Clinical Study to Assess the Efficacy and Safety of Olaparib in Chinese Patients With Metastatic Castration-Resistant Prostate Cancer Who Have Failed Prior Treatment With a New Hormonal Agent and Have BRCA1/2 Mutations

NCT ID: NCT05457257

Last Updated: 2025-12-19

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

43 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-29

Study Completion Date

2025-07-30

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of Olaparib compared with standard of care (Enzalutamide or Abiraterone Acetate) in Chinese men with metastatic castration-resistant prostate cancer who have failed prior treatment with a new hormonal agent and have BRCA1/2 mutations.

Detailed Description

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This is a Phase IV, randomized, open-label, 2-arm, multicenter study evaluating the efficacy and safety of olaparib in Chinese men with metastatic castration-resistant prostate cancer (mCRPC) who have failed prior treatment with a new hormonal agent (NHA) and have BRCA1/2 mutations. Approximately 42 subjects will be randomized in a 2:1 ratio to olaparib or to investigator's choice of NHA (enzalutamide or abiraterone acetate).

Conditions

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Metastatic Castration-resistant Prostate Cancer

Keywords

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metastatic castration-resistant prostate cancer (mCRPC) BRCA1/2 mutations

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Olaparib

Olaparib is available as a film-coated tablet containing 150 mg or 100 mg of olaparib. Subjects will be administered study treatment orally at a dose of 300 mg twice daily (bid). The planned dose of 300 mg bid will be made up of two x 150 mg tablets twice daily, with 100 mg tablets used to manage dose reductions

Group Type EXPERIMENTAL

olaparib

Intervention Type DRUG

300 mg (2x 150 mg tablets) twice daily

Enzalutamide OR abiraterone acetate

Enzalutamide:

Enzalutamide is available as capsules or tablets containing 40 mg of enzalutamide. Subjects will be administered study treatment orally at a dose of 160 mg once daily.

Abiraterone acetate with prednisone: Abiraterone acetate is available as tablets containing 250 mg of abiraterone acetate. Subjects will be administered study treatment orally at a dose of 1,000 mg once daily. Prednisone is 5mg twice daily. Prednisolone is permitted for use instead of prednisone if necessary.

Group Type ACTIVE_COMPARATOR

enzalutamide

Intervention Type DRUG

160 mg (4 x 40 mg capsules) once daily

abiraterone acetate

Intervention Type DRUG

1,000 mg (4 x 250 mg tablets) once daily

Prednisone

Intervention Type DRUG

5mg(5mg x 1 tablet) twice daily

Interventions

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olaparib

300 mg (2x 150 mg tablets) twice daily

Intervention Type DRUG

enzalutamide

160 mg (4 x 40 mg capsules) once daily

Intervention Type DRUG

abiraterone acetate

1,000 mg (4 x 250 mg tablets) once daily

Intervention Type DRUG

Prednisone

5mg(5mg x 1 tablet) twice daily

Intervention Type DRUG

Other Intervention Names

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Lynparza XTANDI ZYTIGA

Eligibility Criteria

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Inclusion Criteria

1. Histologically confirmed diagnosis of prostate cancer.
2. Documented evidence of metastatic castration resistant prostate cancer (mCRPC).
3. Subjects must have progressed on prior new hormonal agent (e.g. abiraterone acetate and/or enzalutamide) for the treatment of metastatic prostate cancer and/or CRPC .
4. Ongoing therapy with LHRH analog or bilateral orchiectomy.
5. Radiological progression at study entry while on androgen deprivation therapy (or after bilateral orchiectomy).
6. Deleterious or suspected deleterious BRCA1/2 mutation in tumor tissue.
7. Normal organ and bone marrow function measured within 28 days prior to administration of study treatment.
8. Eastern Cooperative Oncology Group (ECOG) performance status 0-2 with no deterioration over the previous 2 weeks prior to baseline or day of first dosing.

Exclusion Criteria

1. Any previous treatment with a poly (adenosine diphosphate \[ADP\] ribose) polymerase (PARP) inhibitor, including olaparib.
2. Subjects who had any previous treatment with DNA-damaging cytotoxic chemotherapy, except if for non-prostate cancer indication and last dose \> 5 years prior to randomization.
3. History of another primary malignancy except for malignancy treated with curative intent with no known active disease for ≥5 years before the first dose of study intervention and of low potential risk for recurrence.
4. Spinal cord compression or brain metastases unless asymptomatic, stable, and not requiring steroids for at least 4 weeks prior to start of study intervention.
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

Foundation Medicine

INDUSTRY

Sponsor Role collaborator

Myriad Genetics, Inc.

INDUSTRY

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Fangjian Zhou, M.D.

Role: PRINCIPAL_INVESTIGATOR

Sun Yat-sen University

Locations

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Research Site

Beijing, , China

Site Status

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Bengbu, , China

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Changsha, , China

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Changsha, , China

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Chengdu, , China

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Chongqing, , China

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Fuzhou, , China

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Guangzhou, , 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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Hefei, , China

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Jiaxing, , China

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Jinan, , China

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Jinan, , China

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Jining, , China

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Kunming, , China

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Lanzhou, , China

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Linyi, , China

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Nanchang, , China

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Nantong, , China

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Ningbo, , China

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Shanghai, , China

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Shanghai, , China

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Shenyang, , China

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Suzhou, , China

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Taiyuan, , China

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Tianjin, , China

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Wanzhou, , China

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Wuhan, , China

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Wuxi, , China

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Wuxi, , China

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Xi'an, , China

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Zhengzhou, , China

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Countries

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China

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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D081LC00002

Identifier Type: -

Identifier Source: org_study_id