not having a colonoscopy but are otherwise eligible. These subjects would undergo a flexible sigmoidoscopy.
  • ECOG performance status 0-2 (Karnofsky > 60%)
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  • No severe organ dysfunction which might increase bleeding risk:
  • Demonstrated by: Normal hematologic status (WBC > 3,000/mm^3, hemoglobin > 10.0 gm/dl, and platelet-count >100,000/mm^3), normal hepatic function (bilirubin < 1.5 mg/dl, transaminases < 1.5x institutional norms), and normal renal function (serum creatinine < 2.0 mg/dl, documented in clinical chart 28 days prior to enrollment
  • Healthy current smokers (1 cigarette in previous yr) with > 3-pack year of cigarette smoking and able to provide written informed consent; there are no gender restrictions
  • The effects of curcumin on the developing human fetus at the recommended therapeutic dose are unknown; for this reason women of childbearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation; should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her study physician immediately
  • Ability to understand and the willingness to sign a written informed consent document

Who cannot join

  • NSAID or ASA use > 10 days /month; any current glucocorticoid use or omega 3-fatty acid supplement use
  • Evidence of the following chronic medical conditions such as:
  • Pregnant or lactating women and/or women who are contemplating pregnancy during the duration of the protocol
  • History of chronic inflammatory bowel disease or prior pelvic irradiation
  • History of peptic ulcer disease (PUD) endoscopically confirmed < 5 yrs from enrollment date
  • Newly diagnosed colorectal cancer or advanced adenoma < 1 yr from enrollment
Show all 12Show fewer
  • Unspecified history of bleeding or coagulation disorder reported by patient or in medical history
  • Hereditary Colon Cancer syndromes (FAP or HNPCC)
  • Participants may not be receiving any other investigational agents
  • History of contact dermatitis from turmeric
  • Uncontrolled inter-current illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
  • Pregnant women are excluded from this study because curcumin is an agent with the potential for teratogenic or abortifacient effects; because there is an unknown but potential risk for adverse events in nursing infants secondary to treatment of the mother with curcumin, breastfeeding should be discontinued if the mother is treated with curcumin

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Chao Family Comprehensive Cancer Center

    Orange, California, 92868

Other trials in United States

About this study

Official title: Phase IIA Trial of Curcumin Among Patients With Prevalent Subclinical Neoplastic Lesions (Aberrant Crypt Foci)

Chemoprevention is the use of certain substances to keep cancer from forming, growing, or coming back. Curcumin is a compound found in plants that may prevent colon cancer from forming. This phase II trial is studying how well curcumin works in preventing colon cancer in smokers with aberrant crypt foci.

Read the detailed description

PRIMARY OBJECTIVES:

  1. To determine mean percentage change from baseline in prostaglandin E2 (PGE2) within ACF pre and post 30 days of curcumin administration at a specified dose.

SECONDARY OBJECTIVS:

  1. To determine mean percentage change from baseline in 5-hydroxy-eicosatetraenoic acid (5-HETE) within ACF pre and post 30 days of curcumin administration at a specified dose.

II. To determine mean percentage change from baseline in PGE2 and 5-HETE within comparison normal mucosa pre and post 30 days of curcumin administration at a specified dose.

III. To quantify corresponding enzyme changes in the cyclooxygenases (COX-1, COX-2,) and lipoxygenase (5-LOX) protein abundance. Semi-quantitative changes in these proteins will be measured by western blotting and correlated with changes in prostaglandins and leukotrienes respectively.

IV. Document changes in total ACF number. V. Determine proliferation by Ki-67 IHC in rectal mucosa pre and post therapy and correlate with changes in ACF number and size.

VI. Determine curcumin concentration in rectal mucosa after 30 days therapy and correlate with PGE2 and 5-HETE changes described above.

VII. Measure glutathione peroxidase (GPx) activity within the colon pre and post therapy as an indirect marker of reduced oxidative stress within the colonic epithelium.

VIII. Ensure safety of all participants during course of study investigation. IX. Determine the curcumin concentration in plasma before and after treatment.

OUTLINE: This is a multicenter, nonrandomized, uncontrolled study.

Patients receive 1 of 2 doses of oral curcumin once daily. Treatment continues for 30 days in the absence of unacceptable toxicity or disease progression.

Blood and tissue biopsies are obtained by sigmoidoscopy or colonoscopy at baseline and at day 30 for correlative biomarker studies. The change in prostaglandin E_2 (PGE_2) is assessed by enzyme immunoassay, 5-hydroxy-eicosatetraenoic acid (5-HETE) by high-performance liquid chromatography, cyclooxygenases (COX-1 and COX-2) and 5-lipoxygenase (5-LOX) by western blotting, Ki-67 by immunohistochemistry, and glutathione peroxidase (GPx) by spectrophotometric assay.

