Can a daily aspirin help fight colorectal cancer? new trial targets genetic weakness
NCT ID NCT02647099
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether low-dose aspirin can help prevent colorectal cancer from coming back in patients whose tumors have certain genetic changes (in the PI3K pathway). Over 600 patients who had surgery for stage II or III colon or rectal cancer are randomly assigned to take aspirin or a placebo daily. The main goal is to see if aspirin delays or prevents cancer recurrence within three years.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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626 people
The number who actually took part.
- Started
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Apr 2016
- Expected to finish
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Aug 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Tumor with somatic alterations in PIK3CA, PIK3R1 or PTEN * Colon or rectal cancer tumor stage II-III * Radical surgery according to surgeon and pathologist * Karnofsky performance status ≥60% * Platelets ≥ 100 x 109 / L * Clean Colonoscopy or Computed Tomography (CT) colon within 3 months preoperatively or postoperatively but before randomization * Patient able to swallow tablets * Patient able to understand and sign written informed consent Exclusion Criteria: * Hereditary colorectal cancer linked to familial colonic polyposis or Lynch syndrome * Inflammatory bowel disease (Crohn's disease or ulcerative colitis) * Distant metastases * Other cancers (excluding colorectal cancer or other skin cancer than melanoma) within 3 years from screening * Known bleeding diathesis (such as hemophilia) * Concomitant antiplatelet therapy (eg clopidrogrel or ticlopidine) or anticoagulant therapy (warfarin or low molecular weight heparin). Post-operative treatment with low molecular weight heparin must be withdrawn before administration of study treatment * Active gastritis or peptic ulcer, or significant surgical post-op bleeding, within the previous three months assessed at screening and randomization * Ongoing regular use of corticosteroids, Nonsteroidal Anti-Inflammatory Drug (NSAID) * Uncontrolled hypertension according to Investigator's judgment * Clinically significant liver impairment according to Investigators judgment * Existing renal failure according to Investigator's judgment. Renal failure with decreased creatinine clearance \<60 should lead to consultation with a nephrologist. * Significant medical illness that would interfere with study participation * Pregnancy or breastfeeding females * Known allergy to NSAIDs or ASA * Current participation in another clinical trial that will be in conflict with the present study * Patients who are unlikely to comply with the protocol (e.g. uncooperative attitude, inability to return for subsequent visits) and/or otherwise considered by the Investigator to be unlikely to complete the study
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Aarhus University Hospital
Aarhus, Denmark
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Akershus University Hospital
Oslo, Norway
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Blekinge Hospital (Karlskrona-Karlshamn)
Karlskrona, Sweden
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Capio S:t Göran Hospital
Stockholm, Sweden
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Danderyd Hospital
Stockholm, Sweden
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Eastern Hospital
Gothenburg, Sweden
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Ersta Hospital
Stockholm, Sweden
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Falu Hospital
Falun, Sweden
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Jorvi Hospital
Espoo, Finland
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Karlstad Central Hospital
Karlstad, Sweden
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Karolinska University Hospital
Stockholm, Sweden
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Linköping University Hospital
Linköping, Sweden
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Meilahti Tower Hospital
Helsinki, Finland
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Mora Hospital
Mora, Sweden
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Northern Älvsborg County Hospital
Trollhättan, Sweden
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Randers Regional Hospital
Randers, Denmark
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Ryhov Hospital
Jönköping, Sweden
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Skaraborg Hospital
Skövde, Sweden
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Skåne University Hospital
Malmö, Sweden
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South Hospital
Stockholm, Sweden
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St Olavs Hospital
Trondheim, Norway
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Stavanger University Hospital
Stavanger, Norway
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Sunderby Hospital
Luleå, Sweden
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Sundsvall Regional Hospital (Sundsvall-Härnösand)
Sundsvall, Sweden
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University Hospital of North Norway
Tromsø, Norway
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University Hospital of Umeå
Umeå, Sweden
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Uppsala University Hospital
Uppsala, Sweden
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Viborg Region Hospital
Viborg, Denmark
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Vrinnevi Hospital
Norrköping, Sweden
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Västerås Central Hospital
Västerås, Sweden
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Ystad Hospital
Ystad, Sweden
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Örebro University Hospital
Örebro, Sweden
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Other studies related to the condition(s) this trial covers.
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- Gut bacteria may hold clues to why some cancer treatments work better
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