Breast Inflammatory CarcinomaPhase 2NCT03598257
Radiation Therapy With or Without Olaparib in Treating Patients With Inflammatory Breast Cancer
A Phase 2 study testing Biospecimen Collection, Olaparib and Radiation Therapy in people with Breast Inflammatory Carcinoma, run by National Cancer Institute (NCI) at 220 sites in 3 countries.
Trial summary
This phase II trial studies how well radiation therapy with or without olaparib works in treating patients with inflammatory breast cancer. Radiation therapy uses high energy x-rays to kill tumor cells and shrink tumors. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Breast Inflammatory Carcinoma
- What is being tested?
- Biospecimen Collection, Olaparib and Radiation Therapy
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 300 participants
- Where
- 220 sitesin 3 countries
- Study dates
- 18 Jan 2019to 1 Jun 2027
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients must have inflammatory breast cancer without distant metastases. All biomarker subtype groups (estrogen receptor [ER], progesterone receptor [PR], HER2) are eligible. Inflammatory disease will be defined per American Joint Committee on Cancer (AJCC) 8th edition with documentation by history/exam and pathology at the time of diagnosis.
- All patients must have completed neoadjuvant chemotherapy prior to mastectomy. The chemotherapy regimen is at the discretion of the treating physician but it is recommended that it include at least 4 cycles of anthracycline and/or taxane-based therapy (plus targeted therapy for patients with HER2+ disease). Response to chemotherapy is not a criterion for eligibility (both complete responders and those with residual disease are eligible). Please note that although pathologic complete response (pCR) is not required or excluded, pCR status must be determined post-surgery prior to randomization.
- All patients must have undergone modified radical mastectomy (with negative margins on ink) with pathologic nodal evaluation (from level I and II axillary lymph node dissection [ALND]) at least 3 weeks and no more than 12 weeks prior to randomization, unless they receive additional chemotherapy after mastectomy. Patients must not have gross residual tumor or positive microscopic margins after mastectomy.
- Additional adjuvant chemotherapy after surgery is allowed at the discretion of the treating physician, either completed prior to randomization or planned for after completion of protocol treatment. If adjuvant chemotherapy is administered after mastectomy, the patient must be randomized at least 3 weeks but no more than 12 weeks after the last dose of adjuvant chemotherapy.
- Patients must not have a history of radiation therapy to the ipsilateral chest wall and/or regional nodes. Prior radiation therapy to other body sites is allowed.
- Patients must not be planning to receive any other investigational agents during radiation therapy. Prior therapy, including prior treatment with olaparib or other PARP inhibitor, is allowed.
Show all 38Show fewer
- Patients must not have a known hypersensitivity to olaparib or any of the excipients of the product.
- Patients must not have unresolved or unstable grade 2 or greater toxicity (with the exception of alopecia) from prior administration of another investigational drug and/or prior anti-cancer treatment.
- Patients must not be planning to receive strong or moderate CYP3A inhibitors or inducers while on olaparib treatment. Patients receiving strong or moderate CYP3A inhibitors must agree to discontinue use at least 2 weeks prior to receiving olaparib. Patients receiving strong or moderate CYP3A inducers must agree to discontinue use at least 5 weeks prior to receiving olaparib.
- Patients must not be planning to receive live virus or live bacterial vaccines while receiving olaparib and during the 30 day follow up period
- Patients must not be planning to receive any additional anti-cancer therapy (chemotherapy, endocrine therapy, immunotherapy, biological therapy or other novel agent) while receiving radiotherapy with or without study medication. If a patient is receiving concurrent anti-HER2 targeted therapies, they must not take these medications during the period of radiotherapy (with or without study drug) while enrolled on the study.
- Patients must be >= 18 years of age
- Patients must have Zubrod performance status 0-2.
- Absolute neutrophil count (ANC) >= 1000/mm^3 (within 28 days prior to registration)
- Platelet count >= 100,000/mm^3 (within 28 days prior to registration)
- Hemoglobin >= 9.0 g/dL (after transfusion if required and within 28 days prior to registration)
- Patients must have adequate renal function as evidenced by calculated creatinine clearance >= 51 mL/min by Cockcroft-Gault equation, within 28 days prior to registration.
- Total bilirubin =< 1.5 x upper limit of normal (ULN) (within 28 days prior to registration)
- Patients with documented Gilbert's disease may have bilirubin up to 2.5 mg/dL
- Serum glutamic-oxaloacetic transaminase (SGOT) =< 2.5 x ULN (within 28 days prior to registration)
- Serum glutamate pyruvate transaminase (SGPT) =< 2.5 x ULN (within 28 days prior to registration)
- Alkaline phosphatase =< 2.5 x ULN (within 28 days prior to registration)
- Patients must not have a history of other prior malignancy except for the following: adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, adequately treated stage I or II cancer from which the patient is currently in complete remission, or any other cancer from which the patient has been disease free for five years
- Female patients must be postmenopausal or have a negative urine or serum pregnancy test within 14 days prior to registration. Female patients of childbearing potential (and male patients with female partners who are of childbearing potential or pregnant) who are sexually active, must agree to the use of two highly effective forms of contraception during protocol treatment and for 6 months following the last dose of olaparib. Note: The efficacy of hormonal contraceptives may be reduced if co-administered with olaparib. Male patients must agree not to donate sperm during protocol treatment and for 6 months after the last dose of olaparib.
