Page last updated: 2024-10-25

eflornithine and Adenomatous Polyposis Coli, Familial

eflornithine has been researched along with Adenomatous Polyposis Coli, Familial in 10 studies

Eflornithine: An inhibitor of ORNITHINE DECARBOXYLASE, the rate limiting enzyme of the polyamine biosynthetic pathway.
eflornithine : A fluoroamino acid that is ornithine substituted by a difluoromethyl group at position 2.

Research Excerpts

ExcerptRelevanceReference
"Disease progression was observed in 2 of 54 (3."3.11Combination of Sulindac and Eflornithine Delays the Need for Lower Gastrointestinal Surgery in Patients With Familial Adenomatous Polyposis: Post Hoc Analysis of a Randomized Clinical Trial. ( Balaguer, F; Boytim, ML; Bruckheimer, EM; Burke, CA; Church, J; Cohen, A; Dekker, E; Du, W; Hüneburg, R; Lim, RM; Lynch, PM; Samadder, NJ; Stoffel, EM; Van Cutsem, E; Wise, PE, 2022)
"In this trial involving patients with familial adenomatous polyposis, the incidence of disease progression was not significantly lower with the combination of eflornithine and sulindac than with either drug alone."2.94Eflornithine plus Sulindac for Prevention of Progression in Familial Adenomatous Polyposis. ( Balaguer, F; Burke, CA; Burn, J; Castells, A; Church, J; Cohen, A; Dekker, E; Ford, M; Gallinger, S; Ginsberg, GG; Grady, WM; Gryfe, R; Gupta, S; Henderson, A; Hüneburg, R; Kallenberg, FG; Kanth, P; Lalloo, F; Lim, R; Lynch, P; Roos, VH; Rustgi, AK; Samadder, NJ; Sinicrope, FA; Stoffel, EM; Strassburg, CP; Syngal, S; Van Cutsem, E; Weiss, JM; Willingham, FF; Wise, PE, 2020)
"Clinical familial adenomatous polyposis (FAP) syndrome represents a high risk pre-invasive precursor for colon cancer, and is characterized by germ line mutation in the adenomatous polyposis coli (APC) tumor suppressor gene."1.35Novel cell culture model for prevention of carcinogenic risk in familial adenomatous polyposis syndrome. ( Katdare, M; Telang, N, 2009)
"Celecoxib has shown benefit in regressing colorectal adenomas and appears to have some duodenal activity as well."1.35Chemoprevention with special reference to inherited colorectal cancer. ( Lynch, PM, 2008)

Research

Studies (10)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's4 (40.00)29.6817
2010's3 (30.00)24.3611
2020's3 (30.00)2.80

Authors

AuthorsStudies
Kemp Bohan, PM1
Mankaney, G1
Vreeland, TJ1
Chick, RC1
Hale, DF1
Cindass, JL1
Hickerson, AT1
Ensley, DC1
Sohn, V1
Clifton, GT1
Peoples, GE1
Burke, CA4
Dekker, E3
Lynch, P1
Samadder, NJ3
Balaguer, F2
Hüneburg, R2
Burn, J1
Castells, A1
Gallinger, S1
Lim, R1
Stoffel, EM2
Gupta, S1
Henderson, A1
Kallenberg, FG1
Kanth, P1
Roos, VH1
Ginsberg, GG1
Sinicrope, FA1
Strassburg, CP1
Van Cutsem, E2
Church, J2
Lalloo, F1
Willingham, FF1
Wise, PE2
Grady, WM1
Ford, M1
Weiss, JM1
Gryfe, R1
Rustgi, AK1
Syngal, S1
Cohen, A3
Lynch, PM3
Lim, RM1
Boytim, ML1
Du, W1
Bruckheimer, EM1
Stoffel, E1
Ignatenko, NA1
Besselsen, DG1
Stringer, DE1
Blohm-Mangone, KA1
Cui, H1
Gerner, EW2
Telang, N1
Katdare, M1
Rial, NS1
Zell, JA1
Cohen, AM1
Benamouzig, R1
Chaussade, S1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase III Trial of the Safety and Efficacy of Eflornithine Combined With Sulindac Compared to Eflornithine, Sulindac as Single Agents in Patients With Familial Adenomatous Polyposis[NCT01483144]Phase 3171 participants (Actual)Interventional2013-10-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Improvement in Investigator Lower GI Assessment

Global assessment of change in lower GI polyp burden. These are binary outcomes derived from scores assigned by the investigator during each procedure, using a scale (-2, -1, 0, +1, +2) which corresponds, respectively, to the investigator's overall qualitative assessment of: much worse, worse, no change, improved, much improved. Summarizes the corresponding 6- and 12-month investigator change scores according to whether or not there was any positive improvement at either month 6 (compared to baseline) or at month 12 (compared to baseline or month 6), under the condition that there be no worsening at either timepoint. (NCT01483144)
Timeframe: through month 12 assessment

,,
InterventionParticipants (Count of Participants)
ImprovedNot Improved
Eflornithine Plus Sulindac2234
Eflornithine Plus Sulindac Placebo1641
Sulindac Plus Eflornithine Placebo2236

