Newly DiagnosedPhase 3SOLO-1NCT01844986
Olaparib Maintenance Monotherapy in Patients With BRCA Mutated Ovarian Cancer Following First Line Platinum Based Chemotherapy.
A Phase 3 study testing Olaparib 300mg tablets in people with Newly Diagnosed and Advanced Ovarian Cancer, run by AstraZeneca at 177 sites in 15 countries.
Trial summary
Olaparib Monotherapy in Patients with BRCA Mutated Ovarian Cancer following First Line Platinum Based Chemotherapy. Read more about this study
- Who is it for?
- Ages 18 to 130 years, women only
- Conditions the study is for
- Newly Diagnosed, Advanced Ovarian Cancer, FIGO Stage III-IV
- What is being tested?
- Olaparib 300mg tablets
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 450 participants
- Where
- 177 sitesin 15 countries
- Study dates
- 26 Aug 2013to 29 Aug 2028
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 130 years
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Female patients with newly diagnosed, histologically confirmed, high risk advanced (FIGO stage III - IV) BRCA mutated high grade serous or high grade endometrioid ovarian cancer, primary peritoneal cancer and / or fallopian - tube cancer who have completed first line platinum based chemotherapy (intravenous or intraperitoneal).
- Stage III patients must have had one attempt at optimal debulking surgery (upfront or interval debulking). Stage IV patients must have had either a biopsy and/or upfront or interval debulking surgery.
- Documented 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).
- Patients who have completed first line platinum (e.g. carboplatin or cisplatin), containing therapy (intravenous or intraperitoneal) prior to randomisation:
- Patients must have, in the opinion of the investigator, clinical complete response or partial response and have no clinical evidence of disease progression on the post treatment scan or rising CA-125 level, following completion of this chemotherapy course. Patients with stable disease on the post-treatment scan at completion of first line platinum-containing therapy are not eligible for the study.
- Patients must be randomized within 8 weeks of their last dose of chemotherapy
Who cannot join
- BRCA1 and/or BRCA2 mutations that are considered to be non detrimental (e.g. "Variants of uncertain clinical significance" or "Variant of unknown significance" or "Variant, favor polymorphism" or "benign polymorphism" etc).
- Patients with early stage disease (FIGO Stage I, IIA, IIB or IIC)
- Stable disease or progressive disease on the post-treatment scan or clinical evidence of progression at the end of the patient's first line chemotherapy treatment.
- Patients where more than one debulking surgery has been performed before randomisation to the study. (Patients who, at the time of diagnosis, are deemed to be unresectable and undergo only a biopsy or oophorectomy but then go on to receive chemotherapy and interval debulking surgery are eligible).
- Patients who have previously been diagnosed and treated for earlier stage ovarian, fallopian tube or primary peritoneal cancer.
- Patients who have previously received chemotherapy for any abdominal or pelvic tumour, including treatment for prior diagnosis at an earlier stage for their ovarian, fallopian tube or primary peritoneal cancer. (Patients who have received prior adjuvant chemotherapy for localised breast cancer may be eligible, provided that it was completed more than three years prior to registration, and that the patient remains free of recurrent or metastatic disease).
- Patients with synchronous primary endometrial cancer unless both of the following criteria are met: 1) stage <2 2) less than 60 years old at the time of diagnosis of endometrial cancer with stage IA or IB grade 1 or 2, or stage IA grade 3 endometrioid adenocarcinoma OR ≥ 60 years old at the time of diagnosis of endometrial cancer with Stage IA grade 1 or 2 endometrioid adenocarcinoma. Patients with serous or clear cell adenocarcinoma or carcinosarcoma of the endometrium are not eligible.
Trial locations and contacts
177 sites in 15 countries.
177 sites in 15 countries
United States81 sites
Abington Memorial Hospital
Abington, Pennsylvania
Women's Cancer Care Associates
Albany, New York
University of New Mexico
Albuquerque, New Mexico
McFarland Clinic, P.C.
