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Effect of Celecoxib on Perioperative Inflammatory Response in Colon Cancer

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ClinicalTrials.gov Identifier: NCT01284504
Recruitment Status : Terminated (low accrual rate; the only participant withdrew after signing consent)
First Posted : January 27, 2011
Results First Posted : December 8, 2016
Last Update Posted : March 16, 2018
Sponsor:
Information provided by (Responsible Party):
Anthony Doufas, Stanford University

Brief Summary:
The proposed study aims to investigate how the administration of a drug known to reduce inflammation in humans, Celecoxib, will effect the peri-operative inflammatory response of a patient undergoing primary tumor resection surgery for colon cancer. The proposed project is an exploratory study, and will use data from blood samples and tumor samples to attempt to elucidate the immune and inflammatory response in colon cancer patients undergoing primary resection of their tumors.

Condition or disease Intervention/treatment Phase
Colorectal Cancer Colon Cancer Drug: Celecoxib Other: placebo Not Applicable

Detailed Description:
This study is the first to assess the perioperative time course of systemic inflammation and immunity in colon cancer patients and evaluate the effect of anti-inflammatory treatment with celecoxib on this response. In addition, evaluation of the effect of short-term preoperative administration of celecoxib on tumor immunogenicity will help us to understand how tumor-enhancing inflammation and anti-tumor immunity can be differentially affected by COX-2 inhibitors. The knowledge gained as a result of this research will help us to set up the infrastructure for a method to monitor the immunoinflammatory status of colon cancer patients with a longer term goal of designing interventions to suppress tumor-enhancing inflammation and vitalize anti-tumor immunity in the perioperative period. The long-term objective is to use these novel tools in order to improve cancer-specific survival in patients with colon cancer after primary tumor resection.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 1 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Official Title: The Effect Of Celecoxib On The Perioperative Inflammatory Response In Colon Cancer Patients - A Double-Blind Placebo-Controlled Trial
Study Start Date : January 2011
Actual Primary Completion Date : May 2011
Actual Study Completion Date : May 2011

Resource links provided by the National Library of Medicine

Drug Information available for: Celecoxib
U.S. FDA Resources

Arm Intervention/treatment
Experimental: Celecoxib
Celecoxib, 200 mg tab
Drug: Celecoxib
200 mg tablet oral
Other Names:
  • Celebrex
  • Celebra
  • Onsenal
Placebo Comparator: Placebo
placebo, tab
Other: placebo
Placebo, tab



Primary Outcome Measures :
  1. Tumor Sample - Analyzed for TCR Repertoire and Global Transcription Profiling [ Time Frame: 2 years ]
  2. Blood Samples Taken Before Initiation of Study, Day of Surgery, Days 1 and 3 Post-op, and 30 Days Post-op. Analyzed for 50 Serum Cytokines, Cell-specific Gene Expression, and TCR Repertoire. [ Time Frame: 30 days ]

Secondary Outcome Measures :
  1. Surveys to Evaluate Patient Pain, Fatigue, and Quality of Recovery, Recorded From Day of Surgery to 30 Days Post-op. [ Time Frame: 30 days ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 75 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

- Colon cancer patients with no evidence of metastasis in distant organs (i.e., TNM stage I-III), who are

  • between 18 and 75 years old,
  • have a body mass index (BMI) between 18 and 35 kg/m^2,
  • and are eligible for laparoscopically-assisted colectomy for primary tumor resection.
  • Patients must have the ability to understand and the willingness to sign a written informed consent document.

Exclusion Criteria:

- A history of allergic-type reactions to celecoxib or sulphonamides,

  • a history of asthma, skin reactions or other allergic reactions to aspirin or other NSAIDs,
  • a history of thromboembolic event (cerebrovascular accident, transient ischemic attack,
  • unstable angina, myocardial infarction, deep vein thrombosis, or pulmonary embolism),
  • renal insufficiency (defined by a serum creatinine level > 1.5 mg/dL or blood urea nitrogen level > 22 mg/dL),
  • active gastrointestinal bleeding in the 60 days before surgery,
  • alcohol or drug abuse, and
  • previous chemotherapy or abdominal/pelvic radiation therapy.
  • After randomization, other exclusion criteria will include a surgical procedure longer than 6 h, inability to extubate the trachea within 4 h after operation, evidence of a new postoperative myocardial infarction, abnormal postoperative mental status or any new neurologic deficit, significant postoperative bleeding (with a hemoglobin level < 7.5 g/dL), requiring blood transfusion, or a urine output of less than 30 mL/h.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01284504


Locations
United States, California
Stanford University School of Medicine
Stanford, California, United States, 94305
Sponsors and Collaborators
Stanford University
Investigators
Principal Investigator: Anthony Doufas Stanford University

Responsible Party: Anthony Doufas, Associate Professor, Stanford University
ClinicalTrials.gov Identifier: NCT01284504     History of Changes
Other Study ID Numbers: IRB-19588
SU-10182010-7110 ( Other Identifier: SU directory )
COL0001 ( Other Identifier: OnCore )
First Posted: January 27, 2011    Key Record Dates
Results First Posted: December 8, 2016
Last Update Posted: March 16, 2018
Last Verified: February 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Additional relevant MeSH terms:
Colorectal Neoplasms
Colonic Neoplasms
Intestinal Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Neoplasms
Digestive System Diseases
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases
Celecoxib
Cyclooxygenase 2 Inhibitors
Cyclooxygenase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Anti-Inflammatory Agents, Non-Steroidal
Analgesics, Non-Narcotic
Analgesics
Sensory System Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Anti-Inflammatory Agents
Antirheumatic Agents