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A combination therapy consisting of the selective COX-2 inhibitor celecoxib and the naturally occurring bile acid ursodeoxycholic acid (UDCA). This specific combination was investigated by Radboud University Medical Center in a Phase 2/3 clinical trial (NCT00808743) for the chemoprevention of duodenal adenomatosis in patients with Familial Adenomatous Polyposis (FAP). The rationale was to modulate bile acid composition and inhibit inflammatory pathways to prevent the progression of adenomas to carcinomas. However, the trial results indicated that UDCA might have counteracted the beneficial effects of celecoxib, leading to no significant improvement in polyp density.
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