Olaparib Tablets as a Treatment for Ovarian Cancer Subjects With Different HRD Tumor Status
NCT ID: NCT02983799
Last Updated: 2022-04-13
Study Results
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View full resultsBasic Information
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COMPLETED
PHASE2
272 participants
INTERVENTIONAL
2016-12-22
2020-12-03
Brief Summary
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Detailed Description
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The study will assess the effectiveness of olaparib tablets as measured by the objective response rate (ORR) as determined by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, in subjects with germline BRCA mutations (gBRCAm), somatic BRCA mutations (sBRCAm), or potential aberrations in homologous recombination deficiency (HRD) as determined by myChoice® HRD, as well as in subjects without identifiable HRD. This study will utilize Myriad BRACAnalysis CDx® for germline BRCA analysis and a tumor test (myChoice® HRD) for tumor BRCA analysis and HRD status. Four cohorts will be identified based upon the genetic testing described above:
* Cohort 1: gBRCAm,
* Cohort 2: sBRCAm and germline BRCA wild type,
* Cohort 3: myChoice® HRD positive (genomic instability positive) and BRCA wild type (BRCAwt) (no BRCA mutation),
* Cohort 4: myChoice® HRD negative (genomic instability negative) and BRCAwt (no BRCA mutation).
Conditions
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Study Design
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NA
PARALLEL
TREATMENT
NONE
Study Groups
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gBRCAm;
germline BRCA mutant
OLAPARIB
300 mg olaparib tablets taken orally twice daily
sBRCAm and germline BRCA wild type;
somatic BRCA mutant, germline BRCA wild type
OLAPARIB
300 mg olaparib tablets taken orally twice daily
myChoice® HRD positive and BRCAwt;
genomic instability positive and no BRCA mutation
OLAPARIB
300 mg olaparib tablets taken orally twice daily
myChoice® HRD negative and BRCAwt
genomic instability negative and no BRCA mutation
OLAPARIB
300 mg olaparib tablets taken orally twice daily
Interventions
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OLAPARIB
300 mg olaparib tablets taken orally twice daily
Eligibility Criteria
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Inclusion Criteria
* Female subjects with histologically diagnosed relapsed high-grade serous or high-grade endometrioid ovarian cancer;
* At least 1 lesion (measurable by RECIST v1.1) that can be accurately assessed at baseline by computed tomography (CT)/magnetic resonance imaging (MRI) and is suitable for repeated assessment;
* Subjects must have received at least 1 prior platinum-based line of chemotherapy for ovarian cancer. Note: There is no limit on the number of lines of chemotherapy;
* Subjects must be partially-platinum-sensitive (defined as progression 6 to 12 months after the end of the last platinum-based chemotherapy) or platinum sensitive (defined as progression \> 12 months after the end of the last platinum-based chemotherapy);
* Subjects must have normal organ and bone marrow function measured within 28 days prior to administration of study treatment;
* ECOG performance status 0 to 1;
* Subjects must have a life expectancy greater than or equal to 16 weeks;
* Postmenopausal or evidence of non-childbearing status for women of childbearing potential: negative urine or serum pregnancy test within 28 days of study treatment and confirmed prior to treatment on Day 1;
* Subject is willing and able to comply with the protocol for the duration of the study including undergoing treatment and scheduled visits and examinations; and
* Formalin fixed, paraffin embedded tumor sample (either archival or fresh sample) from the primary or recurrent cancer must be available for central testing. If there is not written confirmation of the availability of an archived or fresh tumor sample prior to enrollment, the subject is not eligible for the study.
