Efficacy and Safety Study of Olaparib in Combination With Paclitaxel to Treat Advanced Gastric Cancer.

NCT ID: NCT01924533

Last Updated: 2024-03-22

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

525 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-03

Study Completion Date

2023-03-27

Brief Summary

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This study is a phase III, multi-centre study of olaparib in combination with paclitaxel, compared with placebo in combination with paclitaxel in patients with advanced gastric cancer who have progressed following first-line therapy. Patients will be from China, Japan , Korea and Taiwan.

Detailed Description

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A randomized, double-blinded, multicentre phase III study to access the efficacy and safety of olaparib in combination with paclitaxel, compared with placebo in combination with paclitaxel in Asian patients with advanced gastric cancer (including gastro-oesophageal junction) who have progressed following first line therapy.

Conditions

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Gastric Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Olaparib+ paclitaxel

olaparib + paclitaxel

Group Type EXPERIMENTAL

Olaparib

Intervention Type DRUG

Tablets-at a dose of 100mg orally twice daily, throughout each cycle (28 days); Once paclitaxel dosing is stopped, the planned monotherapy olaparib dose will be 300mg twice daily.

Paclitaxel

Intervention Type DRUG

IV infusion over 1 hour at 80 mg/m2 weekly on days 1, 8 and 15 of a 28 days schedule.

Placebo+paclitaxel

placebo+ paclitaxel

Group Type PLACEBO_COMPARATOR

Paclitaxel

Intervention Type DRUG

IV infusion over 1 hour at 80 mg/m2 weekly on days 1, 8 and 15 of a 28 days schedule.

Placebo

Intervention Type DRUG

Tablets-at a dose of 100mg orally twice daily, throughout each cycle (28 days); Once paclitaxel dosing is stopped, the planned monotherapy placebo dose will be 300mg twice daily.

Interventions

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Olaparib

Tablets-at a dose of 100mg orally twice daily, throughout each cycle (28 days); Once paclitaxel dosing is stopped, the planned monotherapy olaparib dose will be 300mg twice daily.

Intervention Type DRUG

Paclitaxel

IV infusion over 1 hour at 80 mg/m2 weekly on days 1, 8 and 15 of a 28 days schedule.

Intervention Type DRUG

Placebo

Tablets-at a dose of 100mg orally twice daily, throughout each cycle (28 days); Once paclitaxel dosing is stopped, the planned monotherapy placebo dose will be 300mg twice daily.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Advanced gastric cancer (including GEJ) that has progressed following first-line therapy.
* Patients must be ≥18 years of age. Age ≥20 if Japanese
* Provision of tumour sample (from either a resection or biopsy).
* At least one lesion (measurable and/or non-measurable) that can be accurately assessed by imaging (CT/MRI) at baseline and following up visits.

Exclusion Criteria

* More than one prior chemotherapy regimen (except for adjuvant/neoadjuvant chemotherapy with more than 6 month wash out period) for the treatment of gastric cancer in the advanced setting.
* Any previous treatment with a Polyadenosine 5'-diphosphoribose \[poly-(ADP-ribose)\] polymerisation (PARP) inhibitor, including olaparib.
* Patients with second primary cancer, except: adequately treated non-melanoma skin cancer, curatively treated in-situ cancer of the cervix, or other solid tumours curatively treated with no evidence of disease for ≥5 years.
* Human Epidermalgrowth Factor Receptor-2 (HER2) positive patients.
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yung-Jue Bang, MD

Role: PRINCIPAL_INVESTIGATOR

Seoul National University, College of Medicine and Cancer Research Institute, Republic of Korea

Locations

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Research Site

Beijing, , China

Site Status

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Beijing, , China

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Beijing, , China

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Bengbu, , China

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Changchun, , China

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Changsha, , China

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Changsha, , China

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Changsha, , China

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Chengdu, , China

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Chengdu, , China

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Fuzhou, , China

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Guangzhou, , China

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Hangzhou, , China

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Hangzhou, , China

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Hangzhou, , China

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Harbin, , China

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Nanchang, , China

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Nanjing, , China

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Nanjing, , China

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Shanghai, , China

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Shanghai, , China

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Ürümqi, , China

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Wanzhou, , China

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Wuhan, , China

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Yangzhou, , China

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Zhengzhou, , China

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Chiba, , Japan

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Chūōku, , Japan

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Fukuoka, , Japan

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Kasama-shi, , Japan

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Kawasaki-shi, , Japan

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Kitaadachi-gun, , Japan

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Kōtoku, , Japan

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Matsuyama, , Japan

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Nagoya, , Japan

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Sapporo, , Japan

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Sapporo, , Japan

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Takatsuki-shi, , Japan

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Utsunomiya, , Japan

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Yokohama, , Japan

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Anyang-si, , South Korea

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Daegu, , South Korea

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Hwasun-gun, , South Korea

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Jeonju, , South Korea

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Seongnam-si, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Seoul, , South Korea

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Kaohsiung Hsien, , Taiwan

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Taichung, , Taiwan

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Tainan City, , Taiwan

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Taipei, , Taiwan

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Taoyuan District, , Taiwan

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Countries

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China Japan South Korea Taiwan

References

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Bang YJ, Xu RH, Chin K, Lee KW, Park SH, Rha SY, Shen L, Qin S, Xu N, Im SA, Locker G, Rowe P, Shi X, Hodgson D, Liu YZ, Boku N. Olaparib in combination with paclitaxel in patients with advanced gastric cancer who have progressed following first-line therapy (GOLD): a double-blind, randomised, placebo-controlled, phase 3 trial. Lancet Oncol. 2017 Dec;18(12):1637-1651. doi: 10.1016/S1470-2045(17)30682-4. Epub 2017 Nov 2.

Reference Type DERIVED
PMID: 29103871 (View on PubMed)

Other Identifiers

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D081BC00004

Identifier Type: -

Identifier Source: org_study_id

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