After completion of study therapy, patients are followed at 1 week.

PROJECTED ACCRUAL: A total of 48 patients will be accrued for this study.

Being tested
laboratory biomarker analysis, pharmacological study, curcumin
Medical subject headings
Tobacco Use Disorder

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • laboratory biomarker analysisOther

    Correlative studies

  • pharmacological studyOther

    Also called pharmacological studies

    Correlative studies

  • curcuminDrug

    Also called C.I. 75300, C.I. Natural Yellow 3, CU, Diferuloylmethane

    Given orally

Study groups in NCT00365209
Study groupRoleWhat they receive
2g (curcumin)ExperimentalPatients receive 2 grams of oral curcumin once daily. Treatment continues for up to 30 days in the absence of unacceptable toxicity or disease progression.
Receives: Other: laboratory biomarker analysis; Other: pharmacological study; Drug: curcumin
4g (curcumin)ExperimentalPatients receive 4 grams of oral curcumin once daily. Treatment continues for up to 30 days in the absence of unacceptable toxicity or disease progression.
Receives: Other: laboratory biomarker analysis; Other: pharmacological study; Drug: curcumin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Baseline in Prostaglandin E2 (PGE2) Within Aberrant Crypt Foci (ACF)

    Baseline prostaglandin E2 (PGE2) values found in rectal aberrant crypt foci (ACF) tissue

    Measured: Baseline

  2. Post-treatment in Prostaglandin E2 (PGE2) Within Aberrant Crypt Foci (ACF)

    Post-treatment prostaglandin E2 (PGE2) values found in rectal aberrant crypt foci (ACF) tissue

    Measured: At 30 day

Secondary outcomes (23)
  1. Baseline in 5-hydroxy-eicosatetraenoic Acid (5-HETE) Within Aberrant Crypt Foci (ACF)

    Baseline 5-hydroxy-eicosatetraenoic acid (5-HETE) values found in rectal aberrant crypt foci (ACF) tissue

    Measured: Baseline

  2. Post-treatment in 5-hydroxy-eicosatetraenoic Acid (5-HETE) Within Aberrant Crypt Foci (ACF)

    Post-treatment 5-hydroxy-eicosatetraenoic acid (5-HETE) values found in rectal aberrant crypt foci (ACF) tissue

    Measured: At 30 Day

  3. Baseline in Prostaglandin E2 (PGE2) Level in Normal Mucosa

    Baseline prostaglandin E2 (PGE2) values found in normal mucosa rectal tissue

    Measured: Baseline

  4. Post-treatment in Prostaglandin E2 (PGE2) Level in Normal Mucosa

    Post-treatment prostaglandin E2 (PGE2) values found in normal mucosa rectal tissue

    Measured: At 30 day

  5. Baseline in 5-hydroxy-eicosatetraenoic Acid (5-HETE) Level in Normal Mucosa

    Baseline 5-hydroxy-eicosatetraenoic acid (5-HETE) values found in normal mucosa rectal tissue

    Measured: Baseline

  6. Post-treatment in 5-hydroxy-eicosatetraenoic Acid (5-HETE) Level in Normal Mucosa

    Post-treatment 5-hydroxy-eicosatetraenoic acid (5-HETE) values found in normal mucosa rectal tissue

    Measured: At 30 day

  7. Change in Cyclooxygenases (COX-1, COX-2), and Lipoxygenase (5-LOX) Protein Abundance

    The protein levels for each enzyme will be expressed as an absolute change from baseline and graphed against % change of its enzyme product in the same individual. The degree of correlation between these parameters will be assessed by either Pearson's correlation coefficient or Spearman's rank order correlation coefficient.

    Measured: Baseline to 30 days

  8. Changes in Total Aberrant Crypt Foci (ACF) Number

    Changes in total aberrant crypt foci (ACF) number = Number of ACF at pre-treatment - Number of ACF at post-treatment

