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Folic Acid in Preventing Colorectal Polyps in Patients With Previous Colorectal Polyps

Not Applicable
Completed
Conditions
Adenoma of Large Intestine
Interventions
Other: Placebo
Dietary Supplement: Folic acid
Registration Number
NCT00512850
Lead Sponsor
Brigham and Women's Hospital
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.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
672
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboPlacebo pill once per day
Folic acidFolic acidFolic acid supplement 1g/day
Primary Outcome Measures
NameTimeMethod
Recurrent colorectal adenomaMay 1996-March 2004
Secondary Outcome Measures
NameTimeMethod
recurrent adenoma by location, size, stage, number,May1996-March 2004
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