Familial Adenomatous Polyposis Duodenal adenomas and carcinomas
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with FAP with duodenal adenomas Spigelman stage II and III, under regular controle in one of 4 participating University hospitals. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - History of cardiovascular incident - Cholelithiasis - History of gastric or duodenal ulcera - Allergic reaction to NSAIDs or UDCA - Renal function disturbance, creat clearance or = 10 - Use of NSAIDs or UDCA during enrolment - Cardiac patients NYHA class II-IV - Age below 18 or above 70 years or incapable of signing informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: This is an intervention study on the chemoprevention of duodenal adenomas in patients with Familial Adenomatous Polyposis (FAP). In addition, mucosal- as well as tissue factors that may contribute to the development of duodenal adenomas and carcinomas in patients with FAP will be investigated. The relevance of this study is twofold; patients with FAP are at high risk for developing duodenal carcinoma. Better insights in the pathogenesis of duodenal cancer and development of chemoprevention strategies are of pivotal importance. Secondly, mutations in the APC gene, reponsible for the the phenotype of FAP, also occur in patients with sporadic colorectal carcinoma, and therefore studies on the interactions of intestinal contents and mucosal cell homeostasis may yield new insights with respect to both FAP and non-FAP related gastrointestinal cancers. ;Secondary Objective: ;Primary end point(s): Number and size of duodenal adenomas | — |
Countries
Netherlands