Ames, Iowa
Providence Cancer Center
Anchorage, Alaska
Hope Women's Cancer Centers
Asheville, North Carolina
Northside Hospital
Atlanta, Georgia
University of Colorado
Aurora, Colorado
Greater Baltimore Medical Center
Baltimore, Maryland
Johns Hopkins
Baltimore, Maryland
Walter Reed National Military Medical Center
Bethesda, Maryland
St. Luke's University Health Network
Bethlehem, Pennsylvania
Beth Israel Deaconess Medical Center
Boston, Massachusetts
Dana Farber Cancer Institute
Boston, Massachusetts
Massachusetts General Hospital
Boston, Massachusetts
Roswell Park Cancer Institute
Buffalo, New York
MD Anderson at Cooper Cancer Center
Camden, New Jersey
Aultman Hospital
Canton, Ohio
UNC Chapel Hill
Chapel Hill, North Carolina
Levine Cancer Institute
Charlotte, North Carolina
University of Virginia
Charlottesville, Virginia
Northwestern University
Chicago, Illinois
Univ Chicago Medical Center
Chicago, Illinois
Cleveland Clinic Cancer Center at Fairview Hospital
Cleveland, Ohio
Cleveland Clinic Foundation
Cleveland, Ohio
University Hospital Case Medical Center
Cleveland, Ohio
South Carolina Oncology Associates, PA
Columbia, South Carolina
Research Site
Columbus, Ohio, 43210
University of Texas Southwestern Medical Center
Dallas, Texas
Henry Ford Health System
Detroit, Michigan
Duke University Medical Center
Durham, North Carolina
Minnesota Oncology Hematology, PA
Edina, Minnesota
Sanford Roger Maris Cancer Center
Fargo, North Dakota
Univ of Connecticut Health Center
Farmington, Connecticut
Northeast Georgia Medical Center
Gainesville, Georgia
Gynecologic Oncology of West MI, PLLC
Grand Rapids, Michigan
Aurora Baycare Medical Center
Green Bay, Wisconsin
John Theurer Cancer Center
Hackensack, New Jersey
The Queen's Medical Center
Honolulu, Hawaii
University of Hawaii
Honolulu, Hawaii
MD Anderson Cancer Center
Houston, Texas
University of Texas Health Science Center of Houston
Houston, Texas
Clearview Cancer Institute
Huntsville, Alabama
Indiana University
Indianapolis, Indiana
St. Vincent Hospital & Health Care Center
Indianapolis, Indiana
University of Mississippi Medical Center
Jackson, Mississippi
Kettering Medical Center
Kettering, Ohio
Womens Cancer Center of Nevada
Las Vegas, Nevada
Cedars-Sinai Medical Center
Los Angeles, California
University of California, Los Angeles
Los Angeles, California
Norton Cancer Institute Research
Louisville, Kentucky
University of Wisconsin-Madison
Madison, Wisconsin
Hillcrest Hospital Cancer Center
Mayfield Heights, Ohio
Froedtert Memorial Hospital
Milwaukee, Wisconsin
Northern Indiana Cancer Research Consortium
Mishawaka, Indiana
Smilow Cancer Hospital at Yale New Haven
New Haven, Connecticut
Memorial Sloan Kettering Cancer Center
New York, New York
Mount Sinai Medical Center - New York
New York, New York
Perlmutter Cancer Center
New York, New York
Virginia Oncology Associates
Norfolk, Virginia
Kaiser Permanente
Oakland, California
Peggy and Charles Stephenson Cancer Center
Oklahoma City, Oklahoma
Missouri Valley Cancer Consortium CCOP
Omaha, Nebraska
Nebraska Methodist Hospital
Omaha, Nebraska
Florida Hospital Cancer Institute
Orlando, Florida
Gynecologic Cancer Center
Orlando, Florida
Advocate Lutheran General Hospital
Park Ridge, Illinois
The University of Pennsylvania
Philadelphia, Pennsylvania
St. Joseph's Hospital & Medical Center
Phoenix, Arizona
Women and Infants Hospital
Providence, Rhode Island
Carilion Clinic Gynecological Oncology
Roanoke, Virginia
Mayo Clinic - Rochester, MN
Rochester, Minnesota
Kaiser Permanente
Roseville, California
Nancy N. & J.C. Lewis Cancer and Research Pavillion
Savannah, Georgia
Maine Medical Partners
Scarborough, Maine
Avera Cancer Institute
Sioux Falls, South Dakota
Sanford Clinic Women's Health
Sioux Falls, South Dakota
Washington University School of Medicine
St Louis, Missouri
Stanford Women's Cancer Center
Stanford, California
H Lee Moffitt Cancer Center and Research Institute
Tampa, Florida
Babak Edraki
Walnut Creek, California
China16 sites
Beijing Cancer Hospital
Beijing
The Tumor Hospital affiliated to China Medical Science Insti
Beijing
1st Hospital of Jilin university
Changchun
Jilin Provincial Cancer Hospital
Changchun
Hunan Cancer Hospital
Changsha
West China Hospital Affiliated to Sichuan University
Chengdu
ChongQing Cancer Hospital
Chongqing
Research Site
Guangzhou, 510060
Women's Hospital, Zhejaing University School of Medicine
Hangzhou
The Tumour Hospital of Harbin Medical University
Harbin
Zhejiang Cancer Hospital, Huangzhou
Huangzhou
JINAN, Qi Lu Hosp. of SD Univ.
