Studies say aspirin may help treat or prevent cancer

Updated: 18:53, Wednesday, 21 March 2012 http://www.rte.ie/news/2012/0321/aspirin.html -- a large Ireland media network.

{Article at http://www.lancet.com/journals/lancet/article/PIIS0140-6736%2812%2960209-8/abstract?version=printerFriendly, The Lancet, Volume 379, Issue 9826, Pages 1591-1601, 28 April 2012 doi:10.1016/S0140-6736(12)60209-8}

Three new studies found that taking aspirin may prevent cancer and reduce the likelihood that cancers will spread to other organs.

Three new studies have added to growing scientific evidence suggesting that taking a daily dose of aspirin can help prevent, and possibly treat, cancer.  However, there remain some concerns about the drugs side-effects.  Previous studies have found that daily aspirin reduces the long-term risk of death due to cancer, but until now the shorter-term effects have been less certain, as has the medicine's potential in patients already diagnosed with cancer.  The new studies, led by Peter Rothwell of Britain's Oxford University, found that aspirin also has a short-term benefit in preventing cancer, and that it reduces the likelihood that cancers will spread to other organs by about 40 to 50%.  {There is still the delay in prevention of about 10 years, but not in improving cancer survival.—jk}

"These findings add to the case for use of aspirin to prevent cancer, particularly if people are at increased risk," Mr Rothwell said.  "Perhaps more importantly, they also raise the distinct possibility that aspirin will be effective as an additional treatment for cancer, to prevent distant spread of the disease."  This was particularly important, he said, because it is the process of the spread of cancer, or "metastasis", which most often kills people with the disease.

Aspirin is a cheap over-the-counter drug generally used to combat pain or reduce fever.  It reduces the risk of clots forming in blood vessels and can therefore protect against heart attacks and strokes.  It is often prescribed for people who already suffer with heart disease and have already had one or several attacks.  However, Aspirin also increases the risk of bleeding in the stomach to around one patient in every thousand per year. 

This has fuelled an intense debate about whether doctors should advise patients to take it as regularly as every day.  Last year, a study by British researchers questioned the wisdom of daily aspirin for reducing the risk of early death from a heart attack or stroke because they said the increased risk of internal bleeding outweighed the potential benefit.  Other studies, including some by Mr Rothwell in 2007, 2010 and 2011, found that an aspirin a day, even at a low dose of around 75 milligrams, reduces the long-term risk of developing some cancers, particularly bowel and oesophageal cancer, but the effects don't show until eight to 10 years after the start of treatment.

Mr Rothwell, whose new studies were published in The Lancet and The Lancet Oncology journals, said this delay was because aspirin was preventing the very early development of cancers and there was a long time lag between this stage and a patient having clinical signs or symptoms of cancer.  Mr Rothwell and others said deeper research was now needed into aspirin as a potential treatment for cancer in patients whose disease has not yet spread.  "No drug has been shown before to prevent distant metastasis and so these findings should focus future research on this crucial aspect of treatment," he said.

Peter Johnson, chief clinician at the charity Cancer Research UK, said his group was already investigating the anti-cancer properties of aspirin. "These findings show we're on the right track," he said.

In a written commentary on the research in The Lancet, Andrew Chan and Nancy Cook of Harvard Medical School in the United States said it was "impressive" and moved health experts "another step closer to broadening recommendations for aspirin use".

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