- Patients who are breastfeeding must agree to discontinue breastfeeding before receiving olaparib due to potential risk for adverse events in nursing infants secondary to treatment of the mother with olaparib.
- Patients must not have active uncontrolled infection, symptomatic congestive heart failure, unstable angina pectoris or cardiac arrhythmia.
- Patients must be able to swallow and retain oral medications and have no known gastrointestinal disorders likely to interfere with absorption of the study medication.
- Patients must not have a history of a resting electrocardiography (ECG) indicating uncontrolled, potentially reversible cardiac conditions (such as unstable ischemia, uncontrolled symptomatic arrhythmia, congestive heart failure, Fridericia's formula corrected QT interval [QTcF] prolongation > 500 ms, electrolyte disturbances) or congenital long QCYP3T syndrome.
- Patients must not have myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML) or with features suggestive of MDS/AML.
- Patient must not have had major surgery within 2 weeks of starting study treatments and patients must have recovered from any effects of any major surgery.
- Patients must not have a history of uncontrolled ventricular arrhythmia, recent (within 3 months) myocardial infarction, uncontrolled major seizure disorder, unstable spinal cord compression, superior vena cava syndrome, or extensive interstitial bilateral lung disease on high resolution computed tomography (HRCT) scan.
- Patients must not have had previous allogenic bone marrow transplant or double umbilical cord blood transplantation (dUCBT).
- Patients must not have had whole blood transfusions in the last 120 days prior to randomization.
- Patients must be offered the opportunity to participate in specimen submission for banking.
- Note: Germline and somatic BRCA status (genetic testing) are planned for future correlative evaluation, in order to examine treatment and circulating tumor deoxyribonucleic acid (ctDNA) response as stratified by BRCA 1/2 mutational status. Since this is future planned correlative research, any mutational status results would not be returned to the patient or the treating physician. There is no Clinical Laboratory Improvement Act (CLIA)-certified clinical genetic testing being performed for patients as part of the S1706 study. A forthcoming revision or separate corelative sciences proposal would be submitted to and approved by National Cancer Institute (NCI) prior to conduct of any planned future translational medicine objectives.
- Patients who can complete the patient-reported outcomes (PRO) Quality of Life (QOL) and PRO-CTCAE questionnaires in English must be offered the opportunity to participate in the optional PRO substudy. Patients who are not able to complete questionnaires in English need not be offered the opportunity to participate.
- Patients must be informed of the investigational nature of this study and must sign and give written informed consent in accordance with institutional and federal guidelines.
- As a part of the OPEN registration process, the treating institution's identity is provided in order to ensure that the current (within 365 days) date of institutional review board approval for this study has been entered in the system.
Who cannot join
None listed.
Trial locations and contacts
220 sites in 3 countries.
220 sites in 3 countries
United States214 sites
The Cancer Center of Hawaii-Pali Momi
‘Aiea, Hawaii, 96701
Lovelace Medical Center-Saint Joseph Square
Albuquerque, New Mexico, 87102
University of New Mexico Cancer Center
Albuquerque, New Mexico, 87106
Lovelace Radiation Oncology
Albuquerque, New Mexico, 87109
Lehigh Valley Hospital-Cedar Crest
Allentown, Pennsylvania, 18103
The Don and Sybil Harrington Cancer Center
Amarillo, Texas, 79106
McFarland Clinic - Ames
Ames, Iowa, 50010
Anchorage Associates in Radiation Medicine
Anchorage, Alaska, 98508
Alaska Oncology and Hematology LLC
Anchorage, Alaska, 99508
Anchorage Oncology Centre
Anchorage, Alaska, 99508
Katmai Oncology Group
Anchorage, Alaska, 99508
Providence Alaska Medical Center
Anchorage, Alaska, 99508
Trinity Health Saint Joseph Mercy Hospital Ann Arbor
Ann Arbor, Michigan, 48106
University of Michigan Rogel Cancer Center
Ann Arbor, Michigan, 48109
ThedaCare Regional Cancer Center
Appleton, Wisconsin, 54911
Mission Hospital
Asheville, North Carolina, 28801
Hope Women's Cancer Centers-Asheville
Asheville, North Carolina, 28816
Grady Health System
Atlanta, Georgia, 30303
Emory University Hospital Midtown
Atlanta, Georgia, 30308
Emory University Hospital/Winship Cancer Institute