Jinan
Obstetris and Gynecology Hospital of Fudan University
Shanghai
Shanghai Cancer Hospital of Fudan University
Shanghai
The First Affiliated Hospital of Soochow Universit
Suzhou
First affiliated hospital college of XianJiaotong University
Xi'an
Brazil8 sites
Centro Diagnóstico Barretos
Barretos
Hospital Araujo Jorge
Goiânia
Centro de Novos Tratamentos Itajai
Itajaí
Hospital de Clinicas de Porto Alegre
Porto Alegre
Irmandade da Santa Casa de Misericordia de Porto Alagre
Porto Alegre
Hospital de Base São José do Rio Preto
São José do Rio Preto
Centro de Referencia da Saude da Mulher
São Paulo
Instituto do Câncer de São Paulo
São Paulo
Italy8 sites
Bari- Istituto Tumori Giovanni Paolo II
Bari
Azienda Ospedaliera "Cannizzaro"
Catania
Istituto Europeo di Oncologia
Milan
Istituto Nazionale Per Cura Tumori - Milano
Milan
Istituto Nazionale Tumori Fondazione Pascale
Naples
Istituto Oncologico Veneto Irccs
Padova
Istituto Regina Elena-Polo Oncologico Ifo
Roma
Policlinico Universitario A. Gemelli
Roma
Japan8 sites
Hyogo CC
Akashi-shi
National Cancer Center Hosp
Chūōku
NHO Kyushu CC
Fukuoka
Saitama Med. Univ. Int. Med. C
Hidaka-shi
NHO Shikoku Cancer Center
Matsuyama
Niigata Univ. Med. Dent.
Niigata
Hokkaido University Hospital
Sapporo
Shizuoka Cancer Center
Sunto-gun
Canada7 sites
Juravinski Cancer Centre
Hamilton, Ontario
London Health Sciences Centre
London, Ontario
CHUM - Hopital Norte-Dame
Montreal, Quebec
Royal Victoria Hospital
Montreal, Quebec
Hotel-Dieu de Quebec
Québec, Quebec
Princess Margaret Cancer Centre
Toronto, Ontario
Sunnybrook Health Sciences Center
Toronto, Ontario
France7 sites
Institut Bergonie
Bordeaux
CAC François Baclesse
Caen
69LYON, C Bérard, Onco
Lyon
Centre Catherine de Sienne
Nantes
75PARIS, H Tenon, Onco
Paris
Centre Alexis Vautrin
Vandœuvre-lès-Nancy
Institut Gustave Roussy
Villejuif
Russia7 sites
Udmurtia Republic Clinical Oncology Center
Izhevsk
Chemotherapy Department, Russian Cancer Research Centre
Moscow
State Institution of Heath Omsk Regional Oncology Dispensary
Omsk
Cancer Research Institute
Saint Petersburg
Leningrad Regional Oncology Dispensary
Saint Petersburg
St.Petersburg City Oncology Dispensary, Dept. Gynecology
Saint Petersburg
Research Institute of Oncology RAMS
Tomsk
Spain7 sites
Barcelona,H.Vall d´Hebrón,Oncología
Barcelona
Córdoba,H.Reina Sofía,Oncología
Córdoba
H.Llobregat,ICO-Duran i Reynals,Oncología
Hospitalet deLlobregat(Barcelo
Madrid, MD Anderson, Oncología
Madrid
Madrid,H.U.La Paz,Oncología
Madrid
Valencia, IVO, Oncología
Valencia
Valencia,H.C.U.Valencia,Oncología
Valencia
United Kingdom7 sites
City Hospital, Birmingham, Cancer Trials Team
Birmingham
Addenbrooke's Hospital
Cambridge
Arden Cancer Centre
Coventry
Edinburgh Cancer Research UK Centre
Edinburgh
Cancer Research UK and UCL Cancer Trials Centre
London
Royal Marsden Hospital
London
Royal Marsden Hospital and Institute of Cancer Research
Sutton
South Korea6 sites
National Cancer Center
Goyang-si
Asan Medical Center
Seoul
Gangnam Severance Hospital
Seoul
Korea Cancer Center Hospital
Seoul
Samsung Medical Center
Seoul
Seoul National University Hospital
Seoul
Israel5 sites
Rambam Health Care Campus
Haifa
Sapir Medical Centre
Kfar Saba
Rabin MC
Petah Tikva
Tel-Aviv Sourkasy Medical Center
Tel Aviv
Chaim Sheba Medical Centre
Tel Litwinsky
Poland5 sites
Niepubliczny Zaklad Opieki Zdrowotnej Innowacyjna Medycyna
Grzepnica
SPZOZ MSWiA z Warminsko-Mazurskim Centrum Onkologii
Olsztyn
Wojewódzki Szpital Specjalistyczny w Olsztynie
Olsztyn
