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Colorectal CancerPhase 3ASCOLTNCT00565708

Aspirin for Dukes C and High Risk Dukes B Colorectal Cancers

A Phase 3 study testing Acetylsalicylic acid in people with Colorectal Cancer, run by National Cancer Centre, Singapore at 67 sites in 10 countries.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

We hypothesize through this randomized, placebo-controlled adjuvant study, that Aspirin in patients with dukes C or high risk dukes B colorectal cancer (ASCOLT) can improve survival in this patient population over placebo control. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Colorectal Cancer
What is being tested?
Acetylsalicylic acid
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,587 participants
Where
67 sitesin 10 countries
Study dates
Dec 2008to Jun 2024
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female outpatient of ≥ 18 years of age or ≥ country's legal age for adult consent
  • Dukes C colon cancer, high risk Dukes B colon cancer, Dukes B rectal cancer or Dukes C rectal cancer (see Appendix 1 for definition of High Risk Dukes B)
  • Undergone complete resection of primary tumour
  • Completed standard therapy ( at least 3 months of chemotherapy ± radiotherapy )
  • Within 120 days of completion of standard therapy (surgery, chemotherapy ± radiotherapy)
  • ECOG performance status 0 to 2
Show all 16Show fewer
  • Satisfactory haematological or biochemical functions (tests should be carried out within 8 weeks prior to randomisation): Results of clinical investigations carried out within 8 weeks prior to randomisation can be used in place of the required screening investigations. Patients with mild laboratory abnormalities can be included at the discretion by the site principal investigator, and after approval by ASCOLT Trial Management Group
  • ANC ≥ 1.0 x 109/L
  • Platelets ≥ 100 x 109/L
  • Creatinine clearance ≥ 30 mL/min
  • Total bilirubin ≤ 2.0 x the upper limit normal
  • AST \& ALT ≤ 5 x the upper limit normal
  • Completed the following investigations
  • Colonoscopy(or CT colonogram(within 16 months prior to randomization)
  • Imaging of abdomen (CT or CT colonogram or MRI or PET or Ultrasound) within 16 months prior to randomization
  • Written informed consent

Who cannot join

  • Pre-existing Familial adenomatous polyposis, inflammatory bowel disease or ulcerative colitis
  • Active gastritis or active peptic ulcer
  • History of continuous daily use of PPI more than 1 year prior to consent
  • Gastrointestinal bleeding within the past one year
  • Haemorrhagic diathesis (i.e. haemophilia)
  • Uncontrolled hypertension (untreated systolic blood pressure > 160 mmHg, or diastolic blood pressure > 95 mmHg)
Show all 17Show fewer
  • History of recent cancers (except for colorectal cancers, non-melanoma skin cancers, basal cell carcinomas, squamous cell carcinomas) in the past 5 years
  • History of stroke, coronary arterial disease, angina, or vascular disease
  • Patients who are on current long term treatment (≥ 4 consecutive weeks) with Aspirin, NSAID or Cox-2 inhibitors
  • History of erosive GERD or active erosive GERD on gastroscopy.
  • Patient on active current treatment of antiplatelet agents (i.e. off-study Aspirin, clopidogrel, ticlopidine)
  • Patient receiving active treatment of anticoagulants (i.e. warfarin, low molecular weight heparins)
  • Pregnant, lactating, or not using adequate contraception
  • Patient having known allergy to NSAID or Aspirin
  • Unexplained rise of CEA (i.e. smoker with elevated CEA will not be excluded)
  • Patient on other investigational drug
  • Patients with HNPCC (Lynch Syndrome)

Trial locations and contacts

67 sites in 10 countries.