Atlanta, Georgia, 30322
Emory Saint Joseph's Hospital
Atlanta, Georgia, 30342
Rush-Copley Medical Center
Aurora, Illinois, 60504
Mount Sinai Comprehensive Cancer Center at Aventura
Aventura, Florida, 33180
IU Health West Hospital
Avon, Indiana, 46123
UH Seidman Cancer Center at UH Avon Health Center
Avon, Ohio, 44011
Greater Baltimore Medical Center
Baltimore, Maryland, 21204
UHHS-Chagrin Highlands Medical Center
Beachwood, Ohio, 44122
Sanford Joe Lueken Cancer Center
Bemidji, Minnesota, 56601
Alta Bates Summit Medical Center-Herrick Campus
Berkeley, California, 94704
Lehigh Valley Hospital - Muhlenberg
Bethlehem, Pennsylvania, 18017
Billings Clinic Cancer Center
Billings, Montana, 59101
Sanford Bismarck Medical Center
Bismarck, North Dakota, 58501
Saint Joseph's/Candler - Bluffton Campus
Bluffton, South Carolina, 29910
Prisma Health Cancer Institute - Spartanburg
Boiling Springs, South Carolina, 29316
Saint Alphonsus Cancer Care Center-Boise
Boise, Idaho, 83706
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
Bozeman Health Deaconess Hospital
Bozeman, Montana, 59715
Lafayette Family Cancer Center-EMMC
Brewer, Maine, 04412
United Hospital Center
Bridgeport, West Virginia, 26330
Trinity Health Medical Center - Brighton
Brighton, Michigan, 48114
Roswell Park Cancer Institute
Buffalo, New York, 14263
Fairview Ridges Hospital
Burnsville, Minnesota, 55337
Trinity Health Medical Center - Canton
Canton, Michigan, 48188
Saint Francis Medical Center
Cape Girardeau, Missouri, 63703
Carlisle Regional Cancer Center
Carlisle, Pennsylvania, 17015
IU Health North Hospital
Carmel, Indiana, 46032
Miami Valley Hospital South
Centerville, Ohio, 45459
Christiana Care Health System-Concord Health Center
Chadds Ford, Pennsylvania, 19317
Geauga Hospital
Chardon, Ohio, 44024
Medical University of South Carolina
Charleston, South Carolina, 29425
Chelsea Hospital
Chelsea, Michigan, 48118
Saint Luke's Hospital
Chesterfield, Missouri, 63017
Northwestern University
Chicago, Illinois, 60611
Rush MD Anderson Cancer Center
Chicago, Illinois, 60612
University of Illinois
Chicago, Illinois, 60612
Good Samaritan Hospital - Cincinnati
Cincinnati, Ohio, 45220
Bethesda North Hospital
Cincinnati, Ohio, 45242
Clackamas Radiation Oncology Center
Clackamas, Oregon, 97015
Case Western Reserve University
Cleveland, Ohio, 44106
Mercy Cancer Center-West Lakes
Clive, Iowa, 50325
Penrose-Saint Francis Healthcare
Colorado Springs, Colorado, 80907
Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210
UT MD Anderson - The Woodlands
Conroe, Texas, 77384
Mercy Hospital
Coon Rapids, Minnesota, 55433
Miami Valley Hospital North
Dayton, Ohio, 45415
Corewell Health Dearborn Hospital
Dearborn, Michigan, 48124
Decatur Memorial Hospital
Decatur, Illinois, 62526
AdventHealth Porter
Denver, Colorado, 80210
Iowa Methodist Medical Center
Des Moines, Iowa, 50309
Mercy Medical Center - Des Moines
Des Moines, Iowa, 50314
Marshfield Medical Center-EC Cancer Center
Eau Claire, Wisconsin, 54701
Mayo Clinic Health System-Eau Claire Clinic
Eau Claire, Wisconsin, 54701
Fairview Southdale Hospital
Edina, Minnesota, 55435
Shaw Cancer Center
Edwards, Colorado, 81632
Crossroads Cancer Center
Effingham, Illinois, 62401
Epic Care Partners in Cancer Care
Emeryville, California, 94608
UPMC Hillman Cancer Center Erie
Erie, Pennsylvania, 16505
Sanford Roger Maris Cancer Center
Fargo, North Dakota, 58122
Farmington Health Center
Farmington, Utah, 84025
Corewell Health Farmington Hills Hospital
Farmington Hills, Michigan, 48336
UPMC Cancer Center at UPMC Horizon
Farrell, Pennsylvania, 16121
IU Health Central Indiana Cancer Centers-Fishers
Fishers, Indiana, 46037
Atrium Medical Center-Middletown Regional Hospital
Franklin, Ohio, 45005-1066
CaroMont Regional Medical Center
Gastonia, North Carolina, 28054
Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234
Altru Cancer Center
Grand Forks, North Dakota, 58201
Corewell Health Grand Rapids Hospitals - Butterworth Hospital
Grand Rapids, Michigan, 49503
Benefis Sletten Cancer Institute
Great Falls, Montana, 59405
UPMC Cancer Centers - Arnold Palmer Pavilion
Greensburg, Pennsylvania, 15601
Prisma Health Cancer Institute - Faris
Greenville, South Carolina, 29605
Prisma Health Cancer Institute - Eastside
Greenville, South Carolina, 29615
Prisma Health Cancer Institute - Greer
Greer, South Carolina, 29650
Gibbs Cancer Center-Pelham
Greer, South Carolina, 29651
Gulfport Memorial Hospital
Gulfport, Mississippi, 39502
UPMC Pinnacle Cancer Center/Community Osteopathic Campus
Harrisburg, Pennsylvania, 17109
Queen's Medical Center
Honolulu, Hawaii, 96813