Centrum Onkologii-Instytut im. Marii Sklodowskiej-Curie
Warsaw
Szpital Specjalistyczny im. Swietej Rodziny SPZOZ
Warsaw
Australia3 sites
Mercy Hospital for Women
Heidelberg
The Royal Womens Hospital
Parkville
Prince of Wales Hospital
Randwick
Netherlands2 sites
Netherlands Cancer Institute Antoni van Leeuwenhoek Hospital
Amsterdam
Maastricht Universitair Medisch Centrum
Maastricht
About this study
Official title: A Phase III, Randomised, Double Blind, Placebo Controlled, Multicentre Study of Olaparib Maintenance Monotherapy in Patients With BRCA Mutated Advanced (FIGO Stage III-IV) Ovarian Cancer Following First Line Platinum Based Chemotherapy.
Olaparib Monotherapy in Patients with BRCA Mutated Ovarian Cancer following First Line Platinum Based Chemotherapy.
Read the detailed description
A Phase III, Randomised, Double Blind, Placebo Controlled, Multicentre Study of Olaparib Maintenance Monotherapy in Patients with BRCA Mutated Advanced (FIGO Stage III-IV) Ovarian Cancer following First Line Platinum Based Chemotherapy.
- Conditions
- Newly Diagnosed, Advanced Ovarian Cancer, FIGO Stage III-IV, BRCA Mutation, Complete Response, Partial Response
- Being tested
- Olaparib 300mg tablets
- Keywords
- BRCA, Ovarian Cancer, Chemotherapy, PARP inhibitor, First Line, FIGO Stage III, FIGO Stage IV
- Medical subject headings
- Pathologic Complete Response, Ovarian Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Olaparib 300mg tabletsDrug
Olaparib/placebo tablets p.o 300mg twice daily for up to 2 years or until objective radiological disease progression as per RECIST as assessed by the Investigator. Patients with evidence of stable disease (or those who have progressed), may continue on treatment beyond 2 years, if in the patient's best interest. Dose reduction to 250mg and subsequently 200mg is permitted following confirmation of toxicity.
| Study group | Role | What they receive |
|---|---|---|
| Olaparib tablets p.o. 300mg twice daily | Experimental | Olaparib/placebo tablets p.o 300mg twice daily for up to 3 years or until objective radiological disease progression as per RECIST as assessed by the Investigator. Patients with evidence of stable disease (or those who have progressed), may continue on treatment beyond 2 years, if in the patient's best interest. Dose reduction to 250mg and subsequently 200mg is permitted following confirmation of toxicity Receives: Drug: Olaparib 300mg tablets |
| Placebo tablets p.o. twice daily | Placebo comparator | Olaparib/placebo tablets p.o 300mg twice daily for up to 3 years or until objective radiological disease progression as per RECIST as assessed by the Investigator. Patients with evidence of stable disease (or those who have progressed), may continue on treatment beyond 2 years, if in the patient's best interest. Dose reduction to 250mg and subsequently 200mg is permitted following confirmation of toxicity Receives: Drug: Olaparib 300mg tablets |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression Free Survival (PFS) Using Investigator Assessment According to Modified Response Evaluation Criteria in Solid Tumours (RECIST 1.1)
To determine the efficacy by progression free survival (PFS) using investigator assessment according to modified Response Evaluation Criteria in Solid Tumours (RECIST 1.1) of olaparib maintenance monotherapy compared to placebo in BRCA mutated high risk advanced ovarian cancer patients who are in clinical complete response or partial response following first line platinum based chemotherapy.
