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NCT02169271

Acetylsalicylic Acid Compared to Placebo in Treating High-Risk Patients With Subsolid Lung Nodules

Completed Phase 2 Results posted Last updated 21 May 2020
What this trial tests

Phase 2 trial testing Aspirin in Current Smoker in 109 participants. Completed in 14 February 2020.

Timeline
21 November 2014
Primary endpoint
13 July 2018
14 February 2020

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposeprevention
Enrollment109
Start date21 November 2014
Primary completion13 July 2018
Estimated completion14 February 2020
Sites2 locations across Italy, United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

50 and older, any sex, with Current Smoker or Former Smoker. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in the Sum of Longest Diameters of Baseline Target Nodules (Person-specific Analysis) Primary · Twelve-month treatment

Difference (12 month-baseline) in the sum of longest diameters of baseline target nodules.

GroupValue95% CI
Aspirin0.3± 2.54
Placebo-0.12± 1.55
Change in the Sum of Baseline Target Nodules Diameters (Per Nodules Analysis) Secondary · Baseline up to 1 year

Difference (12 month-baseline) in the sum of baseline target nodules diameters

GroupValue95% CI
Aspirin0.1± 2.4
Placebo-0.1± 1.1
Change in Lesion Volume Secondary · Baseline to 1 year

Difference (12 month-baseline) in lesion volume

GroupValue95% CI
Aspirin-4.5± 78
Placebo-4.8± 134
Change in Lesion Density Secondary · Baseline up to 1 year

Difference (12 month-baseline) in lesion density

GroupValue95% CI
Aspirin24± 65
Placebo28± 78
Modulation of Thromboxane B2 Secondary · Baseline up to 1 year

Difference (12 month-baseline) in biomarker concentration

GroupValue95% CI
Aspirin-35.8± 53.4
Placebo20.5± 50.7
Modulation of Prostaglandin E Metabolites (Normalized to Urinary Creatinine Concentration) Secondary · Baseline up to 1 year

Difference (12 month-baseline) in biomarker concentration

GroupValue95% CI
Aspirin-60.7± 210
Placebo29.8± 215
Modulation of Leukotriene E4 (Normalized to Urinary Creatinine Concentration) Secondary · Baseline up to 1 year

Difference (12 month-baseline) in biomarker concentration

GroupValue95% CI
Aspirin-235± 1240
Placebo-9± 592
Modulation of High Sensitive CRP Secondary · Baseline up to 1 year

Difference (12 month-baseline) in biomarker concentration

GroupValue95% CI
Aspirin-0.12± 0.88
Placebo-0.08± 0.5
Modulation of miRNA Prediction Risk Score Secondary · Baseline up to 1 year

Difference (12 month-baseline) of the score on a scale (scale from -20 to +30 which measure the risk of lung cancer. Higher values indicate higher risk. A value\<0 is considered negative, a value ≥0 positive for lung cancer).

GroupValue95% CI
Aspirin0.14± 8.94
Placebo0.36± 7.36

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline up to 13 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Aspirin
Serious: 8/49 (16%)
Deaths: 0/49
Placebo
Serious: 4/49 (8%)
Deaths: 0/49

Serious adverse events (8 terms)

ReactionSystemAspirinPlacebo
Lung cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Bladder cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
HemorrhoidsGastrointestinal disorders
BalanitisInfections and infestations
Increased volume of target lesionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
LiposarcomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Anal fissuresSurgical and medical procedures
Penile implantSurgical and medical procedures
Other adverse events (93 terms — click to expand)