67 sites in 10 countries

Australia29 sites
  • Border Medical Oncology Research Unit

    Albury, Victoria

  • Ballarat Regional Integrated Cancer Centre

    Ballarat, Victoria, 3350

  • Bankstown-Lidcombe Hospital Bankstown Cancer Centre

    Bankstown, New South Wales

  • Macarthur Cancer Therapy Centre

    Campbelltown, New South Wales

  • Chris O'Brien Lifehouse, Clinical Research Centre

    Camperdown, New South Wales, 2050

  • Coffs Harbour Health Campus North Coast Cancer Institute

    Coffs Harbour, New South Wales, 2450

  • Townsville Hospital

    Douglas, Queensland, 4814

  • Lyell McEwin Hospital

    Elizabeth Vale, South Australia, 5112

  • Barwon Health Andrew Love Cancer Centre

    Geelong, Victoria

  • Central Coast Cancer Centre Gosford Hospital

    Gosford, New South Wales, 2050

  • Austin Health Cancer Clinical Trials

    Heidelberg, Victoria

  • Royal Brisbane and Women's Hospital

    Herston, Queensland

  • Royal Hobart Hospital

    Hobart, Tasmania, 7000

  • Launceston General Hospital

    Launceston, Victoria

  • Monash Health Medical Oncology

    Melbourne, Victoria, 3165

  • Sir Charles Gairdner Hospital

    Nedlands, Western Australia

  • Newcastle private Hospital

    New Lambton Heights, New South Wales, 2305

  • Orange Health Service

    Orange, New South Wales

  • Port Macquarie Base Hospital North Coast Cancer Institute

    Port Macquarie, New South Wales, 2444

  • Goulburn Valley Health

    Shepparton, Victoria, 3630

  • Northern Cancer Institute, St Leonards

    St Leonards, New South Wales, 2065

  • St John of God Hospital Subiaco

    Subiaco, Western Australia

  • St Vincent's Hospital

    Sydney, New South Wales

  • Northwest Cancer Centre Tamworth Hospital

    Tamworth, New South Wales, 2340

  • Royal Darwin Hospital

    Tiwi, Northern Territory

  • Toowoomba Hospital

    Toowoomba, Queensland

  • The Tweed Hospital

    Tweed Heads, New South Wales

  • Calvary Mater Newcastle Hospital

    Waratah, New South Wales

  • St John of God Healthcare Southwest Oncology

    Warrnambool, Victoria, 3280

Other trials in Australia

China15 sites
  • Beijing University Cancer Hospital

    Beijing, Beijing Municipality

  • The First People's Hospital of Foshan City

    Foshan, Guangdong

  • Guangdong General Hospital

    Guangzhou, Guangdong

  • Sixth Affiliated Hospital

    Guangzhou, Guangdong

  • Sun Yat Sen University Cancer Center

    Guangzhou, Guangdong

  • The Second Affiliated Hospital of Zhejiang University

    Hangzhou, Zhejiang

  • Queen Mary Hospital - Hong Kong

    Hong Kong

  • Jinan Central Hospital

    Jinan, Shandong

  • Affiliated Hospital of Nantong University

    Nantong, Jiangsu

  • Shuang Ho Hospital

    Taibei, Taiwan, 23561

  • Koo Foundation Sun Yat Sen Cancer Centre

    Taibei, Taiwan

  • Taipei Medical University Hospital

    Taibei, Taiwan

  • Wan Fang Hospital

    Taibei, Taiwan

  • Yantai Yuhuangding Hospital

    Yantai, Shandong

  • Zhongshan City People's Hospital

    Zhongshan, Guangdong

Other trials in China

India7 sites
  • Kidwai Memorial Institute of Oncology

    Bangalore, 560029

  • G. Kuppuswamy Naidu Memorial Hospital

    Coimbatore, 641 037

  • Nizam's Institute of Medical Sciences

    Hyderabad, 500 082

  • Tata Memorial Hospital

    Mumbai, 400012

  • All India Institute of Medical Sciences

    New Delhi, 110029

  • Regional Cancer Center

    Trivandrum, 695011

  • Christian Medical College and Hospital

    Vellore, 632002

Other trials in India

Malaysia4 sites
  • Hospital Kuala Lumpur

    Kuala Lumpur, 50586

  • University of Malaysia Medical Center

    Kuala Lumpur, 59100

  • University Kebangsaan Malaysia Medical Center

    Kuala Lumpur

  • Sarawak General Hospital

    Kuching, Sarawak

Other trials in Malaysia

Indonesia3 sites
  • Dharmais Cancer Hospital

    Jakarta, 11420

  • Cipto Mangunkusumo General Hospital

    Jakarta

  • Rumah Sakit RSUP Dr. Sardjito

    Yogyakarta, 55284

Other trials in Indonesia

Singapore3 sites
  • National Cancer Centre - Singapore

    Singapore, 169610

  • Johns Hopkins Singapore International Medical Center

    Singapore

  • Tan Tock Seng Hospital

    Singapore

Other trials in Singapore

New Zealand2 sites
  • Christchurch Public Hospital

    Christchurch, 8140

  • Dunedin Hospital

    Dunedin

Other trials in New Zealand

South Korea2 sites
  • Hallym University Sacred Heart Hospital

    Anyang-si, Gyeonggi-do

  • Severance Hospital

    Seoul

Other trials in South Korea

Saudi Arabia1 site
  • King Fahad Medical City

    Riyadh, 11525

Other trials in Saudi Arabia

Sri Lanka1 site
  • National Cancer Institute

    Maharagama

Other trials in Sri Lanka

About this study

Official title: Aspirin for Dukes C and High Risk Dukes B Colorectal Cancers - An International, Multi-Center, Double Blind, Randomized Placebo Controlled Phase III Trial

We hypothesize through this randomized, placebo-controlled adjuvant study, that Aspirin in patients with dukes C or high risk dukes B colorectal cancer (ASCOLT) can improve survival in this patient population over placebo control. If indeed found to be beneficial, because aspirin is cheap and easy to administer, it will positively impact the lives of many individuals in Asia and globally.

STUDY OBJECTIVE

Read more

To assess the effectiveness of Aspirin against placebo control in patients with dukes C or high risk dukes B colorectal cancer in terms of Disease Free Survival (DFS) and Overall Survival (OS)

Primary endpoints

  • DFS among all eligible subjects (high risk Dukes B colon cancer, Dukes C colon cancer and rectal cancer patient sub-groups);
  • DFS among patients with colon cancer (high-risk Dukes B and Dukes C colon cancer).