Improvement in Investigator Upper GI Assessment

Global assessment of change in upper GI polyp burden. These are binary outcomes derived from scores assigned by the investigator during each procedure, using a scale (-2, -1, 0, +1, +2) which corresponds, respectively, to the investigator's overall qualitative assessment of: much worse, worse, no change, improved, much improved. Summarizes the corresponding 6- and 12-month investigator change scores according to whether or not there was any positive improvement at either month 6 (compared to baseline) or at month 12 (compared to baseline or month 6), under the condition that there be no worsening at either timepoint. (NCT01483144)
Timeframe: through month 12 assessment

,,
InterventionParticipants (Count of Participants)
ImprovedNot Improved
Eflornithine Plus Sulindac1145
Eflornithine Plus Sulindac Placebo1047
Sulindac Plus Eflornithine Placebo1048

Number of Subjects With Any FAP-related Event.

Progression of disease by evaluation of FAP-related events over the course of study treatment (NCT01483144)
Timeframe: Up to 48 months from the start of treatment

,,
InterventionParticipants (Count of Participants)
Number with FAP-related eventsNumber with Lower GI FAP-related events
Eflornithine Plus Sulindac182
Eflornithine Plus Sulindac Placebo2310
Sulindac Plus Eflornithine Placebo229

Reviews

4 reviews available for eflornithine and Adenomatous Polyposis Coli, Familial

ArticleYear
Chemoprevention in familial adenomatous polyposis: past, present and future.
    Familial cancer, 2021, Volume: 20, Issue:1

    Topics: Adenomatous Polyposis Coli; Anti-Inflammatory Agents, Non-Steroidal; Antibiotics, Antineoplastic; As

2021
Chemoprevention of familial adenomatous polyposis.
    Familial cancer, 2016, Volume: 15, Issue:3

    Topics: Adenomatous Polyposis Coli; Anti-Inflammatory Agents, Non-Steroidal; Antineoplastic Agents; Aspirin;

2016
Clinical end points for developing pharmaceuticals to manage patients with a sporadic or genetic risk of colorectal cancer.
    Expert review of gastroenterology & hepatology, 2012, Volume: 6, Issue:4

    Topics: Adenomatous Polyposis Coli; Antineoplastic Agents; Chemoprevention; Clinical Trials as Topic; Colono

2012
[Chemoprevention of colorectal cancer].
    Presse medicale (Paris, France : 1983), 2002, Jan-26, Volume: 31, Issue:3

    Topics: Adenomatous Polyposis Coli; Animals; Anti-Inflammatory Agents, Non-Steroidal; Antineoplastic Agents;

2002

Trials

3 trials available for eflornithine and Adenomatous Polyposis Coli, Familial

ArticleYear
Eflornithine plus Sulindac for Prevention of Progression in Familial Adenomatous Polyposis.
    The New England journal of medicine, 2020, 09-10, Volume: 383, Issue:11

    Topics: Adenomatous Polyposis Coli; Adult; Disease Progression; Drug Therapy, Combination; Eflornithine; Fem

2020
Combination of Sulindac and Eflornithine Delays the Need for Lower Gastrointestinal Surgery in Patients With Familial Adenomatous Polyposis: Post Hoc Analysis of a Randomized Clinical Trial.
    Diseases of the colon and rectum, 2022, Apr-01, Volume: 65, Issue:4

    Topics: Adenomatous Polyposis Coli; Adult; Disease Progression; Eflornithine; Humans; Proctocolectomy, Resto

2022
Efficacy and safety of eflornithine (CPP-1X)/sulindac combination therapy versus each as monotherapy in patients with familial adenomatous polyposis (FAP): design and rationale of a randomized, double-blind, Phase III trial.
    BMC gastroenterology, 2016, Aug-02, Volume: 16, Issue:1

    Topics: Adenomatous Polyposis Coli; Adult; Antineoplastic Agents; Antineoplastic Combined Chemotherapy Proto

2016

Other Studies

3 other studies available for eflornithine and Adenomatous Polyposis Coli, Familial

ArticleYear
Combination chemoprevention of intestinal carcinogenesis in a murine model of familial adenomatous polyposis.
    Nutrition and cancer, 2008, Volume: 60 Suppl 1

    Topics: Adenoma; Adenomatous Polyposis Coli; Animals; Biogenic Polyamines; Celecoxib; Chemoprevention; Eflor

2008
Novel cell culture model for prevention of carcinogenic risk in familial adenomatous polyposis syndrome.
    Oncology reports, 2009, Volume: 21, Issue:4

    Topics: Adenomatous Polyposis Coli; Animals; Anticarcinogenic Agents; Catechin; Cell Line; Colonic Neoplasms

2009
Chemoprevention with special reference to inherited colorectal cancer.
    Familial cancer, 2008, Volume: 7, Issue:1

    Topics: Adenomatous Polyposis Coli; Anti-Inflammatory Agents, Non-Steroidal; Antineoplastic Agents; Ascorbic

2008