Evidence map›Paper›PMID 42077070›Full record

Trial reportCancer prevention research (Philadelphia, Pa.)2026

Randomized, Double-Blind, Placebo-Controlled Trial of Meriva (Curcuminoids) as a Candidate Chemoprevention Agent for Gastric Carcinogenesis.

Maria Gonzalez-Pons, Ricardo L Dominguez, Eleazar E Montalvan-Sanchez, Nathan R Foster, Carrie A Strand, Jessica Hernandez-Marrero, Dalton A Norwood, Ryan P McMurray, Keila L Rivera Roman, Hilmaris Centeno-Girona and 10 more

Abstract readRandomized Controlled TrialClinical Trial, Phase II
In one paragraph

Trial report in Cancer prevention research (Philadelphia, Pa.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Maria Gonzalez-PonsUniversity of Puerto Rico Comprehensive Cancer Center, San Juan, Puerto Rico.ORCID 0000-0002-3694-0534
Ricardo L DominguezHospital de Occidente, Santa Rosa de Copán, Honduras.ORCID 0000-0001-5171-4415
Eleazar E Montalvan-SanchezSection of Digestive Diseases, Yale University, New Haven, Connecticut.ORCID 0000-0002-7178-0724
Nathan R FosterMayo Clinic , Rochester, Minnesota.ORCID 0000-0002-2874-1295
Carrie A StrandMayo Clinic , Rochester, Minnesota.ORCID 0000-0001-7820-6138
Jessica Hernandez-MarreroUniversity of Puerto Rico, San Juan, Puerto Rico.ORCID 0000-0003-2192-5216
Dalton A NorwoodUniversity of Alabama at Birmingham , Birmingham, Alabama.ORCID 0000-0001-5408-560X
Ryan P McMurrayMayo Clinic , Rochester, Minnesota.ORCID 0000-0001-9226-7404
Keila L Rivera RomanUniversity of Puerto Rico, San Juan, Puerto Rico.ORCID 0009-0003-0191-8622
Hilmaris Centeno-GironaUniversity of Puerto Rico Comprehensive Cancer Center, San Juan, Puerto Rico.ORCID 0000-0002-2271-4560
Aida Rodriguez-MurilloHospital de Occidente, Santa Rosa de Copán, Honduras.ORCID 0000-0001-7553-8401
Fatme GhandourDepartment of Pathology, University of Alabama at Birmingham, Birmingham, Alabama.ORCID 0000-0002-4091-0063
Sameer Al DiffalhaDepartment of Pathology, University of Alabama at Birmingham, Birmingham, Alabama.ORCID 0000-0002-3095-4089
N Jewel SamadderMayo Clinic , Scottsdale, Arizona.ORCID 0009-0003-9740-9696
Asad UmarDivision of Cancer Prevention, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.ORCID 0000-0002-6239-8494
Ellen RichmondDivision of Cancer Prevention, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.ORCID 0000-0002-5855-5047
Luz Maria RodriguezDivision of Cancer Prevention, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.ORCID 0000-0002-2119-6124
Paul J LimburgMayo Clinic , Rochester, Minnesota.ORCID 0000-0002-2428-5675
Douglas R MorganUniversity of Alabama at Birmingham , Birmingham, Alabama.ORCID 0000-0002-1136-0963
Marcia Cruz-CorreaUniversity of Puerto Rico, San Juan, Puerto Rico.ORCID 0000-0001-8147-7457

Funding

Division of Cancer Prevention, National Cancer Institute (DCP, NCI) HHSN261201200042IDivision of Cancer Prevention, National Cancer Institute (DCP, NCI) N01CN00042Division of Cancer Prevention, National Cancer Institute (DCP, NCI) P01CA028842Division of Cancer Prevention, National Cancer Institute (DCP, NCI) P30CA015083Division of Cancer Prevention, National Cancer Institute (DCP, NCI) P30CA068485Division of Cancer Prevention, National Cancer Institute (DCP, NCI) R01CA190612National Cancer Institute (NCI) CA096297/CA096300National Institute of General Medical Sciences (NIGMS) U54GM133807National Institute on Minority Health and Health Disparities (NIMHD) R25MD007607
6 · The paper itself

Abstract

Globally, gastric adenocarcinoma is the fourth leading cause of cancer mortality and a major cancer disparity in the United States. Chemoprevention strategies are lacking for high-risk individuals with gastric premalignant conditions (GPMC). Curcumin, the principal curcuminoid in turmeric, exerts immunomodulatory effects in the epithelium and against Helicobacter pylori, and studies suggest chemoprevention potential. We conducted a double-blind, phase IIa randomized controlled trial in high-risk populations in Puerto Rico and Honduras. We investigated the utility of a bioavailable formulation of curcumin (Meriva) among individuals with H. pylori-negative GPMC, specifically, multifocal atrophic gastritis (MAG) or gastric intestinal metaplasia (GIM). Patients were 1:1 randomized to 1,000 mg Meriva daily or placebo for a 6-month intervention with endoscopy at baseline and 6 months. Outcomes included assessment of epithelial cytokine and chemokine levels, histology, and DNA damage as assessed by γ-H2AX phosphorylation IHC. Of the 110 subjects screened, 50 participants were randomized, and 48 completed the trial. A significant reduction in gastric mucosal IL1β levels from baseline in the gastric body, the primary endpoint, was observed in the Meriva group (P = 0.032). Changes in epithelial IL8, TNFα, and inducible protein 10 levels and gastric mucosal histology and DNA damage (secondary endpoints) were similar between arms. Curcumin (Meriva) was safe, well-tolerated, and showed potential as a curcuminoid chemoprevention agent in H. pylori-negative patients with GPMC. A potential reduction in gastric inflammation as measured by gastric mucosal IL1β levels was observed. Further studies are warranted, including studies in H. pylori-positive individuals, based upon the curcuminoid direct effects on H. pylori. PREVENTION RELEVANCE: Gastric adenocarcinoma is a leading cause of cancer mortality worldwide. Chemoprevention candidates for GPMCs are limited. This randomized phase IIa trial evaluated a bioavailable curcumin formulation in high-risk individuals with MAG and GIM. The results support further study of curcuminoids for gastric cancer risk reduction. See related Spotlight, p. 387 See related article by Morgan et al., p. 391.

Indexed as

CurcuminDiarylheptanoidsPrecancerous ConditionsStomach NeoplasmsAdultAgedCarcinogenesisChemopreventionDNA DamageDouble-Blind MethodFemaleGastric MucosaHelicobacter InfectionsHelicobacter pyloriHumansInterleukin-1betaCurcuminDiarylheptanoidsInterleukin-1beta

Identifiers

PMID42077070
PMCPMC13320221

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.