Naproxen (Naprosyn, Aleve, Anaprox)

Other Medications · Approved since 1976

US Off-label Oral 2 Clinical Trials
COX-1 COX-2

Description

Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that belongs to the propionic acid class. In colorectal cancer, naproxen is used as a chemopreventive agent, particularly in patients with Lynch syndrome who have hereditary predisposition to developing colorectal cancer. The drug aims to reduce inflammation and prevent the development of DNA mismatch repair deficient colorectal tumors in high-risk individuals.

Mechanism of Action

Naproxen works by inhibiting cyclooxygenase (COX) enzymes, specifically COX-1 and COX-2, which are responsible for prostaglandin synthesis. By blocking prostaglandin production, naproxen reduces chronic inflammation in the colorectal mucosa, which may help prevent the progression from normal epithelium to malignant transformation in genetically susceptible patients.

Molecular Targets

Side Effects

Gastrointestinal upset Nausea Heartburn Dizziness Headache Drowsiness Fluid retention Increased blood pressure

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT05411718 Phase 2
Recruiting
A Phase IIa Randomized, Double-Blinded Clinical Trial of Naproxen or Aspirin for Cancer Immune Interception in Lynch Syndrome
United States
NCT02052908 Phase 1
Archived
Naproxen in Preventing DNA Mismatch Repair Deficient Colorectal Cancer in Patients With Lynch Syndrome
United States