OLAParib COmbinations (OLAPCO)
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ClinicalTrials.gov Identifier: NCT02576444 |
Recruitment Status :
Terminated
(The study was paused during COVID and without the ability to initiate the 4th arm in the study, the decision was to terminate the study in 2022.)
First Posted : October 15, 2015
Results First Posted : December 28, 2022
Last Update Posted : December 28, 2022
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Study Type | Interventional |
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Study Design | Allocation: Non-Randomized; Intervention Model: Parallel Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Condition |
Cancer |
Interventions |
Drug: AZD2281 Drug: AZD5363 Drug: AZD1775 Drug: AZD6738 |
Enrollment | 67 |
Recruitment Details | |
Pre-assignment Details |
Arm/Group Title | Olaparib AZD2881 | Olaparib & Capivasertib AZD5363 | Olaparib & Ceralasertib AZD6738 | Olaparib & Adavosertib AZD1775 |
---|---|---|---|---|
Arm/Group Description |
Patients with cholangiocarcinoma harboring IDH 1/2 tumors will be treated with olaparib. Patients with tumors harboring mutation in HDR genes will be treated with olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. |
Patients with tumors harboring PTEN, PIK3CA, AKT, or ARID1A mutations or other molecular aberrations leading to dysregulation of the PI3K/AKT pathway will be treated with AZD5363 plus olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD5363: Patients will be administered AZD5363 at 640 mg twice daily for two days on/five days off (2/7) schedule. Two (2) 200 mg tablets and three (3) 80 mg tablets should be taken twice daily. |
Patients with tumors harboring either TP53 or KRAS mutations or mutations in KRAS and TP53 will be treated with AZD1775 plus olaparib. TP53 mutations must be found on the TP53 mutation eligibility list. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD1775: The recommended dose will be available no earlier than March 2016. |
Patients with tumors harboring mutations in HDR genes, including ATM, CHK2, APOBEC, MRE11 complex, will be treated with AZD6738 and olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD6738: Patients will be administered AZD6738 at 160 mg daily for days 1-7 of a 28-day cycle (7/28) schedule. AZD6738 is available as 100, 20, and 10 mg tablets. Tablets should be taken daily. |
Period Title: Overall Study | ||||
Started | 26 | 16 | 25 | 0 |
Completed | 25 | 15 | 21 | 0 |
Not Completed | 1 | 1 | 4 | 0 |
Reason Not Completed | ||||
Death | 1 | 1 | 0 | 0 |
Withdrawal by Subject | 0 | 0 | 2 | 0 |
Adverse Event | 0 | 0 | 1 | 0 |
Physician Decision | 0 | 0 | 1 | 0 |
Arm/Group Title | Olaparib AZD2881 | Olaparib & Capivasertib AZD5363 | Olaparib & Ceralasertib AZD6738 | Olaparib & Adavosertib AZD1775 | Total | |
---|---|---|---|---|---|---|
Arm/Group Description |
Patients with cholangiocarcinoma harboring IDH 1/2 tumors will be treated with olaparib. Patients with tumors harboring mutation in HDR genes will be treated with olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. |
Patients with tumors harboring PTEN, PIK3CA, AKT, or ARID1A mutations or other molecular aberrations leading to dysregulation of the PI3K/AKT pathway will be treated with AZD5363 plus olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD5363: Patients will be administered AZD5363 at 640 mg twice daily for two days on/five days off (2/7) schedule. Two (2) 200 mg tablets and three (3) 80 mg tablets should be taken twice daily. |
Patients with tumors harboring either TP53 or KRAS mutations or mutations in KRAS and TP53 will be treated with AZD1775 plus olaparib. TP53 mutations must be found on the TP53 mutation eligibility list. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD1775: The recommended dose will be available no earlier than March 2016. |
Patients with tumors harboring mutations in HDR genes, including ATM, CHK2, APOBEC, MRE11 complex, will be treated with AZD6738 and olaparib. AZD2281: Patients will be administered olaparib orally twice daily (bid) at 300 mg. Two (2) x 150 mg olaparib tablets should be taken at the same times each morning and evening of each day, approximately 12 hours apart with approximately 240 mL of water. AZD6738: Patients will be administered AZD6738 at 160 mg daily for days 1-7 of a 28-day cycle (7/28) schedule. AZD6738 is available as 100, 20, and 10 mg tablets. Tablets should be taken daily. |
Total of all reporting groups | |
Overall Number of Baseline Participants | 26 | 16 | 25 | 0 | 67 | |
Baseline Analysis Population Description |
Arm 4 (Olaparib & Adavosertib AZD1775) was never activated following the study pause due to COVID.
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Age, Categorical
Measure Type: Count of Participants Unit of measure: Participants |
||||||
Number Analyzed | 26 participants | 16 participants | 25 participants | 0 participants | 67 participants | |
<=18 years |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 |
0 0.0%
|
|
Between 18 and 65 years |
17 65.4%
|
11 68.8%
|
19 76.0%
|
0 |
47 70.1%
|
|
>=65 years |
9 34.6%
|
5 31.3%
|
6 24.0%
|
0 |
20 29.9%
|
|
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
||||||
Number Analyzed | 26 participants | 16 participants | 25 participants | 0 participants | 67 participants | |
Female |
8 30.8%
|
12 75.0%
|
18 72.0%
|
0 |
38 56.7%
|
|
Male |
18 69.2%
|
4 25.0%
|
7 28.0%
|
0 |
29 43.3%
|
|
Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
||||||
Number Analyzed | 26 participants | 16 participants | 25 participants | 0 participants | 67 participants | |
Hispanic or Latino |
0 0.0%
|
0 0.0%
|
1 4.0%
|
0 |
1 1.5%
|
|
Not Hispanic or Latino |
18 69.2%
|
13 81.3%
|
19 76.0%
|
0 |
50 74.6%
|
|
Unknown or Not Reported |
8 30.8%
|
3 18.8%
|
5 20.0%
|
0 |
16 23.9%
|
|
Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
||||||
Number Analyzed | 26 participants | 16 participants | 25 participants | 0 participants | 67 participants | |
American Indian or Alaska Native |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 |
0 0.0%
|
|
Asian |
0 0.0%
|
0 0.0%
|
1 4.0%
|
0 |
1 1.5%
|
|
Native Hawaiian or Other Pacific Islander |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 |
0 0.0%
|
|
Black or African American |
1 3.8%
|
0 0.0%
|
1 4.0%
|
0 |
2 3.0%
|
|
White |
18 69.2%
|
12 75.0%
|
19 76.0%
|
0 |
49 73.1%
|
|
More than one race |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 |
0 0.0%
|
|
Unknown or Not Reported |
7 26.9%
|
4 25.0%
|
4 16.0%
|
0 |
15 22.4%
|
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Region of Enrollment
Measure Type: Number Unit of measure: Participants |
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United States | Number Analyzed | 26 participants | 16 participants | 25 participants | 0 participants | 67 participants |
26 | 16 | 25 | 68 |
Name/Title: | Joseph Paul Eder, MD |
Organization: | Yale School of Medicine: Medical Oncology |
Phone: | (203) 737-6980 |
EMail: | joseph.eder@yale.edu |
Responsible Party: | Joseph Paul Eder, Yale University |
ClinicalTrials.gov Identifier: | NCT02576444 |
Other Study ID Numbers: |
1508016363 |
First Submitted: | October 12, 2015 |
First Posted: | October 15, 2015 |
Results First Submitted: | August 25, 2022 |
Results First Posted: | December 28, 2022 |
Last Update Posted: | December 28, 2022 |