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New research found that combining a low dose of a targeted
cancer-fighter (diflouromethylornithine or DFMO) with an anti-inflammatory drug
(Sulindac) reduces the risk of reoccurring colorectal polyps, which are
believed to be an early sign of colon cancer.
For the study, Dr. Frank L. Meyskens director of the Cancer Center
at the University of California, Irvine
and Dr. Daniel G. Aldrich, chairman and director of the Chao Family Comprehensive
Cancer Institute, leaders of the study, enrolled 375 patients who had a history
of at least one colorectal polyp within the previous five years. Patients were
randomly assigned to either a combination of 500 mg of daily DFMO and 150 mg
sulindac, or placebo. Patients were followed for three years to measure polyp recurrence.
At the end of the study, the researchers found that the
combination treatment reduced the risk of recurrent adenoma from 41.1 percent
in the placebo group to 12.3 percent with treatment, a 70 percent reduction.
For patients with more than one previous polyp, 0.7 percent of them had a recurrence, compared with 13.2 percent of placebo patients -- a
95 percent reduction.
The researchers also found no difference in toxicity between
the treatment and placebo groups. Moreover, there was no difference in side
effects requiring overnight hospitalization, gastrointestinal side effects or
cardiovascular side effects between the two groups.
“There is a great hope that we will be able to prevent colon
cancer effectively using this method. We had not been able to do this before
due to the high toxicity of available therapies. Difluoromethylornithine is a
targeted agent that represents a new treatment paradigm,” said Dr. Meyskens,
according to Medical News Today.
“That’s the real breakthrough. We have shown for the first
time that a combination strategy can dramatically reduce this threat for the
patients at higher risk. Further testing will tell us if this therapy might be
useful for others at risk — those who have a family history of colon cancer,
but have not yet developed polyps,” said Eugene Gerner, director of the University
of Arizona Cancer Center’s gastrointestinal cancer program.
According to the American Cancer Society, colon cancer will
kill 52,000 people this year in the United States alone.
The results of the study were presented at a meeting of the
American Association for Cancer Research in San Diego.
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