DAILY: Vitamin D, Aspirin, ExercIse, Low Saturated Fat Foods StudY in Colorectal Cancer Patients With Minimal Residual Disease
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- M.D. Anderson Cancer Center
- Enrollment
- 16
- Locations
- 1
- Primary Endpoint
- To estimate the ctDNA clearance rate of colorectal cancer patients with minimal residual disease
Study Overview
Brief Summary
To learn if lifestyle changes (such as diet and exercise) combined with daily aspirin and vitamin D can affect the likelihood of advanced colorectal cancer coming back (recurring)
Detailed Description
Primary Objective:
To estimate the ctDNA clearance rate of colorectal cancer participants with minimal residual disease after 3 months of optimal lifestyle interventions
Secondary Objectives:
- To evaluate the dynamics of ctDNA allele fractions after 3 months of optimal lifestyle interventions and every 3 months thereafter up to 12 months
- To estimate the recurrence rate at 1 year in subjects who complete 3 months of optimal lifestyle interventions
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age ≥ 18 years at the time of study entry
- •Histologically documented high-risk stage II, stage III, or stage IV colorectal adenocarcinoma with no evidence of disease following definitive local therapy (including surgical resection or ablation)
- •No radiographic evidence of disease by contrast enhanced CT chest/abdomen/pelvis
- •Presence of detectable ctDNA mutation that matches mutations found in tumor tissue
- •Completion of all standard of care adjuvant therapy
- •Platelet count >50,000
- •Ability to give informed consent
- •Ability to complete all questionnaires involved in study
Exclusion Criteria
- •Concurrent malignancy under active treatment
- •Known active gastrointestinal bleeding or peptic ulcer disease
- •Known hypersensitivity to vitamin D or aspirin
- •CrCl<30 mL/min within 30 days of starting the intervention
- •Current usage of therapeutic anticoagulation (warfarin, Eliquis, Xarelto)
- •Inability to safely participate in physical activity in the opinion of the treating oncologist
- •Pregnant or nursing women. N.B.: urine pregnancy test will be administered as part of the screening process.
- •Persistent hypercalcemia or conditions predisposing to hypercalcemia (i.e., hyperparathyroidism)
- •Known symptomatic genitourinary stones
Arms & Interventions
Aspirin, Vitamin D
by mouth every day for up to 90 days
Intervention: Aspirin (Drug)
Aspirin, Vitamin D
by mouth every day for up to 90 days
Intervention: Vitamin D (Drug)
Aspirin, Vitamin D
by mouth every day for up to 90 days
Intervention: Diet (Dietary Supplement)
Aspirin, Vitamin D
by mouth every day for up to 90 days
Intervention: Physical Activity (Other)
Aspirin, Vitamin D
by mouth every day for up to 90 days
Intervention: Behavioral Support Counseling Sessions (Behavioral)
Outcomes
Primary Outcomes
To estimate the ctDNA clearance rate of colorectal cancer patients with minimal residual disease
Time Frame: through study completion, an average of 1 year
Secondary Outcomes
No secondary outcomes reported
