Eicosapentaenoic Acid (EPA) for Treatment of Colorectal Cancer Liver Metastases

NCT ID: NCT01070355

Last Updated: 2011-10-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

88 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-30

Study Completion Date

2011-10-31

Brief Summary

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Eicosapentaenoic acid (EPA) is a naturally occuring omega-3 polyunsaturated fatty acid found in oily fish. EPA has anti-colorectal (bowel) cancer activity in experimental models. This trial will test whether EPA reduces markers of tumour growth, and is safe and well tolerated,in patients with colorectal cancer liver metastases awaiting surgery.

Detailed Description

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A double-blind, randomised, placebo-controlled trial of eicosapentaenoic acid (EPA), in the free fatty acid form, 2g daily in patients who will undergo liver resection surgery for colorectal cancer liver metastases.

Conditions

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Colorectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

2 capsules twice daily

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

2 capsules taken twice daily for 2-6 weeks before liver resection.

Eicosapentaenoic acid free fatty acid

2g daily (2 x 500mg capsules twice daily)

Group Type ACTIVE_COMPARATOR

Eicosapentaenoic acid free fatty acid

Intervention Type DRUG

An enteric-coated preparation of 99% pure omega-3 polyunsaturated fatty acid (PUFA) eicosapentaenoic acid as the free fatty acid. 500mg capsules, 2 taken twice daily for 2-6 weeks before liver resection.

Interventions

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Eicosapentaenoic acid free fatty acid

An enteric-coated preparation of 99% pure omega-3 polyunsaturated fatty acid (PUFA) eicosapentaenoic acid as the free fatty acid. 500mg capsules, 2 taken twice daily for 2-6 weeks before liver resection.

Intervention Type DRUG

Placebo

2 capsules taken twice daily for 2-6 weeks before liver resection.

Intervention Type DRUG

Other Intervention Names

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ALFA

Eligibility Criteria

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Inclusion Criteria

* Age greater than or equal to 18 years
* Either sex
* Liver resection deemed clinically appropriate for management of metastatic colorectal cancer
* Duration between decision to perform liver resection and surgery greater than 2 weeks
* Ability to give written informed consent and follow study protocol
* Telephone contact possible

Exclusion Criteria

* Neo-adjuvant chemotherapy for colorectal cancer (CRC) liver metastasis
* Chemotherapy for any cancer in the previous 3 months
* Known bleeding diathesis or anticoagulation therapy
* Fish or seafood allergy
* Use of fish oil supplements (eg. cod liver oil) and unwilling to stop for the duration of the study
* Pregnancy
* Non-aspirin non-steroidal anti-inflammatory (NSAID) or corticosteroid use
* Renal impairment (serum creatinine \>150)
* Active inflammatory disease (e.g. Inflammatory Bowel Disease, Rheumatoid Arthritis).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Leeds

OTHER

Sponsor Role lead

Responsible Party

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Mark Hull

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mark A Hull, PhD, FRCP

Role: PRINCIPAL_INVESTIGATOR

Leeds Institute of Molecular Medicine, University of Leeds

Locations

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Leeds Institute of Molecular Medicine, St James's University Hospital

Leeds, West Yorkshire, United Kingdom

Site Status

Countries

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United Kingdom

References

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Cockbain AJ, Volpato M, Race AD, Munarini A, Fazio C, Belluzzi A, Loadman PM, Toogood GJ, Hull MA. Anticolorectal cancer activity of the omega-3 polyunsaturated fatty acid eicosapentaenoic acid. Gut. 2014 Nov;63(11):1760-8. doi: 10.1136/gutjnl-2013-306445. Epub 2014 Jan 27.

Reference Type DERIVED
PMID: 24470281 (View on PubMed)

Other Identifiers

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2009-015903-22

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

GA09/9094

Identifier Type: -

Identifier Source: org_study_id