The Cancer Center of Hawaii-Liliha
Honolulu, Hawaii, 96817
UT MD Anderson Cancer Center
Houston, Texas, 77030
UT MD Anderson - West Houston
Houston, Texas, 77079
Indiana University/Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, 46202
IU Health Methodist Hospital
Indianapolis, Indiana, 46202
NEA Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
Jonesboro, Arkansas, 72401
West Michigan Cancer Center
Kalamazoo, Michigan, 49007
Logan Health Medical Center
Kalispell, Montana, 59901
University of Kansas Cancer Center
Kansas City, Kansas, 66160
University of Kansas Cancer Center - North
Kansas City, Missouri, 64154
University of Tennessee - Knoxville
Knoxville, Tennessee, 37920
Gundersen Lutheran Medical Center
La Crosse, Wisconsin, 54601
Mayo Clinic Health System-Franciscan Healthcare
La Crosse, Wisconsin, 54601
University of Michigan Health - Sparrow Lansing
Lansing, Michigan, 48912
Doctor's Hospital of Laredo
Laredo, Texas, 78041
Memorial Medical Center-Las Cruces
Las Cruces, New Mexico, 88011
Cancer Centers of Southwest Oklahoma Research
Lawton, Oklahoma, 73505
UT MD Anderson - League City
League City, Texas, 77573
University of Kansas Cancer Center - Lee's Summit
Lee's Summit, Missouri, 64064
AdventHealth Littleton
Littleton, Colorado, 80122
Trinity Health Saint Mary Mercy Livonia Hospital
Livonia, Michigan, 48154
Los Angeles General Medical Center
Los Angeles, California, 90033
USC / Norris Comprehensive Cancer Center
Los Angeles, California, 90033
Marshfield Medical Center-Marshfield
Marshfield, Wisconsin, 54449
Fremont - Rideout Cancer Center
Marysville, California, 95901
UPMC Hillman Cancer Center at Rocco And Nancy Ortenzio Cancer Pavilion
Mechanicsburg, Pennsylvania, 17050
Baptist Memorial Hospital and Cancer Center-Memphis
Memphis, Tennessee, 38120
UH Seidman Cancer Center at Lake Health Mentor Campus
Mentor, Ohio, 44060
Mount Sinai Medical Center
Miami Beach, Florida, 33140
UH Seidman Cancer Center at Southwest General Hospital
Middleburg Heights, Ohio, 44130
Beebe South Coastal Health Campus
Millville, Delaware, 19967
Hennepin County Medical Center
Minneapolis, Minnesota, 55415
Marshfield Medical Center - Minocqua
Minocqua, Wisconsin, 54548
West Virginia University Healthcare
Morgantown, West Virginia, 26506
Saint Alphonsus Cancer Care Center-Nampa
Nampa, Idaho, 83687
University Medical Center New Orleans
New Orleans, Louisiana, 70112
Cancer Center of Western Wisconsin
New Richmond, Wisconsin, 54017
NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
New York, New York, 10032
Helen F Graham Cancer Center
Newark, Delaware, 19713
Henry Ford Health Providence Novi Hospital
Novi, Michigan, 48374
HSHS Saint Elizabeth's Hospital
O'Fallon, Illinois, 62269
University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, 73104
Mercy Hospital Oklahoma City
Oklahoma City, Oklahoma, 73120
Nebraska Cancer Specialists/Oncology Hematology West PC - MECC
Omaha, Nebraska, 68114
Nebraska Methodist Hospital
Omaha, Nebraska, 68114
University of Kansas Cancer Center-Overland Park
Overland Park, Kansas, 66210
Baptist Memorial Hospital and Cancer Center-Oxford
Oxford, Mississippi, 38655
Desert Regional Medical Center
Palm Springs, California, 92262
Palo Alto Medical Foundation Health Care
Palo Alto, California, 94301
The Valley Hospital - Luckow Pavilion
Paramus, New Jersey, 07652
AdventHealth Parker
Parker, Colorado, 80138
University Hospitals Parma Medical Center
Parma, Ohio, 44129
Capital Health Medical Center-Hopewell
Pennington, New Jersey, 08534
Sacred Heart Hospital
Pensacola, Florida, 32504
Michigan Healthcare Professionals Pontiac
Pontiac, Michigan, 48341
Trinity Health Saint Joseph Mercy Oakland Hospital
Pontiac, Michigan, 48341
Providence Portland Medical Center
Portland, Oregon, 97213
Providence Saint Vincent Medical Center
Portland, Oregon, 97225
University Hospitals Portage Medical Center
Ravenna, Ohio, 44266
Beebe Health Campus
Rehoboth Beach, Delaware, 19971
Marshfield Medical Center-Rice Lake
Rice Lake, Wisconsin, 54868
Valley Health System Ridgewood Campus
Ridgewood, New Jersey, 07450
Mayo Clinic in Rochester
Rochester, Minnesota, 55905
Pluta Cancer Center
Rochester, New York, 14623
University of Rochester
Rochester, New York, 14642
Corewell Health William Beaumont University Hospital
Royal Oak, Michigan, 48073
University of California Davis Comprehensive Cancer Center
Sacramento, California, 95817
MyMichigan Medical Center Saginaw
Saginaw, Michigan, 48601
Park Nicollet Clinic - Saint Louis Park
Saint Louis Park, Minnesota, 55416
Regions Hospital
Saint Paul, Minnesota, 55101
United Hospital
Saint Paul, Minnesota, 55102
