Squamous Cell Carcinoma of the Head and Neck Clinical Trial
Official title:
Phase II(Window) Preoperative Study of Olaparib With Cisplatin or With Durvalumab (MEDI4736) or Alone or no Treatment in Patients With Histologically Proven Squamous Cell Carcinoma of the Head and Neck Who Are Candidates for Surgery.
OPHELIA (OPHELIA (OlaParib and durvalumab in HEad and neck squamous celL carcInomA) trial is a Greek, investigator-initiated, randomized open-label window-of-opportunity phase II study. Patients with operable histologically documented squamous-cell carcinoma of the oral cavity, oropharynx, hypopharynx or larynx will be randomized between combination with durvalumab and olaparib, cisplatin and olaparib, monotherapy with olaparib or no treatment, before starting standard treatment.
OPHELIA is a window-of-opportunity phase II study randomized between combination with
durvalumab and olaparib, cisplatin and olaparib, monotherapy with olaparib or no treatment,
before starting standard treatment.
Although patients will be randomized between the 4 arms, no formal comparison between the 4
arms will be performed.Patients allocated to the olaparib monotherapy arm will serve as a
proof-of-concept to interpret the mechanism of action of olaparib. Patients allocated in the
"no treatment" group will be used as control.
The primary endpoint will be the change in the tumour Ki-67 before and after treatment with
the combination of olaparib + durvalumab or olaparib + cisplatin or olaparib monotherapy.
Secondary endpoints will be early tumour response by RECIST criteria, pathologic complete
response rate, tolerability to treatment and surgical complications rate, and optionally,
metabolic response assessed by FDG-PET/CT scan. Translational correlates will be tested in
tumour tissue, plasma and germline DNA.
All the endpoints will be analyzed by an "as treated analysis" since the trial does not
include a formal comparison of the treatment arms.
Administration of olaparib monotherapy has been associated with reports of the following
laboratory findings and/or clinical diagnoses, generally of mild or moderate severity (CTCAE
Grade 1 or 2) and generally not requiring treatment discontinuation.
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