MONDAY, Nov. 8 (HealthDay News) -- A large-scale new study found
that postmenopausal women who take cholesterol-lowering drugs
called statins do not reduce their risk for colorectal cancer.
Previous studies have suggested that statins may reduce the risk
of colorectal cancer. But this new study of more than 150,000 women
found no reduced risk, regardless of the type of statin taken or
for how long.
"The upshot was there was no significant difference in colorectal cancer risk between statin users and nonusers," lead researcher Dr. Michael S. Simon, a professor of oncology at Wayne State University in Detroit, said during a Monday afternoon press conference.
Simon was to present the findings at the American Association
for Cancer Research's ninth annual Frontiers in Cancer Prevention
Research Conference, which concludes Wednesday in Philadelphia.
For the study, Simon's team collected data on 159,219
postmenopausal women who took part in the Woman's Health Initiative
study. Over 10 years of follow-up, there were 2,000 cases of
colorectal cancer diagnosed among the women. Some 7.6 percent of
the women were taking statins.
Simon said that results from several earlier studies had
suggested a small reduction in colorectal cancer risk in people who
use statins. But, most studies have found no association between
statin use and reduced colorectal cancer risk.
Simon added, however, that this new study probably won't end the
debate, and more research is needed about the role statins might
play in cancer prevention. In fact, the impact of statin use on
colorectal cancer risk deserves more study in certain types of
patients, he said.
"A recent study suggested a possible greater effect of statins in reducing both cardiovascular and colorectal cancer risk among individuals with a genetic variation of the enzyme inhibited by statins," Simon said. "This finding suggests that future studies should focus on individuals at high risk based on family history or genetic predisposition."
Results of another study presented at the press conference
showed that the gout drug allopurinol (Lopurin, Zyloprim) may be a
potential treatment for colorectal cancer and prevention. The drug
has been on the market for more than 20 years and costs only about
$1.40 a month, according to lead researcher Dr. Andrea De Censi,
director of the medical oncology unit at Galliera Hospital in
Genoa, Italy.
But the study was small and preliminary, and more trials are
needed before scientists can prove a real benefit for patients, the
researchers said.
For the study, Censi's group did a preliminary trial that pitted
allopurinol against a placebo in 73 patients with pre-cancerous
colorectal polyps, with patients taking either a 100-mg or 300-mg
dose of the drug. The patients stayed on their regimes for four to
six weeks before their polyps were removed.
The researchers looked for changes in a tumor tissue biomarker
dubbed Ki67. The researchers found that in the first 13 patients
the level of Ki67 rose only 5 percent among those taking either
dose of the drug, compared with more than doubling in patients
taking a placebo.
In tumor tissue, the level of Ki67 rose 6 percent in patients
taking 100 mg allopurinol and 12 percent in patients taking 300 mg
allopurinol, while it increased 70 percent among those receiving a
placebo, the researchers found.
"Taken together, our findings support the evidence of a preventive effect of allopurinol on colorectal carcinogenesis and therefore provide the rational for a larger clinical study," De Censi said during the press conference.
More information
For more information on colon cancer, visit the
American Cancer Society.