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Clinical Trials/NCT05036109
NCT05036109CompletedNot Applicable

DAILY: Vitamin D, Aspirin, ExercIse, Low Saturated Fat Foods StudY in Colorectal Cancer Patients With Minimal Residual Disease

M.D. Anderson Cancer Center1 site in 1 country16 target enrollmentStarted: October 12, 2021Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Not Applicable
Status
Completed
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

Other

by mouth every day for up to 90 days

Intervention: Aspirin (Drug)

Aspirin, Vitamin D

Other

by mouth every day for up to 90 days

Intervention: Vitamin D (Drug)

Aspirin, Vitamin D

Other

by mouth every day for up to 90 days

Intervention: Diet (Dietary Supplement)

Aspirin, Vitamin D

Other

by mouth every day for up to 90 days

Intervention: Physical Activity (Other)

Aspirin, Vitamin D

Other

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

Investigators

Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (1)

Loading locations...

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