ClinicalTrials.gg
Active, not recruitingNCT02032823OlympiAUpdated Jul 14, 2026Results posted

Olaparib as Adjuvant Treatment in Patients With Germline BRCA Mutated High Risk HER2 Negative Primary Breast Cancer

A Phase 3 interventional study of Olaparib and Placebo in Breast Cancer, sponsored by AstraZeneca. Active, not recruiting at 698 sites in 24 countries. Open to participants aged 18 Years to 130 Years. Per ClinicalTrials.gov, last updated 2026-07-14.

Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Phase 3
Study type
Interventional
Enrollment
1,837
Allocation
Randomized
Ages
18 Years to 130 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 51 studies testing olaparib in Breast Neoplasms — 11 open to participants now, 25 under way, 4 of them phase 3. olaparib · Breast Neoplasms.

Enrollment
2nd of 51
1,837 · median 54
Started
2014
with 2 others
Phase 3
5 of 51
none open now
Primary completion
2020-03
later than 0 of 24 live
Registered
10th of 51
by date
Lead sponsor
11 of 51
AstraZeneca

Among the 51 studies testing olaparib in Breast Neoplasms, this one is the 2nd largest by enrollment, is one of 3 that started in 2014, is one of 5 in phase 3, reaches primary completion later than 0 of the 24 other live ones, and was the 10th registered.

Breast Neoplasms

14,832 studies on the registry are indexed under Breast Neoplasms; 3,320 are open to participants now.

Browse Breast Neoplasms studies →

Open to participants now

11 of the 51 studies testing olaparib in Breast Neoplasms are open now, in 8 countries. Recruiting first, the newest first:

6 more — sign in →

By country, each count listing its studies:

All 11 open studies →

About olaparib

olaparib: first FDA approval 2014 (LYNPARZA), first EMA approval 2014. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 2,399 Breast Neoplasms studies recruiting now, 1,570 (65%) set no upper age limit and 592 (25%) stop at 75 or younger; 103 take children under 18; 215 take healthy volunteers.

This study: 18 Years to 130 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 51 studies testing olaparib in Breast Neoplasms, or all of them as a file.
02

Study summary

Olaparib treatment in patients with germline BRCA1/2 mutations and high risk HER2 negative primary breast cancer who have completed definitive local treatment and neoadjuvant or adjuvant chemotherapy

Read the detailed description

Patients will be randomised in 1:1 ratio to either olaparib or placebo. Randomisation will be stratified by Hormone receptor status (ER and/or PgR positive/HER2 negative versus TNBC), prior neoadjuvant versus adjuvant chemotherapy and prior platinum use for breast cancer.

Randomised patients will receive study treatment for up to a maximum of 12 months. All patients will have safety assessments every 2 weeks during the first month, every 4 weeks for the following 5 months and 3 monthly for the remaining 6 months of study treatment plus 30 days after its discontinuation. Following randomisation, all patients will be assessed regularly for signs, symptoms and evidence of disease recurrence by taking medical history, physical examination and mammogram/breast MRI. Efficacy assessments will be performed on a 3 monthly basis during the first 2 years, followed by 6 monthly assessments for years 3, 4 and 5 and annually thereafter. All patients (except those with bilateral mastectomy) will have mammogram / breast MRI annually for 10 years beginning 6 months after randomisation.

All randomised patients will have clinical assessment visits for 10 years following their randomisation into the study. Once a patient completes 10 years of clinical assessment they will enter the survival follow up phase of the trial which will continue until approximately 10 years after the last patient is randomised.

03

Conditions studied

  • Breast Cancer

Browse trials for

Keywords

  • Breast Cancer
  • Adjuvant
  • Olaparib
  • BRCA 1/2
  • HER2
04

Who can participate

Ages eligible
18 Years to 130 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • confirmed non- primary invasive adenocarcinoma of the breast that is one of the following phenotypes:

    1. Triple negative breast cancer defined as: ER and PgR negative AND negative (not eligible for anti-HER2 therapy)
    2. ER and/or PgR positive, HER2 negative
  • Documented germline mutation in BRCA1 or BRCA2 that is predicted to be deleterious or suspected deleterious (known or predicted to be detrimental/lead to loss of function).
  • Completed adequate breast and axilla surgery.
  • Completed at least 6 cycles or adjuvant chemotherapy containing anthracyclines, taxanes or the combination of both. Prior platinum as potentially curative treatment for prior cancer (e.g. ovarian) or as adjuvant or neoadjuvant treatment for breast cancer is allowed.
  • 0-1.

