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Effects of the Dietary Supplementation With a Blend of ER Beta Agonists on the Expression of ER Beta and Related Biomarkers of Cell Proliferation and Apoptosis, in Sporadic Colon Adenopolyposis


Phase 1/Phase 2
50 Years
70 Years
Not Enrolling
Both
Adenocarcinoma of Colon Recurrent

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Trial Information

Effects of the Dietary Supplementation With a Blend of ER Beta Agonists on the Expression of ER Beta and Related Biomarkers of Cell Proliferation and Apoptosis, in Sporadic Colon Adenopolyposis


Enrolled patients were actively ongoing the surveillance program for the follow up of polyp
recurrence and progression to CRC. Eligible patients should have undergone a polypectomy
since 2003, affected by multiple polyps < 10 mm or one-two adenomas < 10 mm and/or with a
grade of dysplasia to make them classified at intermediate risk for CRC, and scheduled to
screening colonoscopy each 3-5 years. Patients were sequentially 1:1 randomly allocated to
placebo or Eviendep at baseline (T0). The dietary supplements were administered twice a day
for 60 days in advance of the screening colonoscopy, thus covering approximately eight
complete colon epithelial turnover to occur. Five days in advance of T60 colonoscopy,
patients refrained from fresh and cooked fruit and vegetable intake. Bowel cleansing was
achieved by PEG 4000 oral administration (1120 g/4 L water solution). N=8 biopsy
samples/patient were collected from the non adenomatous mucosa in the sigmoidal colon. Small
polyps (diameter less or equal 0.5 cm) were topically electrocoagulated, whereas villous and
tubulovillous polyps (diameter equal or higher than 0.5 cm) were submitted to the
histological assessment.


Inclusion Criteria:



- Men and women, age: 50-70 years

- Menopausal women since at least 2 years

- Diagnosed since 2003 for adenomas, underwent polypectomy and histological assessment

- Regularly inscribed and actively ongoing the surveillance program for the follow-up
of adenoma recurrence and progression to advanced adenomas

- Screening colonoscopy every 3-5 years

- No previous or concomitant administration of ASA and NSAIDs

- No previous or concomitant administration of Hormonal Replacement Therapy (HRT)

- No previous or concomitant administration of other phytoestrogens

Exclusion Criteria:

- Chronic inflammatory intestinal disease

- Intestinal and/or extraintestinal malignant neoplasms

- Acute or chronic renal disease

- Anemia

- Coagulation disorders,

- BMI > 30

- Systemic corticosteroids

- Anticoagulants or platelet antiaggregants

- Antibiotics within 30 days from enrollment

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Prevention

Outcome Measure:

Expression of ERβ, ERα, TUNEL, Caspase-3, Ki-67 in bioptic samples of non adenomatous mucosa in sporadic adenopolyposis

Outcome Description:

ERβ and ERα protein content (Elisa), mRNA and immunohistochemically stained cells (% over the total number of cells/field,ICH); TUNEL (%,ICH); caspase-3 (%,ICH), Ki-67 (%ICH), and comparison (mean, median, %ICH) between study groups. Safety assessed by no induction of ERα expression.

Outcome Time Frame:

60 days following dietary oral supplementation, in advance of the screening colonoscopy as per the planning of the surveillance program

Safety Issue:

Yes

Authority:

Italy: Ministry of Health

Study ID:

CMD-CRC09(2)

NCT ID:

NCT01402648

Start Date:

October 2009

Completion Date:

April 2011

Related Keywords:

  • Adenocarcinoma of Colon Recurrent
  • Non adenomatous mucosa
  • Estrogen Receptor beta and apoptosis
  • Adenoma recurrence
  • Screening colonoscopy every 3-5 years
  • patients at intermediate risk for CRC
  • Adenocarcinoma
  • Adenocarcinoma, Mucinous
  • Recurrence
  • Colonic Neoplasms

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