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Relapsed Ovarian Cancer, BRCA Mutation, Platinum SensitivityPhase 2NCT02983799

Olaparib Tablets as a Treatment for Ovarian Cancer Subjects With Different HRD Tumor Status

A Phase 2 study testing OLAPARIB in people with Relapsed Ovarian Cancer, BRCA Mutation, Platinum Sensitivity, run by AstraZeneca at 47 sites in 2 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 is a non-randomized, open-label study to assess olaparib tablets as a treatment for subjects with different homologous recombination deficiency (HRD) tumor status and with platinum-sensitive, relapsed, high-grade serous or high-grade endometrioid ovarian cancer. Read more about this study

Who is it for?
Ages 18 to 130 years, women only
What is being tested?
OLAPARIB
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
272 participants
Where
47 sitesin 2 countries
Study dates
22 Dec 2016to 3 Dec 2020
Phase
Phase 2
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 130 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Provision of written signed informed consent prior to any study specific procedures;
  • 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;
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  • 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.

Who cannot join

  • Involvement in the planning and/or conduct of the study (applies to both AstraZeneca Representative staff and/or staff at the study site);
  • 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);
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  • 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

Trial locations and contacts

47 sites in 2 countries.

47 sites in 2 countries

United States35 sites
  • Research Site

    Abington, Pennsylvania, 19001

  • Research Site

    Anchorage, Alaska, 99508

  • Research Site

    Annandale, Virginia, 22003

  • Research Site

    Aurora, Colorado, 80045

  • Research Site

    Berkeley Heights, New Jersey, 07922

  • Research Site

    Cincinnati, Ohio, 45219

  • Research Site

    Detroit, Michigan, 48201

  • Research Site

    Detroit, Michigan, 48202

  • Research Site

    Germantown, Tennessee, 38138

  • Research Site

    Hackensack, New Jersey, 07601

  • Research Site

    Hartford, Connecticut, 06102

  • Research Site

    Houston, Texas, 77030

  • Research Site

    La Jolla, California, 92093

  • Research Site

    Los Angeles, California, 90017

  • Research Site

    Milwaukee, Wisconsin, 53226

  • Research Site

    Minneapolis, Minnesota, 55407

  • Research Site

    New Haven, Connecticut, 06519

  • Research Site

    New York, New York, 10021

  • Research Site

    New York, New York, 10032

  • Research Site

    New York, New York, 10065

  • Research Site

    Newark, Delaware, 19718

  • Research Site

    Newark, New Jersey, 07103

  • Research Site

    Philadelphia, Pennsylvania, 19104

  • Research Site

    Pittsburgh, Pennsylvania, 15224

  • Research Site

    Portland, Oregon, 97227

  • Research Site

    Providence, Rhode Island, 02905

  • Research Site

    Saint Paul, Minnesota, 55125

  • Research Site

    Shreveport, Louisiana, 71103

  • Research Site

    Silver Spring, Maryland, 20910

  • Research Site

    Skokie, Illinois, 60077

  • Research Site

    South Miami, Florida, 33143

  • Research Site

    Springfield, Massachusetts, 01199

  • Research Site

    Teaneck, New Jersey, 07666

  • Research Site

    The Bronx, New York, 10461

  • Research Site

    Winston-Salem, North Carolina, 27103

Other trials in United States

Canada12 sites
  • Research Site

    Edmonton, Alberta, T6G 1Z2

  • Research Site

    Halifax, Nova Scotia, B3H 1V7

  • Research Site

    Hamilton, Ontario, L8V 5C2

  • Research Site

    Kingston, Ontario, K7L 2V7

  • Research Site

    Mississauga, Ontario, L5M 2N1

  • Research Site

    Montreal, Quebec, H1T 2M4

  • Research Site

    Montreal, Quebec, H2X 0A9

  • Research Site

    Montreal, Quebec, H4A 3J1

  • Research Site

    Sherbrooke, Quebec, J1H 5N4

  • Research Site

    Toronto, Ontario, M4N 3M5

  • Research Site

    Vancouver, British Columbia, VSZ 4E6

  • Research Site

    Winnipeg, Manitoba, R3E 0V9

Other trials in Canada

About this study

Official title: Non-Randomized, Open-Label Phase II Study to Assess Olaparib Tablets as a Treatment for Subjects With Different HRD Tumor Status and With Platinum-Sensitive, Relapsed, High-Grade Serous or High-Grade Endometrioid Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer That Have Received at Least 1 Prior Line of Chemotherapy

This is a non-randomized, open-label study to assess olaparib tablets as a treatment for subjects with different homologous recombination deficiency (HRD) tumor status and with platinum-sensitive, relapsed, high-grade serous or high-grade endometrioid ovarian cancer. Subjects should have received at least 1 prior line of platinum-based chemotherapy.

Read the detailed description

This is a Phase II, open-label, non-randomized, multi-center study assessing the efficacy and safety of olaparib tablets 300 mg (two 150 mg tablets) given orally twice daily (bid) in subjects with platinum-sensitive or partially platinum-sensitive, relapsed, high-grade serous or high-grade endometrioid epithelial ovarian, fallopian tube, or primary peritoneal cancer, who have received at least 1 prior line of platinum-based chemotherapy.

