STOMP: Small cell lung cancer Trial of Olaparib (AZD2281) as Maintenance Programme

ISRCTN ISRCTN73164486
DOI https://doi.org/10.1186/ISRCTN73164486
EudraCT/CTIS number 2010-021165-76
Secondary identifying numbers LU2006
Submission date
03/08/2010
Registration date
13/09/2010
Last edited
07/10/2024
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

https://www.cancerresearchuk.org/about-cancer/find-a-clinical-trial/a-trial-looking-olaparib-small-cell-lung-cancer-stomp

Study website

Contact information

Prof Penella Woll
Scientific

University of Sheffield
Weston Park Hospital
Whitham Road
Sheffield
S10 2SJ
United Kingdom

Study information

Study designMulticentre double-blind randomized placebo-controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleSmall cell lung cancer Trial of Olaparib (AZD2281) as Maintenance Programme: a randomised, double blind, multicentre phase II trial
Study acronymSTOMP
Study objectivesThe use of olaparib as a maintenance therapy in patients with chemoresponsive small cell lung cancer (SCLC) prolongs the period of progression-free survival beyond that of using a placebo.
Ethics approval(s)Added 08/10/2013: York and Humber - Leeds East, 31/08/2011, ref: 11/YH/0290
Health condition(s) or problem(s) studiedSmall cell lung cancer
InterventionPatients will be randomised to receive either olaparib or placebo 200 mg orally (per os [po]) twice a day (bis in die [bd]) for up to 2 years.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase II
Drug / device / biological / vaccine name(s)Olaparib (AZD2281)
Primary outcome measureCurrent primary outcome as of 23/01/2019:
Progression-free survival time

Previous primary outcome:
Progression-free survival rate at 4 months from randomisation
Secondary outcome measuresCurrent secondary outcomes as of 23/01/2019:
1. Progression-free survival rate at 4 months from randomisation
2. Overall survival time
3. Overall survival rate at 6 months
4. Changes in performance status
5. Quality of life
6. Adverse events
7. Biomarkers: blood and biopsy samples will be collected for analysis of PARP and DNA repair pathways

Previous secondary outcomes:
1. Progression-free survival time
2. Overall survival time
3. Overall survival rate at 6 months
4. Changes in performance status
5. Quality of life
6. Adverse events
7. Biomarkers: blood and biopsy samples will be collected for analysis of PARP and DNA repair pathways
Overall study start date06/01/2011
Completion date19/09/2015

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants128
Total final enrolment220
Key inclusion criteriaCurrent inclusion criteria as of 23/01/2019:
1. Pathologically confirmed SCLC (limited or extensive stage)
2. Completed at least 3 cycles of first-line chemotherapy or chemo-radiotherapy with cisplatin + etoposide or carboplatin + etoposide
3. Complete Response (CR) or Partial Response (PR) to first-line chemotherapy (RECIST criteria)
4. ECOG performance status 0-2
5. Resolution of all treatment toxicity to grade 1 or better
6. Adequate physiological function:
6.1. Renal:
6.1.1. Calculated or measured creatinine clearance ≥50 ml/min
6.1.2. Serum creatinine ≤1.5 x institutional upper limit of normal (ULN)
6.2. Haematological:
6.2.1. Haemoglobin ≥9.0 g/dL
6.2.2. White blood cells (WBC) ≥3x109/L
6.2.3. Absolute Neutrophil Count (ANC) ≥1.5 x 109/L
6.2.4. Platelet count ≥ 100 x 109/L
6.2.5. International Normalized Ratio (INR) ≤1.2
6.3. Hepatic:
6.3.1. Aspartate Aminotransferase (AST)/Alanine Aminotransferase (ALT) ≤2.5 x institutional ULN unless liver metastases are present in which case it must be ≤5x ULN
6.3.2. Bilirubin within normal range
7. Negative pregnancy test and agrees to comply with contraceptive measures
8. Provision of written informed consent
9. Able to swallow oral medication
10. Patient is willing and able to comply with the protocol for the duration of the study including undergoing treatment and scheduled visits and examinations