Salina Regional Health Center
Salina, Kansas, 67401
University of Utah Sugarhouse Health Center
Salt Lake City, Utah, 84106
Huntsman Cancer Institute/University of Utah
Salt Lake City, Utah, 84112
UH Seidman Cancer Center at Firelands Regional Medical Center
Sandusky, Ohio, 44870
Mission Hope Medical Oncology - Santa Maria
Santa Maria, California, 93444
Memorial Health University Medical Center
Savannah, Georgia, 31404
Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
Savannah, Georgia, 31405
Guthrie Medical Group PC-Robert Packer Hospital
Sayre, Pennsylvania, 18840
TidalHealth Nanticoke / Allen Cancer Center
Seaford, Delaware, 19973
Fred Hutchinson Cancer Center
Seattle, Washington, 98109
Swedish Medical Center-First Hill
Seattle, Washington, 98122
Prisma Health Cancer Institute - Seneca
Seneca, South Carolina, 29672
LSU Health Sciences Center at Shreveport
Shreveport, Louisiana, 71103
Sanford USD Medical Center - Sioux Falls
Sioux Falls, South Dakota, 57117-5134
Henry Ford Health Providence Southfield Hospital
Southfield, Michigan, 48075
Baptist Memorial Hospital and Cancer Center-Desoto
Southhaven, Mississippi, 38671
Spartanburg Medical Center
Spartanburg, South Carolina, 29303
Springfield Memorial Hospital
Springfield, Illinois, 62781
Mercy Hospital Springfield
Springfield, Missouri, 65804
Springfield Regional Cancer Center
Springfield, Ohio, 45504
Mercy Hospital South
St Louis, Missouri, 63128
Missouri Baptist Medical Center
St Louis, Missouri, 63131
Mercy Hospital Saint Louis
St Louis, Missouri, 63141
Marshfield Medical Center-River Region at Stevens Point
Stevens Point, Wisconsin, 54482
UT MD Anderson - Sugar Land
Sugar Land, Texas, 77478
ProMedica Flower Hospital
Sylvania, Ohio, 43560
Tampa General Hospital
Tampa, Florida, 33606
ProMedica Toledo Hospital/Russell J Ebeid Children's Hospital
Toledo, Ohio, 43606
Munson Medical Center
Traverse City, Michigan, 49684
Corewell Health Beaumont Troy Hospital
Troy, Michigan, 48085
Upper Valley Medical Center
Troy, Ohio, 45373
Gene Upshaw Memorial Tahoe Forest Cancer Center
Truckee, California, 96161
University of Arizona Cancer Center-Orange Grove Campus
Tucson, Arizona, 85704
University of Arizona Cancer Center-North Campus
Tucson, Arizona, 85719
Carle Cancer Center
Urbana, Illinois, 61801
Sutter Solano Medical Center/Cancer Center
Vallejo, California, 94589
PeaceHealth Southwest Medical Center
Vancouver, Washington, 98664
University Hospitals Sharon Health Center
Wadsworth, Ohio, 44281
George Washington University Medical Center
Washington D.C., District of Columbia, 20037
UH Seidman Cancer Center at Saint John Medical Center
Westlake, Ohio, 44145
UHHS-Westlake Medical Center
Westlake, Ohio, 44145
Marshfield Medical Center - Weston
Weston, Wisconsin, 54476
University of Kansas Hospital-Westwood Cancer Center
Westwood, Kansas, 66205
Ascension Via Christi Hospitals Wichita
Wichita, Kansas, 67214
Wesley Medical Center
Wichita, Kansas, 67214
University of Michigan Health - West
Wyoming, Michigan, 49519
UPMC Memorial
York, Pennsylvania, 17408
Canada4 sites
Jewish General Hospital
Montreal, Quebec, H3T 1E2
CHU de Quebec-L'Hotel-Dieu de Quebec (HDQ)
Québec, Quebec, G1R 2J6
Allan Blair Cancer Centre
Regina, Saskatchewan, S4T 7T1
Odette Cancer Centre- Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5
Puerto Rico2 sites
San Juan Community Oncology Group
San Juan, 00917
Centro Comprensivo de Cancer de UPR
San Juan, 00927
About this study
Official title: A Phase II Randomized Trial of Olaparib (NSC-747856) Administered Concurrently With Radiotherapy Versus Radiotherapy Alone for Inflammatory Breast Cancer
This phase II trial studies how well radiation therapy with or without olaparib works in treating patients with inflammatory breast cancer. Radiation therapy uses high energy x-rays to kill tumor cells and shrink tumors. Olaparib is an inhibitor of PARP, an enzyme that helps repair deoxyribonucleic acid (DNA) when it becomes damaged. Blocking PARP may help keep cancer cells from repairing their damaged DNA, causing them to die. PARP inhibitors are a type of targeted therapy. It is not yet known whether radiation therapy with or without olaparib may work better in treating patients with inflammatory breast cancer.
Read the detailed description
PRIMARY OBJECTIVE:
- To compare the invasive disease-free survival (IDFS) of patients with inflammatory breast cancer receiving concurrent administration of olaparib with standard doses of radiotherapy to the chest wall and regional lymph nodes compared to standard doses of radiotherapy alone to the chest wall and regional lymph nodes.