Exclusion criteria

Exclusion criteria:

  • Any previous treatment with a PARP inhibitor, including olaparib and/or known to any of the of study treatment.
  • Patients with second primary . EXCEPTIONS are:

    1. adequately treated non-melanoma skin cancer, curatively treated in situ cancer of the cervix, Ductal Carcinoma in situ (DCIS) of the breast, stage 1 grade 1 endometrial carcinoma
    2. other solid tumours and lymphomas (without bone marrow involvement) diagnosed ≥ 5 years prior to randomisation and treated with no evidence of disease recurrence and for whom no more than one was applied.
  • Concomitant use of known strong inhibitors (e.g., itraconazole, telithromycin, clarithromycin, protease inhibitors boosted with ritonavir or cobicistat, indinavir, saquinavir, nelfinavir, boceprevir, telaprevir) or moderate CYP3A inhibitors (e.g., ciprofloxacin, erythromycin, diltiazem, fluconazole, verapamil). The required prior to starting study treatment is 2 weeks. Concomitant use of known strong (e.g., phenobarbital, enzalutamide, phenytoin, rifampicin, rifabutin, rifapentine, carbamazepine, nevirapine and St John's Wort) or moderate CYP3A inducers (e.g., bosentan, efavirenz, modafinil). The required washout period prior to starting study treatment is 5 weeks for enzalutamide or phenobarbital and 3 weeks for other agents.
  • Evidence of breast cancer
Terms in these criteria, in plain language(11)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
1,837 participants (actual)

Study arms

  • Experimental
    Olaparib

    Olaparib tablets 300mg b.i.d. p.o.

    Drug: Olaparib

  • Placebo comparator
    Placebo

    Placebo tablets b.i.d. p.o.

    Drug: Placebo

Interventions

  • Patients will be administred olaparib orally twice daily (b.i.d.) 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

    Also known as: Lynparza

  • DrugPlacebo

    Patients will be administred matching placebo. Two (2) 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

06

What researchers measure

Primary outcomes

  1. Invasive Disease Free Survival (IDFS)

    An IDFS event is defined as the first occurrence of loco-regional or distant recurrence or new cancer or death from any cause.

    Time frame: From date of randomisation to data cut off: 27 March 2020 (approximately 5 years 11 months)

Secondary outcomes

  1. Distant Disease Free Survival (DDFS)

    A DDFS event is defined as documented evidence of first distant recurrence of breast cancer or death from any cause

    Time frame: From date of randomisation to data cut off: 27 March 2020 (approximately 5 years 11 months)

  2. Overall Survival (OS)

    An OS event is defined as death by any cause.

    Time frame: From date of randomisation to data cut off: 12 July 2021 (approximately 7 years 3 months)

  3. Number of Participants With Contralateral Invasive and Non-invasive Breast Cancer, New Primary Ovarian Cancer, New Primary Fallopian Tube Cancer and New Primary Peritoneal Cancer

    Number of patients with contralateral invasive breast cancer, contralateral non-invasive breast cancer, new primary ovarian cancer, new primary fallopian tube cancer and new primary peritoneal cancer. Analysis of contralateral breast cancers exclude patients with a bilateral mastectomy prior to randomisation. Analysis of new primary ovarian cancers excludes male patients and patients with a bilateral oophorectomy prior to randomisation. Analysis of new primary fallopian tube cancer excludes male patients and patients with a bilateral salpingectomy prior to randomisation. Analysis of new primary peritoneal cancers excludes male patients.

    Time frame: From date of randomisation to data cut off: 05 June 2024 (approximately 10 years 2 months)

  4. Change From Baseline for FACIT-Fatigue (Functional Assessment of Chronic Illness Therapy-Fatigue) Score for Participants Who Completed Neoadjuvant Chemotherapy

    Change from baseline for FACIT-Fatigue Score at 6, 12, 18 and 24 months for patients who completed neoadjuvant chemotherapy. Adjusted least-square mean changes and 95% Confidence Interval (CI) are obtained from mixed model for repeated measures (MMRM) analysis of the change from baseline. Only patients with evaluable baseline forms are included. FACIT-Fatigue score ranges from 0 to 52 with higher score indicating less fatigue.