Previous inclusion criteria:
1. Pathologically confirmed SCLC (limited or extensive stage)
2. Completed at least 3 cycles of first-line chemotherapy with cisplatin or carbopatin + etoposide
3. Complete Response (CR) or Partial Response (PR) to first-line chemotherapy (RECIST criteria)
4. ECOG performance status 0-2
5. Resolution of all treatment toxicity to grade 1 or better
6. Adequate physiological function:
6.1. Renal:
6.1.1. Calculated or measured creatinine clearance ≥50 ml/min
6.1.2. Serum creatinine ≤1.5 x institutional upper limit of normal (ULN)
6.2. Haematological:
6.2.1. Haemoglobin ≥9.0 g/dL
6.2.2. White blood cells (WBC) ≥3 x 10e9/L
6.2.3. Absolute Neutrophil Count (ANC) ≥ 1.5 x 10e9/L
6.2.4. Platelet count ≥100 x 109/L
6.2.5. International Normalized Ratio (INR) ≤1.2
6.3. Hepatic:
6.3.1. Aspartate Aminoransferase (AST)/Alanine Aminotransferase (ALT) ≤2.5 x institutional ULN unless liver metastases are present in which case it must be ≤5x ULN
6.3.2. Bilirubin within normal range
7. Negative pregnancy test and agrees to comply with contraceptive measures
8. Provision of written informed consent
9. Able to swallow oral medication
10. Patient is willing and able to comply with the protocol for the duration of the study including undergoing treatment and scheduled visits and examinations
Key exclusion criteriaCurrent exclusion criteria as of 23/01/2019:
1. Age ≤18 years
2. Interval from last anticancer treatment to the start of the study treatment:
2.1. Radiotherapy ≥21 days
2.2. Chemotherapy ≥42 days
3. Symptomatic brain metastases
4. Interstitial lung disease
5. Previous malignancies (except curatively treated non-melanoma skin cancer or carcinoma in situ of the cervix or breast) within the past 3 years
6. History of malabsorption or major gastrointestinal tract resection likely to affect study drug absorption.
7. Treatment with any investigational product during the last 14 days (or a longer period depending on the defined characteristics of the agents used)
8. Any previous treatment with a PARP inhibitor, including olaparib
9. Patients receiving the following classes of inhibitors of CYP3A4; azole antifungals; macrolide antibiotics; protease inhibitors
10. Patients considered a poor medical risk due to a serious, uncontrolled medical disorder, non-malignant systemic disease or active, uncontrolled infection. Examples include, but are not limited to, uncontrolled ventricular arrhythmia, recent (within 3 months) myocardial infarction, uncontrolled major seizure disorder, unstable spinal cord compression, superior vena cava syndrome, or any psychiatric disorder that prohibits obtaining informed consent.
11. Breastfeeding women
12. Immunocompromised patients, e.g., patients who are known to be serologically positive for human immunodeficiency virus (HIV)
13. Patients with known active hepatic disease (i.e., Hepatitis B or C)
14. Patients with a known hypersensitivity to Olaparib or any of the excipients of the product
15. Patients with uncontrolled seizures
16. Patients with myelodysplastic syndrome (MDS) / acute myeloid leukaemia (AML)
17. Major surgery within 14 days of starting trial treatment and patients must have recovered from any effects of any major surgery

Previous exclusion criteria:
1. Age ≤18 years
2. Interval from last anticancer treatment to the start of the study treatment:
2.1. Radiotherapy ≥21 days
2.2. Chemotherapy ≥42 days
3. Symptomatic brain metastases
4. Active infection on the day of enrollment
5. Interstitial lung disease
6. Previous malignancies (except curatively treated non-melanoma skin cancer or carcinoma in situ of the cervix or breast) within the past 3 years
7. History of malabsorption or major gastrointestinal tract resection likely to affect study drug absorption.
8. Treatment with any investigational product during the last 14 days (or a longer period depending on the defined characteristics of the agents used)
9. Any previous treatment with a PARP inhibitor, including olaparib
10. Patients receiving the following classes of inhibitors of CYP3A4; azole antifungals; macrolide antibiotics; protease inhibitors
11. Patients considered a poor medical risk due to a serious, uncontrolled medical disorder, non-malignant systemic disease or active, uncontrolled infection. Examples include, but are not limited to, uncontrolled ventricular arrhythmia, recent (within 3 months) myocardial infarction, uncontrolled major seizure disorder, unstable spinal cord compression, superior vena cava syndrome, or any psychiatric disorder that prohibits obtaining informed consent.
12. Breastfeeding women
13. Immunocompromised patients, e.g., patients who are known to be serologically positive for human immunodeficiency virus (HIV)
14. Patients with known active hepatic disease (i.e., Hepatitis B or C)
15. Patients with a known hypersensitivity to Olaparib or any of the excipients of the product
16. Patients with uncontrolled seizures
Date of first enrolment06/01/2011
Date of final enrolment19/09/2015

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

University of Sheffield
Sheffield
S10 2SJ
United Kingdom

Sponsor information

Sheffield Teaching Hospitals NHS Foundation Trust (UK)
Hospital/treatment centre

Research Department
11 Broomfield Lane
Sheffield
S10 2SE
England
United Kingdom

ROR logo "ROR" https://ror.org/018hjpz25

Funders

Funder type

Research council

Clinical Trials Advisory and Awards Committee (CTAAC) (UK)

No information available

AstraZeneca (UK)
Government organisation / For-profit companies (industry)
Alternative name(s)
AstraZeneca PLC, Pearl Therapeutics
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing planNot provided at time of registration

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Abstract results abstract 01/01/2017 23/01/2019 No No
Basic results version 1.0 08/12/2021 20/12/2021 No No
Results article 15/07/2022 26/07/2022 Yes No
HRA research summary 28/06/2023 No No
Plain English results 07/10/2024 No Yes

Additional files

ISRCTN73164486_BasicResults_v1.0_08Dec21.pdf

Editorial Notes

07/10/2024: Cancer Research UK plain English results added.
26/07/2022: Publication reference added.
20/12/2021: The following changes have been made:
1. The basic results of this trial have been uploaded as an additional file.
2. The total final enrolment number has been added.
15/10/2020: No publications found.
23/01/2019: The following changes have been made to the trial record:
1. Publication reference has been added
2. The participant inclusion criteria have been changed
3. The participant exclusion criteria have been changed
4. The primary outcome measure has been changed
5. The secondary outcome measures have been changed
09/11/2017: No publications found, verifying study status with principal investigator.
08/10/2013: The overall trial end date was changed from 06/01/2013 to 19/09/2015.