Chemoprevention in Lynch syndrome.

Abstract:

:CAPP1 tested aspirin 600 mg/day and/or resistant starch 30 g/day in 200 adolescent FAP carriers. Aspirin treatment resulted in a non-significant reduction in polyp number and a significant reduction in polyp size among patients treated with aspirin for more than 1 year. CAPP2 RCT used the same interventions in 937 Lynch syndrome patients, the first RCT to have cancer prevention as the primary endpoint. Aspirin did not reduce the risk of colorectal neoplasia in a mean treatment period of 29 months but double blind post intervention follow-up has revealed 48 participants developed 53 CRCs. Per protocol analysis showed 63% fewer colon cancers with aspirin (p = 0.008) apparent from 4 years, with a similar effect on other LS cancers. Resistant starch was not beneficial at long term followup. CAPP3 will involve a double blind dose non-inferiority trial comparing 100, 300 or 600 mg daily in 3,000 gene carriers. We can now recommend aspirin in people at high risk of colorectal cancer.

journal_name

Fam Cancer

journal_title

Familial cancer

authors

Burn J,Mathers JC,Bishop DT

doi

10.1007/s10689-013-9650-y

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

707-18

issue

4

eissn

1389-9600

issn

1573-7292

journal_volume

12

pub_type

杂志文章,多中心研究,随机对照试验
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    pub_type: 杂志文章

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    authors: Marafie MJ,Dashti M,Al-Mulla F

    更新日期:2017-07-01 00:00:00

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    authors: Pezaro C,James P,McKinley J,Shanahan M,Young MA,Mitchell G

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