FDA Approves Use of Celebrex as
Adjunctive Therapy for Familial Adenomatous Polyposis
Sherri Patterson, B.S.
Coordinator, Chemoprevention Research Programs
The U.S. FDA has approved the use of Celebrex™ as an addition
to the treatment of familial adenomatous polyposis (FAP). In a clinical
study sponsored by the Nation Cancer Institute (NCI) and conducted
at MD Anderson Cancer Center in Houston and at St. Mark's Hospital
in London, Celebrex was found to be effective in reducing both the
size and number of precancerous polyps in the colon and rectum.
Seventy-seven patients with FAP were given either a placebo or Celebrex
(100 mg or 400 mg twice daily) for 6 months in the NCI-sponsored
trial. Researchers found that participants who took the higher dose
of Celebrex had a 28% drop in the number of colorectal polyps compared
with a 5% reduction in participants who took the placebo. The drug
can now be used together with the traditional treatment of colonoscopy
and surgery. The effect of Celebrex on the prevention of colon cancer
has not yet been studied although clinical trials are currently
under way to address this important issue. A similar study with
Celebrex is currently beign conducted for patients with HNPCC. If
you are interested in participating in these studies or if you would
just like additional information, please contact Sherri Patterson
at 1-888-502-8446 or via e-mail at spatterson@mail.mdanderson.org.
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