    Time frame: 6, 12, 18 and 24 months after randomisation (data cut off: 12 July 2021)

  5. Change From Baseline for FACIT-Fatigue (Functional Assessment of Chronic Illness Therapy-Fatigue) Score for Participants Who Completed Adjuvant Chemotherapy

    Change from baseline for FACIT-Fatigue Score at 6, 12, 18 and 24 months for patients who completed adjuvant chemotherapy. Adjusted least-square mean changes and 95% CI are obtained from mixed model for repeated measures (MMRM) analysis of the change from baseline. Only patients with evaluable baseline forms are included. FACIT-Fatigue score ranges from 0 to 52 with higher score indicating less fatigue.

    Time frame: 6, 12, 18 and 24 months after randomisation (data cut off: 12 July 2021)

  6. Change From Baseline for EORTC QLQ-C30 (European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core Questions 30) Scores for Participants Who Completed Neoadjuvant Chemotherapy

    Change from baseline for EORTC QLQ-C30 Global health status QOL (Quality of Life) Score at 6, 12, 18 and 24 months for patients who completed neoadjuvant chemotherapy. Adjusted least-square mean changes and 95% CI are obtained from mixed model for repeated measures (MMRM) analysis of the change from baseline. Only patients with evaluable baseline forms are included. EORTC QLQ-C30 scores range from 0 to 100 with higher score indicating better quality of life.

    Time frame: 6, 12, 18 and 24 months after randomisation (data cut off: 12 July 2021)

  7. Change From Baseline for EORTC QLQ-C30 (European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core Questions 30) Scores for Participants Who Completed Adjuvant Chemotherapy

    Change from baseline for EORTC QLQ-C30 Global health status QOL (Quality of Life) Score at 6, 12, 18 and 24 months for patients who completed adjuvant chemotherapy. Adjusted least-square mean changes and 95% CI are obtained from mixed model for repeated measures (MMRM) analysis of the change from baseline. Only patients with evaluable baseline forms are included. EORTC QLQ-C30 scores range from 0 to 100 with higher score indicating better quality of life.

    Time frame: 6, 12, 18 and 24 months after randomisation (data cut off: 12 July 2021)

07

Results

Posted Dec 8, 2021

Participant flow

The first patient was enrolled on 22 April 2014. Patients were randomised from 554 centres in 23 countries worldwide.

Participant flow — Overall Study
MilestoneOlaparibPlacebo
Started921915
Completed00
Not completed921915
Withdrew: Death107143
Withdrew: Lost to follow-up3636
Withdrew: Withdrawal by subject7864
Withdrew: Ongoing study at the data cut-off (dco3: 05jun2024)697666
Withdrew: Other (e.g investigators decision, protocol deviation, randomised by mistake)36

Outcome measures

PrimaryInvasive Disease Free Survival (IDFS)

An IDFS event is defined as the first occurrence of loco-regional or distant recurrence or new cancer or death from any cause.

Time frame:
From date of randomisation to data cut off: 27 March 2020 (approximately 5 years 11 months)
Reported as:
Count of participants · Participants
Invasive Disease Free Survival (IDFS)
ParticipantsOlaparibPlacebo
Invasive Disease Free Survival (IDFS)106178
Statistical analysis
  • Olaparib vs Placebo · Log Rank · p = 0.0000073 (A multiple testing procedure is employed across the primary and all key secondary endpoints to strongly control overall type I error at 5% (2 sided) accounting for all analysis timepoints.) · Hazard ratio (hr): 0.581 · 99.5% CI 0.409 to 0.816Estimate of the treatment hazard ratio is based on a stratified Cox's Proportional Hazards Model, \<1 indicates a lower risk with olaparib compared with placebo arm. Stratification factors are the same as those used in the stratified log-rank test.
SecondaryDistant Disease Free Survival (DDFS)

A DDFS event is defined as documented evidence of first distant recurrence of breast cancer or death from any cause

Time frame:
From date of randomisation to data cut off: 27 March 2020 (approximately 5 years 11 months)
Reported as:
Count of participants · Participants
Distant Disease Free Survival (DDFS)
ParticipantsOlaparibPlacebo
Distant Disease Free Survival (DDFS)89152
Statistical analysis
  • Olaparib vs Placebo · Log Rank · p = 0.0000257 (A multiple testing procedure is employed across the primary and all key secondary endpoints to strongly control overall type I error at 5% (2 sided) accounting for all analysis timepoints.) · Hazard ratio (hr): 0.574 · 99.5% CI 0.392 to 0.831Estimate of the treatment hazard ratio is based on a stratified Cox's Proportional Hazards Model, \<1 indicates a lower risk with olaparib compared with placebo arm. Stratification factors are the same as those used in the stratified log-rank test.
SecondaryOverall Survival (OS)

An OS event is defined as death by any cause.