Measured: Radiologic scans performed at baseline then every 12 weeks up to 156 weeks, then every 24 weeks thereafter until objective radiological disease progression. DCO: 17 May 2018
Secondary outcomes (8)
Efficacy in Patients Following First Line Platinum Based Chemotherapy by Assessment of Overall Survival
To determine the efficacy of olaparib maintenance monotherapy compared to placebo in BRCA mutated high risk advanced ovarian cancer patients who are in clinical complete response or partial response following first line platinum based chemotherapy by assessment of overall survival (OS). Reports results of a pre-specified interim analysis; results for final OS analysis (235 OS events) anticipated 2029.
Measured: Assessed every 4 weeks until treatment discontinues (up to a max of 156 weeks), then as per protocol. Analysis performed with DCO: 17May2018. Further analyses will be performed at 7 years (descriptive), after 206 events and after 60% maturity.
Efficacy in Patients Following First Line Platinum Based Chemotherapy by Assessment of Time to Earliest Progression by RECIST or Cancer Antigen (CA-125) or Death
To determine the efficacy of olaparib maintenance monotherapy compared to placebo in BRCA mutated high risk advanced ovarian cancer patients who are in clinical complete response or partial response following first line platinum based chemotherapy by assessment of time to earliest progression by RECIST or Cancer Antigen-125 (CA-125) or death
Measured: CA-125 performed at baseline + every 4 weeks. Radiologic scans performed at baseline + every 12 weeks up to 156 weeks, then every 24 weeks until objective radiological disease progression. DCO:17May2018
Efficacy in Patients Following First Line Platinum Based Chemotherapy by Assessment of Time From Randomization to Second Progression
To determine the efficacy of olaparib maintenance monotherapy compared to placebo in BRCA mutated high risk advanced ovarian cancer patients who are in clinical complete response or partial response following first line platinum based chemotherapy by assessment of time from randomisation to second progression (PFS2)
Measured: Following first progression disease then assessed per local practice every 12 weeks until second progression.
Change From Baseline in Health-Related Quality of Life (HRQoL) as Assessed by the the Trial Outcome Index (TOI) of the Functional Assessment of Cancer Therapy - Ovarian (FACT-O)
To compare the effects of olaparib maintenance monotherapy compared to placebo on Health-related Quality of Life (HRQoL) as assessed by the trial outcome index (TOI) of the Functional Assessment of Cancer Therapy - Ovarian (FACT-O) in BRCA mutated high risk advanced ovarian cancer patients who are in clinical complete response or partial response following first line platinum based chemotherapy. The TOI ranges from 0-100 and a higher score indicates a higher HRQoL.
Measured: Questionnaires will be given to the patient at baseline, at Day 29 and then every 12 weeks for 156 weeks, then every 24 weeks or until the data cut off for the PFS analysis, change in TOI over 24 months reported
Efficacy in Patients Following First Line Platinum Based Chemotherapy by Assessment of Time to First Subsequent Therapy or Death (TFST)
To determine the efficacy of olaparib maintenance monotherapy compared to placebo in BRCA mutated high risk advanced ovarian cancer patients who are in clinical complete response or partial response following first line platinum based chemotherapy by assessment of time from randomisation to first subsequent therapy or death (TFST). Reports results of a pre-specified interim analysis; final analysis results will later be added at time of final OS analysis (anticipated 2029).
Measured: Assessed every 12 weeks following treatment discontinuation. Analysis performed with DCO: 17May2018. Further analyses will be performed at 7 years (descriptive), after 206 events and after 60% maturity.
Efficacy in Patients Following First Line Platinum Based Chemotherapy by Assessment of Time to Second Subsequent Therapy or Death (TSST)
To determine the efficacy of olaparib maintenance monotherapy compared to placebo in BRCA mutated high risk advanced ovarian cancer patients who are in clinical complete response or partial response following first line platinum based chemotherapy by assessment of time from randomisation to second subsequent therapy or death (TSST). Reports results of a pre-specified interim analysis; final analysis results will later be added at time of final OS analysis (anticipated 2029).
Measured: Assessed every 12 weeks following treatment discontinuation. Analysis performed with DCO: 17May2018. Further analyses will be performed at 7 years (descriptive), after 206 events and after 60% maturity.
