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October 29, 2025 β€’ 6 mins

🚨 New in NEJM β€” The ALASCCA Trial 🧬

Low-dose aspirin (160 mg/day) reduced colorectal cancer recurrence in patients with PIK3CA, PIK3R1, or PTEN mutations 🎯

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βœ… 3-year recurrence: 7.7% (aspirin) vs 14–17% (placebo)

βœ… Group A HR: 0.49 | Group B HR: 0.42

βœ… NNT as low as 6 in stage III rectal cancer πŸ’₯

⚠️ Slight increase in adverse events

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🧠 Editorial calls it a new standard of care:

πŸ”¬ Genotype early + πŸ’Š Start aspirin early = πŸ“‰ Lower recurrence

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πŸ“– Read both the trial and editorial in NEJM, Sept 2025

#ColorectalCancer #PrecisionOncology #Aspirin #PIK3CA #NEJM #OncologyTrials #Genomics #AdjuvantTherapy #ALASCCA #ClinicalTrials

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