Time frame:
From date of randomisation to data cut off: 12 July 2021 (approximately 7 years 3 months)
Reported as:
Count of participants · Participants
Overall Survival (OS)
ParticipantsOlaparibPlacebo
Overall Survival (OS)75109
Statistical analysis
  • Olaparib vs Placebo · Log Rank · p = 0.0091 (A multiple testing procedure is employed across the primary and all key secondary endpoints to strongly control overall type I error at 5% (2 sided) accounting for all analysis timepoints.) · Hazard ratio (hr): 0.678 · 98.5% CI 0.468 to 0.973Estimate of the treatment hazard ratio is based on a stratified Cox's Proportional Hazards Model, \<1 indicates a lower risk with olaparib compared with placebo arm. Stratification factors are the same as those used in the stratified log-rank test.
SecondaryNumber of Participants With Contralateral Invasive and Non-invasive Breast Cancer, New Primary Ovarian Cancer, New Primary Fallopian Tube Cancer and New Primary Peritoneal Cancer

Number of patients with contralateral invasive breast cancer, contralateral non-invasive breast cancer, new primary ovarian cancer, new primary fallopian tube cancer and new primary peritoneal cancer. Analysis of contralateral breast cancers exclude patients with a bilateral mastectomy prior to randomisation. Analysis of new primary ovarian cancers excludes male patients and patients with a bilateral oophorectomy prior to randomisation. Analysis of new primary fallopian tube cancer excludes male patients and patients with a bilateral salpingectomy prior to randomisation. Analysis of new primary peritoneal cancers excludes male patients.

Time frame:
From date of randomisation to data cut off: 05 June 2024 (approximately 10 years 2 months)
Reported as:
Count of participants · Participants
Number of Participants With Contralateral Invasive and Non-invasive Breast Cancer, New Primary Ovarian Cancer, New Primary Fallopian Tube Cancer and New Primary Peritoneal Cancer
ParticipantsOlaparibPlacebo
Contralateral invasive breast cancer3140
Contralateral non-invasive breast cancer34
New primary ovarian cancer39
New primary fallopian tube cancer14
New primary peritoneal cancer00
SecondaryChange From Baseline for FACIT-Fatigue (Functional Assessment of Chronic Illness Therapy-Fatigue) Score for Participants Who Completed Neoadjuvant Chemotherapy

Change from baseline for FACIT-Fatigue Score at 6, 12, 18 and 24 months for patients who completed neoadjuvant chemotherapy. Adjusted least-square mean changes and 95% Confidence Interval (CI) are obtained from mixed model for repeated measures (MMRM) analysis of the change from baseline. Only patients with evaluable baseline forms are included. FACIT-Fatigue score ranges from 0 to 52 with higher score indicating less fatigue.

Time frame:
6, 12, 18 and 24 months after randomisation (data cut off: 12 July 2021)
Reported as:
Mean · Scores on a scale
Change From Baseline for FACIT-Fatigue (Functional Assessment of Chronic Illness Therapy-Fatigue) Score for Participants Who Completed Neoadjuvant Chemotherapy
Scores on a scaleOlaparibPlacebo
Change from baseline FACIT-Fatigue Score to 6 months-1.5 (-2.3 to -0.8)-0.2 (-1.0 to 0.6)
Change from baseline FACIT-Fatigue Score to 12 months-1.5 (-2.4 to -0.6)0.0 (-0.9 to 0.9)
Change from baseline FACIT-Fatigue Score to 18 months1.3 (0.4 to 2.2)1.4 (0.5 to 2.3)
Change from baseline FACIT-Fatigue Score to 24 months1.6 (0.7 to 2.4)2.0 (1.1 to 2.9)
SecondaryChange From Baseline for FACIT-Fatigue (Functional Assessment of Chronic Illness Therapy-Fatigue) Score for Participants Who Completed Adjuvant Chemotherapy

Change from baseline for FACIT-Fatigue Score at 6, 12, 18 and 24 months for patients who completed adjuvant chemotherapy. Adjusted least-square mean changes and 95% CI are obtained from mixed model for repeated measures (MMRM) analysis of the change from baseline. Only patients with evaluable baseline forms are included. FACIT-Fatigue score ranges from 0 to 52 with higher score indicating less fatigue.

