Effect of Aspirin on Cancer Chemoprevention in Japanese Patients With Type 2 Diabetes: 10-Year Observational Follow-up of a Randomized Controlled Trial
This study analyzed the efficacy of low-dose aspirin in cancer chemoprevention in patients with diabetes. This study was a posttrial follow-up of the Japanese Primary Prevention of Atherosclerosis with Aspirin for Diabetes (JPAD) trial. Participants in the JPAD trial (2,536 Japanese patients with ty...
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Published in | Diabetes care Vol. 41; no. 8; pp. 1757 - 1764 |
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Main Authors | , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
American Diabetes Association
01.08.2018
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Abstract | This study analyzed the efficacy of low-dose aspirin in cancer chemoprevention in patients with diabetes.
This study was a posttrial follow-up of the Japanese Primary Prevention of Atherosclerosis with Aspirin for Diabetes (JPAD) trial. Participants in the JPAD trial (2,536 Japanese patients with type 2 diabetes and without preexisting cardiovascular disease) were randomly allocated to receive aspirin (81 or 100 mg daily) or no aspirin. After that trial ended in 2008, we followed up with the participants until 2015, with no attempt to change the previously assigned therapy. The primary end point was total cancer incidence. We investigated the effect of low-dose aspirin on cancer incidence.
During the median follow-up period of 10.7 years, a total of 318 cancers occurred. The cancer incidence was not significantly different between the aspirin and no-aspirin groups (log-rank,
= 0.4; hazard ratio [HR], 0.92; 95% CI, 0.73-1.14;
= 0.4). In subgroup analyses, aspirin did not affect cancer incidence in men, women, or participants aged ≥65 years. However, it decreased cancer incidence in participants aged <65 years (log-rank,
= 0.05; HR, 0.67; 95% CI, 0.44-0.99;
= 0.048). After adjusting for sex, hemoglobin A
, smoking status, and administration of metformin and statins, aspirin significantly reduced cancer incidence in participants aged <65 years (adjusted HR, 0.66; 95% CI, 0.43-0.99;
= 0.04).
Low-dose aspirin did not reduce cancer incidence in Japanese patients with type 2 diabetes. |
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AbstractList | OBJECTIVE This study analyzed the efficacy of low-dose aspirin in cancer chemoprevention in patients with diabetes. RESEARCH DESIGN AND METHODS This study was a posttrial follow-up of the Japanese Primary Prevention of Atherosclerosis with Aspirin for Diabetes (JPAD) trial. Participants in the JPAD trial (2,536 Japanese patients with type 2 diabetes and without preexisting cardiovascular disease) were randomly allocated to receive aspirin (81 or 100 mg daily) or no aspirin. After that trial ended in 2008, we followed up with the participants until 2015, with no attempt to change the previously assigned therapy. The primary end point was total cancer incidence. We investigated the effect of low-dose aspirin on cancer incidence. RESULTS During the median follow-up period of 10.7 years, a total of 318 cancers occurred. The cancer incidence was not significantly different between the aspirin and no-aspirin groups (log-rank, P = 0.4; hazard ratio [HR], 0.92; 95% CI, 0.73–1.14; P = 0.4). In subgroup analyses, aspirin did not affect cancer incidence in men, women, or participants aged ≥65 years. However, it decreased cancer incidence in participants aged <65 years (log-rank, P = 0.05; HR, 0.67; 95% CI, 0.44–0.99; P = 0.048). After adjusting for sex, hemoglobin A1c, smoking status, and administration of metformin and statins, aspirin significantly reduced cancer incidence in participants aged <65 years (adjusted HR, 0.66; 95% CI, 0.43–0.99; P = 0.04). CONCLUSIONS Low-dose aspirin did not reduce cancer incidence in Japanese patients with type 2 diabetes. OBJECTIVE This study analyzed the efficacy of low-dose aspirin in cancer chemoprevention in patients with diabetes. RESEARCH DESIGN AND METHODS This study was a posttrial follow-up of the Japanese Primary Prevention of Atherosclerosis with Aspirin for Diabetes (JPAD) trial. Participants in the JPAD trial (2,536 Japanese patients with type 2 diabetes and without preexisting cardiovascular