ISRCTN ISRCTN98060456
DOI https://doi.org/10.1186/ISRCTN98060456
EudraCT/CTIS number 2014-001318-24
Secondary identifying numbers 17147
Submission date
08/01/2015
Registration date
08/01/2015
Last edited
06/02/2020
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

Not provided at time of registration

Contact information

Dr Leo Alexandre
Scientific

University of East Anglia
Earlham Road
Norwich
NR4 7TJ
United Kingdom

Study information

Study designRandomised; Interventional; Design type: Treatment
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleA feasibility study of adjuvant STATin therapy in the prevention of postoperative Recurrence of Oesophageal adenoCarcinoma (The STATROC feasibility study)
Study acronymSTATROC
Study hypothesisThis study is a single-centre, blinded, parallel group, randomised controlled trial to determine the feasibility of investigating adjuvant statin therapy in the prevention of post-operative recurrence of oesophageal and gastro-oesophageal adenocarcinoma in a future phase III RCT. Patients who have undergone potentially curative surgery will be randomised to receive either simvastatin 40mg nocte or placebo on discharge from hospital for one year. Participants will be assessed at screening, baseline and at months 3, 6, 9 and 12. Assessments will include measurements of recruitment and retention, absorption, adherence, safety, quality of life, disease-free and overall survival and generalisability.
Ethics approval(s)14/SC/0247; First MREC approval date 01/07/2014
ConditionTopic: Cancer; Subtopic: Upper Gastro-Intestinal Cancer; Disease: Oesophagus
InterventionPlacebo, Microencapsulated lactose tablets, oral administration nocte; Simvastatin 40mg, Microencapsulated generic simvastatin film coated tablets, 40mg, oral administration nocte; Follow Up Length: 12 month(s); Study Entry : Single Randomisation only
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Simvastatin
Primary outcome measureAbsorption; Timepoint(s): LDL cholesterol at 3, 6, 9 and 12 months from discharge from hospital following surgery
Secondary outcome measures1. Adherence; Timepoint(s): Pill counts at 3, 6, 9 and 12 months from discharge from hospital following surgery
2. Generalisability; Timepoint(s): Screening and Baseline visits;
3. Overall and disease-free survival; Timepoint(s): Up to one year post-discharge following surgery
4. Quality of life; Timepoint(s): Baseline, 3, 6, 9 and 12 months post-discharge following surgery.
5. Recruitment; Timepoint(s): Measured between 21/10/14 and 31/10/15
6. Retention; Timepoint(s): Measured between randomisation of first participant and date of end of follow-up (latest 31/10/16)
7. Safety; Timepoint(s): Adverse events will be continuously recorded from the date of first trial medication administration
Overall study start date21/10/2014
Overall study end date31/10/2015

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participantsPlanned Sample Size: 36; UK Sample Size: 36; Description: As this is a feasibility study a formal sample size calculation is not required.
Total final enrolment32
Participant inclusion criteria1. Participant is willing and able to give informed consent for participation in the trial
2. Male or female, aged 18 years or above
3. Diagnosed with oesophageal adenocarcinoma (including adenocarcinoma of the gastrooesophageal junction [Siewert 1 or 2 lesions]) confirmed with both endoscopy and histology
4. Due to undergo potentially curative surgery with either an oesophagectomy, oesophagogastrectomy or extended total gastrectomy and survive to discharge from hospital following their operation
Participant exclusion criteria1. Currently prescribed a statin as part of their routine clinical care
2. Due to be prescribed a statin as part of their routine clinical care. Applicable to a participant who has agreed to statin therapy as recommended by their general practitioner (GP) for the primary or secondary prevention of cardiovascular disease. NB: patients who qualify for a statin but who choose not to be prescribed one for primary or secondary prevention of cardiovascular disease are still potentially eligible for this study
3. Hypersensitivity to simvastatin
4. Active liver disease or unexplained persistent elevations of serum transaminases (> 3x uppler limit of normal [ULN])
5. Severe renal insufficiency (estimated glomerular filtration rate [eGFR] less than 30 mL/minute/1.73 m2).
6. Creatine kinase (CK) > 5x ULN
7. Female participant who is pregnant, lactating or planning pregnancy during the course of the trial
8. Concomitant drug prescription of potent CYP3A4 inhibitors planned for greater than 1 month during the study period (e.g. itraconazole, ketoconazole, fluconazole, posaconazole, HIV protease inhibitors [e.g. nelfinavir], erythromycin, clarithromycin, telithromycin and nefazodone)
9. Concomitant drug prescription planned for greater than 1 month during the study period of amiodarone, verapamil, diltiazem, amlodipine, ciclosporin, danazol or gemfibrozil
10. Acute porphyria
Recruitment start date21/10/2014
Recruitment end date31/10/2015

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

University of East Anglia
Earlham Road
Norwich
NR4 7TJ
United Kingdom

Sponsor information

Norfolk and Norwich University Hospital NHS Trust
Hospital/treatment centre

Colney Lane
Colney
Norwich
NR4 7UY
England
United Kingdom

ROR logo "ROR" https://ror.org/01wspv808

Funders

Funder type

Government

National Institute for Health Research
Government organisation / National government
Alternative name(s)
National Institute for Health Research, NIHR Research, NIHRresearch, NIHR - National Institute for Health Research, NIHR (The National Institute for Health and Care Research), NIHR
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 plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/07/2017 Yes No
Results article results 01/02/2020 06/02/2020 Yes No
HRA research summary 28/06/2023 No No

Editorial Notes

06/02/2020: The following changes were made to the trial record:
1. Publication reference added.
2. The total final enrolment was added.
14/11/2017: Publication reference added.