Table 2.
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.