Efficacy in Patients Following First Line Platinum Based Chemotherapy by Assessment of Time From Randomization to Study Treatment Discontinuation or Death (TDT)
To determine the efficacy of olaparib maintenance monotherapy compared to placebo in BRCA mutated high risk advanced ovarian cancer patients who are in clinical complete response or partial response following first line platinum based chemotherapy by assessment of time from randomisation to study treatment discontinuation or death (TDT). Reports results of a pre-specified interim analysis; final analysis results will later be added at time of final OS analysis (anticipated 2029).
Measured: Time elapsed from randomization to study treatment discontinuation or death. Analysis performed with DCO: 17May2018. Further analyses will be performed at 7 years (descriptive), after 206 events and after 60% maturity.
Efficacy in Patients With a Deleterious or Suspected Deleterious Variant in Either of the BRCA Genes by Assessment of PFS
To assess efficacy of olaparib in patients identified as having a deleterious or suspected deleterious variant in either of the BRCA genes using variants identified with current and potential future BRCA mutation assays (gene sequencing and large rearrangement analysis)
Measured: Radiologic scans performed at baseline then every 12 weeks for the first 156 weeks, then every 24 weeks thereafter, assessed until disease progression. Analysis of data assessed up to a maximum of 54 months.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 May 2013 (estimated)
- Study start26 Aug 2013
- Primary completion17 May 2018
- Study completion29 Aug 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Newly DiagnosedStudies of the same condition, open and under way.
- More trials run by AstraZenecaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 450 participants (actual)
Sponsor and investigators
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- GOG Foundation, Myriad Genetic Laboratories, Inc., Merck Sharp & Dohme LLC
- Responsible party
- Sponsor
- Investigators
- Prof Paul DiSilvestro, MD, Principal investigator, Women & Infants Hospital, Providence, Rhode Island, USAProf Kathleen Moore, MD, Principal investigator, University of Oklahoma Health Sciences Center, Oklahoma City, USA
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01844986
- Sponsor's protocol ID
- D0818C00001
- Other IDs
- 2024-511142-39-00, 2013-001551-13
- Acronym
- SOLO-1
- Status last verified
- Nov 2025
- First submitted
- 30 Apr 2013
- Last updated
- 10 Dec 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- 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.
- Expanded access
- Available
Publications
Barnicle A, Ray-Coquard I, Rouleau E, Cadoo K, Simpkins F, Aghajanian C, Leary A, Poveda A, Lheureux S, Pujade-Lauraine E, You B, Ledermann J, Matulonis U, Gourley C, Timms KM, Lai Z, Hodgson DR, Elks CE, Dearden S, Egile C, Lao-Sirieix P, Harrington EA, Brown JS. Patterns of genomic instability in > 2000 patients with ovarian cancer across six clinical trials evaluating olaparib. Genome Med. 2024 Dec 18;16(1):145. doi: 10.1186/s13073-024-01413-5.
PubMed 39695768DiSilvestro P, Banerjee S, Colombo N, Scambia G, Kim BG, Oaknin A, Friedlander M, Lisyanskaya A, Floquet A, Leary A, Sonke GS, Gourley C, Oza A, Gonzalez-Martin A, Aghajanian C, Bradley W, Mathews C, Liu J, McNamara J, Lowe ES, Ah-See ML, Moore KN; SOLO1 Investigators. Overall Survival With Maintenance Olaparib at a 7-Year Follow-Up in Patients With Newly Diagnosed Advanced Ovarian Cancer and a BRCA Mutation: The SOLO1/GOG 3004 Trial. J Clin Oncol. 2023 Jan 20;41(3):609-617. doi: 10.1200/JCO.22.01549. Epub 2022 Sep 9.
PubMed 36082969Tattersall A, Ryan N, Wiggans AJ, Rogozinska E, Morrison J. Poly(ADP-ribose) polymerase (PARP) inhibitors for the treatment of ovarian cancer. Cochrane Database Syst Rev. 2022 Feb 16;2(2):CD007929. doi: 10.1002/14651858.CD007929.pub4.