SECONDARY OBJECTIVE:
- To compare the effect of concurrent administration of olaparib with radiotherapy versus radiotherapy alone on improvement in locoregional control (measured by locoregional recurrence-free interval), distant relapse-free survival, and overall survival in inflammatory breast cancer patients.
ADDITIONAL OBJECTIVE:
- To collect tissue and whole blood for processing and banking in anticipation of future correlative studies in this patient population.
OUTLINE: Patients are randomized to 1 of 2 groups.
GROUP I: Patients receive olaparib orally (PO) twice daily (BID) the day before standard radiation therapy (RT) commences (Day 0) and throughout the RT course until the last day of RT administration. Olaparib is also continued on weekends (routine days without RT) throughout the RT course. Patients undergo radiation therapy 5 days per week for 6 weeks in the absence of disease progression or unacceptable toxicity.
GROUP II: Patients undergo standard radiation therapy 5 days per week for 6 weeks in the absence of disease progression or unacceptable toxicity.
Patients undergo blood sample collection throughout the study.
After completion of study treatment, patients are followed up within 5 weeks, then every 3 months until 3 years after registration, and then every 6 months for up to 8 years after registration.
- Conditions
- Breast Inflammatory Carcinoma
- Being tested
- Biospecimen Collection, Olaparib, Radiation Therapy, Survey Administration
- Keywords
- Inflammatory breast cancer, Olaparib, Radiation therapy
- Medical subject headings
- Inflammatory Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Biospecimen CollectionProcedure or surgery
Also called Biological Sample Collection, Biospecimen Collected, Sample Collection, Specimen Collection
Undergo blood sample collection
OlaparibDrug
Also called AZD 2281, AZD-2281, AZD2281, KU 0059436
Given PO
Radiation TherapyRadiation
Also called Cancer Radiotherapy, Energy Type, ENERGY_TYPE, Irradiate
Undergo radiation therapy
Survey AdministrationOther
Ancillary study
| Study group | Role | What they receive |
|---|---|---|
| Group I (olaparib, radiation therapy) | Experimental | Patients receive olaparib PO BID the day before standard RT commences (Day 0) and throughout the RT course until the last day of RT administration. Olaparib is also continued on weekends (routine days without RT) throughout the RT course. Patients undergo standard radiation therapy 5 days per week for 6 weeks in the absence of disease progression or unacceptable toxicity. Patients undergo blood sample collection throughout the study. Receives: Procedure: Biospecimen Collection; Drug: Olaparib; Radiation: Radiation Therapy; Other: Survey Administration |
| Group II (radiation therapy) | Active comparator | Patients undergo standard radiation therapy 5 days per week for 6 weeks in the absence of disease progression or unacceptable toxicity. Patients undergo blood sample collection throughout the study. Receives: Procedure: Biospecimen Collection; Radiation: Radiation Therapy; Other: Survey Administration |
What is being measured
The primary outcome is the main question the study is designed to answer.
Invasive Disease-Free Survival (IDFS)
Time from date of registration to date of first invasive recurrence (local, regional or distant), second invasive primary cancer (breast or not), or death due to any cause. Patients last known to be alive who have not experienced recurrence or second primary cancer are censored at their last contact date. Analysis will be on an intent-to-treat basis and will estimate the survival endpoints using the product-limit method of Kaplan-Meier and will compare the time-to-event distributions using log-rank test statistics. Hazard ratios will be calculated from Cox regression analyses. Effect modification by the stratification variables will be tested as interactions with treatment and separate hazard ratios with 95% confidence intervals by major subgroups will be displayed in a forest plot to examine for consistency of the treatment effect over these subgroups.
Measured: Up to 8 years
Secondary outcomes (3)
Locoregional Recurrence-Free Interval (Local Disease-Free Interval [LDFI])
Time from date of registration to date of invasive local or regional recurrence. Patients last known to be alive without recurrence are censored at their last contact date. Patients with distant recurrence, second primary cancer or death are censored at the time of that event. A competing risk framework will be conducted separating out the event types of locoregional recurrence from distant recurrence and death. Hazard ratios will be calculated from Cox regression analyses. Effect modification by the stratification variables will be tested as interactions with treatment and separate hazard ratios with 95% confidence intervals by major subgroups will be displayed in a forest plot to examine for consistency of the treatment effect over these subgroups.
Measured: Up to 8 years
Distant Relapse-Free Survival (Distant Recurrence-Free Survival)
Time from date of registration to date of invasive distant disease recurrence, second invasive primary cancer (breast or not) or death due to any cause. Patients last known to be alive who have not experienced disease recurrence, or second primary cancer are censored at their last contact date.
Measured: Up to 8 years
Overall Survival
Time from date of registration to date of death due to any cause. Patients last known to be alive are censored at their last contact date.
Measured: Up to 8 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Jul 2018
- Study start18 Jan 2019
- Primary completion1 Jun 2027 (estimated)
- Study completion1 Jun 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Breast Inflammatory CarcinomaStudies of the same condition, open and under way.