Time frame:
6, 12, 18 and 24 months after randomisation (data cut off: 12 July 2021)
Reported as:
Mean · Scores on a scale
Change From Baseline for FACIT-Fatigue (Functional Assessment of Chronic Illness Therapy-Fatigue) Score for Participants Who Completed Adjuvant Chemotherapy
Scores on a scaleOlaparibPlacebo
Change from baseline FACIT-Fatigue Score to 6 months-0.7 (-1.5 to 0.0)0.6 (-0.2 to 1.3)
Change from baseline FACIT-Fatigue Score to 12 months-0.8 (-1.6 to 0.0)0.5 (-0.3 to 1.2)
Change from baseline FACIT-Fatigue Score to 18 months0.9 (0.1 to 1.7)1.2 (0.4 to 2.0)
Change from baseline FACIT-Fatigue Score to 24 months1.3 (0.5 to 2.1)1.6 (0.7 to 2.4)
SecondaryChange From Baseline for EORTC QLQ-C30 (European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core Questions 30) Scores for Participants Who Completed Neoadjuvant Chemotherapy

Change from baseline for EORTC QLQ-C30 Global health status QOL (Quality of Life) Score at 6, 12, 18 and 24 months for patients who completed neoadjuvant chemotherapy. Adjusted least-square mean changes and 95% CI are obtained from mixed model for repeated measures (MMRM) analysis of the change from baseline. Only patients with evaluable baseline forms are included. EORTC QLQ-C30 scores range from 0 to 100 with higher score indicating better quality of life.

Time frame:
6, 12, 18 and 24 months after randomisation (data cut off: 12 July 2021)
Reported as:
Mean · Scores on a scale
Change From Baseline for EORTC QLQ-C30 (European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core Questions 30) Scores for Participants Who Completed Neoadjuvant Chemotherapy
Scores on a scaleOlaparibPlacebo
Change from baseline EORTC QLQ-C30 Global health status score to 6 months-0.4 (-2.2 to 1.4)0.4 (-1.4 to 2.2)
Change from baseline EORTC QLQ-C30 Global health status score to 12 months0.5 (-1.5 to 2.4)2.7 (0.7 to 4.7)
Change from baseline EORTC QLQ-C30 Global health status score to 18 months3.3 (1.3 to 5.3)4.4 (2.3 to 6.4)
Change from baseline EORTC QLQ-C30 Global health status score to 24 months2.8 (0.6 to 5.0)6.1 (3.8 to 8.4)
SecondaryChange From Baseline for EORTC QLQ-C30 (European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core Questions 30) Scores for Participants Who Completed Adjuvant Chemotherapy

Change from baseline for EORTC QLQ-C30 Global health status QOL (Quality of Life) Score at 6, 12, 18 and 24 months for patients who completed adjuvant chemotherapy. Adjusted least-square mean changes and 95% CI are obtained from mixed model for repeated measures (MMRM) analysis of the change from baseline. Only patients with evaluable baseline forms are included. EORTC QLQ-C30 scores range from 0 to 100 with higher score indicating better quality of life.

Time frame:
6, 12, 18 and 24 months after randomisation (data cut off: 12 July 2021)
Reported as:
Mean · Scores on a scale
Change From Baseline for EORTC QLQ-C30 (European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core Questions 30) Scores for Participants Who Completed Adjuvant Chemotherapy
Scores on a scaleOlaparibPlacebo
Change from baseline EORTC QLQ-C30 Global health status score to 6 months-0.5 (-2.2 to 1.2)2.2 (0.6 to 3.8)
Change from baseline EORTC QLQ-C30 Global health status score to 12 months0.6 (-1.1 to 2.4)3.1 (1.5 to 4.8)
Change from baseline EORTC QLQ-C30 Global health status score to 18 months2.9 (1.1 to 4.7)5.1 (3.3 to 6.9)
Change from baseline EORTC QLQ-C30 Global health status score to 24 months4.5 (2.6 to 6.4)4.8 (2.9 to 6.7)

Adverse events

Collected over From date of randomisation to data cut off: 05 June 2024 (approximately 10 years 2 months). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Olaparib107/921 (11.6%)79/911 (8.7%)794/911 (87.2%)
Placebo143/915 (15.6%)79/904 (8.7%)674/904 (74.6%)
Most frequent serious events
Showing 10 of 118
Most frequent serious events
EventOlaparibPlacebo
AnaemiaBlood and lymphatic system disorders15/9111/904
MastitisInfections and infestations3/9116/904
Wound dehiscenceInjury, poisoning and procedural complications1/9114/904
Malignant melanomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/9114/904
Ovarian cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/9114/904
Abdominal painGastrointestinal disorders0/9113/904
PyrexiaGeneral disorders1/9113/904
Breast cancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/9113/904
Febrile neutropeniaBlood and lymphatic system disorders3/9110/904
Device related infectionInfections and infestations3/9112/904
Most frequent other events
Showing 10 of 28
Most frequent other events
EventOlaparibPlacebo
NauseaGastrointestinal disorders519/911213/904
FatigueGeneral disorders367/911248/904
VomitingGastrointestinal disorders204/91174/904
AnaemiaBlood and lymphatic system disorders201/91134/904
HeadacheNervous system disorders178/911151/904
DiarrhoeaGastrointestinal disorders160/911125/904
Neutrophil count decreasedInvestigations148/91159/904
White blood cell count decreasedInvestigations145/91153/904
Decreased appetiteMetabolism and nutrition disorders120/91153/904
ArthralgiaMusculoskeletal and connective tissue disorders88/911114/904

Baseline characteristics

Full Analysis Set (FAS)

Age, Continuous
Age, Continuous(Years)OlaparibPlaceboTotal
Mean43.0 ± 9.843.6 ± 10.143.3 ± 10.0
Age, Customized
Age, Customized(Participants)OlaparibPlaceboTotal
<30 years5159110
30-39 years333306639
40-49 years315308623
50-59 years166172338
60-69 years4866114
>=70 years8412
Sex: Female, Male
Sex: Female, Male(Participants)OlaparibPlaceboTotal
Female9199111830
Male246
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)OlaparibPlaceboTotal
HISPANIC OR LATINO342458
NOT HISPANIC OR LATINO8058121617
NOT KNOWN, NOT RECORDED, OR REFUSED8279161
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)OlaparibPlaceboTotal
AMERICAN INDIAN OR ALASKA NATIVE314
ASIAN259272531
BLACK OR AFRICAN AMERICAN192948
NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER101
WHITE6265991225
OTHER369
MISSING10818
Region of Enrollment
Region of Enrollment(Participants)OlaparibPlaceboTotal
ARG161228
AUS303060
AUT282553
BEL122638
CAN112334
CHE41721
CHN117130247
DEU10692198
ESP6346109
FRA7765142
GBR6046106
HUN8917
ISL516
ISR303565
ITA302757
JPN6476140
KOR534497
NLD111829
POL5059109
PRT7613
SWE201535
TWN8412
USA111109220
08

Study locations

698 sites
  • Research Site
    Anchorage, Alabama 99508, United States
  • Research Site
    Anchorage, Alaska 99508, United States
  • Research Site
    Gilbert, Arizona 85234, United States
  • Research Site
    Fort Smith, Arkansas, United States
  • Research Site
    Baldwin Park, California, United States
  • Research Site
    Berkeley, California 94704, United States
  • Research Site
    Duarte, California 91010, United States
  • Research Site
    Fontana, California 92335, United States
  • Research Site
    Fresno, California, United States
  • Research Site
    Greenbrae, California 94904, United States
  • Research Site
    Los Angeles, California 70360, United States
  • Research Site
    Los Angeles, California 90027, United States
  • Research Site
    Los Angeles, California 90033, United States
  • Research Site
    Los Angeles, California, United States
  • Research Site
    Martinez, California, United States
  • Research Site
    Newport Beach, California 92663, United States
  • Research Site
    Oakland, California 94611, United States
  • Research Site
    Palo Alto, California, United States
  • Research Site
    Paradise, California, United States
  • Research Site
    Roseville, California 95661, United States
  • Research Site
    Roseville, California, United States
  • Research Site
    Sacramento, California 95816-5680, United States
  • Research Site
    San Francisco, California 94115, United States
  • Research Site
    San Jose, California, United States
  • Research Site
    San Leandro, California 94577, United States
  • Research Site
    San Marcos, California 92078, United States
  • Research Site
    Santa Cruz, California, United States
  • Research Site
    Santa Rosa, California 95403, United States
  • Research Site
    South San Francisco, California, United States
  • Research Site
    Stockton, California, United States
  • Research Site
    Sunnyvale, California 94086, United States
  • Research Site
    Sunnyvale, California, United States
  • Research Site
    Vacaville, California 95688, United States
  • Research Site
    Vallejo, California 94589, United States
  • Research Site
    Woodland Hills, California, United States
  • Research Site
    Aurora, Colorado 80045, United States
  • Research Site
    Colorado Springs, Colorado 80907, United States
  • Research Site
    Denver, Colorado 80205, United States
  • Research Site
    Edwards, Colorado, United States
  • Research Site
    Fort Collins, Colorado, United States
  • Research Site
    Lafayette, Colorado 80026, United States
  • Research Site
    Lone Tree, Colorado 80124, United States
  • Research Site
    Derby, Connecticut, United States
  • Research Site
    Fairfield, Connecticut, United States
  • Research Site
    Guilford, Connecticut, United States
  • Research Site
    New Haven, Connecticut, United States
  • Research Site
    North Haven, Connecticut, United States
  • Research Site
    Orange, Connecticut, United States
  • Research Site
    Torrington, Connecticut, United States
  • Research Site
    Trumbull, Connecticut, United States
  • Research Site
    Waterbury, Connecticut, United States
  • Research Site
    Newark, Delaware 19713, United States
  • Research Site
    Newark, Delaware, United States
  • Research Site
    Washington D.C., District of Columbia, United States
  • Research Site
    Daytona Beach, Florida 32114, United States
  • Research Site
    Deerfield Beach, Florida, United States
  • Research Site
    Gainesville, Florida, United States
  • Research Site
    Miami, Florida 33136, United States
  • Research Site
    Orlando, Florida 32806, United States
  • Research Site
    Plantation, Florida 33324, United States
  • Research Site
    Atlanta, Georgia 30322, United States
  • Research Site
    Columbus, Georgia 31904, United States
  • Research Site
    Decatur, Georgia, United States
  • Research Site
    Macon, Georgia, United States
  • Research Site
    Savannah, Georgia 31405, United States
  • Research Site
    Valdosta, Georgia 31602, United States
  • Research Site
    Honolulu, Hawaii, United States
  • Research Site
    Kuakini, Hawaii, United States
  • Research Site
    ‘Aiea, Hawaii, United States
  • Research Site
    Boise, Idaho, United States
  • Research Site
    Coeur d'Alene, Idaho 83814, United States
  • Research Site
    Fruitland, Idaho, United States
  • Research Site
    Meridian, Idaho, United States
  • Research Site
    Nampa, Idaho, United States
  • Research Site
    Post Falls, Idaho 83854, United States
  • Research Site
    Twin Falls, Idaho, United States
  • Research Site
    Centralia, Illinois, United States
  • Research Site
    Chicago, Illinois 60608, United States
  • Research Site
    Chicago, Illinois 60611, United States
  • Research Site
    Chicago, Illinois 60625, United States
  • Research Site
    Chicago, Illinois, United States
  • Research Site
    Decatur, Illinois, United States
  • Research Site
    Effingham, Illinois, United States
  • Research Site
    Elmhurst, Illinois 60126, United States
  • Research Site
    Evanston, Illinois, United States
  • Research Site
    Glenview, Illinois, United States
  • Research Site
    Highland Park, Illinois, United States
  • Research Site
    Joliet, Illinois 60435, United States
  • Research Site
    Maywood, Illinois, United States
  • Research Site
    Mount Vernon, Illinois, United States
  • Research Site
    Peoria, Illinois, United States
  • Research Site
    Rockford, Illinois 61114, United States
  • Research Site
    Warrenville, Illinois, United States
  • Research Site
    Elkhart, Indiana, United States
  • Research Site
    Fort Wayne, Indiana 46845, United States
  • Research Site
    Fort Wayne, Indiana, United States
  • Research Site
    Indianapolis, Indiana 46202, United States
  • Research Site
    Indianapolis, Indiana, United States
  • Research Site
    Mishawaka, Indiana, United States
  • Research Site
    Muncie, Indiana, United States

Showing the first 100 of 698 sites across 24 countries. Choose a country and city above to see the rest.

09

References and documents

Publications

  • Ganz PA, Bandos H, Spanic T, Friedman S, Muller V, Kuemmel S, Delaloge S, Brain E, Toi M, Yamauchi H, de Duenas EM, Armstrong A, Im SA, Song CG, Zheng H, Sarosiek T, Sharma P, Geng C, Fu P, Rhiem K, Frauchiger-Heuer H, Wimberger P, t'Kint de Roodenbeke D, Liao N, Goodwin A, Chakiba-Brugere C, Friedlander M, Lee KS, Giacchetti S, Takano T, Henao-Carrasco F, Virani S, Valdes-Albini F, Domchek SM, Bane C, McCarron EC, Mita M, Rossi G, Rastogi P, Fielding A, Gelber RD, Scheepers ED, Cameron D, Garber J, Geyer CE, Tutt ANJ. Patient-Reported Outcomes in OlympiA: A Phase III, Randomized, Placebo-Controlled Trial of Adjuvant Olaparib in gBRCA1/2 Mutations and High-Risk Human Epidermal Growth Factor Receptor 2-Negative Early Breast Cancer. J Clin Oncol. 2024 Apr 10;42(11):1288-1300. doi: 10.1200/JCO.23.01214. Epub 2024 Feb 1. PubMed 38301187 ↗
  • Perachino M, Poggio F, Arecco L, Blondeaux E, Spinaci S, Marrocco C, Levaggi A, Lambertini M. Update on Pregnancy Following Breast Cancer Diagnosis and Treatment. Cancer J. 2022 May-Jun 01;28(3):176-182. doi: 10.1097/PPO.0000000000000599. PubMed 35594464 ↗
  • Tutt ANJ, Garber JE, Kaufman B, Viale G, Fumagalli D, Rastogi P, Gelber RD, de Azambuja E, Fielding A, Balmana J, Domchek SM, Gelmon KA, Hollingsworth SJ, Korde LA, Linderholm B, Bandos H, Senkus E, Suga JM, Shao Z, Pippas AW, Nowecki Z, Huzarski T, Ganz PA, Lucas PC, Baker N, Loibl S, McConnell R, Piccart M, Schmutzler R, Steger GG, Costantino JP, Arahmani A, Wolmark N, McFadden E, Karantza V, Lakhani SR, Yothers G, Campbell C, Geyer CE Jr; OlympiA Clinical Trial Steering Committee and Investigators. Adjuvant Olaparib for Patients with BRCA1- or BRCA2-Mutated Breast Cancer. N Engl J Med. 2021 Jun 24;384(25):2394-2405. doi: 10.1056/NEJMoa2105215. Epub 2021 Jun 3. PubMed 34081848 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Supporting information: Study protocol, Statistical analysis plan

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Access criteria: When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Data sharing details ↗ · astrazenecagroup-dt.pharmacm.com

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2014 to primary completion in Mar 2020, 71 months.

Results were first posted in Dec 2021, 1 year 8 months after primary completion. A results delay was requested in Mar 2021.

Of 272 industry-sponsored phase 3 interventional studies under Breast Neoplasms, half reached primary completion within 40 months of starting (the median), counting those still running; a quarter within 28 and three quarters within 63. This study's 71 months is above that.

Counting every sponsor, half of 600 studies reached it within 59 months; a quarter within 36 and three quarters within 96.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 3, 2014
First posted
Jan 10, 2014
StartActual
Apr 22, 2014
Primary completionActual
Mar 27, 2020
CompletionEst.
May 28, 2029
Results delay requested
Mar 5, 2021
Results first posted
Dec 8, 2021
Last update
Jul 14, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02032823
Lead sponsor
AstraZeneca
Collaborators
Frontier Science & Technology Research Foundation, Inc., NRG Oncology, Myriad Genetic Laboratories, Inc., The Breast Adjuvant Study Team, Merck Sharp & Dohme LLC
Responsible party
Sponsor
First posted
Jan 10, 2014
Start date
Apr 22, 2014
Primary completion
Mar 27, 2020
Completion
May 28, 2029 (estimated)
Results posted
Dec 8, 2021
Last update
Jul 14, 2026

Study contacts

Andrew Tutt, Doctor of Medicine
principal investigator · Integrated Cancer Centre Guy's Hospital, King's College, London School of Medicine, London, UK
Judy Garber, Doctor of Medicine
principal investigator · Harvard Medical School, Center for Cancer Genetics and Prevention, Dana-Farber Cancer Institute, Susan F. Smither Center for Women's Cancers, 450 Brookline Avenue, Boston; MA 02215, US
Charles Geyer, Doctor of Medicine
principal investigator · Virginia Commonwealth University Massey Cancer Center, McGlothlin Medical Education Center, Room 12-217, 1201 East Marshall St., PO Box 980070, Richmond, VA 23298-0070, USA

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Olaparib

Start the discussion