Trial Outcomes & Findings for OLAParib COmbinations (NCT NCT02576444)

NCT ID: NCT02576444

Last Updated: 2022-12-28

Results Overview

Tumor overall response rate (ORR) in molecularly selected patients with measurable disease as assessed by the Response Evaluation Criteria in Solid Tumors (RECIST), before versus after 16 weeks of treatment across tumor types in each arm of the study (Note: there will be no formal comparison between arms). Complete Response (CR): disappearance of all target lesions, Partial Response (PR): At least a 30% decrease in the sum of the diameters of target lesions, Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for Progressive Disease (PD). Clinical Benefit is defined as the sum of CR, PR, or SD at 16 weeks from the start of treatment.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

67 participants

Primary outcome timeframe

Change from baseline to 16 weeks

Results posted on

2022-12-28

Participant Flow

Participant milestones

Participant milestones
Measure
Olaparib AZD2881
Patients with cholangiocarcinoma harboring IDH 1/2 tumors will be treated with olaparib. Patients with tumors harboring mutation in HDR genes will be treated with olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water.
Olaparib & Capivasertib AZD5363
Patients with tumors harboring PTEN, PIK3CA, AKT, or ARID1A mutations or other molecular aberrations leading to dysregulation of the PI3K/AKT pathway will be treated with AZD5363 plus olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD5363: Patients will be administered AZD5363 at 640 mg twice daily for two days on/five days off (2/7) schedule. Two (2) 200 mg tablets and three (3) 80 mg tablets should be taken twice daily.
Olaparib & Ceralasertib AZD6738
Patients with tumors harboring either TP53 or KRAS mutations or mutations in KRAS and TP53 will be treated with AZD1775 plus olaparib. TP53 mutations must be found on the TP53 mutation eligibility list. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD1775: The recommended dose will be available no earlier than March 2016.
Olaparib & Adavosertib AZD1775
Patients with tumors harboring mutations in HDR genes, including ATM, CHK2, APOBEC, MRE11 complex, will be treated with AZD6738 and olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD6738: Patients will be administered AZD6738 at 160 mg daily for days 1-7 of a 28-day cycle (7/28) schedule. AZD6738 is available as 100, 20, and 10 mg tablets. Tablets should be taken daily.
Overall Study
STARTED
26
16
25
0
Overall Study
COMPLETED
25
15
21
0
Overall Study
NOT COMPLETED
1
1
4
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Olaparib AZD2881
Patients with cholangiocarcinoma harboring IDH 1/2 tumors will be treated with olaparib. Patients with tumors harboring mutation in HDR genes will be treated with olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water.
Olaparib & Capivasertib AZD5363
Patients with tumors harboring PTEN, PIK3CA, AKT, or ARID1A mutations or other molecular aberrations leading to dysregulation of the PI3K/AKT pathway will be treated with AZD5363 plus olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD5363: Patients will be administered AZD5363 at 640 mg twice daily for two days on/five days off (2/7) schedule. Two (2) 200 mg tablets and three (3) 80 mg tablets should be taken twice daily.
Olaparib & Ceralasertib AZD6738
Patients with tumors harboring either TP53 or KRAS mutations or mutations in KRAS and TP53 will be treated with AZD1775 plus olaparib. TP53 mutations must be found on the TP53 mutation eligibility list. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD1775: The recommended dose will be available no earlier than March 2016.
Olaparib & Adavosertib AZD1775
Patients with tumors harboring mutations in HDR genes, including ATM, CHK2, APOBEC, MRE11 complex, will be treated with AZD6738 and olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD6738: Patients will be administered AZD6738 at 160 mg daily for days 1-7 of a 28-day cycle (7/28) schedule. AZD6738 is available as 100, 20, and 10 mg tablets. Tablets should be taken daily.
Overall Study
Death
1
1
0
0
Overall Study
Withdrawal by Subject
0
0
2
0
Overall Study
Adverse Event
0
0
1
0
Overall Study
Physician Decision
0
0
1
0

