Phase 3
N=220
A Study to Examine Olaparib Maintenance Retreatment in Patients With Epithelial Ovarian Cancer.
Epithelial Ovarian Cancer
Bottom Line
View on ClinicalTrials.gov: NCT03106987 ↗Enrolled (actual)
220
Serious AEs
8.2%
Results posted
Apr 2022
Primary outcome: Primary: Efficacy: Progression-free Survival (PFS) — 4.3; 2.8; 5.3; 2.8 Months — p=0.0220
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- Active Comparator: Olaparib tablets (Drug); Placebo (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- Female
- Sponsor
- AstraZeneca
- Primary completion
- Feb 2021
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Efficacy: Progression-free Survival (PFS) |
4.3; 2.8; 5.3; 2.8 | 0.0220 sig |
| SECONDARY Efficacy: Overall Survival (OS) |
20.1; 20.9; 23.2; 30.2 | — |
| SECONDARY Efficacy: Time to Progression by Gynecologic Cancer Intergroup (GCIG) Criteria |
2.8; 2.8; 2.9; 2.79 | — |
| SECONDARY Efficacy: Time to First Subsequent Treatment Commencement (TFST) |
5.8; 5.1; 7.9; 4.3 | — |
| SECONDARY Efficacy: Time to Second Subsequent Treatment Commencement (TSST) |
13.1; 11.7; 15.4; 12.7 | — |
| SECONDARY Efficacy: Time to Study Treatment Discontinuation (TDT) |
4.5; 3.4; 5.6; 3.1 | — |
| SECONDARY Efficacy: Change From Baseline in Health-related Quality of Life (HRQoL) |
-1.27; 1.67; -2.08; 0.58 | — |
| SECONDARY Number of Patients With Adverse Events (AEs), and Serious Adverse Events (SAEs) |
64; 33; 66; 31; 50; 23 | — |
| SECONDARY Number of Patients With Adverse Event of Special Interest (AESI). |
1; 1; 1; 0 | — |
Summary
The OReO study will be a Phase IIIb, randomised, double-blind, placebo-controlled, multicentre study to assess the efficacy and tolerability of Olaparib retreatment, versus matching placebo, in non-mucinous epithelial ovarian cancer (EOC) patients (including patients with primary peritoneal and/or fallopian tube cancer)
Eligibility Criteria
Inclusion criteria
- Provision of informed consent prior to any study specific procedures
- Female patients ≥18 years of age, with histologically diagnosed relapsed non-mucinous epithelial ovarian cancer (EOC) (including primary peritoneal and/or fallopian tube cancer) (Non-mucinous EOC includes patients with serous, endometrioid, and transitional cell tumours, and those with mixed histology where one of these subtypes is predominant (>50%). Inclusion of other subtypes should first be discussed with the Medical Monitor).
- Documented BRCA1/2 status.
- Patients must have received one prior PARPi therapy PARPi therapy includes any agent (including Olaparib) used in a maintenance setting For the BRCA1/2 (+ve) cohort, the duration of first PARPi exposure must have been ≥18 months following a first line of chemotherapy or ≥12 months following a second or subsequent line of chemotherapy For the BRCA1/2 (-ve) cohort, the duration of first PARPi exposure must have been ≥12 months following a first line of chemotherapy or ≥6 months following a second or subsequent line of chemotherapy For the last chemotherapy course immediately prior to randomisation on the study Patients must have received a platinum-based chemotherapy regimen (carboplatin, cisplatin or oxaliplatin) and have received at least 4 cycles of treatment Patients must be, in the opinion of the investigator, in response (partial or complete radiological response) or may have no evidence of disease (if optimal cytoreductive surgery was conducted prior to chemotherapy) and no evidence of a rising CA-125, as defined below, following completion of this chemotherapy course Pre-treatment CA-125 measurements must meet criterion specified below
- If the first value is within upper limit of normal (ULN) the patient is eligible to be randomised and a second sample is not required
- If the first value is greater than ULN a second assessment must be performed at least 7 days after the first. If the second assessment is ≥ 15% more than the first the patient is not eligible.
Patients must not have received bevacizumab during this course of treatment. Bevacizumab use as part of an earlier line of chemotherapy is permitted Patients must not have received any investigational agent during this course of treatment Patients must be randomised within 8 weeks of their last dose of chemotherapy (last dose is the day of the last infusion)
- Patients must have normal organ and bone marrow function measured within 28 days of randomization.
- Eastern Cooperative Oncology Group performance status 0-1
- Patients must have a life expectancy ≥16 weeks.
- Postmenopausal or evidence of non-childbearing status for women of childbearing potential: negative urine or serum pregnancy test within 28 days of study treatment and confirmed prior to treatment on day 1
- At least one lesion (measurable and/or non-measurable) that can be accurately assessed at baseline with computed tomography (CT) or magnetic resonance imaging (MRI) and is suitable for repeated assessment. or No measurable disease following a complete response to most recent chemotherapy (+/- surgery)
- A formalin fixed, paraffin embedded (FFPE) tumour sample from the cancer of sufficient quantity and quality (as specified in the Covance Central Laboratory Services Manual) must be available for future central testing of tumour genetic status.
- For inclusion in the optional biomarker research, patients must sign an informed consent for biomarker research.
Exclusion criteria
- Involvement in the planning and/or conduct of the study (applies to both AstraZeneca staff and/or staff at the study site).
- Participation in another clinical study with an investigational product during the chemotherapy course immediately prior to randomisation.
- Other malignancy within the last 5 years except the ones detailed in the exclusion criteria section of study protocol.
- Resting electrocardiogram (ECG) with corrected QT interval (QTc) >470 msec on 2 or more ti
Data sourced from ClinicalTrials.gov (NCT03106987). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.