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Status unknownNCT01650376Updated Mar 23, 2018

Phase Ib Study of Olaparib Plus Weekly Carboplatin and Paclitaxel in Relapsed Ovarian Cancer

A Phase 1/2 interventional study of Olaparib and Carboplatin in Stage III Ovarian Cancer, Stage IV Ovarian Cancer and Uterine Cancer, sponsored by Swedish Medical Center. Status unknown at 5 sites in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-03-23.

Sponsored by Swedish Medical Center · Phase 1/2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Feb 2018), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Phase 1/2
Study type
Interventional
Enrollment
52
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
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Study summary

The purpose of this study is to determine the maximum tolerated dose (MTD) of the investigational agent, olaparib, to give in combination with carboplatin and paclitaxel in patients with relapsed ovarian cancer or uterine cancer. Furthermore, the investigators intend to study the safety and tolerability of the study treatment, response to treatment, time to disease progression, and overall survival.

02

Conditions studied

  • Stage III Ovarian Cancer
  • Stage IV Ovarian Cancer
  • Uterine Cancer

Keywords

  • Ovarian Neoplasms
  • Cancer of the Ovary
  • Ovarian Cancer
  • Uterine Neoplasms
  • Cancer of the Uterus
  • Uterine Cancer
  • Olaparib
  • AZD2281
  • Carboplatin
  • Paclitaxel
  • Relapsed
03

In context

Ovarian Neoplasms

2,695 studies on the registry are indexed under Ovarian Neoplasms; 727 are open to participants now.

This study's planned enrollment of 52 is below the median of 60 across 2,030 interventional studies indexed under Ovarian Neoplasms.

Browse Ovarian Neoplasms studies →

Lead sponsor

Swedish Medical Center is the lead sponsor of 40 studies on the registry; 5 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Advanced (stage III or IV), histologically or cytologically documented ovarian cancer or serious uterine cancer patients who relapsed after primary therapy with a platinum and a taxane. This includes:

    • Platinum sensitive: relapsed at least 6 months following platinum treatment
    • Platinum refractory: the cancer grew while on platinum treatment
    • Platinum resistant: recurrence within 6 months of platinum treatment
  • Must have failed first line treatment
  • ECOG performance status 0-2
  • Must be able to swallow and retain oral medication
  • Life expectancy greater than 16 weeks
  • Must have normal organ and bone marrow function defined as follows:

    • Hemoglobin ≥ 9.0 g/dL
    • Absolute neutrophil count (ANC) ≥ 1.5 x 10\^9/L
    • White blood cells (WBC) > 3 x 10\^9/L
    • Platelet count ≥ 100 10\^9/L
    • Total bilirubin ≤ 1.5 x institutional upper limit of normal
    • AST (SGOT)/ALT (SGPT) ≤ x institutional upper limit of normal unless liver metastases are present in which case it must be ≤ 5 ULN
    • Serum creatinine ≤ 1.5 x institutional upper limit of normal (ULN)

Exclusion criteria

Exclusion Criteria:

  • Any previous treatment with a PARP inhibitor, including olaparib
  • Any systemic chemotherapy, radiotherapy (except for palliative reasons), within 2 weeks from the last dose prior to study treatment (or longer period depending on the defined characteristics of the agents used)
  • Currently receiving the following classes of inhibitors of CYP3A4: azole antifungals, macrolide antibiotics, and protease inhibitors
  • Second primary cancer except adequately treated non-melanoma skin cancer, curatively treated in-situ cancer of the cervix, or other solid tumors curatively treated with no evidence of disease for ≥ 5 years
  • Symptomatic uncontrolled brain metastases
  • Major surgery within 2 weeks of starting study treatment
  • Immunocompromised patients, e.g., patients who are known to be serologically positive for human immunodeficiency virus (HIV)
  • Known active hepatic disease (i.e. Hepatitis B or C)
  • Uncontrolled seizures
  • History of allergic reactions attributed to compounds of similar chemical or biologic composition to carboplatin or paclitaxel
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
52 participants (estimated)

Study arms

  • Experimental
    Olaparib plus carboplatin and paclitaxel

    Drug: Olaparib · Drug: Carboplatin · Drug: Paclitaxel

Interventions

  • DrugOlaparib

    Olaparib will be administered orally on Days 1, 2, and 3 of each week until DLT or disease progression. A minimum of 3 patients will be enrolled into each cohort. The anticipated dose escalation sequence of olaparib is 50, 100, 150 and 200 mg, taken twice a day will be used.

    Also known as: AZD-2281, AZD2281, AZD 2281

  • DrugCarboplatin

    AUC 2 weekly for 3 weeks of a 4 week cycle. For patients who experience a complete response, the carboplatin and paclitaxel will be discontinued and olaparib monotherapy (400 mg, taken twice a day) will continue until disease progression and as long as the investigator feels they are benefiting from the treatment.

    Also known as: Paraplatin, Paraplatin NovaPlus

  • DrugPaclitaxel

    60mg/m2 weekly for 3 weeks of a 4 week cycle. For patients who experience a complete response, the carboplatin and paclitaxel will be discontinued and olaparib monotherapy (400 mg, taken twice a day) will continue until disease progression and as long as the investigator feels they are benefiting from the treatment.

    Also known as: Taxol, Onxol, Nov-Onxol, Paclitaxel Novaplus

06

What researchers measure

Primary outcomes

  1. Incidence of Dose Limiting Toxicity (DLT)

    Time frame: 1 cycle (1 cycle = 28 days)

Secondary outcomes

  1. Number of Reported Adverse Events

    Time frame: Weekly assessments of clinical and laboratory values, and vital sign measurements performed while receiving study treatment. (Anticipated time of 6 months)

Other outcomes

  1. Response to Therapy

    Time frame: Measured by CT scans performed every 8 weeks while receiving treatment. (Anticipated time of 6 months)

  2. Time to Progression

    Time frame: Measured by CT scans performed every 8 weeks while receiving treatment. (Anticipated time of 6 months)

  3. Overall Survival

    Time frame: Following the last treatment, patient's condition will be monitored every 3 months until death.

07

Study locations

5 sites
  • Swedish Cancer Institute Edmonds Campus
    Edmonds, Washington 98026, United States
  • Swedish Cancer Institute Issaquah Campus
    Issaquah, Washington 98029, United States
  • Pacific Gynecology Specialists
    Seattle, Washington 98104, United States
  • Swedish Medical Center Cancer Institute
    Seattle, Washington 98104, United States
  • Swedish Cancer Institute Ballard Campus
    Seattle, Washington 98107, United States
08

References and documents

Publications

  • Rivkin SE, Moon J, Iriarte DS, Bailey E, Sloan HL, Goodman GE, BonDurant AE, Velijovich D, Wahl T, Jiang P, Shah CA, Drescher C, Fer MF, Kaplan HG, Ellis ED. Phase Ib with expansion study of olaparib plus weekly (Metronomic) carboplatin and paclitaxel in relapsed ovarian cancer patients. Int J Gynecol Cancer. 2019 Feb;29(2):325-333. doi: 10.1136/ijgc-2018-000035. Epub 2019 Jan 29. PubMed 30700568 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 23, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01650376
Lead sponsor
Swedish Medical Center
Collaborators
AstraZeneca
Responsible party
Sponsor
First posted
Jul 26, 2012
Start date
Aug 2012
Primary completion
Dec 2018 (estimated)
Completion
Dec 2019 (estimated)
Last update
Mar 23, 2018

Study contacts

Saul Rivkin, MD
principal investigator · Swedish Medical Center Cancer Institute

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Feb 2018. You cannot join it, but the record below documents what was studied.

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