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Trial Title: Chemoprevention of Esophageal Squamous Cell Carcinoma (ESCC) With Aspirin and Tea Polyphenols

NCT ID: NCT01496521

Condition: Carcinoma, Squamous Cell

Conditions: Official terms:
Carcinoma
Carcinoma, Squamous Cell
Esophageal Squamous Cell Carcinoma
Aspirin

Conditions: Keywords:
Aspirin
polyphenols
Chemoprevention

Study type: Interventional

Study phase: Phase 3

Overall status: Unknown status

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Prevention

Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Intervention:

Intervention type: Drug
Intervention name: Aspirin
Description: 100mg qd for 6 months.
Arm group label: Aspirin

Intervention type: Dietary Supplement
Intervention name: Tea Polyphenols
Description: 300mg bid for 6 months.
Arm group label: Tea Polyphenols

Summary: Evidence from laboratory studies suggests that aspirin and tea polyphenols may have an antineoplastic effect in esophageal squamous cell carcinoma (ESCC). To assess the safety and efficacy of aspirin and tea polyphenols for preventing ESCC, the investigators designed this double-blind, randomized controlled clinical trial. Research project is planned to recruit 10,000 participants with the ages of 40-60 years in Fengfeng city, Hebei province, China, which has been known as a high incidence region of ESCC. All the participants receive endoscopic examination. Lugol's chromoendoscopy is used to identify esophageal unstained lesions (USLs). The location and size of each USL will be recorded followed by collecting biopsy samples from each USL. Participants with USL are randomly assigned to receive 100 mg/d of aspirin (n=200), 100 mg/d of tea polyphenols (n=200), or placebo (n=200) for six months. Follow-up consists of 2 endoscopic surveillance cycles (the first interval will be at six months and the second at 3 or 5 years later). The primary outcome measure was occurrence of high grade dysplasia and invasive ESCC. Secondary outcome was the mortality of the participants and adverse events.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. age 40 to 60 years; 2. Lugol's chromoendoscopy showing at least one USL 1 cm or larger containing mild to moderate dysplasia and chronic inflammation; 3. subject neither pregnant nor intending to become pregnant during the study. Exclusion Criteria: 1. current non-steroidal anti-inflammatory drugs (NSAID) therapy; 2. major intercurrent illness; 3. pregnancy; 4. invasive carcinoma; 5. any condition that could be worsened by aspirin or tea polyphenols.

Gender: All

Minimum age: 40 Years

Maximum age: 60 Years

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: Beijing Friendship Hospital Capital Medical University

Address:
City: Beijing
Zip: 100050
Country: China

Start date: January 2012

Completion date: January 2013

Lead sponsor:
Agency: Beijing Friendship Hospital
Agency class: Other

Source: Beijing Friendship Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT01496521

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