disease) were randomly allocated to receive aspirin (81 or 100 mg daily) or no aspirin. After that trial ended in 2008, we followed up with the participants until 2015, with no attempt to change the previously assigned therapy. The primary end point was total cancer incidence. We investigated the effect of low-dose aspirin on cancer incidence. RESULTS During the median follow-up period of 10.7 years, a total of 318 cancers occurred. The cancer incidence was not significantly different between the aspirin and no-aspirin groups (log-rank, P = 0.4; hazard ratio [HR], 0.92; 95% CI, 0.73–1.14; P = 0.4). In subgroup analyses, aspirin did not affect cancer incidence in men, women, or participants aged ≥65 years. However, it decreased cancer incidence in participants aged <65 years (log-rank, P = 0.05; HR, 0.67; 95% CI, 0.44–0.99; P = 0.048). After adjusting for sex, hemoglobin A1c, smoking status, and administration of metformin and statins, aspirin significantly reduced cancer incidence in participants aged <65 years (adjusted HR, 0.66; 95% CI, 0.43–0.99; P = 0.04). CONCLUSIONS Low-dose aspirin did not reduce cancer incidence in Japanese patients with type 2 diabetes. OBJECTIVEThis study analyzed the efficacy of low-dose aspirin in cancer chemoprevention in patients with diabetes.RESEARCH DESIGN AND METHODSThis study was a posttrial follow-up of the Japanese Primary Prevention of Atherosclerosis with Aspirin for Diabetes (JPAD) trial. Participants in the JPAD trial (2,536 Japanese patients with type 2 diabetes and without preexisting cardiovascular disease) were randomly allocated to receive aspirin (81 or 100 mg daily) or no aspirin. After that trial ended in 2008, we followed up with the participants until 2015, with no attempt to change the previously assigned therapy. The primary end point was total cancer incidence. We investigated the effect of low-dose aspirin on cancer incidence.RESULTSDuring the median follow-up period of 10.7 years, a total of 318 cancers occurred. The cancer incidence was not significantly different between the aspirin and no-aspirin groups (log-rank, P = 0.4; hazard ratio [HR], 0.92; 95% CI, 0.73-1.14; P = 0.4). In subgroup analyses, aspirin did not affect cancer incidence in men, women, or participants aged ≥65 years. However, it decreased cancer incidence in participants aged <65 years (log-rank, P = 0.05; HR, 0.67; 95% CI, 0.44-0.99; P = 0.048). After adjusting for sex, hemoglobin A1c, smoking status, and administration of metformin and statins, aspirin significantly reduced cancer incidence in participants aged <65 years (adjusted HR, 0.66; 95% CI, 0.43-0.99; P = 0.04).CONCLUSIONSLow-dose aspirin did not reduce cancer incidence in Japanese patients with type 2 diabetes. This study analyzed the efficacy of low-dose aspirin in cancer chemoprevention in patients with diabetes. This study was a posttrial follow-up of the Japanese Primary Prevention of Atherosclerosis with Aspirin for Diabetes (JPAD) trial. Participants in the JPAD trial (2,536 Japanese patients with type 2 diabetes and without preexisting cardiovascular disease) were randomly allocated to receive aspirin (81 or 100 mg daily) or no aspirin. After that trial ended in 2008, we followed up with the participants until 2015, with no attempt to change the previously assigned therapy. The primary end point was total cancer incidence. We investigated the effect of low-dose aspirin on cancer incidence. During the median follow-up period of 10.7 years, a total of 318 cancers occurred. The cancer incidence was not significantly different between the aspirin and no-aspirin groups (log-rank, = 0.4; hazard ratio [HR], 0.92; 95% CI, 0.73-1.14; = 0.4). In subgroup analyses, aspirin did not affect cancer incidence in men, women, or participants aged ≥65 years. However, it decreased cancer incidence in participants aged <65 years (log-rank, = 0.05; HR, 0.67; 95% CI, 0.44-0.99; = 0.048). After adjusting for sex, hemoglobin A , smoking status, and administration of metformin and statins, aspirin significantly reduced cancer incidence in participants aged <65 years (adjusted HR, 0.66; 95% CI, 0.43-0.99; = 0.04). Low-dose aspirin did not reduce cancer incidence in Japanese patients with type 2 diabetes. |
