Mesalamine for Colorectal Cancer Prevention Program in Lynch Syndrome

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age30+
SponsorAnn-Sofie Backman

About this trial

Multicenter, multinational, randomized, 2-arm, double-blind, phase II clinical study with 2000mg mesalamine, or placebo for prevention of colorectal neoplasia in Lynch Syndrome patients during and following daily intake for 2 years.

Eligibility criteria

Qualifiers

Proven tumor-free (including patients in which the polyps are removed endoscopically) carriers of a germline pathologic mutation in one of the MMR genes including MLH1, MSH2 (including EpCAM) and MSH6

Male or female subjects with the age of 30 years or older

Females who have been post-menopausal more than one (1) year or females of childbearing potential using a highly efficient method of contraception with less than 1% failure rate (i.e. oral hormonal contraceptives, hormone implants, hormone injections, sterilization, hormonal or copper intrauterine device, sterilized/vasectomized partner, or diaphragm in combination with a condom, spermicide or birth control pills) or should agree to abstain from heterosexual activity during treatment period. Females of childbearing potential must have a negative pregnancy test at screening and before randomization.

Signed written informed consent prior to inclusion in the study

Disqualifiers

Presence of colorectal endoscopically non-removable benign neoplasia (patient can be included if the adenoma is removed)

Carriers of germline mutations in PMS2

Patients with history of stage 3 and 4 CRC are excluded

Presence of metastatic disease

Trial design

Treatments tested in this trial

  • Mesalamine
  • Placebo

Treatment groups

150 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Ann-Sofie Backman

Lead sponsor

Karolinska University Hospital

Sponsor institution

The Swedish Research Council

Collaborator

Karolinska Institutet

Collaborator