Status:

TERMINATED

Impact of Pretreatment With Metformin on Colorectal Cancer Stem Cells (CCSC) and Related Pharmacodynamic Markers

Lead Sponsor:

Tufts Medical Center

Conditions:

Colon Cancer

Eligibility:

All Genders

18-79 years

Phase:

PHASE1

Brief Summary

Metformin is drug that is normally used to treat people with diabetes. New research has discovered that metformin may also kill cancer stem cells. These cancer stem cells make up only a small portion ...

Eligibility Criteria

Inclusion

  • Histologically documented colorectal cancer
  • Intent to undergo disease resection or biopsy at least 7days from the treatment start date (allowing for a minimum of 5 days of treatment plus 2 days break)
  • Medically fit for resection of their primary tumor or for biopsy
  • Age 18-79 years
  • Adequate renal function (serum creatinine levels \<1.5 mg/dL \[males\], \<1.4 mg/dL \[females\] or estimated creatinine clearance \>= 60 ml/min)
  • Adequate hepatic parameters, including aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels ≤ 2.5 x upper limit of normal (ULN), total bilirubin ≤ 1.5 x ULN, and alkaline phosphatase levels ≤ 2.5 x ULN
  • Ability to understand and willingness to sign a written informed consent document

Exclusion

  • Intent to administer neoadjuvant chemotherapy or radiation therapy prior to the surgery or biopsy;
  • Intent to perform surgery or biopsy within 7 days of study treatment start;
  • Any situation where participation in this trial would alter, or cause significant risk of altering the ability or timing of a subject to undergo resection of their tumor
  • Current use of metformin (within the past month);
  • Blood glucose using point of care test \< 70mg/dl;
  • Renal disease or renal dysfunction not meeting inclusion criteria;
  • Significant medical conditions such as cardiovascular collapse (shock), acute myocardial infarction, septicemia, acute or chronic metabolic acidosis
  • History of, or states associated with, lactic acidosis such as shock or pulmonary insufficiency, alcoholism (acute or chronic), conditions associated with hypoxemia and pancreatitis
  • Severe dehydration
  • Clinical or laboratory evidence of hepatic disease
  • Congestive heart failure requiring pharmacologic treatment, or unstable or acute congestive heart failure
  • Known hypersensitivity to metformin hydrochloride
  • Pregnant or lactating women
  • Psychiatric illness or social situation that would limit compliance with study requirements and/or obscure results

Key Trial Info

Start Date :

August 1 2011

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2012

Estimated Enrollment :

9 Patients enrolled

Trial Details

Trial ID

NCT01440127

Start Date

August 1 2011

End Date

October 1 2012

Last Update

March 26 2015

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Tufts Medical Center

Boston, Massachusetts, United States, 02111