ASAC Trial Finds Aspirin Ineffective for Preventing Recurrence in Metastatic Colorectal Cancer Patients
The Scandinavian ASAC trial, a randomized, double-blind, placebo-controlled phase 3 study, has concluded that aspirin does not reduce the risk of recurrence or death in patients who have undergone curative-intent treatment for colorectal cancer liver metastases. Conducted across 14 hospitals in Norway, Sweden, and Denmark, the trial involved 428 patients who received either 160 mg of aspirin daily or a placebo after surgical resection and/or ablation of their liver metastases. The primary endpoint, disease-free survival, showed no significant difference between the aspirin and placebo groups, with median disease-free survival at 1.13 years and 1.40 years, respectively. While a secondary endpoint of overall survival showed a statistically significant difference favoring the placebo group (84.9% vs. 75.7% in the aspirin group after three years), the trial was not primarily designed to assess overall survival, and detailed data on post-recurrence treatments were not collected, necessitating cautious interpret...