A Phase II, Double-Blind, Placebo-Controlled Clinical Trial To Assess Celecoxib As A Chemopreventive Agent Inhibiting UV-Induced Erythema And Cutaneous Carcinogenesis As Assessed Through Surrogate Biological Markers In Biopsied Skin After Exposure Of Skin In Normal Volunteers Ages 20-60 Years Old With Fitzpatrick Type I, II, III And IV Skin To UV-Radiation From Artificial Light Sources
Inclusion Criteria
DISEASE CHARACTERISTICS:
- Fitzpatrick type I-IV skin
- No history of photosensitivity (e.g., systemic or discoid lupus erythematosus,
polymorphous light eruption, or photocontact dermatitis)
- No history of abnormal tanning responses or other unusual reactions to natural or
artificial light sources
- Willing to wear sun-protective clothing and SPF 15-49 sunscreen
- Willing and able to restrict the frequency of high ultraviolet-exposure activities
(e.g., exposure to sunlight, tanning boxes, or other artificial light sources)
- No history of keloid formation
PATIENT CHARACTERISTICS:
Age:
- 20 to 60
Performance status:
- Not specified
Life expectancy:
- Not specified
Hematopoietic:
- WBC ≥ 3,500/mm^3
- Hemoglobin ≥ 12.0 g/dL
- No bleeding disorder
Hepatic:
- Bilirubin ≤ 20% above upper limit of normal (ULN)
- AST and ALT ≤ 20% above ULN
- No chronic or acute hepatic disease
Renal:
- Creatinine ≤ 20% above ULN
- No chronic or acute renal disease
Gastrointestinal:
- No active gastrointestinal disease (e.g., inflammatory bowel disease)
- No pancreatic disease
- No esophageal, gastric, pyloric channel, or duodenal ulceration
Other:
- No invasive cancer except nonmelanoma skin cancer cured by excision or stage I
cervical cancer
- No hypersensitivity or adverse reactions to NSAIDs, salicylates, cyclo-oxygenase-2
(COX-2) inhibitors, or sulfonamides
- No condition that would preclude the use of NSAIDs
- No clinically significant laboratory abnormalities
- No medical or psychosocial condition that would preclude study participation
- Not pregnant or nursing
- Negative pregnancy test
- Fertile participants must use effective contraception
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- No concurrent chemo-immunotherapy
Chemotherapy:
- See Biologic therapy
- At least 1 year since prior chemotherapy, including topical fluorouracil
Endocrine therapy:
- At least 2 weeks since prior topical glucocorticoids
- At least 30 days since prior systemic corticosteroids
- No concurrent systemic glucocorticoids (inhaled corticosteroids allowed)
- No concurrent topical corticosteroids
- No concurrent hormonal therapy
- Hormone replacement (e.g., estrogen or thyroid replacement) allowed
Radiotherapy:
- No concurrent radiotherapy
Surgery:
- Not specified
Other:
- At least 14 days since prior aspirin (> 100 mg/day) or other non-steroidal
anti-inflammatory drugs (NSAIDs) taken at least 3 times per week
- At least 2 weeks since prior topical alpha hydroxy acids (e.g., glycolic acid or
lactic acid)
- At least 6 months since prior oral retinoids (3 months for topical retinoids to the
face)
- At least 30 days since prior treatment for esophageal, gastric, pyloric channel, or
duodenal ulceration
- At least 30 days since prior investigational medication
- No other concurrent investigational medication
- No concurrent topical vitamin A derivatives and/or alpha hydroxy acids
- No concurrent immunosuppressive drugs
- No concurrent topical medication to the skin, including prescription and
over-the-counter preparations (moisturizers and emollients allowed)
- No concurrent lithium, fluconazole, or warfarin
- No concurrent chronic NSAIDs (> 3 times per week for > 2 consecutive weeks per year)
- Concurrent cardioprotective doses of aspirin (≤ 100 mg/day) allowed
- Concurrent acetaminophen allowed
- No concurrent green tea consumption of > 2 cups per day