Baseline Characteristics

OLAParib COmbinations

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Olaparib AZD2881
n=26 Participants
Patients with cholangiocarcinoma harboring IDH 1/2 tumors will be treated with olaparib. Patients with tumors harboring mutation in HDR genes will be treated with olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water.
Olaparib & Capivasertib AZD5363
n=16 Participants
Patients with tumors harboring PTEN, PIK3CA, AKT, or ARID1A mutations or other molecular aberrations leading to dysregulation of the PI3K/AKT pathway will be treated with AZD5363 plus olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD5363: Patients will be administered AZD5363 at 640 mg twice daily for two days on/five days off (2/7) schedule. Two (2) 200 mg tablets and three (3) 80 mg tablets should be taken twice daily.
Olaparib & Ceralasertib AZD6738
n=25 Participants
Patients with tumors harboring either TP53 or KRAS mutations or mutations in KRAS and TP53 will be treated with AZD1775 plus olaparib. TP53 mutations must be found on the TP53 mutation eligibility list. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD1775: The recommended dose will be available no earlier than March 2016.
Olaparib & Adavosertib AZD1775
Patients with tumors harboring mutations in HDR genes, including ATM, CHK2, APOBEC, MRE11 complex, will be treated with AZD6738 and olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD6738: Patients will be administered AZD6738 at 160 mg daily for days 1-7 of a 28-day cycle (7/28) schedule. AZD6738 is available as 100, 20, and 10 mg tablets. Tablets should be taken daily.
Total
n=67 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Age, Categorical
Between 18 and 65 years
17 Participants
n=93 Participants
11 Participants
n=4 Participants
19 Participants
n=27 Participants
0 Participants
n=483 Participants
47 Participants
n=36 Participants
Age, Categorical
>=65 years
9 Participants
n=93 Participants
5 Participants
n=4 Participants
6 Participants
n=27 Participants
0 Participants
n=483 Participants
20 Participants
n=36 Participants
Sex: Female, Male
Female
8 Participants
n=93 Participants
12 Participants
n=4 Participants
18 Participants
n=27 Participants
0 Participants
n=483 Participants
38 Participants
n=36 Participants
Sex: Female, Male
Male
18 Participants
n=93 Participants
4 Participants
n=4 Participants
7 Participants
n=27 Participants
0 Participants
n=483 Participants
29 Participants
n=36 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
0 Participants
n=483 Participants
1 Participants
n=36 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants
n=93 Participants
13 Participants
n=4 Participants
19 Participants
n=27 Participants
0 Participants
n=483 Participants
50 Participants
n=36 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
8 Participants
n=93 Participants
3 Participants
n=4 Participants
5 Participants
n=27 Participants
0 Participants
n=483 Participants
16 Participants
n=36 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
0 Participants
n=483 Participants
1 Participants
n=36 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=93 Participants
0 Participants
n=4 Participants
1 Participants
n=27 Participants
0 Participants
n=483 Participants
2 Participants
n=36 Participants
Race (NIH/OMB)
White
18 Participants
n=93 Participants
12 Participants
n=4 Participants
19 Participants
n=27 Participants
0 Participants
n=483 Participants
49 Participants
n=36 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
Race (NIH/OMB)
Unknown or Not Reported
7 Participants
n=93 Participants
4 Participants
n=4 Participants
4 Participants
n=27 Participants
0 Participants
n=483 Participants
15 Participants
n=36 Participants
Region of Enrollment
United States
26 participants
n=93 Participants
16 participants
n=4 Participants
25 participants
n=27 Participants
68 participants
n=36 Participants

PRIMARY outcome

Timeframe: Change from baseline to 16 weeks

Population: 2 patients not included due to death: 1 from Olaparib AZD2881, 1 from Olaparib \& Capivasertib AZD5363. The Olaparib \& Adavosertib AZD1775 arm was never initiated. One participant in Olaparib \& Ceralasertib AZD6738 arm not included because taken off study by physician decision and 2 subjects withdrew.

Tumor overall response rate (ORR) in molecularly selected patients with measurable disease as assessed by the Response Evaluation Criteria in Solid Tumors (RECIST), before versus after 16 weeks of treatment across tumor types in each arm of the study (Note: there will be no formal comparison between arms). Complete Response (CR): disappearance of all target lesions, Partial Response (PR): At least a 30% decrease in the sum of the diameters of target lesions, Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for Progressive Disease (PD). Clinical Benefit is defined as the sum of CR, PR, or SD at 16 weeks from the start of treatment.