- More trials run by National Cancer Institute (NCI)The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 300 participants (estimated)
Sponsor and investigators
- Lead sponsor
- National Cancer Institute (NCI)
- Sponsor type
- US National Institutes of Health
- Responsible party
- Sponsor
- Investigators
- Reshma Jagsi, Principal investigator, SWOG Cancer Research Network
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03598257
- Sponsor's protocol ID
- NCI-2018-01519
- Other IDs
- NCI-2018-01519, S1706, S1706, U10CA180888
- Status last verified
- Sep 2026
- First submitted
- 24 Jul 2018
- Last updated
- 29 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Michmerhuizen AR, Pesch AM, Moubadder L, Chandler BC, Wilder-Romans K, Cameron M, Olsen E, Thomas DG, Zhang A, Hirsh N, Ritter CL, Liu M, Nyati S, Pierce LJ, Jagsi R, Speers C. PARP1 Inhibition Radiosensitizes Models of Inflammatory Breast Cancer to Ionizing Radiation. Mol Cancer Ther. 2019 Nov;18(11):2063-2073. doi: 10.1158/1535-7163.MCT-19-0520. Epub 2019 Aug 14.
PubMed 31413177
Study at a glance
From the registry record, last updated by the sponsor on 29 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II Randomized Trial of Olaparib (NSC-747856) Administered Concurrently With Radiotherapy Versus Radiotherapy Alone for Inflammatory Breast Cancer
- ClinicalTrials.gov ID
- NCT03598257
- Acronym / sponsor ID
- NCI-2018-01519
- Conditions
- Breast Inflammatory Carcinoma
- Keywords
- Inflammatory breast cancer, Olaparib, Radiation therapy
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 300 participants (estimated)
- Lead sponsor
- National Cancer Institute (NCI)US National Institutes of Health
- Study start
- 18 Jan 2019 (actual)
- Primary completion
- 1 Jun 2027 (estimated)
- Study completion
- 1 Jun 2027 (estimated)
- First posted
- 26 Jul 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This phase II trial studies how well radiation therapy with or without olaparib works in treating patients with inflammatory breast cancer. Radiation therapy uses high energy x-rays to kill tumor cells and shrink tumors. Olaparib is an inhibitor of PARP, an enzyme that helps repair deoxyribonucleic acid (DNA) when it becomes damaged. Blocking PARP may help keep cancer cells from repairing their damaged DNA, causing them to die. PARP inhibitors are a type of targeted therapy. It is not yet known whether radiation therapy with or without olaparib may work better in treating patients with inflammatory breast cancer.
Detailed description
PRIMARY OBJECTIVE:
- To compare the invasive disease-free survival (IDFS) of patients with inflammatory breast cancer receiving concurrent administration of olaparib with standard doses of radiotherapy to the chest wall and regional lymph nodes compared to standard doses of radiotherapy alone to the chest wall and regional lymph nodes.
SECONDARY OBJECTIVE:
- To compare the effect of concurrent administration of olaparib with radiotherapy versus radiotherapy alone on improvement in locoregional control (measured by locoregional recurrence-free interval), distant relapse-free survival, and overall survival in inflammatory breast cancer patients.
ADDITIONAL OBJECTIVE:
- To collect tissue and whole blood for processing and banking in anticipation of future correlative studies in this patient population.
OUTLINE: Patients are randomized to 1 of 2 groups.
GROUP I: Patients receive olaparib orally (PO) twice daily (BID) the day before standard radiation therapy (RT) commences (Day 0) and throughout the RT course until the last day of RT administration. Olaparib is also continued on weekends (routine days without RT) throughout the RT course. Patients undergo radiation therapy 5 days per week for 6 weeks in the absence of disease progression or unacceptable toxicity.
GROUP II: Patients undergo standard radiation therapy 5 days per week for 6 weeks in the absence of disease progression or unacceptable toxicity.
Patients undergo blood sample collection throughout the study.
After completion of study treatment, patients are followed up within 5 weeks, then every 3 months until 3 years after registration, and then every 6 months for up to 8 years after registration.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Group I (olaparib, radiation therapy) | Experimental | Procedure: Biospecimen Collection, Drug: Olaparib, Radiation: Radiation Therapy, Other: Survey AdministrationPatients receive olaparib PO BID the day before standard RT commences (Day 0) and throughout the RT course until the last day of RT administration. Olaparib is also continued on weekends (routine days without RT) throughout the RT course. Patients undergo standard radiation therapy 5 days per week for 6 weeks in the absence of disease progression or unacceptable toxicity. Patients undergo blood sample collection throughout the study. |
| Group II (radiation therapy) | Active comparator | Procedure: Biospecimen Collection, Radiation: Radiation Therapy, Other: Survey AdministrationPatients undergo standard radiation therapy 5 days per week for 6 weeks in the absence of disease progression or unacceptable toxicity. Patients undergo blood sample collection throughout the study. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (38 listed)
- Patients must have inflammatory breast cancer without distant metastases. All biomarker subtype groups (estrogen receptor [ER], progesterone receptor [PR], HER2) are eligible. Inflammatory disease will be defined per American Joint Committee on Cancer (AJCC) 8th edition with documentation by history/exam and pathology at the time of diagnosis.
- All patients must have completed neoadjuvant chemotherapy prior to mastectomy. The chemotherapy regimen is at the discretion of the treating physician but it is recommended that it include at least 4 cycles of anthracycline and/or taxane-based therapy (plus targeted therapy for patients with HER2+ disease). Response to chemotherapy is not a criterion for eligibility (both complete responders and those with residual disease are eligible). Please note that although pathologic complete response (pCR) is not required or excluded, pCR status must be determined post-surgery prior to randomization.