Author | Jinnouchi, Hideaki Sakuma, Mio Matsumoto, Chisa Waki, Masako Morimoto, Takeshi Ogawa, Hisao Saito, Yoshihiko Okada, Sadanori Doi, Naofumi Nakayama, Masafumi Masuda, Izuru Soejima, Hirofumi |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29909377$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_3390_ijms21249585 crossref_primary_10_1001_jama_2024_4840 crossref_primary_10_1016_j_bcp_2020_113895 crossref_primary_10_1007_s00432_019_02932_0 crossref_primary_10_1001_jama_2018_20578 crossref_primary_10_3390_cancers14051211 crossref_primary_10_1007_s10555_018_9755_8 crossref_primary_10_1007_s11606_020_06167_5 crossref_primary_10_1007_s00432_019_02902_6 crossref_primary_10_1111_joim_13590 crossref_primary_10_1007_s00432_019_03069_w crossref_primary_10_1158_1940_6207_CAPR_22_0087 crossref_primary_10_3390_cancers11101468 crossref_primary_10_3892_etm_2021_10875 crossref_primary_10_1111_jgh_14562 crossref_primary_10_1001_jama_2022_3337 |
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References | Kuoppala (2022031300590168400_B36) 2008; 44 Kasuga (2022031300590168400_B9) 2013; 4 Coyle (2022031300590168400_B23) 2016; 27 Everhart (2022031300590168400_B3) 1995; 273 Ogawa (2022031300590168400_B20) 2008; 300 Burn (2022031300590168400_B17) 2011; 378 Vigneri (2022031300590168400_B30) 2009; 16 Dowling (2022031300590168400_B34) 2007; 67 Rao Kondapally Seshasai (2022031300590168400_B10) 2011; 364 2022031300590168400_B31 Cook (2022031300590168400_B22) 2013; 159 Rothwell (2022031300590168400_B15) 2011; 377 Mitri (2022031300590168400_B6) 2008; 31 Noto (2022031300590168400_B7) 2011; 17 Pignone (2022031300590168400_B26) 2010; 33 Noto (2022031300590168400_B8) 2010; 24 Wang (2022031300590168400_B24) 2016; 115 Saito (2022031300590168400_B21) 2017; 135 Larsson (2022031300590168400_B5) 2006; 49 Farrow (2022031300590168400_B12) 1998; 7 Dehmer (2022031300590168400_B28) 2016; 164 Rothwell (2022031300590168400_B14) 2010; 376 McGlynn (2022031300590168400_B37) 2015; 107 Thun (2022031300590168400_B11) 1991; 325 Chen (2022031300590168400_B38) 2016; 138 2022031300590168400_B1 Nakamura (2022031300590168400_B2) 2017; 8 Bibbins-Domingo (2022031300590168400_B19) 2016; 164 Cole (2022031300590168400_B18) 2009; 101 Sasazuki (2022031300590168400_B32) 2013; 104 Rothwell (2022031300590168400_B16) 2012; 379 Giovannucci (2022031300590168400_B27) 2010; 33 Dale (2022031300590168400_B35) 2006; 295 Rydén (2022031300590168400_B40) 2013; 34 Larsson (2022031300590168400_B4) 2005; 97 Baigent (2022031300590168400_B25) 2009; 373 Dulai (2022031300590168400_B39) 2016; 355 Jacobs (2022031300590168400_B13) 2005; 97 Kasper (2022031300590168400_B33) 2006; 15 Bray (2022031300590168400_B29) 2017; 116 |
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Snippet | This study analyzed the efficacy of low-dose aspirin in cancer chemoprevention in patients with diabetes.
This study was a posttrial follow-up of the Japanese... OBJECTIVE This study analyzed the efficacy of low-dose aspirin in cancer chemoprevention in patients with diabetes. RESEARCH DESIGN AND METHODS This study was... OBJECTIVE This study analyzed the efficacy of low-dose aspirin in cancer chemoprevention in patients with diabetes. RESEARCH DESIGN AND METHODS This study was... OBJECTIVEThis study analyzed the efficacy of low-dose aspirin in cancer chemoprevention in patients with diabetes.RESEARCH DESIGN AND METHODSThis study was a... |
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SubjectTerms | Adult Aged Aged, 80 and over Arteriosclerosis Aspirin Aspirin - therapeutic use Atherosclerosis Cancer Cardiovascular diseases Cardiovascular Diseases - epidemiology Cardiovascular Diseases - prevention & control Chemoprevention - methods Chemotherapy Clinical trials Diabetes Diabetes mellitus Diabetes mellitus (non-insulin dependent) Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - drug therapy Diabetes Mellitus, Type 2 - epidemiology Evidence-based medicine Female Follow-Up Studies Hemoglobin Humans Incidence Japan - epidemiology Male Metformin Metformin - therapeutic use Middle Aged Neoplasms - epidemiology Neoplasms - prevention & control Patients Research design Smoking Statins Subgroups |
Title | Effect of Aspirin on Cancer Chemoprevention in Japanese Patients With Type 2 Diabetes: 10-Year Observational Follow-up of a Randomized Controlled Trial |
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