The Nurses' Health Study (NHS) and Health Professionals Follow-Up Study (HPFS) Folic Acid Prevention Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Adenoma of Large Intestine
- Sponsor
- Brigham and Women's Hospital
- Enrollment
- 672
- Primary Endpoint
- Recurrent colorectal adenoma
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
RATIONALE: Chemoprevention is the use of certain substances to keep cancer from forming. The use of folic acid may prevent colorectal cancer.
PURPOSE: This randomized clinical trial is studying how well folic acid works compared with a placebo in preventing colorectal polyps in patients who have had previous colorectal polyps.
Detailed Description
OBJECTIVES: Primary * Determine if folic acid supplementation lowers the adenoma recurrence rate. Secondary * Determine the number of adenomas per patient and the size and histology of the adenoma. * Assess the interaction between folic acid and alcohol, methionine, and aspirin intake. * Assess the interaction between folic acid and pretrial and midtrial folate levels. * Assess other complementary biomarkers such as DNA methylation and blood folate level as risk factors for polyp recurrence. OUTLINE: Patients are randomized to 1 of 2 treatment arms. * Arm I: Patients receive oral folic acid once daily. * Arm II: Patients receive oral placebo once daily. At least 1 year after beginning treatment, patients are sent a blood collection kit in order to measure plasma vitamin B12 levels, to measure folate to assess compliance.
Investigators
Edward Giovannucci
Edward Giovannucci, MD
Brigham and Women's Hospital
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Recurrent colorectal adenoma
Time Frame: May 1996-March 2004
Secondary Outcomes
- recurrent adenoma by location, size, stage, number,(May1996-March 2004)