Outcome measures

Outcome measures
Measure
Olaparib AZD2881
n=25 Participants
Patients with cholangiocarcinoma harboring IDH 1/2 tumors will be treated with olaparib. Patients with tumors harboring mutation in HDR genes will be treated with olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water.
Olaparib & Capivasertib AZD5363
n=15 Participants
Patients with tumors harboring PTEN, PIK3CA, AKT, or ARID1A mutations or other molecular aberrations leading to dysregulation of the PI3K/AKT pathway will be treated with AZD5363 plus olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD5363: Patients will be administered AZD5363 at 640 mg twice daily for two days on/five days off (2/7) schedule. Two (2) 200 mg tablets and three (3) 80 mg tablets should be taken twice daily.
Olaparib & Ceralasertib AZD6738
n=24 Participants
Patients with tumors harboring either TP53 or KRAS mutations or mutations in KRAS and TP53 will be treated with AZD1775 plus olaparib. TP53 mutations must be found on the TP53 mutation eligibility list. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD1775: The recommended dose will be available no earlier than March 2016.
Olaparib & Adavosertib AZD1775
Patients with tumors harboring mutations in HDR genes, including ATM, CHK2, APOBEC, MRE11 complex, will be treated with AZD6738 and olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD6738: Patients will be administered AZD6738 at 160 mg daily for days 1-7 of a 28-day cycle (7/28) schedule. AZD6738 is available as 100, 20, and 10 mg tablets. Tablets should be taken daily.
Overall Response Rate
CR = complete response
0 Participants
0 Participants
0 Participants
0 Participants
Overall Response Rate
PR = partial response
2 Participants
1 Participants
2 Participants
0 Participants
Overall Response Rate
SD = stable disease
7 Participants
5 Participants
13 Participants
0 Participants
Overall Response Rate
PD = progressive disease
16 Participants
9 Participants
9 Participants
0 Participants

Adverse Events

Olaparib AZD2881

Serious events: 10 serious events
Other events: 17 other events
Deaths: 1 deaths

Olaparib & Capivasertib AZD5363

Serious events: 9 serious events
Other events: 3 other events
Deaths: 1 deaths

Olaparib & Ceralasertib AZD6738

Serious events: 17 serious events
Other events: 17 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Olaparib AZD2881
n=26 participants at risk
Patients with cholangiocarcinoma harboring IDH 1/2 tumors will be treated with olaparib. Patients with tumors harboring mutation in HDR genes will be treated with olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water.
Olaparib & Capivasertib AZD5363
n=16 participants at risk
Patients with tumors harboring PTEN, PIK3CA, AKT, or ARID1A mutations or other molecular aberrations leading to dysregulation of the PI3K/AKT pathway will be treated with AZD5363 plus olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD5363: Patients will be administered AZD5363 at 640 mg twice daily for two days on/five days off (2/7) schedule. Two (2) 200 mg tablets and three (3) 80 mg tablets should be taken twice daily.
Olaparib & Ceralasertib AZD6738
n=25 participants at risk
Patients with tumors harboring either TP53 or KRAS mutations or mutations in KRAS and TP53 will be treated with AZD1775 plus olaparib. TP53 mutations must be found on the TP53 mutation eligibility list. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD1775: The recommended dose will be available no earlier than March 2016.
Gastrointestinal disorders
Abdominal pain
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Gastrointestinal disorders
Duodenal obstruction
0.00%
0/26 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Gastrointestinal disorders
Nausea
0.00%
0/26 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Gastrointestinal disorders
Rectal pain
0.00%
0/26 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Gastrointestinal disorders
Ascites
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Gastrointestinal disorders
Colitis
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 2 • Up to 16 weeks
Gastrointestinal disorders
Gastrointestinal disorders - Other
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Gastrointestinal disorders
Vomiting
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
General disorders
Non-cardiac chest pain
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Hepatobiliary disorders
Cholecystitis
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Hepatobiliary disorders
Gallbladder pain
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Hepatobiliary disorders
Hepatobiliary disorders - Other
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Infections and infestations
Infections and infestations - Other
3.8%
1/26 • Number of events 2 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Musculoskeletal and connective tissue disorders
Back pain
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Renal and urinary disorders
Urinary retention
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Renal and urinary disorders
Acute kidney injury
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Renal and urinary disorders
Hematuria
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Respiratory, thoracic and mediastinal disorders
Dyspnea
3.8%
1/26 • Number of events 1 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
4.0%
1/25 • Number of events 2 • Up to 16 weeks
Respiratory, thoracic and mediastinal disorders
Aspiration
0.00%
0/26 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other
0.00%
0/26 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Injury, poisoning and procedural complications
Hip fracture
0.00%
0/26 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Injury, poisoning and procedural complications
Vascular access complication
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Psychiatric disorders
Confusion
0.00%
0/26 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Psychiatric disorders
Psychosis
0.00%
0/26 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Blood and lymphatic system disorders
Anemia
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Cardiac disorders
Sinus bradycardia
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Metabolism and nutrition disorders
Dehydration
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Nervous system disorders
Dizziness
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Nervous system disorders
Seizure
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Nervous system disorders
Syncope
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks

Other adverse events

Other adverse events
Measure
Olaparib AZD2881
n=26 participants at risk
Patients with cholangiocarcinoma harboring IDH 1/2 tumors will be treated with olaparib. Patients with tumors harboring mutation in HDR genes will be treated with olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water.
Olaparib & Capivasertib AZD5363
n=16 participants at risk
Patients with tumors harboring PTEN, PIK3CA, AKT, or ARID1A mutations or other molecular aberrations leading to dysregulation of the PI3K/AKT pathway will be treated with AZD5363 plus olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD5363: Patients will be administered AZD5363 at 640 mg twice daily for two days on/five days off (2/7) schedule. Two (2) 200 mg tablets and three (3) 80 mg tablets should be taken twice daily.
Olaparib & Ceralasertib AZD6738
n=25 participants at risk
Patients with tumors harboring either TP53 or KRAS mutations or mutations in KRAS and TP53 will be treated with AZD1775 plus olaparib. TP53 mutations must be found on the TP53 mutation eligibility list. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD1775: The recommended dose will be available no earlier than March 2016.
Blood and lymphatic system disorders
Anemia
34.6%
9/26 • Number of events 21 • Up to 16 weeks
12.5%
2/16 • Number of events 3 • Up to 16 weeks
44.0%
11/25 • Number of events 25 • Up to 16 weeks
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other
15.4%
4/26 • Number of events 5 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
32.0%
8/25 • Number of events 33 • Up to 16 weeks
Blood and lymphatic system disorders
Leukocytosis
0.00%
0/26 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Gastrointestinal disorders
Nausea
23.1%
6/26 • Number of events 9 • Up to 16 weeks
12.5%
2/16 • Number of events 4 • Up to 16 weeks
32.0%
8/25 • Number of events 8 • Up to 16 weeks
Gastrointestinal disorders
Vomiting
11.5%
3/26 • Number of events 5 • Up to 16 weeks
12.5%
2/16 • Number of events 3 • Up to 16 weeks
24.0%
6/25 • Number of events 6 • Up to 16 weeks
Gastrointestinal disorders
Diarrhea
7.7%
2/26 • Number of events 2 • Up to 16 weeks
18.8%
3/16 • Number of events 4 • Up to 16 weeks
8.0%
2/25 • Number of events 2 • Up to 16 weeks
Gastrointestinal disorders
Constipation
7.7%
2/26 • Number of events 2 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
12.0%
3/25 • Number of events 3 • Up to 16 weeks
Gastrointestinal disorders
Abdominal pain
3.8%
1/26 • Number of events 2 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Gastrointestinal disorders
Dyspepsia
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
8.0%
2/25 • Number of events 2 • Up to 16 weeks
Gastrointestinal disorders
Abdominal distension
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Gastrointestinal disorders
Bloating
0.00%
0/26 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Gastrointestinal disorders
Dysphagia
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Gastrointestinal disorders
Gastritis
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Gastrointestinal disorders
Gastroesophageal reflux disease
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Gastrointestinal disorders
Gastrointestinal disorders - Other
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Investigations
Alanine aminotransferase increased
7.7%
2/26 • Number of events 4 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Investigations
Creatinine increased
7.7%
2/26 • Number of events 2 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
8.0%
2/25 • Number of events 2 • Up to 16 weeks
Investigations
Aspartate aminotransferase increased
7.7%
2/26 • Number of events 3 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 2 • Up to 16 weeks
Investigations
White blood cell decreased
3.8%
1/26 • Number of events 2 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
8.0%
2/25 • Number of events 2 • Up to 16 weeks
Investigations
Alkaline phosphatase increased
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Investigations
GGT increased
7.7%
2/26 • Number of events 3 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Investigations
Neutrophil count decreased
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Investigations
Investigations - Other
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Investigations
Lymphocyte count increased
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Investigations
Platelet count decreased
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 2 • Up to 16 weeks
Investigations
Weight loss
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Gastrointestinal disorders
Fatigue
11.5%
3/26 • Number of events 5 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
24.0%
6/25 • Number of events 7 • Up to 16 weeks
Gastrointestinal disorders
Fever
7.7%
2/26 • Number of events 2 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Gastrointestinal disorders
General disorders and administration site conditions - Other
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
12.0%
3/25 • Number of events 7 • Up to 16 weeks
Gastrointestinal disorders
Pain
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
8.0%
2/25 • Number of events 2 • Up to 16 weeks
Gastrointestinal disorders
Chills
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Gastrointestinal disorders
Edema limbs
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Gastrointestinal disorders
Flu like symptoms
