NIH-funded research U01 cooperative agreement

Aspirin's long-term effects on cancer, heart disease, and dementia

Official title: Aspirins legacy on cancer and overall benefit: risk balance over a 15-year horizon

Funded at Massachusetts General Hospital · NIH-11399241 · Data updated 2026-11-12

This project looks at whether five years of low-dose aspirin taken by older adults changes their long-term risks of cancer, heart disease, dementia, and stomach bleeding over about 15 years.

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Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionMassachusetts General Hospital
NIH-funded
Lab location1 site (Boston, United States)
Project startSeptember 26, 2024
Project endAugust 31, 2029
Funding year2025
Award (this year)$364,000
NIH project number3U01CA301988-02S1
Project IDNIH-11399241 on NIH RePORTER

Who could benefit from this research

Could help

Ideal candidates are older adults without prior cardiovascular disease who participated in ASPREE or are similar in age (typically 65+), and who can provide follow-up health information or medical records.

Less likely to help

People already taking aspirin for existing heart disease (secondary prevention), those with active bleeding disorders, or those well outside the study's enrolled age range are unlikely to receive direct benefit from participation.

What this research studies

Researchers will extend follow-up of older adults from the ASPREE-XT cohort to track cancer outcomes (especially colorectal cancer), cardiovascular events, dementia, and gastrointestinal bleeding up to 15 years after initial aspirin exposure. They will combine medical records, regular follow-up contacts, and existing trial data to measure long-term outcomes. The team will update and test risk prediction models to better identify who is likely to benefit or be harmed by preventive aspirin use, including people in the oldest age groups. Results will be used to refine personalized recommendations for aspirin use in primary prevention.

Why it matters

Potential benefit: If successful, this work could help determine which older adults gain overall health benefit from low-dose aspirin and who faces unacceptable bleeding risk.

How similar studies have gone: Prior long-term trials and follow-ups have suggested aspirin can lower colorectal cancer risk but increase bleeding, so findings have been mixed and this project extends follow-up into much older populations to clarify effects.

Where this research is happening

  • Massachusetts General Hospital
    Boston, United States
    Active

Researchers

  • Principal investigator: Warner, Erica T — Massachusetts General Hospital
  • Study coordinator: Warner, Erica T

Related research

Other NIH-funded projects on the same topics.

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.