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Effect of Metformin on Biomarkers of Colorectal Tumor Cell Growth

Information source: University of Arkansas
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Colorectal Neoplasms

Intervention: Placebo (Drug); Metformin (Drug)

Phase: Phase 2

Status: Terminated

Sponsored by: University of Arkansas

Official(s) and/or principal investigator(s):
Rangaswamy Govindarajan, MD, Principal Investigator, Affiliation: University of Arkansas
Frank Simmen, PhD, Principal Investigator, Affiliation: University of Arkansas

Summary

The purpose of this study is to investigate the effects of short term oral Metformin therapy on biomarkers for tumor growth in subjects with newly diagnosed colon or rectal adenocarcinoma. It is hypothesized that there are independent actions of Metformin on the outcome of subjects with colorectal cancer (CRC). Also hypothesized is that metformin effects on CRC cell growth will correlate with this drug's effects on markers mentioned above, because the markers are closely related to tumor growth and metastases.

Clinical Details

Official title: Pilot Study: Effect of Metformin on Biomarkers of Colorectal Tumor Cell Growth

Study design: Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment

Primary outcome:

Proliferation status of CRC tumor and adjacent normal tissue following Metformin therapy

Mucosal apoptotic status of CRC tumor and adjacent normal tissue following Metformin therapy

Detailed description: This is a randomized, double-blinded placebo controlled clinical investigation of the effects of short term oral Metformin therapy on biomarkers for tumor growth in subjects with newly diagnosed colon or rectal adenocarcinoma. Metformin is a well-tolerated drug widely prescribed for treatment of Type 2 diabetes mellitus. Preliminary studies have generated the hypothesis that metformin may have positive effects on both prevention and survival of colon cancer subjects. Clinical trials are ongoing to explore this possibility in breast cancer (NCT01101438). This investigation is the first study of Metformin in colorectal cancer (CRC) patients, and is designed to understand the mechanism of its anti-cancer actions, if any, and its interactions with biomarkers in colorectal cancer patients. Based upon epidemiological studies, it is hypothesized that there are independent actions of Metformin on the outcome of subjects with CRC. Also hypothesized is that metformin effects on CRC cell growth will correlate with this drug's effects on markers mentioned above, because the markers are closely related to tumor growth and metastases.

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Male or female, all races and ethnicities are eligible

- Age equal to or greater than 18 years of age

- All subjects should have a pathological/histological diagnosis of colorectal cancer.

- Clinical diagnosis of stage I, II, III or IV colon cancer or stage I, II, III or IV

rectal cancer; cancer may be primary including a secondary primary

- Candidate for elective surgery(for removal of primary) or endoscopic biopsy

- ECOG Performance status of 0 - 2

- Adequate renal, liver, and bone marrow function

- Hb: (adequate for surgical intervention, with transfusion if necessary)

- WBC: (normal range)

- Platelets: (180K/cmm)

- LFTs: Normal bilirubin (< 2. 0mg/dL), AST/ALT (2xULN)

- Renal function: normal creatinine

- Subjects must have signed informed consent

- Female subjects must either not be of child-bearing potential or must have a negative

urine pregnancy test within 7 days of beginning the drug or placebo treatment. Subjects are considered not of child-bearing potential if they are surgically sterile or they are postmenopausal for greater than 12 months. Exclusion Criteria:

- Previously diagnosed with diabetes mellitus Type 1 or Type 2.

- Currently taking biguanides, sulfonylurea drugs, thiazolidinediones, insulin, or mTOR

inhibitors or having taken any of these medications during the 12 weeks prior to study participation.

- Currently taking any non-steroidal anti-inflammatory drugs (NSAIDs) or aspirin and

unable to stop such medications due to a present medical condition.

- Clinical symptoms of gastrointestinal obstruction or bleeding and consideration for

immediate surgery or immediate neoadjuvant chemoradiation.

- Familial Adenomatous Polyposis (FAP), hereditary non-polyposis colorectal cancer

(HNPCC), Putz-Jeghers disease, ulcerative colitis, or Crohn's disease.

- Pregnant or lactating.

- History of lactic or other metabolic acidosis.

- Known hypersensitivity to Metformin.

- Uncontrolled infectious disease.

- History of Positivity for human immunodeficiency virus (HIV).

- History of congestive heart failure requiring pharmacologic treatment.

- History of excessive alcohol abuse, defined by a habitual intake of more than three

drinks daily.

- Previous or concurrent malignancies, except non-melanoma skin cancers, unless

curatively treated and with no evidence of recurrence for > 5 years, with the exception of prior CRC which has been treated and the patient has been in remission and the current primary tumor is a second CRC.

- Unable to swallow and retain oral medication.

- Mal-absorption syndrome, disease affecting gastrointestinal function, or previous

resection of the stomach or small bowel.

- Current use of medications for weight loss.

- Currently taking cimetidine, thiazide diuretics or cephalexin. If a patient needs

some of these agents, alternative agents should be substituted.

- If the physician feels that the candidate is not suitable for the study, he/she will

be excluded.

Locations and Contacts

Central Arkansas Veterans Heathcare System, Little Rock, Arkansas 72205, United States

University of Arkansas for Medical Sciences, Little Rock, Arkansas 72205, United States

Additional Information

Starting date: August 2012
Last updated: February 2, 2015

Page last updated: August 23, 2015

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