Could a daily aspirin keep colon cancer from returning?
NCT ID NCT02945033
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 3 trial tests whether taking a low-dose aspirin (100 mg) daily for three years can prevent colon cancer from coming back after surgery. It includes 264 people with stage II or III colon cancer who have a specific mutation in the PI3K gene. Participants are randomly assigned to receive either aspirin or a placebo, and researchers track cancer recurrence, new cancers, and survival.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- aspirin
- What this could lead to
- If it works, this could provide a simple, low-cost way to reduce the risk of colon cancer coming back in people with a specific gene mutation.
- What could go wrong
- This is a phase 3 trial, but earlier studies gave mixed results. Aspirin can cause stomach bleeding or ulcers, and it may not work for everyone.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
About 264 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Jul 2018
- Expected to finish
-
Jul 2028
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
-
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: * Age ≥ 18 years * Colonic adenocarcinoma stage III * Colonic adenocarcinoma stage II high risk MSS: * T4bN0 or T4aN0 tumour penetrating the surface of the visceral peritoneum * or less than 12 nodes evaluated; * or with at least two of the following criteria:lymphatic involvement, perineural invasion, venous invasion * or diagnosis of bowel obstruction or perforation; or poor differentiated tumour. * PI3K mutation, exon 9 or 20 (tumour) * Resection R0 * WHO performance status 0-2 * Chest and abdominal CT scan ≤ 8 weeks * Life expectancy ≥ 3 years * Written consent signed Exclusion Criteria: * Anticoagulant and/or Antiaggregating treatment including clopidogrel * Regular aspirin use (\> 3 doses per week during more than 3 months the last year) * Contraindication to Aspirin : Allergy to aspirin, Active or antecedent peptic ulcer * Severe renal or hepatic insufficiency * Pregnancy or nursing ongoing * Rectal cancer * Hereditary forms (i.e. lynch syndrome patients) * Follow-up of the patient not feasible
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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
-
Rouen University Hospital
Rouen, France
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Other studies related to the condition(s) this trial covers.
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