Exclusion Criteria
* Previous enrollment in the present study;
* Exposure to any investigational product (IP) within 30 days or 5 half-lives (whichever is longer) prior to start of study treatment;
* Any previous treatment with a PARP inhibitor, including olaparib;
* Subjects who have platinum-resistant or refractory disease defined as progression during or within 6 months of the last platinum-based chemotherapy;
* Other malignancy within the last 5 years (few exceptions apply);
* Resting ECG with clinically significant abnormal findings;
* Subjects receiving any systemic chemotherapy or radiotherapy (except for palliative reasons) within 3 weeks prior to study treatment;
* Concomitant use of known strong CYP3A inhibitors or moderate CYP3A inhibitors;
* Concomitant use of known strong or moderate CYP3A inducers;
* Persistent toxicities (\> Common Terminology Criteria for Adverse Event \[CTCAE\] grade 2) caused by previous cancer therapy, excluding alopecia;
* Subjects with MDS/AML or with features suggestive of MDS/AML;
* Subjects with pneumonitis or at risk of pneumonitis;
* Subjects with symptomatic uncontrolled brain metastases;
* Major surgery within 2 weeks of starting study treatment, and subjects must have recovered from any effects of any major surgery;
* Subjects considered a poor medical risk due to a serious, uncontrolled medical disorder, non-malignant systemic disease, or active, uncontrolled infection;
* Breast feeding women;
* Immunocompromised subjects, e.g., subjects who are known to be serologically positive for human immunodeficiency virus;
* Subjects with known active hepatitis (i.e., Hepatitis B or C) due to risk of transmitting the infection through blood or other body fluids
18 Years
130 Years
FEMALE
No
Sponsors
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AstraZeneca
INDUSTRY
Responsible Party
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Locations
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Research Site
Anchorage, Alaska, United States
Research Site
La Jolla, California, United States
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Los Angeles, California, United States
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Aurora, Colorado, United States
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Hartford, Connecticut, United States
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New Haven, Connecticut, United States
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Newark, Delaware, United States
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South Miami, Florida, United States
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Skokie, Illinois, United States
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Shreveport, Louisiana, United States
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Silver Spring, Maryland, United States
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Springfield, Massachusetts, United States
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Detroit, Michigan, United States
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Detroit, Michigan, United States
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Minneapolis, Minnesota, United States
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Saint Paul, Minnesota, United States
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Berkeley Heights, New Jersey, United States
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Hackensack, New Jersey, United States
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Newark, New Jersey, United States
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Teaneck, New Jersey, United States
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New York, New York, United States
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New York, New York, United States
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New York, New York, United States
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The Bronx, New York, United States
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Winston-Salem, North Carolina, United States
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Cincinnati, Ohio, United States
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Portland, Oregon, United States
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Abington, Pennsylvania, United States
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Philadelphia, Pennsylvania, United States
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Pittsburgh, Pennsylvania, United States
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Providence, Rhode Island, United States
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Germantown, Tennessee, United States
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Houston, Texas, United States
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Annandale, Virginia, United States
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Milwaukee, Wisconsin, United States
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Edmonton, Alberta, Canada
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Vancouver, British Columbia, Canada
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Winnipeg, Manitoba, Canada
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Halifax, Nova Scotia, Canada
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Hamilton, Ontario, Canada
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Kingston, Ontario, Canada
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Mississauga, Ontario, Canada
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Toronto, Ontario, Canada
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Montreal, Quebec, Canada
Research Site
Montreal, Quebec, Canada
Research Site
Montreal, Quebec, Canada
Research Site
Sherbrooke, Quebec, Canada
Countries
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References
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Barnicle A, Ray-Coquard I, Rouleau E, Cadoo K, Simpkins F, Aghajanian C, Leary A, Poveda A, Lheureux S, Pujade-Lauraine E, You B, Ledermann J, Matulonis U, Gourley C, Timms KM, Lai Z, Hodgson DR, Elks CE, Dearden S, Egile C, Lao-Sirieix P, Harrington EA, Brown JS. Patterns of genomic instability in > 2000 patients with ovarian cancer across six clinical trials evaluating olaparib. Genome Med. 2024 Dec 18;16(1):145. doi: 10.1186/s13073-024-01413-5.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Related Links
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Other Identifiers
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D0816L00003
Identifier Type: -
Identifier Source: org_study_id
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