Aspirin Increases Cancer Mortality in Elderly
Analysis based on 7 articles · First reported Jan 29, 2026 · Last updated Feb 19, 2026
The findings from the ASPREE study indicate that low-dose Aspirin does not offer cancer prevention benefits for older adults and may increase cancer mortality risk, which could negatively impact the market for Aspirin as a preventative measure in this demographic. Pharmaceutical companies may need to adjust their marketing and research strategies for Aspirin, focusing on other indications or younger populations.
Long-term data from the ASPREE trial, including the ASPREE-XT extension study, revealed that low-dose Aspirin does not reduce cancer incidence and significantly increases the risk for cancer-related death in adults aged 70 years or older. This contradicts previous findings in middle-aged populations and suggests that the protective benefits of Aspirin do not translate to older adults. The study, led by Suzanne G. Orchard of Monash University and published in JAMA Oncology, involved 19,114 participants and had a median follow-up of 8.6 years. The increased mortality risk was primarily observed during the randomized treatment period. Experts like H. Gilbert Welch have stated that Aspirin for primary prevention in the elderly is 'done'. The findings reinforce the 2022 US Preventive Services Task Force recommendation against initiating Aspirin for primary prevention in adults aged 60 years or older, urging individualized decisions based on a healthcare provider's assessment of cardiovascular benefits versus bleeding and other risks.
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