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. Author manuscript; available in PMC: 2009 Jun 1.
Published in final edited form as: Cancer Prev Res (Phila). 2008 Jun;1(1):32–38. doi: 10.1158/1940-6207.CAPR-08-0042

Table 2.

Risk of adenomas; evidence of substantial effect in active arm

Follow-up colonoscopy2 to 39 mo after beginning treatment (n = 267)
Follow-up colonoscopy33 to 36 mo after beginning treatment (n = 204)
Placebo (n = 129) DFMO/sulindac (n = 138) Placebo (n = 97) DFMO/sulindac (n = 107)
Detection of any adenoma
 Cumulative incidence of adenomas detected at end of the treatment (%) 53 (41.1) 17 (12.3) 42 (43.3) 12 (11.2)
 Risk ratio* (95% CI) 0.30 (0.18–0.49) 0.26 (0.15–0.46)
P <0.001 <0.001
Detection of advanced adenomas
 Cumulative incidence of advance adenomas detected at end of the treatment (%) 11 (8.5) 1 (0.7) 9 (9.3) 1 (0.9)
 Risk ratio* (95% CI) 0.085 (0.011–0.65) 0.10 (0.013–0.78)
P 0.001 0.004
Detection of advanced adenomas with size ≥ 1 cm
 Cumulative incidence of advanced adenomas with size ≥ 1 cm detected at end of the treatment (%) 9 (7.0) 1 (0.7) 7 (7.2) 1 (0.9)
 Risk ratio* (95% CI) 0.10 (0.013–0.81) 0.13 (0.016–1.03)
P 0.004 0.02
Detection of multiple adenomas (>1)
 Patients with >1 adenoma, incidence (%) 17 (13.2) 1 (0.7) 15 (15.5) 1 (0.9)
 Risk ratio* (95% CI) 0.055 (0.0074–0.41) 0.060 (0.0081–0.45)
P <0.001 <0.001
Sensitivity analysis imputing adenoma for patients without an end-point determination
 Cumulative incidence of adenomas detected at end of the treatment (%) 76/184 (41.3) 39/191 (20.4)
 Risk ratio* (95% CI) 0.49 (0.36–0.69)
P <0.001
*

Relative risk estimation by log-binomial regression. Likelihood ratio test P values are reported.

Advanced adenomas in the placebo group included tubulovillous (3), intramucosal carcinoma (2), size ≥1 cm (6), and one serrated adenoma with high-grade dysplasia; the one advanced adenoma in the treatment group was an adenoma >1 cm.

Sensitivity analysis imputing adenoma for all patients without an end-of-study colonoscopy at the placebo rate of recurrence.