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Gastrointestinal disorders
Malaise
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Gastrointestinal disorders
Non-cardiac chest pain
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Respiratory, thoracic and mediastinal disorders
Dyspnea
11.5%
3/26 • Number of events 3 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
12.0%
3/25 • Number of events 6 • Up to 16 weeks
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/26 • Up to 16 weeks
12.5%
2/16 • Number of events 4 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
8.0%
2/25 • Number of events 2 • Up to 16 weeks
Respiratory, thoracic and mediastinal disorders
Laryngeal mucositis
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Respiratory, thoracic and mediastinal disorders
Nasal congestion
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Metabolism and nutrition disorders
Anorexia
7.7%
2/26 • Number of events 2 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Metabolism and nutrition disorders
Hyperglycemia
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
8.0%
2/25 • Number of events 3 • Up to 16 weeks
Metabolism and nutrition disorders
Hypokalemia
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
8.0%
2/25 • Number of events 3 • Up to 16 weeks
Metabolism and nutrition disorders
Dehydration
3.8%
1/26 • Number of events 2 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Metabolism and nutrition disorders
Hypocalcemia
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Metabolism and nutrition disorders
Hypercalcemia
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Metabolism and nutrition disorders
Hypermagnesemia
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Metabolism and nutrition disorders
Hypoalbuminemia
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 2 • Up to 16 weeks
Metabolism and nutrition disorders
Hyponatremia
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Metabolism and nutrition disorders
Metabolism and nutrition disorders - Other
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Nervous system disorders
Dizziness
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
12.0%
3/25 • Number of events 5 • Up to 16 weeks
Nervous system disorders
Headache
0.00%
0/26 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
8.0%
2/25 • Number of events 2 • Up to 16 weeks
Nervous system disorders
Peripheral sensory neuropathy
7.7%
2/26 • Number of events 2 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Nervous system disorders
Dysarthria
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Nervous system disorders
Dysgeusia
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Nervous system disorders
Seizure
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
8.0%
2/25 • Number of events 2 • Up to 16 weeks
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Musculoskeletal and connective tissue disorders
Flank pain
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
0.00%
0/26 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Infections and infestations
Mucosal infection
0.00%
0/26 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Infections and infestations
Papulopustular rash
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Infections and infestations
Upper respiratory infection
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 2 • Up to 16 weeks
Infections and infestations
Urinary tract infection
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 2 • Up to 16 weeks
Renal and urinary disorders
Hematuria
7.7%
2/26 • Number of events 2 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 2 • Up to 16 weeks
Renal and urinary disorders
Proteinuria
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 2 • Up to 16 weeks
Renal and urinary disorders
Urine discoloration
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Skin and subcutaneous tissue disorders
Alopecia
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Skin and subcutaneous tissue disorders
Rash maculo-papular
0.00%
0/26 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Eye disorders
Blurred vision
0.00%
0/26 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Eye disorders
Retinal vascular disorder
3.8%
1/26 • Number of events 2 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Immune system disorders
Immune system disorders - Other
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Psychiatric disorders
Anxiety
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Psychiatric disorders
Depression
0.00%
0/26 • Up to 16 weeks
6.2%
1/16 • Number of events 1 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Cardiac disorders
Chest pain - cardiac
3.8%
1/26 • Number of events 1 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Endocrine disorders
Adrenal insufficiency
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Injury, poisoning and procedural complications
Injury, poisoning and procedural complications - Other
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumor pain
3.8%
1/26 • Number of events 2 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
0.00%
0/25 • Up to 16 weeks
Vascular disorders
Hypotension
0.00%
0/26 • Up to 16 weeks
0.00%
0/16 • Up to 16 weeks
4.0%
1/25 • Number of events 1 • Up to 16 weeks

Additional Information

Joseph Paul Eder, MD

Yale School of Medicine: Medical Oncology

Phone: (203) 737-6980

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place