- All patients must have undergone modified radical mastectomy (with negative margins on ink) with pathologic nodal evaluation (from level I and II axillary lymph node dissection [ALND]) at least 3 weeks and no more than 12 weeks prior to randomization, unless they receive additional chemotherapy after mastectomy. Patients must not have gross residual tumor or positive microscopic margins after mastectomy.
- Additional adjuvant chemotherapy after surgery is allowed at the discretion of the treating physician, either completed prior to randomization or planned for after completion of protocol treatment. If adjuvant chemotherapy is administered after mastectomy, the patient must be randomized at least 3 weeks but no more than 12 weeks after the last dose of adjuvant chemotherapy.
- Patients must not have a history of radiation therapy to the ipsilateral chest wall and/or regional nodes. Prior radiation therapy to other body sites is allowed.
Key exclusion criteria (0 listed)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Biospecimen CollectionAlso: Biological Sample Collection, Biospecimen Collected, Sample Collection, Specimen CollectionUndergo blood sample collection | Procedure or surgery | Group I (olaparib, radiation therapy), Group II (radiation therapy) |
| OlaparibAlso: AZD 2281, AZD-2281, AZD2281, KU 0059436Given PO | Drug | Group I (olaparib, radiation therapy) |
| Radiation TherapyAlso: Cancer Radiotherapy, Energy Type, ENERGY_TYPE, IrradiateUndergo radiation therapy | Radiation | Group I (olaparib, radiation therapy), Group II (radiation therapy) |
| Survey AdministrationAncillary study | Other | Group I (olaparib, radiation therapy), Group II (radiation therapy) |
Primary outcome
Invasive Disease-Free Survival (IDFS)
Time frame: Up to 8 years
Time from date of registration to date of first invasive recurrence (local, regional or distant), second invasive primary cancer (breast or not), or death due to any cause. Patients last known to be alive who have not experienced recurrence or second primary cancer are censored at their last contact date. Analysis will be on an intent-to-treat basis and will estimate the survival endpoints using the product-limit method of Kaplan-Meier and will compare the time-to-event distributions using log-rank test statistics. Hazard ratios will be calculated from Cox regression analyses. Effect modification by the stratification variables will be tested as interactions with treatment and separate hazard ratios with 95% confidence intervals by major subgroups will be displayed in a forest plot to examine for consistency of the treatment effect over these subgroups.
3 secondary outcomes
Locoregional Recurrence-Free Interval (Local Disease-Free Interval [LDFI])
Time frame: Up to 8 years
Distant Relapse-Free Survival (Distant Recurrence-Free Survival)
Time frame: Up to 8 years
Overall Survival
Time frame: Up to 8 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Sep 2026.
- Derived from this study: PubMed 31413177Michmerhuizen AR, Pesch AM, Moubadder L, Chandler BC, Wilder-Romans K, Cameron M, Olsen E, Thomas DG, Zhang A, Hirsh N, Ritter CL, Liu M, Nyati S, Pierce LJ, Jagsi R, Speers C. PARP1 Inhibition Radiosensitizes Models of Inflammatory Breast Cancer to Ionizing Radiation. Mol Cancer Ther. 2019 Nov;18(11):2063-2073. doi: 10.1158/1535-7163.MCT-19-0520. Epub 2019 Aug 14.
Related trials for Breast Inflammatory Carcinoma
Active, not recruitingPhase 2
Carboplatin and Paclitaxel Albumin-Stabilized Nanoparticle Formulation Before Surgery in Treating Patients With Locally Advanced or Inflammatory Triple Negative Breast Cancer
Inflammatory Breast Cancer, Stage IIA Breast Cancer
Not yet recruiting
Feasibility and Effectiveness of Sentinel Lymph Node Biopsy in Inflammatory Breast Cancer
Breast Cancer
RecruitingPhase 2
TRUDI: TDXD+Durva in HER2+/Low IBC
Invasive Breast Cancer, Inflammatory Breast Cancer Stage III
RecruitingObservational study
Biospecimen and Medical Data Collection and Tumor Biopsy in Creating Research Tissue Registry in Patients With Inflammatory or Invasive Breast Cancer
Inflammatory Breast Carcinoma, Invasive Breast Carcinoma
Recruiting
Personalized Exercise Program for Survivors of Breast Cancer, STEPS-BC Trial
Anatomic Stage I Breast Cancer AJCC v8, Anatomic Stage II Breast Cancer AJCC v8
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Reshma Jagsi principal investigator
SWOG Cancer Research Network
220 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Biospecimen Collection, Olaparib and Radiation Therapy in people with Breast Inflammatory Carcinoma, run by National Cancer Institute (NCI) at 220 sites in 3 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 38 inclusion and 0 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: under way, not looking for participants, as of the sponsor's last update on 29 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 220 sites in United States, Canada, Puerto Rico. 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?
This study is still under way. Results are not available in the source record yet.
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?
Invasive Disease-Free Survival (IDFS) (time frame: Up to 8 years). 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 NCT03598257, 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 29 Sep 2026.