ASA in Prevention of Ovarian Cancer (STICs and STONEs)
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)
1 other identifier
interventional
117
2 countries
17
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Jul 2018
Longer than P75 for phase_2
17 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 14, 2018
CompletedFirst Posted
Study publicly available on registry
March 29, 2018
CompletedStudy Start
First participant enrolled
July 24, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 15, 2026
January 14, 2026
January 1, 2026
7.9 years
March 14, 2018
January 12, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Proportion of pre- & malignant lesions found during prophylactic risk reduction surgery using a stratified Cochran-Mantel-Haenszel test
5 years
Secondary Outcomes (2)
Acceptance of the ASA intervention from the self-report Credibility/Expectancy Questionnaire
5 years
Compliance of taking ASA by serum monitoring
5 years
Other Outcomes (2)
Compliance of taking ASA by evaluation of treatment completion rates
5 years
Compliance of taking ASA by reasons for early discontinuation of protocol intervention.
5 years
Study Arms (2)
Acetylsalicylic Acid (ASA)
ACTIVE COMPARATORPlacebo
SHAM COMPARATORInterventions
81 mg PO daily or 325 mg PO daily
Eligibility Criteria
You may qualify if:
- 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
You may not qualify if:
- 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.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Canadian Cancer Trials Grouplead
- Apotex Inc.collaborator
Study Sites (17)
Royal Prince Alfred Hospital
Camperdown, New South Wales, 2050, Australia
Prince of Wales Hospital
Randwick, New South Wales, 2031, Australia
Westmead Hospital
Westmead, New South Wales, 2145, Australia
Peter McCallum Cancer Institute
Melbourne, Victoria, 3002, Australia
King Edward Memorial Hospital
Subiaco, Western Australia, 6008, Australia
St John of God Subiaco
Subiaco, Western Australia, 6008, Australia
Tom Baker Cancer Centre
Calgary, Alberta, T2N 4N2, Canada
Clinical Research Unit at Vancouver Coastal
Vancouver, British Columbia, V5Z 1M9, Canada
CancerCare Manitoba
Winnipeg, Manitoba, R3E 0V9, Canada
Dr. H. Bliss Murphy Cancer Centre
St. John's, Newfoundland and Labrador, A1B 3V6, Canada
Kingston Health Sciences Centre
Kingston, Ontario, K7L 2V7, Canada
North York General Hospital
Toronto, Ontario, M2K 1E1, Canada
Women's College Hospital
Toronto, Ontario, M5S 1B2, Canada
CIUSSS de l'Est-de-I'lle-de-Montreal
Montreal, Quebec, H1T 2M4, Canada
CHUM-Centre Hospitalier de l'Universite de Montreal
Montreal, Quebec, H2X 3E4, Canada
Hotel-Dieu de Quebec
Québec, Quebec, G1R 2J6, Canada
CIUSSS de l'Estrie - Centre hospitalier
Sherbrooke, Quebec, J1H 5N4, Canada
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Amit Oza
Univ. Health Network-OCI/Princess Margaret Hospital, Toronto, ON Canada
- STUDY CHAIR
Stephanie Lheureux
Univ. Health Network-OCI/Princess Margaret Hospital, Toronto, ON Canada
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- NETWORK
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 14, 2018
First Posted
March 29, 2018
Study Start
July 24, 2018
Primary Completion (Estimated)
June 30, 2026
Study Completion (Estimated)
September 15, 2026
Last Updated
January 14, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will not share