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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00494234
Other study ID # KU36-44
Secondary ID D0810C000082006-
Status Completed
Phase Phase 2
First received
Last updated
Start date June 15, 2007
Est. completion date December 21, 2022

Study information

Verified date January 2024
Source AstraZeneca
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of the study is to see if the drug KU-0059436 (olaparib) is effective and well tolerated in treating participants with measurable breast cancer gene (BRCA)1- or BRCA2-positive advanced breast cancer and for whom no curative therapeutic option exists.


Description:

This is a Phase II, open-label, non-comparative, international, multicenter study to assess the efficacy and safety of olaparib when given orally twice daily (bd) in participants with advanced BRCA1- or BRCA2- associated breast cancer. Two sequential participant cohorts will receive continuous oral olaparib in 28-day cycles. The first cohort will receive 400 mg bd and the second cohort will receive 100 mg bd.


Recruitment information / eligibility

Status Completed
Enrollment 54
Est. completion date December 21, 2022
Est. primary completion date February 27, 2009
Accepts healthy volunteers No
Gender Female
Age group 18 Years to 130 Years
Eligibility Inclusion Criteria: - Advanced breast cancer with positive BRCA1 or BRCA2 status - Failed at least one prior chemotherapy - In investigators opinion, no curative standard therapy exists - Measurable disease Exclusion Criteria: - Brain metastases - Less than 28 days since last treatment used to treat the disease - Considered a poor medical risk due to a serious uncontrolled disorder

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Olaparib
Participants will receive capsules of olaparib orally as stated in arm description.

Locations

Country Name City State
Australia Research Site Melbourne
Australia Research Site Randwick
Canada Research Site Duarte CA
Germany Research Site Kiel
Germany Research Site Köln
Germany Research Site München
Israel Research Site Tel-Aviv
Spain Research Site Hospitalet deLlobregat
Spain Research Site Madrid
Sweden Research Site Lund
United Kingdom Research Site Cambridge
United Kingdom Research Site Edinburgh
United Kingdom Research Site Fulham
United Kingdom Research Site London
United Kingdom Research Site Manchester
United States Research Site Boston Massachusetts
United States Research Site West Hollywood California

Sponsors (2)

Lead Sponsor Collaborator
AstraZeneca KuDOS Pharmaceuticals Limited

Countries where clinical trial is conducted

United States,  Australia,  Canada,  Germany,  Israel,  Spain,  Sweden,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Confirmed Objective Response Rate (ORR) According to Response Evaluation Criteria in Solid Tumors (RECIST) Criteria The ORR is the percentage of participants whose best tumor response is either complete response (CR) or partial response (PR), according to the RECIST v1.0 criteria. The CR is defined as disappearance of all target lesions (TLs). The PR is defined as at least a 30% decrease in the sum of longest diameters (LD) taking as reference the baseline sum of LD. Percentage of participants with ORR is reported. Baseline (Days -28 to 0), Day 1 of Cycle 3, thereafter every alternate cycles until study termination or withdrawal (approximately up to 2 years)
Secondary Duration of Response (DoR) to Olaparib Duration of response is defined as the date of progression per RECIST criteria - the date when CR or PR [whichever is earliest] is confirmed + 1. The CR is defined as disappearance of all TLs. The PR is defined as at least a 30% decrease in the sum of LD taking as reference the baseline sum of LD. Duration of response was analyzed for those participants who had OR. Baseline (Days -28 to 0), Day 1 of Cycle 3, thereafter every alternate cycles until study termination or withdrawal (approximately up to 2 years)
Secondary Clinical Benefit Rate (CBR) The CBR is defined as the percentage of participants with a RECIST tumor response of confirmed CR, PR or stable disease (SD) for = 8 weeks +/- 1 week visit window. The CR is defined as disappearance of all TLs. The PR is defined as at least a 30% decrease in the sum of LD taking as reference the baseline sum of LD. Stable disease is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD taking as references the smallest sum of LD since the treatment started. From Day 1 of Cycle 3 through study withdrawal (approximately up to 2 years)
Secondary Best Percentage Change in Tumor Size The tumor size is defined as the sum of the longest diameters as measured among all target lesions. At each assessment, the percentage change in tumor size is defined as 100 × 1 - (sum of all target lesion diameters at visit/sum of all target lesion diameters at baseline). Baseline (Days -28 to 0) through study withdrawal (approximately up to 2 years)
Secondary Progression-free Survival (PFS) PFS is defined as the time from first dose to the earlier date of radiologic progression (as per RECIST criteria) or death by any cause in the absence of objective progression. Those participants who were withdrawn from the study without disease progression were regarded as censored at their last evaluable RECIST assessment. Where participants had not progressed at the termination of the study, they were also regarded as censored at their last evaluable RECIST assessment. PFS was analyzed using Kaplan-Meier estimate. Baseline (Days -28 to 0), Day 1 of Cycle 3, thereafter every alternate cycles until study termination or withdrawal (approximately up to 2 years)
Secondary Number of Participants With Improvement in Eastern Co-operative Oncology Group (ECOG) Performance Status Total Score From Baseline ECOG performance status is used by researchers to assess how a participant's disease is progressing. The scores are: 0=Fully Active, able to carry out work without restrictions; 1=Restricted activity and able to carry out light work or sedentary nature; 2=capable of self-care but unable to carry out work activities; 3=Capable of only limited self-care, confined to bed or chair more than 50% of waking hours; 4=Completely Disabled, and totally confined to bed or chair; 5=Dead. Change in ECOG performance status was defined as improved (less than the baseline value), no change (same as at baseline), worsened (greater than the baseline value) or missing (score is missing or was not recorded at baseline). If no measurement was recorded at Cycle 1 Day 1, the change was calculated in relation to the last recorded ECOG value prior to Day 1. Screening (Days -7 to 0), Day 1 Cycle 7 (ie, after completing 6 cycles of treatment) and study withdrawal (approximately up to 2 years).
Secondary Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. A serious adverse event (SAE) is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. The TEAEs are defined as events present at baseline that worsened in intensity after administration of study drug or events absent at baseline that emerged after administration of study drug. Day 1 through Day 480 (maximum observed duration)
Secondary Number of Participants With Clinically Significant Changes in Vital Signs From Baseline Number of participants with clinically significant changes in vital signs are reported. Vital sign parameters included body temperature, blood pressure, and pulse rate. Day 1 through Day 480 (maximum observed duration)
Secondary Number of Participants With at Least 2-Grade Change From Baseline to Worst Toxicity Grade in Clinical Laboratory Parameters Number of participants with at least 2-grade change from baseline to worst toxicity grade in clinical laboratory parameters are reported. Laboratory parameters included hematology, clinical chemistry, and urinalysis. Day 1 through Day 480 (maximum observed duration)
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