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Breast Cancer MetastaticPhase 3OlympiADNCT02000622

Assessment of the Efficacy and Safety of Olaparib Monotherapy Versus Physicians Choice Chemotherapy in the Treatment of Metastatic Breast Cancer Patients With Germline BRCA1/2 Mutations.

A Phase 3 study testing Olaparib and Physician's choice chemotherapy in people with Breast Cancer Metastatic and BRCA 1 Gene Mutation, run by AstraZeneca at 171 sites in 19 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This open label, randomised, controlled, multi-centre phase III study will assess the efficacy and safety of single agent olaparib vs standard of care based on physician's choice of capecitabine, vinorelbine or eribulin in metastatic breast cancer patients with gBRCA 1/2 mutations. Read more about this study

Who is it for?
Ages 18 to 99 years
What is being tested?
Olaparib and Physician's choice chemotherapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
302 participants
Where
171 sitesin 19 countries
Study dates
27 Mar 2014to 23 Dec 2025
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Germline mutation in BRCA1 or BRCA2 that is predicted to be deleterious or suspected deleterious.
  • Histologically or cytologically confirmed breast cancer with evidence of metastatic disease.
  • Prior therapy with an anthracycline and a taxane in either an adjuvant or metastatic setting.
  • Prior platinum allowed as long as no breast cancer progression occurred on treatment or if given in adjuvant/neoadjuvant setting at least 12 months from last dose to study entry elapsed.
  • ER/PR breast cancer positive patients must have received and progressed on at least one endocrine therapy (adjuvant or metastatic), or have disease that the treating physician believes to be inappropriate for endocrine therapy.
  • ECOG performance status 0-1.
  • Adequate bone marrow, kidney and liver function.

Who cannot join

  • Prior treatment with PARP inhibitor.
  • Patients with HER2 positive disease.
  • More than 2 prior lines of chemotherapy for metastatic breast cancer.
  • Untreated and/or uncontrolled brain metastases.
  • Prior malignancy unless curatively treated and disease-free for > 5 years prior to study entry. Prior adequately treated non-melanoma skin cancer, in situ cancer of the cervix, DCIS or stage I grade 1 endometrial cancer allowed.
  • Known HIV (Human Immunodeficiency Virus) infection.
  • Pregnant or breast-feeding women.

Trial locations and contacts

171 sites in 19 countries.

171 sites in 19 countries

United States42 sites
  • Research Site

    Boston, Massachusetts, 02114

  • Research Site

    Boston, Massachusetts, 02118

  • Research Site

    Boston, Massachusetts, 02215

  • Research Site

    Burlington, Vermont, 05401

  • Research Site

    Chicago, Illinois, 60612

  • Research Site

    Cincinnati, Ohio, 45267

  • Research Site

    Cleveland, Ohio, 44106

  • Research Site

    Cleveland, Ohio, 44195

  • Research Site

    Columbia, Missouri, 65212

  • Research Site

    Columbus, Georgia, 31904

  • Research Site

    Commack, New York, 11725

  • Research Site

    Denver, Colorado, 80204

  • Research Site

    Detroit, Michigan, 48201

  • Research Site

    Germantown, Tennessee, 38138

  • Research Site

    Grand Rapids, Michigan, 49503

  • Research Site

    Harrison, New York, 10604

  • Research Site

    Houston, Texas, 77030

  • Research Site

    Jackson, Mississippi, 39202

  • Research Site

    Jacksonville, Florida, 32224

  • Research Site

    Lafayette, Louisiana, 70506

  • Research Site

    Lebanon, New Hampshire, 03756

  • Research Site

    Marietta, Georgia, 30060

  • Research Site

    New Haven, Connecticut, 06510

  • Research Site

    New York, New York, 10021

  • Research Site

    New York, New York, 10065

  • Research Site

    Niles, Illinois, 60714

  • Research Site

    Orlando, Florida, 32804

  • Research Site

    Philadelphia, Pennsylvania, 19104

  • Research Site

    Plantation, Florida, 33324

  • Research Site

    Portland, Oregon, 97213

  • Research Site

    Rochester, Minnesota, 55905-0001

  • Research Site

    Rockville Centre, New York, 11570

  • Research Site

    Saint Louis Park, Minnesota, 55416

  • Research Site

    San Diego, California, 92123

  • Research Site

    Santa Rosa, California, 95403

  • Research Site

    Sayre, Pennsylvania, 18840

  • Research Site

    St Louis, Missouri, 63131

  • Research Site

    Syracuse, New York, 13210

  • Research Site

    Tyler, Texas, 75701

  • Research Site

    Washington D.C., District of Columbia, 20007

  • Research Site

    Whittier, California, 90602

  • Research Site

    Wichita, Kansas, 67214

Other trials in United States

China15 sites
  • Research Site

    Beijing, 100006

  • Research Site

    Beijing, 100021

  • Research Site

    Beijing, 100142

  • Research Site

    Changchun, 130061

  • Research Site

    Changsha, 410013

  • Research Site

    Chengdu, 610041

  • Research Site

    Dalian, 116011

  • Research Site

    Guangzhou, 510060

  • Research Site

    Hangzhou, 310022

  • Research Site

    Harbin, 150081

  • Research Site

    Nanjing, 210009

  • Research Site

    Shanghai, 200025

  • Research Site

    Shanghai, 200032

  • Research Site

    Shenyang, 110016

  • Research Site

    Tianjin, 300060

Other trials in China

Russia11 sites
  • Research Site

    Arkhangelsk, 163045

  • Research Site

    Ivanovo, 153040

  • Research Site

    Moscow, 115478

  • Research Site

    Omsk, 644013

  • Research Site

    Saint Petersburg, 191014

  • Research Site

    Saint Petersburg, 195257

  • Research Site

    Saint Petersburg, 195271

  • Research Site

    Saint Petersburg, 197022

  • Research Site

    Saint Petersburg, 197758

  • Research Site

    Saransk, 430005

  • Research Site

    Yaroslavl, 150054

Other trials in Russia

Japan9 sites
  • Research Site

    Chūōku, 104-0045

  • Research Site

    Chūōku, 104-8560

  • Research Site

    Fukuoka, 811-1395

  • Research Site

    Kagoshima, 892-0833

  • Research Site

    Nagoya, 464-8681

  • Research Site

    Osaka, 540-0006

  • Research Site

    Sapporo, 003-0804

  • Research Site

    Shinagawa-ku, 142-8666

  • Research Site

    Suita, 565-0871

Other trials in Japan

Spain9 sites
  • Research Site

    Barcelona, 08003

  • Research Site

    Córdoba, 14004

  • Research Site

    Granada, 18014

  • Research Site

    Madrid, 28034

  • Research Site

    Majadahonda, 28222

  • Research Site

    Oviedo, 33011

  • Research Site

    Seville, 41013

  • Research Site

    Valencia, 46026

  • Research Site

    Zaragoza, 50009

Other trials in Spain

Turkey (Türkiye)9 sites
  • Research Site

    Adana, 1260

  • Research Site

    Ankara, 06230

  • Research Site

    Edirne, 22030

  • Research Site

    Gaziantep, 27310

  • Research Site

    Istanbul, 34390

  • Research Site

    Izmir, 35100

  • Research Site

    Kayseri, 38039

  • Research Site

    Konya, 42080

  • Research Site

    Mersin, 33110

Other trials in Turkey (Türkiye)

Bulgaria8 sites
  • Research Site

    Plovdiv, 4000

  • Research Site

    Plovdiv, 4004

  • Research Site

    Sofia, 1233

  • Research Site

    Sofia, 1303

  • Research Site

    Sofia, 1330

  • Research Site

    Sofia, 1504

  • Research Site

    Varna, 9010

  • Research Site

    Vratsa, 3000

Other trials in Bulgaria

South Korea8 sites
  • Research Site

    Cheongju-si, 28644

  • Research Site

    Daegu, 41404

  • Research Site

    Incheon, 21565

  • Research Site

    Seongnam-si, 13620

  • Research Site

    Seoul, 03080

  • Research Site

    Seoul, 03722

  • Research Site

    Seoul, 158-710

  • Research Site

    Seoul, 6351

Other trials in South Korea

Hungary7 sites
  • Research Site

    Budapest, 1032

  • Research Site

    Budapest, 1083

  • Research Site

    Budapest, 1115

  • Research Site

    Budapest, 1122

  • Research Site

    Budapest, 1145

  • Research Site

    Nyíregyháza, 4400

  • Research Site

    Veszprém, 8200

Other trials in Hungary

Peru7 sites
  • Research Site

    Cusco, CUSCO 01

  • Research Site

    Lima, LIMA 01

  • Research Site

    Lima, Lima 18

  • Research Site

    Lima, LIMA 27

  • Research Site

    Lima, LIMA 34

  • Research Site

    Lima, LIMA 41

  • Research Site

    San Borja, LIMA 41

Other trials in Peru

Poland7 sites
  • Research Site

    Elblag, 82-300

  • Research Site

    Gdansk, 80-952

  • Research Site

    Grzepnica, 72-003

  • Research Site

    Lodz, 93-513

  • Research Site

    Tarnobrzeg, 39-400

  • Research Site

    Warsaw, 01-748

  • Research Site

    Warsaw, 03-291

Other trials in Poland

Italy6 sites
  • Research Site

    Bologna, 40138

  • Research Site

    Naples, 80131

  • Research Site

    Padova, 35128

  • Research Site

    Roma, 00144

  • Research Site

    Roma, 00168

  • Research Site

    Rozzano, 20089

Other trials in Italy

Mexico6 sites
  • Research Site

    Estado de México, 50080

  • Research Site

    Mérida, 97000

  • Research Site

    Mérida, 97070

  • Research Site

    Mérida, 97133

  • Research Site

    México, 6760

  • Research Site

    San Juan del Río, 76800

Other trials in Mexico

Taiwan6 sites
  • Research Site

    Kaohsiung City, 80756

  • Research Site

    Taichung, 407

  • Research Site

    Taipei, 10048

  • Research Site

    Taipei, 10449

  • Research Site

    Taipei, 11217

  • Research Site

    Taoyuan, 333

Other trials in Taiwan

United Kingdom6 sites
  • Research Site

    Aberdeen, AB25 2ZN

  • Research Site

    Colchester, CO4 5JL

  • Research Site

    Coventry, CV2 2DX

  • Research Site

    London, W6 8RF

  • Research Site

    Manchester, M20 4BX

  • Research Site

    Plymouth, PL6 8DH.

Other trials in United Kingdom

France5 sites
  • Research Site

    Caen, 14076

  • Research Site

    Montpellier, 34298

  • Research Site

    Rouen, 76038

  • Research Site

    Strasbourg, 67065

  • Research Site

    Villejuif, 94800

Other trials in France

Romania4 sites
  • Research Site

    Bucharest, 011171

  • Research Site

    Bucharest, 013811

  • Research Site

    Bucharest, 030171

  • Research Site

    Cluj-Napoca, 400015

Other trials in Romania

Czechia3 sites
  • Research Site

    Brno, 656 53

  • Research Site

    Olomouc, 775 20

  • Research Site

    Prague, 128 08

Other trials in Czechia

Switzerland3 sites
  • Research Site

    Bern, CH-3010

  • Research Site

    Lausanne, CH-1011

  • Research Site

    Zurich, 8063

Other trials in Switzerland

About this study

Official title: A Phase III, Open Label, Randomised, Controlled, Multi-centre Study to Assess the Efficacy and Safety of Olaparib Monotherapy Versus Physicians Choice Chemotherapy in the Treatment of Metastatic Breast Cancer Patients With Germline BRCA1/2 Mutations.

This open label, randomised, controlled, multi-centre phase III study will assess the efficacy and safety of single agent olaparib vs standard of care based on physician's choice of capecitabine, vinorelbine or eribulin in metastatic breast cancer patients with gBRCA 1/2 mutations.

Being tested
Olaparib, Physician's choice chemotherapy
Keywords
Breast Cancer, Metastatic, Olaparib, BRCA, PARP inhibitor, HER2, chemotherapy
Medical subject headings
Breast Neoplasms, Neoplasm Metastasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • OlaparibDrug

    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.

  • Physician's choice chemotherapyDrug

    Investigators will declare one of the following regimens:

    • Capecitabine 2500 mg/m2 po daily (divided in 2 doses) x 14 days, repeat every 21 days
    • Vinorelbine 30 mg/m2 IV Day 1 and Day 8, repeat every 21 days
    • Eribulin 1.4 mg/m2 IV Day 1 and Day 8, repeat every 21 days
Study groups in NCT02000622
Study groupRoleWhat they receive
OlaparibExperimentalOlaparib tablet 300mg bd po
Receives: Drug: Olaparib
Physician's choice chemotherapyActive comparatorCapecitabine 2500 mg/m2 d1-14 q 21, or Vinorelbine 30 mg/m2 d1,8 q 21, or Eribulin 1.4 mg/m2 d1,8 q 21
Receives: Drug: Physician's choice chemotherapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression-free Survival (PFS) Using Blinded Independent Central Review (BICR) According to Modified Response Evaluation Criteria In Solid Tumours (RECIST v1.1)

    Time from randomisation to the earliest of objective radiological progression or death by any cause in the absence of objective progression. Objective radiological progression is defined using Response Evaluation Criteria In Solid Tumours (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

    Measured: Radiological scans performed at baseline then every ~6 weeks up to 24 weeks, then every ~ 12 weeks thereafter until objective radiological disease progression. Assessed up to a maximum of 30 months.

Secondary outcomes (7)
  1. Time to Second Progression or Death (PFS2)

    Time from randomisation to the earliest of the progression event subsequent to the first objective radiological progression, or death. Second progression may involve any of; objective radiological or symptomatic progression or death. Objective radiological progression is defined using Response Evaluation Criteria In Solid Tumours (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. Symptomatic progression is assessed by investigators based on clinical examination.