ReactionSystemAspirinPlacebo
Bronchial infectionInfections and infestations
DiarrheaGastrointestinal disorders
Flu-like symptomsGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
Back painMusculoskeletal and connective tissue disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
ToothacheGastrointestinal disorders
DyspepsiaGastrointestinal disorders
Stomach painGastrointestinal disorders
Upper respiratory infectionInfections and infestations
Urinary tract infectionInfections and infestations
Chest wall painMusculoskeletal and connective tissue disorders
Cystitis noninfectiveRenal and urinary disorders
OtherSurgical and medical procedures
HypertensionVascular disorders
OtherInfections and infestations
Sinus tachycardiaCardiac disorders
VertigoEar and labyrinth disorders
OtherEye disorders
Gastroesophageal reflux diseaseGastrointestinal disorders
Periodontal diseaseGastrointestinal disorders
Hemorroidal hemorrageGastrointestinal disorders
Gastrointestinal painGastrointestinal disorders
Gastrointestinal disorder, otherGastrointestinal disorders
Tooth infectionInfections and infestations
Otitis mediaInfections and infestations
Bilirubin increasedInvestigations
Pain in extremityMusculoskeletal and connective tissue disorders
Neck painMusculoskeletal and connective tissue disorders
OtherNeoplasms benign, malignant and unspecified (incl cysts and polyps)
ParesthesiaNervous system disorders
InsomniaPsychiatric disorders
HematuriaRenal and urinary disorders
Renal colicRenal and urinary disorders
OtherReproductive system and breast disorders
EpistaxixRespiratory, thoracic and mediastinal disorders
BronchospasmRespiratory, thoracic and mediastinal disorders
OtherSkin and subcutaneous tissue disorders

Most-reported serious reactions: Lung cancer, Bladder cancer, Hemorrhoids, Balanitis, Increased volume of target lesion, Liposarcoma, Anal fissures, Penile implant.

Data from ClinicalTrials.gov NCT02169271 adverse events section.

Sponsor's own description

This randomized phase II trial studies acetylsalicylic acid compared to placebo in treating high-risk patients with subsolid lung nodules. A nodule is a growth or lump that may be malignant (cancer) or benign (not cancer). Chemoprevention is the use of drugs to keep cancer from forming or coming back. The use of acetylsalicylic acid may keep cancer from forming in patients with subsolid lung nodules.

Publications & conference data

7 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Metabolism pathways of arachidonic acids: mechanisms and potential therapeutic targets.
    Wang B, Wu L, Chen J, Dong L, et al · · 2021 · cited 900× · PMID 33637672 · DOI 10.1038/s41392-020-00443-w
  2. MicroRNAs in cancer therapeutics: "from the bench to the bedside".
    Monroig-Bosque Pdel C, Rivera CA, Calin GA, Calin GA. · · 2015 · cited 34× · PMID 26372796 · DOI 10.1517/14712598.2015.1074999
  3. MicroRNA in lung cancer-a novel potential way for early diagnosis and therapy.
    Frydrychowicz M, Kuszel Ł, Dworacki G, Budna-Tukan J. · · 2023 · cited 24× · PMID 36821071 · DOI 10.1007/s13353-023-00750-2
  4. Early Detection and Chemoprevention of Lung Cancer.
    New M, Keith R. · · 2018 · cited 22× · PMID 29375824 · DOI 10.12688/f1000research.12433.1
  5. Low-Dose Aspirin in High-Risk Individuals With Screen-Detected Subsolid Lung Nodules: A Randomized Phase II Trial.
    Bonanni B, Serrano D, Maisonneuve P, Veronesi G, et al · · 2020 · cited 3× · PMID 33409459 · DOI 10.1093/jncics/pkaa096
  6. Biomarkers in phase I-II chemoprevention trials: lessons from the NCI experience.
    Szabo E. · · 2015 · cited 3× · PMID 26635903 · DOI 10.3332/ecancer.2015.599
  7. RE: Low-Dose Aspirin in High-Risk Individuals With Screen-Detected Subsolid Lung Nodules: A Randomized Phase II Trial.
    Braillon A. · · 2021 · PMID 33554042 · DOI 10.1093/jncics/pkab003

Verify or expand the search:

Other trials of Aspirin

Trials testing the same drug.

Other recruiting trials for Current Smoker

Currently open trials in the same condition.

Other National Cancer Institute (NCI) trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02169271.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing