ClinicalTrials.gg
CompletedNCT03286842Updated Jan 17, 2023Results posted

To Study Clinical Effectiveness and Safety of Olaparib Monotherapy in Metastatic Breast Cancer Patients.

A Phase 3 interventional study of Olaparib in HER2-ve Metastatic Breast Cancer, Germline BRCA1/2 Mutations and Somatic BRCA1/2 Mutations, sponsored by AstraZeneca. Completed at 123 sites in 15 countries. Open to participants aged 18 Years to 130 Years. Per ClinicalTrials.gov, last updated 2023-01-17.

Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment

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Phase
Phase 3
Study type
Interventional
Enrollment
256
Allocation
Non-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
7th of 51
256 · median 54
Started
2018
with 3 others
Phase 3
5 of 51
none open now
Registered
23rd of 51
by date
Lead sponsor
11 of 51
AstraZeneca

Among the 51 studies testing olaparib in Breast Neoplasms, this one is the 7th largest by enrollment, is one of 4 that started in 2018, is one of 5 in phase 3, and was the 23rd 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.

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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

This open-label, multi-centre phase IIIb study will assess the effectiveness, benefits and potential harms in the use of olaparib monotherapy treatment for patients with HER2-ve metastatic breast cancer associated with germline or somatic breast cancer susceptibility gene (gBRCA1/2 or sBRCA1/2) mutations.

Read the detailed description

The study is a phase IIIb, multicenter, single-arm, open-label study designed to evaluate the clinical effectiveness in a real-world setting of olaparib monotherapy in patients with confirmed germline or somatic breast cancer susceptibility gene (gBRCA1/2 or sBRCA1/2) mutations. This study will generate additional data to support other olaparib studies, which may help inform and guide clinical practice. Physician defined the progression-free survival (PFS) for gBRCAm patients is the primary outcome measure. Based on the prevalence of gBRCA1/2 mutations, it is estimated that up to 1400 patients may require screening in order to identify 250 gBRCA mutated patients and 20 sBRCA mutated patients. Patients will be administered two olaparib 150mg tablets in morning and evening of every day after a light meal. Dose reductions may be required for olaparib treatment related toxicities. Patients should continue to receive study treatment until documented physician-defined disease progression as assessed by the investigator (gBRCA mutated patients), RECIST1.1 disease progression (sBRCA mutated patients) or unacceptable toxicity, or for as long as they do not meet any other discontinuation criteria. A positive benefit/risk profile is expected and no ethical issues are identified from exposing patients to olaparib within the planned clinical study.

03

Conditions studied

  • HER2-ve Metastatic Breast Cancer
  • Germline BRCA1/2 Mutations
  • Somatic BRCA1/2 Mutations

Browse trials for

Keywords

  • HER2-ve metastatic breast cancer
  • Germline BRCA1/2 mutations
  • Somatic BRCA1/2 mutations
  • BRCA1
  • BRCA2
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

  1. Provision of prior to any study specific procedures. For patients aged \<20 years and screened in Japan, a written informed consent should be obtained from the patient and his or her legally acceptable representative.
  2. Patients must be ≥18 years of age.
  3. or cytologically confirmed -ve breast cancer with evidence of disease. Patients can have either TNBC (defined as oestrogen receptor and progesterone receptor negative [immunohistochemistry nuclear staining \<1%] and HER2-ve [immunohistochemistry 0, 1+ or 2+ and/or in situ hybridization nonamplified with ratio less than 2.0]) or oestrogen receptor / progesterone receptor positive breast cancer as long as they are HER2-ve.
  4. Documented BRCA1/2 status

    • To be regarded as BRCA1/2 (+ve), the patient must have a mutation that is predicted to be deleterious or suspected deleterious (known or predicted to be detrimental / lead to loss of function). Mutations that are not clearly pathogenic may be assessed by a committee of genetic specialists to adjudicate if the patient is eligible.
    • Patients with tBRCA mutations: must be confirmed by a validated method (e.g. results from a CLIA-certified laboratory or CE-IVD device)
  5. Prior treatment with a taxane or an anthracycline in either an adjuvant (may include ) or metastatic breast cancer treatment setting.
  6. Patients should have received no more than two prior cytotoxic chemotherapy regimens in the metastatic setting. If a patient has oestrogen receptor and/or progesterone receptor positive HER2 negative metastatic breast cancer and has completed a prior line of hormonal treatment, then if the current or currently planned choice of treatment for the patient does not include a hormonal treatment then they would be a suitable patient to enter the study. Previous endocrine therapy could be in either an adjuvant or a metastatic setting and include endocrine therapy in combination with a targeted agent such as a CDK4/6 or mTOR inhibitor.
  7. Be considered suitable, by the Investigator, for further treatment with single-agent chemotherapy for the metastatic disease
  8. Patients must have normal organ and bone marrow function measured within 14 days prior to administration of study treatment as defined below:

    • ≥ 10.0 g/dL with no blood transfusion in the past 28 days
    • (ANC) ≥ 1.5 x 109/L
    • count ≥ 100 x 109/L
    • Total ≤ 1.5 x institutional (ULN) unless the patient has documented Gilbert's Syndrome
    • (AST) (serum glutamic oxaloacetic transaminase (SGOT)) / alanine aminotransferase (ALT) (serum glutamic pyruvate transaminase (SGPT)) ≤ 2.5 x institutional ULN unless liver metastases are present in which case they must be ≤ 5x ULN
    • Patients must have (CrCl) estimated using the Cockcroft- Gault equation of ≥ 51 mL/min or 24 hour urine test may be done if standard of care:

    Estimated CrCl = (140-age [years]) x weight (kg) (x F)a serum creatinine (mg/dL) x 72

    a- where F=0.85 for females and F=1 for males

  9. Patients must have a ≥ 16 weeks
  10. or evidence of non-childbearing status for women of : negative urine or serum pregnancy test within 28 days of study treatment and confirmed prior to treatment on Day 1

    Postmenopausal is defined as (at least one criterion met):

    • amenorrhoeic for 1 year or more following cessation of exogenous hormonal treatments
    • luteinizing hormone and follicle stimulating hormone levels in the postmenopausal range for women under 50
    • radiation-induced oophorectomy with last menses >1 year ago
    • chemotherapy-induced menopause with >1 year interval since last menses
    • surgical sterilisation (bilateral oophorectomy or hysterectomy).
  11. Women of childbearing potential, who are sexually active, must agree to the use of one highly effective form of and their male partners must use a condom from the signing of the informed consent, throughout the period of taking study treatment and for at least 1 month after last dose of study drug, or they must totally/truly abstain from any form of sexual intercourse.
  12. Male patients must use a condom during treatment and for 3 months after the last dose of olaparib when having sexual intercourse with a pregnant woman or with a woman of childbearing potential. Female partners of male patients should also use one highly effective form of contraception if they are of childbearing potential.
  13. Patient is willing and able to comply with the protocol for the duration of the study including undergoing treatment and scheduled visits and examinations for greater than 6 months.

Exclusion criteria

Exclusion criteria:

  1. Involvement in the planning and/or conduct of the study (applies to both AstraZeneca staff and/or staff at the study site)
  2. Previous enrolment in the present study
  3. Exposure to an product (IP) during the last 1 month or 5 half-lives (whichever is longer) prior to enrolment
  4. Patients receiving any systemic chemotherapy or radiotherapy (except for palliative reasons) within 3 weeks prior to study treatment
  5. Any previous treatment with a PARP inhibitor, including olaparib
  6. Other unless curatively treated with no evidence of disease for ≥5 years except: adequately treated non-melanoma skin cancer, curatively treated in situ cancer of the cervix, ductal carcinoma in situ (DCIS), Stage 1, grade 1 endometrial carcinoma.
  7. Resting indicating uncontrolled, potentially reversible cardiac conditions, as judged by the investigator (e.g., unstable ischemia, uncontrolled symptomatic arrhythmia, congestive heart failure, prolongation >500 ms, electrolyte disturbances, etc.), or patients with congenital long QT syndrome.
  8. 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 olaparib is 2 weeks.
  9. 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 olaparib is 5 weeks for enzalutamide or phenobarbital and 3 weeks for other agents.
  10. Persistent toxicities (>Common Terminology Criteria for Adverse Event () grade 2) caused by previous cancer therapy, excluding alopecia.
  11. Patients with myelodysplastic syndrome (MDS)/acute myeloid leukaemia (AML) or with features suggestive of MDS/AML
  12. Patients with symptomatic uncontrolled .

    • Exception: Patients with adequately treated brain metastases documented by baseline CT or MRI scan that has not progressed since previous scans and that does not require (except ≤10 mg/day prednisone or equivalent for at least 14 continuous days prior to dosing) for management of CNS symptoms are eligible, provided that a repeat CT or MRI following the identification of CNS metastases (obtained at least 2 weeks after definitive therapy) must document adequately treated brain metastases.
  13. Major surgery within 2 weeks of starting study treatment and patients must have recovered from any effects of any major surgery.
  14. Patients considered a poor medical risk due to a serious, uncontrolled medical disorder, non-malignant systemic disease or active, uncontrolled infection.

    Examples include, but are not limited to, uncontrolled ventricular arrhythmia, recent (within 3 months) myocardial infarction, uncontrolled major seizure disorder, unstable spinal cord compression, superior vena cava syndrome, extensive interstitial bilateral lung disease on high resolution computed tomography (HRCT) scan or any psychiatric disorder that prohibits obtaining .

  15. Patients unable to swallow orally administered medication and patients with gastrointestinal disorders likely to interfere with absorption of the study medication
  16. Breastfeeding women
  17. patients, e.g., patients who are known to be serologically positive for (HIV)
  18. Patients with a known to olaparib or any of the of the product
  19. Patients with known active hepatitis (i.e., or C)
  20. Whole blood transfusions in the last 28 days prior to entry to the study.
Terms in these criteria, in plain language(30)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

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.

Metastases

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

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

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.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
256 participants (actual)

Study arms

  • Experimental
    Olaparib

    Olaparib 150mg tablets administered orally twice daily continuously

    Drug: Olaparib

Interventions

  • Patients will be administered olaparib orally, twice daily at 300 mg. Two (2) 150 mg olaparib tablets should be taken at the same time each morning and evening of every day, approximately 12 hours apart.

06

What researchers measure

Primary outcomes

  1. Progression-free Survival (PFS) in Real-world Setting in Germline BRCA Mutated Participants

    The clinical effectiveness of olaparib treatment in HER2-ve metastatic breast cancer participants in a real-world setting through assessment of PFS in germline BRCA mutated patients was evaluated. PFS is defined as the time from first dose of olaparib to the date of progression or death from any cause. In this study, disease progression in gBRCAm patients will be based on Investigator assessment, i.e. radiological ( e.g. RECIST) progression, symptomatic progression, or clear progression of non-measurable disease, as long as progression can be documented.

    Time frame: At every visit until the earliest of disease progression, death or end of study (up to 3 years)

Secondary outcomes

  1. Overall Survival (OS) in Germline BRCA Mutated Participants

    The clinical effectiveness of olaparib treatment in HER2-ve metastatic breast cancer participants in a real-world setting by assessment of overall survival in germline BRCA mutated participants was determined. OS is defined as the time from first dose of olaparib to the date of death from any cause.

    Time frame: At every visit and until death or end of study (up to 3 years)

  2. Time to First Subsequent Treatment or Death (TFST) in Germline BRCA Mutated Participants

    The clinical effectiveness of olaparib treatment in HER2-ve metastatic breast cancer participants in a real-world setting by assessment of time to use of subsequent therapies, second progression, and study treatment discontinuation in germline BRCA mutated participants was determined. TFST is defined as the time from first dose of olaparib to first subsequent treatment commencement or death if this occurs before commencement of first subsequent treatment.

    Time frame: At every visit until start of first subsequent anticancer treatment or death or end of study (up to 3 years)

  3. Time to Second Subsequent Treatment or Death (TSST) in Germline BRCA Mutated Participants

    The clinical effectiveness of olaparib treatment in HER2-ve metastatic breast cancer participants in a real-world setting by assessment of time to use of subsequent therapies, second progression, and study treatment discontinuation in germline BRCA mutated participants was determined. TSST is defined as the time from first dose of olaparib to second subsequent treatment commencement or death if this occurs before commencement of second subsequent treatment.

    Time frame: At every visit until start of second subsequent anticancer treatment or death or end of study (up to 3 years)

  4. Time to Study Treatment Discontinuation or Death (TDT) in Germline BRCA Mutated Participants

    The clinical effectiveness of olaparib treatment in HER2-ve metastatic breast cancer participants in a real-world setting by assessment of time to use of subsequent therapies, second progression, and study treatment discontinuation in germline BRCA mutated patients was determined. TDT is defined as the time from first dose of olaparib to study treatment discontinuation or death if this occurs before discontinuation of study treatment.

    Time frame: At every visit and until discontinuation of study treatment or death or end of study (up to 3 years)

  5. Time to Second Progression or Death (PFS2) in Germline BRCA Mutated Participants

    The clinical effectiveness of olaparib treatment in HER2-ve metastatic breast cancer participants in a real-world setting by assessment of time to use of subsequent therapies, second progression, and study treatment discontinuation in germline BRCA mutated participants was determined. PFS2 is defined as the time from first dose of olaparib to the earliest progression event subsequent to that used for the primary variable PFS or death from any cause. Patients alive and for whom a second disease progression has not been observed will be censored at the last time known to be alive and without a second disease progression. In this study, disease progression in gBRCAm patients will be based on Investigator assessment, i.e. radiological ( e.g. RECIST) progression, symptomatic progression, or clear progression of non-measurable disease, as long as progression can be documented

    Time frame: At every visit until second progression or death or end of study (up to 3 years)

  6. Clinical Response Rate (CRR) in Germline BRCA Mutated Participants

    The clinical effectiveness of olaparib treatment in HER2-ve metastatic breast cancer participants in a real-world setting by assessment of clinical response rate and duration of clinical response in germline BRCA mutated participants was determined. CRR is defined as the percentage of patients assessed by the Investigator as responding. Response in gBRCAm patients were based on the Investigator's assessment. Data obtained up until progression, or last evaluable assessment in the absence of progression, will be included in the assessment of CRR. However, any responses, which occurred after a further anticancer therapy was received, will not be included in the numerator for the CRR calculation.

    Time frame: At every visit until disease progression or death or end of study (up to 3 years)

  7. Duration of Clinical Response (DoCR) in Germline BRCA Mutated Participants

    The clinical effectiveness of olaparib treatment in HER2-ve metastatic breast cancer participants in a real-world setting by assessment of clinical response rate and duration of clinical response in germline BRCA mutated participants was determined. DoCR is defined as the time from the date the Investigator first assessed the patient as responding to the date the Investigator assessed the patient as progressing or the date of death from any cause. The end of response should coincide with the date of progression or death used for the PFS endpoint. The time of the initial response will be defined as the latest of the dates contributing towards the first visit response. If a patient does not progress following a response, they will be censored at the PFS censoring date.

    Time frame: At every visit until disease progression or death or end of study (up to 3 years)

  8. Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    The safety and tolerability of olaparib treatment in HER2-ve metastatic breast cancer patients in a real-word setting was evaluated.

    Time frame: From Screening (Day -28 to Day -1) until post DCO [up to 3 years]

07

Results

Posted Jan 17, 2023

Participant flow

Participants were enrolled in this study from 17-January-2018 to 21-March-2019 in 125 sites in 15 countries.

Participant flow — Overall Study
MilestoneOlaparib
Started255
Completed175
Not completed80
Withdrew: Patients rolled over to another study80

Outcome measures

PrimaryProgression-free Survival (PFS) in Real-world Setting in Germline BRCA Mutated Participants

The clinical effectiveness of olaparib treatment in HER2-ve metastatic breast cancer participants in a real-world setting through assessment of PFS in germline BRCA mutated patients was evaluated. PFS is defined as the time from first dose of olaparib to the date of progression or death from any cause. In this study, disease progression in gBRCAm patients will be based on Investigator assessment, i.e. radiological ( e.g. RECIST) progression, symptomatic progression, or clear progression of non-measurable disease, as long as progression can be documented.

Time frame:
At every visit until the earliest of disease progression, death or end of study (up to 3 years)
Reported as:
Median · months
Progression-free Survival (PFS) in Real-world Setting in Germline BRCA Mutated Participants
monthsOlaparib gBRCAm Cohort
Progression-free Survival (PFS) in Real-world Setting in Germline BRCA Mutated Participants8.18 (6.97 to 9.17)
SecondaryOverall Survival (OS) in Germline BRCA Mutated Participants

The clinical effectiveness of olaparib treatment in HER2-ve metastatic breast cancer participants in a real-world setting by assessment of overall survival in germline BRCA mutated participants was determined. OS is defined as the time from first dose of olaparib to the date of death from any cause.

Time frame:
At every visit and until death or end of study (up to 3 years)
Reported as:
Median · months
Overall Survival (OS) in Germline BRCA Mutated Participants
monthsOlaparib gBRCAm Cohort
Overall Survival (OS) in Germline BRCA Mutated Participants24.94 (21.06 to 28.91)
SecondaryTime to First Subsequent Treatment or Death (TFST) in Germline BRCA Mutated Participants

The clinical effectiveness of olaparib treatment in HER2-ve metastatic breast cancer participants in a real-world setting by assessment of time to use of subsequent therapies, second progression, and study treatment discontinuation in germline BRCA mutated participants was determined. TFST is defined as the time from first dose of olaparib to first subsequent treatment commencement or death if this occurs before commencement of first subsequent treatment.

Time frame:
At every visit until start of first subsequent anticancer treatment or death or end of study (up to 3 years)
Reported as:
Median · months
Time to First Subsequent Treatment or Death (TFST) in Germline BRCA Mutated Participants
monthsOlaparib gBRCAm Cohort
Time to First Subsequent Treatment or Death (TFST) in Germline BRCA Mutated Participants9.40 (8.61 to 10.64)
SecondaryTime to Second Subsequent Treatment or Death (TSST) in Germline BRCA Mutated Participants

The clinical effectiveness of olaparib treatment in HER2-ve metastatic breast cancer participants in a real-world setting by assessment of time to use of subsequent therapies, second progression, and study treatment discontinuation in germline BRCA mutated participants was determined. TSST is defined as the time from first dose of olaparib to second subsequent treatment commencement or death if this occurs before commencement of second subsequent treatment.

Time frame:
At every visit until start of second subsequent anticancer treatment or death or end of study (up to 3 years)
Reported as:
Median · months
Time to Second Subsequent Treatment or Death (TSST) in Germline BRCA Mutated Participants
monthsOlaparib gBRCAm Cohort
Time to Second Subsequent Treatment or Death (TSST) in Germline BRCA Mutated Participants14.72 (13.50 to 17.25)
SecondaryTime to Study Treatment Discontinuation or Death (TDT) in Germline BRCA Mutated Participants

The clinical effectiveness of olaparib treatment in HER2-ve metastatic breast cancer participants in a real-world setting by assessment of time to use of subsequent therapies, second progression, and study treatment discontinuation in germline BRCA mutated patients was determined. TDT is defined as the time from first dose of olaparib to study treatment discontinuation or death if this occurs before discontinuation of study treatment.

Time frame:
At every visit and until discontinuation of study treatment or death or end of study (up to 3 years)
Reported as:
Median · months
Time to Study Treatment Discontinuation or Death (TDT) in Germline BRCA Mutated Participants
monthsOlaparib gBRCAm Cohort
Time to Study Treatment Discontinuation or Death (TDT) in Germline BRCA Mutated Participants7.98 (6.90 to 8.54)
SecondaryTime to Second Progression or Death (PFS2) in Germline BRCA Mutated Participants

The clinical effectiveness of olaparib treatment in HER2-ve metastatic breast cancer participants in a real-world setting by assessment of time to use of subsequent therapies, second progression, and study treatment discontinuation in germline BRCA mutated participants was determined. PFS2 is defined as the time from first dose of olaparib to the earliest progression event subsequent to that used for the primary variable PFS or death from any cause. Patients alive and for whom a second disease progression has not been observed will be censored at the last time known to be alive and without a second disease progression. In this study, disease progression in gBRCAm patients will be based on Investigator assessment, i.e. radiological ( e.g. RECIST) progression, symptomatic progression, or clear progression of non-measurable disease, as long as progression can be documented

Time frame:
At every visit until second progression or death or end of study (up to 3 years)
Reported as:
Median · months
Time to Second Progression or Death (PFS2) in Germline BRCA Mutated Participants
monthsOlaparib gBRCAm Cohort
Time to Second Progression or Death (PFS2) in Germline BRCA Mutated Participants14.49 (13.17 to 17.05)
SecondaryClinical Response Rate (CRR) in Germline BRCA Mutated Participants

The clinical effectiveness of olaparib treatment in HER2-ve metastatic breast cancer participants in a real-world setting by assessment of clinical response rate and duration of clinical response in germline BRCA mutated participants was determined. CRR is defined as the percentage of patients assessed by the Investigator as responding. Response in gBRCAm patients were based on the Investigator's assessment. Data obtained up until progression, or last evaluable assessment in the absence of progression, will be included in the assessment of CRR. However, any responses, which occurred after a further anticancer therapy was received, will not be included in the numerator for the CRR calculation.

Time frame:
At every visit until disease progression or death or end of study (up to 3 years)
Reported as:
Number · Percentage of participants
Clinical Response Rate (CRR) in Germline BRCA Mutated Participants
Percentage of participantsOlaparib gBRCAm Cohort
Clinical Response Rate (CRR) in Germline BRCA Mutated Participants49.6 (43.3 to 55.9)
SecondaryDuration of Clinical Response (DoCR) in Germline BRCA Mutated Participants

The clinical effectiveness of olaparib treatment in HER2-ve metastatic breast cancer participants in a real-world setting by assessment of clinical response rate and duration of clinical response in germline BRCA mutated participants was determined. DoCR is defined as the time from the date the Investigator first assessed the patient as responding to the date the Investigator assessed the patient as progressing or the date of death from any cause. The end of response should coincide with the date of progression or death used for the PFS endpoint. The time of the initial response will be defined as the latest of the dates contributing towards the first visit response. If a patient does not progress following a response, they will be censored at the PFS censoring date.

Time frame:
At every visit until disease progression or death or end of study (up to 3 years)
Reported as:
Median · Months
Duration of Clinical Response (DoCR) in Germline BRCA Mutated Participants
MonthsOlaparib gBRCAm Cohort
Duration of Clinical Response (DoCR) in Germline BRCA Mutated Participants8.0 (4.2 to 18.6)
SecondaryNumber of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

The safety and tolerability of olaparib treatment in HER2-ve metastatic breast cancer patients in a real-word setting was evaluated.

Time frame:
From Screening (Day -28 to Day -1) until post DCO [up to 3 years]
Reported as:
Count of participants · Participants
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
ParticipantsOlaparib gBRCAm CohortOlaparib sBRCAm Cohort
Any AE2433
Any AE casually related to study treatment2143
Any AE of CTCAE grade 3 or higher692
Any AE of CTCAE grade 3 or higher, causally related to study treatment441
Any AE with outcome = death00
Any AE with outcome = death, causally related to study treatment00
Any SAE (including events with outcome = death)321
Any SAE (including events with outcome = death), causally related to study treatment100
Any AE leading to discontinuation of study treatment160
Any AE leading to discontinuation of study treatment, causally related to study treatment110

Adverse events

Collected over From Screening (Day -28 to -1) until post DCO [up to 3 years].. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Olaparib gBRCAm Cohort140/252 (55.6%)32/252 (12.7%)243/252 (96.4%)
Olaparib sBRCAm Cohort2/3 (66.7%)1/3 (33.3%)3/3 (100%)
Most frequent serious events
Showing 10 of 43
Most frequent serious events
EventOlaparib gBRCAm CohortOlaparib sBRCAm Cohort
General physical condition abnormalInvestigations0/2521/3
AnaemiaBlood and lymphatic system disorders7/2520/3
Febrile neutropeniaBlood and lymphatic system disorders2/2520/3
VomitingGastrointestinal disorders2/2520/3
AstheniaGeneral disorders2/2520/3
AbscessInfections and infestations1/2520/3
COVID-19Infections and infestations1/2520/3
COVID-19 pneumoniaInfections and infestations1/2520/3
CellulitisInfections and infestations1/2520/3
Chest wall abscessInfections and infestations1/2520/3
Most frequent other events
Showing 10 of 28
Most frequent other events
EventOlaparib gBRCAm CohortOlaparib sBRCAm Cohort
ConstipationGastrointestinal disorders30/2523/3
HeadacheNervous system disorders47/2522/3
DiarrhoeaGastrointestinal disorders53/2522/3
NauseaGastrointestinal disorders140/2522/3
MyalgiaMusculoskeletal and connective tissue disorders17/2522/3
AstheniaGeneral disorders70/2522/3
AnaemiaBlood and lymphatic system disorders98/2521/3
NeutropeniaBlood and lymphatic system disorders41/2521/3
CoughRespiratory, thoracic and mediastinal disorders35/2521/3
Abdominal painGastrointestinal disorders21/2521/3

Baseline characteristics

The Full Analysis Set consisted of all participants who received at least one dose of study treatment.

Age, Continuous
Age, Continuous(years)Olaparib
Germline BRCA1/2 mutation (gBRCAm) cohort46.2 ± 11.30
Somatic BRCA1/2 mutation (sBRCAm) cohort55.3 ± 13.01
Sex: Female, Male
Sex: Female, Male(Participants)Olaparib
gBRCAm cohort — Female248
gBRCAm cohort — Male4
sBRCAm cohort — Female3
sBRCAm cohort — Male0
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Olaparib
gBRCAm cohort — Hispanic or Latino13
gBRCAm cohort — Not Hispanic or Latino189
gBRCAm cohort — Unknown or Not Reported50
sBRCAm cohort — Hispanic or Latino0
sBRCAm cohort — Not Hispanic or Latino1
sBRCAm cohort — Unknown or Not Reported2
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Olaparib
gBRCAm cohort — American Indian or Alaska Native1
gBRCAm cohort — Asian22
gBRCAm cohort — Native Hawaiian or Other Pacific Islander0
gBRCAm cohort — Black or African American2
gBRCAm cohort — White177
gBRCAm cohort — More than one race0
gBRCAm cohort — Unknown or Not Reported50
sBRCAm cohort — American Indian or Alaska Native0
sBRCAm cohort — Asian1
sBRCAm cohort — Native Hawaiian or Other Pacific Islander0
sBRCAm cohort — Black or African American0
sBRCAm cohort — White0
sBRCAm cohort — More than one race0
sBRCAm cohort — Unknown or Not Reported2
08

Study locations

123 sites
  • Research Site
    Towson, Maryland 21204, United States
  • Research Site
    Jackson, Mississippi 39202, United States
  • Research Site
    Plovdiv, 4004, Bulgaria
  • Research Site
    Sofia, 1303, Bulgaria
  • Research Site
    Sofia, 1330, Bulgaria
  • Research Site
    Varna, 9000, Bulgaria
  • Research Site
    Vancouver, British Columbia V5Z 4E6, Canada
  • Research Site
    Toronto, Ontario M4N 3M5, Canada
  • Research Site
    Quebec City, Quebec G1S 4L8, Canada
  • Research Site
    Angers Cedex 02, 49055, France
  • Research Site
    Avignon, 84000, France
  • Research Site
    Besançon, 25000, France
  • Research Site
    Bordeaux, 33076, France
  • Research Site
    Caen cedex 05, 14076, France
  • Research Site
    Le Mans, 72000, France
  • Research Site
    Lille, 59000, France
  • Research Site
    Limoges, 87042, France
  • Research Site
    Lorient cedex, 56322, France
  • Research Site
    Marseille, 13273, France
  • Research Site
    Montpellier, 34070, France
  • Research Site
    Nancy, 54100, France
  • Research Site
    Nantes, 44202, France
  • Research Site
    Paris, 75475, France
  • Research Site
    Paris, 75908, France
  • Research Site
    Pierre benite, 69495, France
  • Research Site
    Plerin SUR MER, 22190, France
  • Research Site
    Rennes, 35042, France
  • Research Site
    Rouen, 76021, France
  • Research Site
    Saint-quentin Cedex, 02321, France
  • Research Site
    St Herblain, 44805, France
  • Research Site
    Toulouse Cedex 9, 31059, France
  • Research Site
    Dresden, 1307, Germany
  • Research Site
    Erlangen, 91054, Germany
  • Research Site
    Essen, 45130, Germany
  • Research Site
    Essen, 45147, Germany
  • Research Site
    Hannover, 30625, Germany
  • Research Site
    Köln, 50931, Germany
  • Research Site
    München, 80637, Germany
  • Research Site
    München, 81675, Germany
  • Research Site
    Münster, 48149, Germany
  • Research Site
    Rostock, 18059, Germany
  • Research Site
    Budapest, 1032, Hungary
  • Research Site
    Budapest, 1083, Hungary
  • Research Site
    Aviano, 33081, Italy
  • Research Site
    Bologna, 40138, Italy
  • Research Site
    Candiolo, 10060, Italy
  • Research Site
    Catania, 95122, Italy
  • Research Site
    Genova, 16132, Italy
  • Research Site
    Milano, 20132, Italy
  • Research Site
    Napoli, 80131, Italy
  • Research Site
    Padova, 35128, Italy
  • Research Site
    Perugia, 06132, Italy
  • Research Site
    Prato, 59100, Italy
  • Research Site
    Roma, 00144, Italy
  • Research Site
    Roma, 00161, Italy
  • Research Site
    Roma, 00189, Italy
  • Research Site
    Rozzano, 20089, Italy
  • Research Site
    Nagoya-shi, 464-8681, Japan
  • Research Site
    Shinagawa-ku, 142-8666, Japan
  • Research Site
    Suita-shi, 565-0871, Japan
  • Research Site
    Daegu, 41404, Korea, Republic of
  • Research Site
    Goyang-si, 10408, Korea, Republic of
  • Research Site
    Incheon, 21565, Korea, Republic of
  • Research Site
    Seongnam, 13620, Korea, Republic of
  • Research Site
    Seoul, 03080, Korea, Republic of
  • Research Site
    Seoul, 03722, Korea, Republic of
  • Research Site
    Seoul, 135-710, Korea, Republic of
  • Research Site
    Gdańsk, 80-214, Poland
  • Research Site
    Gliwice, 44-101, Poland
  • Research Site
    Grzepnica, 72-003, Poland
  • Research Site
    Lublin, 20-090, Poland
  • Research Site
    Poznan, 61-866, Poland
  • Research Site
    Szczecin, 70-111, Poland
  • Research Site
    Warszawa, 02-781, Poland
  • Research Site
    Wroclaw, 53-413, Poland
  • Research Site
    Irkutsk, 664035, Russian Federation
  • Research Site
    Kazan, 420029, Russian Federation
  • Research Site
    Moscow, 115478, Russian Federation
  • Research Site
    Omsk, 644013, Russian Federation
  • Research Site
    Ryazan, 390011, Russian Federation
  • Research Site
    Samara, 443031, Russian Federation
  • Research Site
    Sankt-Peterburg, 197758, Russian Federation
  • Research Site
    St.Petersburg, 191014, Russian Federation
  • Research Site
    Surgut, 628408, Russian Federation
  • Research Site
    Ufa, 450054, Russian Federation
  • Research Site
    Alicante, 03550, Spain
  • Research Site
    Barcelona, 08036, Spain
  • Research Site
    Cáceres, 10003, Spain
  • Research Site
    Granada, 18014, Spain
  • Research Site
    L'Hospitalet De Llobregat, 08907, Spain
  • Research Site
    Madrid, 08035, Spain
  • Research Site
    Madrid, 28040, Spain
  • Research Site
    Madrid, 28050, Spain
  • Research Site
    Majadahonda, 28222, Spain
  • Research Site
    Pamplona, 31008, Spain
  • Research Site
    San Cristóbal de La Laguna, 38320, Spain
  • Research Site
    Sevilla, 41009, Spain
  • Research Site
    Sevilla, 41013, Spain
  • Research Site
    Vigo, 36312, Spain
  • Research Site
    Zaragoza, 50009, Spain

Showing the first 100 of 123 sites across 15 countries. Choose a country and city above to see the rest.

09

References and documents

Publications

  • Gelmon KA, Fasching PA, Couch FJ, Balmana J, Delaloge S, Labidi-Galy I, Bennett J, McCutcheon S, Walker G, O'Shaughnessy J; Collaborating Investigators. Clinical effectiveness of olaparib monotherapy in germline BRCA-mutated, HER2-negative metastatic breast cancer in a real-world setting: phase IIIb LUCY interim analysis. Eur J Cancer. 2021 Jul;152:68-77. doi: 10.1016/j.ejca.2021.03.029. Epub 2021 Jun 1. PubMed 34087573 ↗

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.

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 Jan 2018 to primary completion in Oct 2021, 44 months.

Results were first posted in Jan 2023, 1 year 3 months after primary completion.

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 44 months is close to 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
Aug 17, 2017
First posted
Sep 19, 2017
StartActual
Jan 17, 2018
Primary completionActual
Oct 8, 2021
CompletionActual
Oct 8, 2021
Results first posted
Jan 17, 2023
Last update
Jan 17, 2023
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 Jan 17, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03286842
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Sep 19, 2017
Start date
Jan 17, 2018
Primary completion
Oct 8, 2021
Completion
Oct 8, 2021
Results posted
Jan 17, 2023
Last update
Jan 17, 2023

Study contacts

Karen Gelmon, MD, FRCPC
principal investigator · BritishColumbiaCancerAgency, 600W.10th Ave,Vancouver,Canada.

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Olaparib

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