    Measured: Second progression status reviewed every 8 weeks following the first objective radiological progression as per investigator assessment. Assessed up to a maximum of 30 months.

  2. Overall Survival (OS)

    Time from randomisation until death due to any cause.

    Measured: Survival status reviewed every 3 weeks until treatment discontinued, then every 8 weeks. Assessed up to a maximum of 30 months.

  3. Objective Response Rate (ORR) Using Blinded Independent Central Review (BICR) Data Assessed by Modified Response Evaluation Criteria In Solid Tumours (RECIST v1.1)

    Number of responders according to blinded independent central review (BICR) assessment. Per Response Evaluation Criteria In Solid Tumours Criteria (RECIST v1.1) for target lesions assessed by CT or MRI: Complete Response (CR) is defined as the disappearance of all target lesions; Partial Response (PR) is defined as >=30% decrease in the sum of the longest diameter of target lesions; Overall Response = CR + PR.

    Measured: Radiological scans performed at baseline then every ~6 weeks up to 24 weeks, then every ~ 12 weeks thereafter until objective radiological disease progression. Assessed up to a maximum of 30 months.

  4. Adjusted Mean Change in Global Health Status/Quality of Life (QoL) Score From the European Organisation for Research and Treatment of Cancer - Quality of Life Questionnaire (EORTC QLQ-C30)

    Change from baseline in global health status/quality of life (QoL) score assessed using a mixed model for repeated measures (MMRM) analysis, including all post-baseline global health status/QoL scores up to the latest scheduled visit where at least 20 patients on each treatment arm have a score. Global health status/QoL score is on a scale from 0 to 100. A higher score represents an improved health status/QoL.

    Measured: EORTC QLQ-C30 assessments performed at baseline then every ~6 weeks until objective radiological disease progression. Assessed up to a maximum of 30 months.

  5. Progression-free Survival (PFS) Using Blinded Independent Central Review (BICR) According to Modified Response Evaluation Criteria In Solid Tumours (RECIST v1.1) in Patients Confirmed as Myriad CDx gBRCAm

    Time from randomisation to the earliest of objective radiological progression or death by any cause in the absence of objective progression. Objective radiological progression is defined using Response Evaluation Criteria In Solid Tumours Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. Assessed in patients with a deleterious or suspected deleterious variant in either of the BRCA genes using variants identified with current and future BRCA mutation assays (gene sequencing and large rearrangement analysis).

    Measured: Radiological scans performed at baseline then every ~6 weeks up to 24 weeks, then every ~ 12 weeks thereafter until objective radiological disease progression. Assessed up to a maximum of 30 months.

  6. Overall Survival (OS) at Final OS

    Time from randomisation until death due to any cause.

    Measured: Survival status reviewed every 3 weeks until treatment discontinued, then every 8 weeks. Assessed up to a maximum of 40 months.

  7. Overall Survival (OS) at Extended OS

    Time from randomisation until death due to any cause.

    Measured: Survival status reviewed every 3 weeks until treatment discontinued, then every 8 weeks until Sep 2017 (final OS DCO), then every 3 months. Assessed up to a maximum of 64 months.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Dec 2013 (estimated)
  2. Study start27 Mar 2014
  3. Primary completion9 Dec 2016
  4. Study completion23 Dec 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
302 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02000622
Sponsor's protocol ID
D0819C00003
Other IDs
2013-005137-20
Acronym
OlympiAD
Status last verified
Jan 2026
First submitted
18 Nov 2013
Last updated
13 Feb 2026
Data monitoring committee
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure

Publications

  • Robson M, Im SA, Senkus E, Xu B, Domchek SM, Masuda N, Delaloge S, Li W, Tung N, Armstrong A, Wu W, Goessl C, Runswick S, Conte P. Olaparib for Metastatic Breast Cancer in Patients with a Germline BRCA Mutation. N Engl J Med. 2017 Aug 10;377(6):523-533. doi: 10.1056/NEJMoa1706450. Epub 2017 Jun 4.

    PubMed 28578601

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Olaparib and Physician's choice chemotherapy in people with Breast Cancer Metastatic and BRCA 1 Gene Mutation, run by AstraZeneca at 171 sites in 19 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 171 sites in United States, China, Russia, Japan, Spain and 14 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Dec 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression-free Survival (PFS) Using Blinded Independent Central Review (BICR) According to Modified Response Evaluation Criteria In Solid Tumours (RECIST v1.1) (time frame: Radiological scans performed at baseline then every ~6 weeks up to 24 weeks, then every ~ 12 weeks thereafter until objective radiological disease progression. Assessed up to a maximum of 30 months.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02000622, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Feb 2026.

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