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Impact of Pretreatment With Metformin on Colorectal Cancer Stem Cells (CCSC) and Related Pharmacodynamic Markers

Information source: Tufts Medical Center
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Colon Cancer

Intervention: Metformin (Drug)

Phase: Phase 1

Status: Terminated

Sponsored by: Tufts Medical Center

Official(s) and/or principal investigator(s):
Wasif Saif, MD, Principal Investigator, Affiliation: Tufts Medical Center

Summary

Metformin is drug that is normally used to treat people with diabetes. New research has discovered that metformin may also kill cancer stem cells. These cancer stem cells make up only a small portion of a cancer, but may be responsible for resistance to chemotherapy or for causing recurrence of the cancer. The purpose of this study is to determine the effect of metformin on colorectal cancer tumors. The study is designed to develop the methods to test tumors for cancer stem cells and then to determine the difference between treating with metformin and not treating with metformin with regard to the cancer stem cells. This research is investigational because the effect of metformin on cancer stem cells is not known in humans. Also, in patients who are not diabetic, metformin would normally not be given prior to surgery.

Clinical Details

Official title: Randomized Clinical Trial Evaluating the Impact of Pretreatment With Metformin on Colorectal Cancer Stem Cells (CCSC) and Related Pharmacodynamic Markers

Study design: Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Primary outcome: Expression of CD133 in tumors from patients treated or not treated with metformin

Eligibility

Minimum age: 18 Years. Maximum age: 79 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Histologically documented colorectal cancer

- Intent to undergo disease resection or biopsy at least 7days from the treatment start

date (allowing for a minimum of 5 days of treatment plus 2 days break)

- Medically fit for resection of their primary tumor or for biopsy

- Age 18-79 years

- Adequate renal function (serum creatinine levels <1. 5 mg/dL [males], <1. 4 mg/dL

[females] or estimated creatinine clearance >= 60 ml/min)

- Adequate hepatic parameters, including aspartate aminotransferase (AST) and alanine

aminotransferase (ALT) levels ≤ 2. 5 x upper limit of normal (ULN), total bilirubin ≤ 1. 5 x ULN, and alkaline phosphatase levels ≤ 2. 5 x ULN

- Ability to understand and willingness to sign a written informed consent document

Exclusion Criteria:

- Intent to administer neoadjuvant chemotherapy or radiation therapy prior to the

surgery or biopsy;

- Intent to perform surgery or biopsy within 7 days of study treatment start;

- Any situation where participation in this trial would alter, or cause significant

risk of altering the ability or timing of a subject to undergo resection of their tumor

- Current use of metformin (within the past month);

- Blood glucose using point of care test < 70mg/dl;

- Renal disease or renal dysfunction not meeting inclusion criteria;

- Significant medical conditions such as cardiovascular collapse (shock), acute

myocardial infarction, septicemia, acute or chronic metabolic acidosis

- History of, or states associated with, lactic acidosis such as shock or pulmonary

insufficiency, alcoholism (acute or chronic), conditions associated with hypoxemia and pancreatitis

- Severe dehydration

- Clinical or laboratory evidence of hepatic disease

- Congestive heart failure requiring pharmacologic treatment, or unstable or acute

congestive heart failure

- Known hypersensitivity to metformin hydrochloride

- Pregnant or lactating women

- Psychiatric illness or social situation that would limit compliance with study

requirements and/or obscure results

Locations and Contacts

Tufts Medical Center, Boston, Massachusetts 02111, United States
Additional Information

Starting date: August 2011
Last updated: March 25, 2015

Page last updated: August 23, 2015

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