Secondary endpoints

  • Overall survival (OS) over 5 years
  • DFS and OS in
  • Chinese, Malay, Indian and other ethnic groups
  • Resected high risk Dukes B colon cancer, Dukes C colon cancer and rectal cancer sub-groups, individually
  • Compliant versus non-compliant subjects
  • PIK3CA mutated tumors (where samples are available)
Read the detailed description

Aspirin in patients with dukes C or high risk dukes B colorectal cancer can improve survival in this patient population over placebo control.

Eligible patients will be randomized to treatment arms, using the following stratification factors:

  • Study Centre
  • Tumour Type
  • Type of adjuvant chemotherapy received(exposed/not exposed to oxaliplatin

Patients will be randomized over a 5 years' time period. After randomization, patient will have 3 monthly assessments with treatment for 3 years followed by 6 monthly assessments for additional 2 years follow-up

Being tested
placebo, Acetylsalicylic acid
Keywords
stage II colon cancer, stage III colon cancer, stage II rectal cancer, stage III rectal cancer
Medical subject headings
Colorectal Neoplasms, Colonic Neoplasms, Rectal Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • placeboOther

    Placebo Comparator

  • Acetylsalicylic acidDrug

    Also called Aspirin

    Adjuvant Therapy

Study groups in NCT00565708
Study groupRoleWhat they receive
acetylsalicylic acidExperimental200mg OD for 3 years
Receives: Drug: Acetylsalicylic acid
PlaceboPlacebo comparator200mg OD for 3 years
Receives: Other: placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Disease-free survival

    Recurrence data documented

    Measured: 5 years

Secondary outcomes (1)
  1. Overall survival

    Death data documented

    Measured: 5 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Nov 2007 (estimated)
  2. Study startDec 2008
  3. Primary completionJun 2024 (estimated)
  4. Study completionJun 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
1,587 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00565708
Sponsor's protocol ID
CDR0000577892
Other IDs
SINGAPORE-ICR-02, SINGAPORE-ASCOLT
Acronym
ASCOLT
Status last verified
Jan 2024
First submitted
29 Nov 2007
Last updated
2 Feb 2024
Results posted
No
Data monitoring committee
Yes

Publications

  • Segelov E, Prenen H, Day D, Macintyre CR, Foo EMJ, Ali R, Wang Q, Wei X, Lopes GL Jr, Ding K, Chen G, Chia JWK, Toh HC; ASCOLT Investigators. Impact of the COVID-19 Epidemic on a Pan-Asian Academic Oncology Clinical Trial. JCO Glob Oncol. 2020 Apr;6:585-588. doi: 10.1200/GO.20.00072. No abstract available.

    PubMed 32293940
  • Day D, Toh HC, Ali R, Foo EMJ, Simes J, Chia JWK, Segelov E; ASCOLT Investigators. Operational Challenges of an Asia-Pacific Academic Oncology Clinical Trial. JCO Glob Oncol. 2023 Jun;9:e2300040. doi: 10.1200/GO.23.00040.

    PubMed 37364220
  • Segelov E, Li S, Li I, Mouradov D, Yip S, Day D, Jeffery M, Zielinski R, Nott L, Sun Y, Christie M, Ho GF, Chao TY, Rahman N, Foo E, Chia J, Gebski V, Toh HC, Sieber OM, Simes J. Adjuvant aspirin for colorectal cancer with PIK3CA-mutated and COX-2 overexpressed tumours: the ASCOLT translational research study and meta-analysis. EBioMedicine. 2026 Aug;130:106389. doi: 10.1016/j.ebiom.2026.106389. Epub 2026 Jul 20.

    PubMed 42475879
  • Chia JWK, Segelov E, Deng Y, Ho GF, Wang W, Han S, Sharma A, Ding K, Chen G, Jeffery MG, Tham CK, Ahn JB, Nott L, Zielinski R, Chao TY, van Hagen T, Wei PL, Day F, Mehta S, Yau T, Peng J, Hayes TM, Li Y, Gandhi M, Foo EMJ, Rahman N, Rothwell P, Ali R, Simes J, Toh HC. Aspirin after completion of standard adjuvant therapy for colorectal cancer (ASCOLT): an international, multicentre, phase 3, randomised, double-blind, placebo-controlled trial. Lancet Gastroenterol Hepatol. 2025 Mar;10(3):198-209. doi: 10.1016/S2468-1253(24)00387-X. Epub 2025 Jan 14.

    PubMed 39824200
  • Ali R, Toh HC, Chia WK; ASCOLT Trial Investigators. The utility of Aspirin in Dukes C and High Risk Dukes B Colorectal cancer--the ASCOLT study: study protocol for a randomized controlled trial. Trials. 2011 Dec 14;12:261. doi: 10.1186/1745-6215-12-261.

    PubMed 22168568

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Acetylsalicylic acid in people with Colorectal Cancer, run by National Cancer Centre, Singapore at 67 sites in 10 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 16 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 2 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 67 sites in Australia, China, India, Malaysia, Indonesia and 5 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Disease-free survival (time frame: 5 years). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00565708, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Feb 2024.

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