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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03480776
Registration number
NCT03480776
Ethics application status
Date submitted
14/03/2018
Date registered
29/03/2018
Titles & IDs
Public title
ASA in Prevention of Ovarian Cancer (STICs and STONEs)
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Scientific title
A Randomized Phase II Double-Blind Placebo-Controlled Trial of Acetylsalicylic Acid (ASA) in Prevention of Ovarian Cancer in Women With BRCA 1/2 Mutations (STICs and STONEs)
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Secondary ID [1]
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OV25
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Ovarian Cancer Prevention
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Condition category
Condition code
Cancer
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Ovarian and primary peritoneal
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Acetylsalicylic acid
Other interventions - Placebo
Active comparator: Acetylsalicylic Acid (ASA) -
Sham comparator: Placebo -
Treatment: Drugs: Acetylsalicylic acid
81 mg PO daily or 325 mg PO daily
Other interventions: Placebo
One tablet PO daily
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Intervention code [1]
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Treatment: Drugs
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Intervention code [2]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Proportion of pre- & malignant lesions found during prophylactic risk reduction surgery using a stratified Cochran-Mantel-Haenszel test
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Assessment method [1]
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Timepoint [1]
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5 years
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Secondary outcome [1]
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Acceptance of the ASA intervention from the self-report Credibility/Expectancy Questionnaire
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Assessment method [1]
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Timepoint [1]
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5 years
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Secondary outcome [2]
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Compliance of taking ASA by serum monitoring
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Assessment method [2]
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Timepoint [2]
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5 years
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Eligibility
Key inclusion criteria
* Previously documented germline BRCA1/2 pathogenic mutation or likely pathogenic variant based on the ACMG 2015 guidelines
* Risk-reducing surgery (bilateral salpingo-oophorectomy or bilateral salpingectomy inclusive of fimbria) scheduled for within 6 months to 2 years after the date of randomization as standard of care, for women who have completed their families
* ECOG performance status 0 or 1
* Age = 18 years old
* Subject is able (i.e. sufficiently literate) and willing to complete the Credibility/Expectancy questionnaire in English or French.
* Subject consent must be appropriately obtained in accordance with applicable local and regulatory requirements. Each subject must sign a consent form prior to enrollment in the trial to document their willingness to participate
* Subjects must be accessible for treatment and follow up. Subjects randomized on this trial must be treated and followed at the participating centre.
* In accordance with CCTG policy, protocol treatment is to begin within 2 working days after subject randomization
* Women of childbearing potential must have agreed to use a highly effective contraceptive method for the duration of the study treatment and for 30 days post last dose of study medication
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* Subjects with history of other malignancies, except:
* adequately treated non-melanoma skin cancer;
* curatively treated in-situ cancer of the cervix;
* previously diagnosed (at any point) breast cancer, treated with curative intent; prior chemotherapy is allowed and the last dose must be = 12 months prior to randomization; endocrine therapy for breast cancer is allowed at any time.
* other solid tumours curatively treated with no evidence of disease for > 5 years.
* Subjects who have been treated with any PARP-inhibitors (e.g. olaparib) at any time.
* Subjects with active bleeding or bleeding diathesis.
* Subjects with active peptic ulcer.
* Subjects with renal, hepatic or congestive heart failure.
* Subjects with concurrent use of anti-coagulants and/or anti-platelet agents.
* Subjects with prior bilateral salpingectomy.
* Subjects with history of chronic daily use of ASA or NSAIDs.
* Subjects with intolerance of ASA including subjects with a history of asthma induced by salicylates or substances with a similar action, notably non-steroidal-anti-inflammatory drugs.
* Ongoing or planned pregnancy.
* Subjects who are breastfeeding.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
24/07/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
15/09/2025
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Actual
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Sample size
Target
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Accrual to date
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Final
117
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Recruitment in Australia
Recruitment state(s)
NSW,VIC,WA
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Recruitment hospital [1]
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Royal Prince Alfred Hospital - Camperdown
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Recruitment hospital [2]
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Prince of Wales Hospital - Randwick
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Recruitment hospital [3]
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Westmead Hospital - Westmead
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Recruitment hospital [4]
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Peter McCallum Cancer Institute - Melbourne
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Recruitment hospital [5]
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King Edward Memorial Hospital - Subiaco
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Recruitment hospital [6]
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St John of God Subiaco - Subiaco
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Recruitment postcode(s) [1]
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2050 - Camperdown
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Recruitment postcode(s) [2]
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2031 - Randwick
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Recruitment postcode(s) [3]
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2145 - Westmead
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Recruitment postcode(s) [4]
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3002 - Melbourne
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Recruitment postcode(s) [5]
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6008 - Subiaco
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Recruitment outside Australia
Country [1]
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Canada
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State/province [1]
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Alberta
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Country [2]
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Canada
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State/province [2]
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British Columbia
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Country [3]
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Canada
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State/province [3]
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Manitoba
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Country [4]
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Canada
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State/province [4]
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Newfoundland and Labrador
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Country [5]
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Canada
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State/province [5]
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Ontario
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Country [6]
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Canada
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State/province [6]
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Quebec
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Funding & Sponsors
Primary sponsor type
Other
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Name
Canadian Cancer Trials Group
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Apotex Inc.
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
While ASA is not a cancer medication, research suggests that taking ASA reduces the probability of getting many types of cancer because of its anti-inflammatory action. Inflammation in the ovaries during ovulation is thought to contribute to the development of ovarian cancer, and, because ASA is an anti-inflammatory medication, it may help to prevent it.
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Trial website
https://clinicaltrials.gov/study/NCT03480776
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Amit Oza
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Address
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Univ. Health Network-OCI/Princess Margaret Hospital, Toronto, ON Canada
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03480776