Aspirin cuts colorectal cancer recurrence by half in patients with a genetic marker, trial finds
A Swedish-led randomized trial has found that a low dose of aspirin given after surgery can dramatically reduce the risk of colorectal cancer returning, but only in patients whose tumors carry a specific genetic alteration in the PIK3 signaling pathway. In the ALASCCA study, more than 3,500 patients across 33 hospitals in Sweden, Norway, Denmark, and Finland were followed after colorectal tumor removal. Those with the PIK3 mutation who took 160 milligrams of aspirin daily for three years experienced a 55 percent reduction in recurrence compared with those who received a placebo. The findings, published in a prestigious medical journal, represent a landmark for precision medicine in colorectal cancer, suggesting that a cheap, globally available drug could become an integral part of post-surgical care for a defined subgroup of patients.