    Measured: Baseline to 30 days

  9. Proliferation by Ki-67 Immunohistochemical Assay (IHC) in Normal Mucosa - Proximal Third

    Measured: Baseline

  10. Proliferation by Ki-67 Immunohistochemical Assay (IHC) in Normal Mucosa - Proximal Third

    Measured: At 30 day

  11. Proliferation by Ki-67 Immunohistochemical Assay (IHC) in Normal Mucosa - Middle Third

    Measured: Baseline

  12. Proliferation by Ki-67 Immunohistochemical Assay (IHC) in Normal Mucosa - Middle Third

    Measured: At 30 day

  13. Proliferation by Ki-67 Immunohistochemical Assay (IHC) in Normal Mucosa - Distal Third

    Measured: Baseline

  14. Proliferation by Ki-67 Immunohistochemical Assay (IHC) in Normal Mucosa - Distal Third

    Measured: At 30 day

  15. Baseline Curcumin Concentration in Rectal Mucosa

    If detectable in the rectal mucosa, it is predicted that curcumin concentrations and potentially curcumin conjugate concentrations will be associated with reduction in PGE2 and 5-HETE measured from colorectal mucosal biopsies. Pearson correlation coefficients between changes in baseline levels in these 2 parameters and curcumin concentration in rectal mucosa will be calculated. Endpoints may be log transformed as appropriate prior to analysis.

    Measured: Baseline

  16. Post-treatment Curcumin Concentration in Rectal Mucosa

    If detectable in the rectal mucosa, it is predicted that curcumin concentrations and potentially curcumin conjugate concentrations will be associated with reduction in PGE2 and 5-HETE measured from colorectal mucosal biopsies. Pearson correlation coefficients between changes in baseline levels in these 2 parameters and curcumin concentration in rectal mucosa will be calculated. Endpoints may be log transformed as appropriate prior to analysis.

    Measured: At 30 day

  17. Baseline Curcumin Plasma Concentrations

    Baseline curcumin conjugate concentrations will be measured directly from the subject's plasma and then the change in concentrations after the last dose of study drug will be measured. Concentrations will be measured and statistically evaluated by paired t-test or Wilcoxon matched-pairs signed-ranks test, as appropriate.

    Measured: Baseline

  18. Post-treatment Curcumin Plasma Concentrations

    Baseline curcumin conjugate concentrations will be measured directly from the subject's plasma and then the change in concentrations after the last dose of study drug will be measured. Concentrations will be measured and statistically evaluated by paired t-test or Wilcoxon matched-pairs signed-ranks test, as appropriate.

    Measured: At 30 day

  19. Baseline Curcumin Conjugates Concentration in Rectal Mucosa

    If detectable in the rectal mucosa, it is predicted that curcumin concentrations and potentially curcumin conjugate concentrations will be associated with reduction in PGE2 and 5-HETE measured from colorectal mucosal biopsies. Pearson correlation coefficients between changes in baseline levels in these 2 parameters and curcumin concentration in rectal mucosa will be calculated. Endpoints may be log transformed as appropriate prior to analysis.

    Measured: Baseline

  20. Post-treatment Curcumin Conjugates Concentration in Rectal Mucosa

    If detectable in the rectal mucosa, it is predicted that curcumin concentrations and potentially curcumin conjugate concentrations will be associated with reduction in PGE2 and 5-HETE measured from colorectal mucosal biopsies. Pearson correlation coefficients between changes in baseline levels in these 2 parameters and curcumin concentration in rectal mucosa will be calculated. Endpoints may be log transformed as appropriate prior to analysis.

    Measured: At 30 day

  21. Baseline Curcumin Conjugates Plasma Concentrations

    Baseline curcumin conjugate concentrations will be measured directly from the subject's plasma and then the change in concentrations after the last dose of study drug will be measured. Concentrations will be measured and statistically evaluated by paired t-test or Wilcoxon matched-pairs signed-ranks test, as appropriate.

    Measured: Baseline

  22. Post-treatment Curcumin Conjugates Plasma Concentrations

    Post-treatment curcumin conjugate concentrations will be measured directly from the subject's plasma and then the change in concentrations after the last dose of study drug will be measured. Concentrations will be measured and statistically evaluated by paired t-test or Wilcoxon matched-pairs signed-ranks test, as appropriate.

    Measured: At 30 day

  23. Number of Participants at Each Adverse Event Grade Level

    Measured: Baseline to 30 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Aug 2006 (estimated)
  2. Study startOct 2006
  3. Primary completionSep 2008
  4. Study completionJan 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Prevention
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
44 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00365209
Sponsor's protocol ID
NCI-2013-00449
Other IDs
NCI-2013-00449, UIC-2005-0617, CDR0000483003, UCIRVINE-2005-4586, UIC HS# 2005-0617, CCUM-HUM00000731, P30CA062203, 2005-0617
Status last verified
Mar 2014
First submitted
16 Aug 2006
Last updated
27 Aug 2015

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing laboratory biomarker analysis, pharmacological study and curcumin in people with Healthy, no Evidence of Disease and Tobacco Use Disorder, run by National Cancer Institute (NCI) at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Aug 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 27 Aug 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Baseline in Prostaglandin E2 (PGE2) Within Aberrant Crypt Foci (ACF) (time frame: Baseline). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Aug 2015.

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