Clinical Trials

The James Cancer Center Columbus, OH

open for enrollment

Olaparib Treatment in Relapsed Germline Breast Cancer Susceptibility Gene (BRCA) Mutated Ovarian Cancer Patients Who Have Progressed at Least 6 Months After Last Platinum Treatment and Have Received at Least 2 Prior Platinum Treatments.

Protocol: OSU-14261

Full Title

A Phase III, Open Label, Randomised, Controlled, Multi-centre Study to assess the efficacy and safety of Olaparib Monotherapy versus Physician's Choice Single Agent Chemotherapy in the Treatment of Platinum Sensitive Relapsed Ovarian Cancer in Patients carrying germline BRCA1/2 Mutations.

Purpose

Comparison of olaparib vs. physician's choice of single agent standard of care non-platinum

based chemotherapy in patients with germline Breast Cancer susceptibility gene (gBRCA)

mutated ovarian cancer who have progressed at least 6 months after the last platinum based

chemotherapy. Patient should have received at least 2 prior lines of platinum based

chemotherapy. The aim of the study is to assess the efficacy and safety of olaparib tablets.

Study Objective

This open label, randomised, controlled, multi-centre study will assess the efficacy and

safety of single agent olaparib vs. standard of care, based on physician's choice of single

agent chemotherapy ( i.e paclitaxel, or topotecan, or pegylated liposomal doxorubicin, or

gemcitabine) in platinum sensitive or partially platinum sensitive relapsed ovarian cancer

patients who carry germline deleterious or suspected deleterious BRCA mutation and who have

received at least 2 prior lines of platinum based chemotherapy. Patients are eligible to

undergo BRCA testing even if they have not yet had recurrence or progression of disease >6

months (>/=183 days) after completion of their last platinum therapy.

Are you eligible?

Inclusion Criteria:

Patients must be ≥ 18 years of age

Patients with histologically diagnosed relapsed high grade serous ovarian cancer

(including primary peritoneal and/or fallopian tube cancer) or high grade

endometrioid cancer. Patients are eligible to undergo BRCA testing even if they have

not yet had recurrence or progression of disease >6 months (>/=183 days) after

completion of their last platinum therapy.

Documented germline mutation in Breast Cancer susceptibility genes: BRCA1 and/or

BRCA2 that is predicted to be deleterious or suspected deleterious (known or

predicted to be detrimental/lead to loss of function)

At least one lesion that can be accurately assessed at baseline by CT/MRI and is

suitable for repeated assessment.

Patients must have received at least 2 prior platinum based lines of chemotherapy -

Patients must be partially platinum sensitive or platinum sensitive

Patients must be suitable to start treatment with single agent chemotherapy based on

physician's choice

Patients must have normal organ and bone marrow function measured within 28 days of

randomisation,

Eastern Cooperative Oncology Group (ECOG) performance status 0-2

Patients must have a life expectancy ≥ 16 weeks

Formalin fixed, paraffin embedded tumour sample from the primary or recurrent cancer

must be available for central testing.

Exclusion Criteria:

BRCA 1 and/or BRCA2 mutations that are considered to be non detrimental

Exposure to any investigational product within 30 days or 5 half lives (whichever is

longer) prior to randomisation

Any previous treatment with a Polyadenosine 5'diphosphoribose polymerisation (PARP)

inhibitor, including olaparib.

Patients who have platinum resistant or refractory disease

Patients receiving any systemic chemotherapy within 3 weeks prior to first dose of

study treatment

Previous single agent exposure to the selected chemotherapy regimen for

randomisation. - Prior malignancy in the last 5 years, unless curatively treated and

recurrence free (few exceptions apply).

Breast Cancer Ovarian Cancer Gynecologic Cancers