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).
Being tested
OLAPARIB
Keywords
BRCA, ovarian, platinum, chemotherapy
Medical subject headings
Ovarian Neoplasms

What participants receive

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

  • OLAPARIBDrug

    300 mg olaparib tablets taken orally twice daily

Study groups in NCT02983799
Study groupRoleWhat they receive
gBRCAm;Experimentalgermline BRCA mutant
Receives: Drug: OLAPARIB
sBRCAm and germline BRCA wild type;Experimentalsomatic BRCA mutant, germline BRCA wild type
Receives: Drug: OLAPARIB
myChoice® HRD positive and BRCAwt;Experimentalgenomic instability positive and no BRCA mutation
Receives: Drug: OLAPARIB
myChoice® HRD negative and BRCAwtExperimentalgenomic instability negative and no BRCA mutation
Receives: Drug: OLAPARIB

What is being measured

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

  1. Objective Response Rate, Defined as the Percentage of Subjects With a Best Overall Response of Confirmed Complete Response (CR) or Partial Response (PR)

    To determine the clinical effectiveness of olaparib treatment in each of 4 cohorts assessed using ORR according to RECIST v1.1 criteria (Investigator determined)

    Measured: From first dose up until progression, or last evaluable assessment in the absence of progression (up to 36 months)

Secondary outcomes (7)
  1. Duration of Response, for Those Subjects With a Confirmed Response of CR or PR

    To determine the clinical effectiveness of olaparib treatment in each of 4 cohorts assessed using duration of response

    Measured: From the date of the measurement criteria for CR or PR are first met until the date of documented progression or death in the absence of disease progression (up to 36 months)

  2. CA-125 Response Rate, Defined as the Percentage of Subjects With a CA-125 Response According to GCIG Criteria Divided by the Number of Subjects Evaluable for CA-125 Response

    To determine the clinical effectiveness of olaparib treatment in each of 4 cohorts assessed using CA-125 response rate

    Measured: From baseline to Day 1 of each cycle and end of study treatment visit (up to 36 months)

  3. Disease Control Rate Defined as the Percentage of Subjects Who Have a Best Overall Response of CR or PR or SD at Greater Than or Equal to 8 Weeks Divided by the Number of Subjects in the Efficacy Analysis Set, Prior to Any PD Event

    To determine the clinical effectiveness of olaparib treatment in each of 4 cohorts assessed using disease control rate (DCR). DCR is defined as the percentage of subjects with a best overall response of CR or PR (at any time up to and including the defined analysis cut-off point) or who have demonstrated stable disease (SD) for at least 8 weeks from first dose, divided by the number of subjects in the efficacy analysis set.

    Measured: From first dose up until progression, or last evaluable assessment in the absence of progression

  4. Progression Free Survival

    To determine the clinical effectiveness of olaparib treatment in each of 4 cohorts assessed using progression free survival

    Measured: From first dose to earlier date of assessment of objective progression or death by any cause in the absence of progression (up to 36 months)

  5. Time to Any Progression

    To determine the clinical effectiveness of olaparib treatment in each of 4 cohorts assessed using time to any progression

    Measured: From first dose to earlier date of CA-125 progression or RECIST v1.1 progression, or death by any cause in absence of progression (up to 36 months)

  6. Overall Survival

    To determine the clinical effectiveness of olaparib treatment in each of 4 cohorts assessed using overall survival

    Measured: From date of first dose to date of death from any cause (up to 48 months)

  7. HRD Status as Per HRRm Gene Panel Assessment Will be Correlated With Clinical Outcome (ORR) for Subjects Enrolled in the 2 Cohorts With BRCAwt (Cohorts 3 and 4)

    To determine the clinical effectiveness of olaparib treatment in each of 4 cohorts assessed using HRRm gene panel status related to clinical outcome

    Measured: At baseline

Timeline

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

  1. First posted6 Dec 2016 (estimated)
  2. Study start22 Dec 2016
  3. Primary completion3 Dec 2020
  4. Study completion3 Dec 2020

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
272 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02983799
Sponsor's protocol ID
D0816L00003
Status last verified
Mar 2022
First submitted
4 Nov 2016
Last updated
13 Apr 2022
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
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.
Expanded access
Available

Publications

  • 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.

    PubMed 39695768

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing OLAPARIB in people with Relapsed Ovarian Cancer, BRCA Mutation, Platinum Sensitivity, run by AstraZeneca at 47 sites in 2 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 11 inclusion and 19 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 Apr 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 47 sites in United States, Canada. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 13 Apr 2022). 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?

Objective Response Rate, Defined as the Percentage of Subjects With a Best Overall Response of Confirmed Complete Response (CR) or Partial Response (PR) (time frame: From first dose up until progression, or last evaluable assessment in the absence of progression (up to 36 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 NCT02983799, 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 Apr 2022.

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