PubMed 35170751Banerjee S, Moore KN, Colombo N, Scambia G, Kim BG, Oaknin A, Friedlander M, Lisyanskaya A, Floquet A, Leary A, Sonke GS, Gourley C, Oza A, Gonzalez-Martin A, Aghajanian C, Bradley WH, Holmes E, Lowe ES, DiSilvestro P. Maintenance olaparib for patients with newly diagnosed advanced ovarian cancer and a BRCA mutation (SOLO1/GOG 3004): 5-year follow-up of a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Oncol. 2021 Dec;22(12):1721-1731. doi: 10.1016/S1470-2045(21)00531-3. Epub 2021 Oct 26.
PubMed 34715071Friedlander M, Moore KN, Colombo N, Scambia G, Kim BG, Oaknin A, Lisyanskaya A, Sonke GS, Gourley C, Banerjee S, Oza A, Gonzalez-Martin A, Aghajanian C, Bradley WH, Liu J, Mathews C, Selle F, Lortholary A, Lowe ES, Hettle R, Flood E, Parkhomenko E, DiSilvestro P. Patient-centred outcomes and effect of disease progression on health status in patients with newly diagnosed advanced ovarian cancer and a BRCA mutation receiving maintenance olaparib or placebo (SOLO1): a randomised, phase 3 trial. Lancet Oncol. 2021 May;22(5):632-642. doi: 10.1016/S1470-2045(21)00098-X. Epub 2021 Apr 13.
PubMed 33862001Moore K, Colombo N, Scambia G, Kim BG, Oaknin A, Friedlander M, Lisyanskaya A, Floquet A, Leary A, Sonke GS, Gourley C, Banerjee S, Oza A, Gonzalez-Martin A, Aghajanian C, Bradley W, Mathews C, Liu J, Lowe ES, Bloomfield R, DiSilvestro P. Maintenance Olaparib in Patients with Newly Diagnosed Advanced Ovarian Cancer. N Engl J Med. 2018 Dec 27;379(26):2495-2505. doi: 10.1056/NEJMoa1810858. Epub 2018 Oct 21.
PubMed 30345884
Study at a glance
From the registry record, last updated by the sponsor on 10 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Randomised, Double Blind, Placebo Controlled, Multicentre Study of Olaparib Maintenance Monotherapy in Patients With BRCA Mutated Advanced (FIGO Stage III-IV) Ovarian Cancer Following First Line Platinum Based Chemotherapy.
- ClinicalTrials.gov ID
- NCT01844986
- Acronym / sponsor ID
- SOLO-1 / D0818C00001
- Conditions
- Newly Diagnosed, Advanced Ovarian Cancer, FIGO Stage III-IV, BRCA Mutation, Complete Response, Partial Response
- Keywords
- BRCA, Ovarian Cancer, Chemotherapy, PARP inhibitor, First Line, FIGO Stage III, FIGO Stage IV
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 450 participants (actual)
- Lead sponsor
- AstraZenecaIndustry (pharma, biotech, devices)
- Collaborators
- GOG Foundation, Myriad Genetic Laboratories, Inc., Merck Sharp & Dohme LLC
- Study start
- 26 Aug 2013 (actual)
- Primary completion
- 17 May 2018 (actual)
- Study completion
- 29 Aug 2028 (estimated)
- First posted
- 3 May 2013 (estimated)
- Results
- Posted 9 Jul 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Olaparib Monotherapy in Patients with BRCA Mutated Ovarian Cancer following First Line Platinum Based Chemotherapy.
Detailed description
A Phase III, Randomised, Double Blind, Placebo Controlled, Multicentre Study of Olaparib Maintenance Monotherapy in Patients with BRCA Mutated Advanced (FIGO Stage III-IV) Ovarian Cancer following First Line Platinum Based Chemotherapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Olaparib tablets p.o. 300mg twice daily | Experimental | Drug: Olaparib 300mg tabletsOlaparib/placebo tablets p.o 300mg twice daily for up to 3 years or until objective radiological disease progression as per RECIST as assessed by the Investigator. Patients with evidence of stable disease (or those who have progressed), may continue on treatment beyond 2 years, if in the patient's best interest. Dose reduction to 250mg and subsequently 200mg is permitted following confirmation of toxicity |
| Placebo tablets p.o. twice daily | Placebo comparator | Drug: Olaparib 300mg tabletsOlaparib/placebo tablets p.o 300mg twice daily for up to 3 years or until objective radiological disease progression as per RECIST as assessed by the Investigator. Patients with evidence of stable disease (or those who have progressed), may continue on treatment beyond 2 years, if in the patient's best interest. Dose reduction to 250mg and subsequently 200mg is permitted following confirmation of toxicity |
Who may qualify
- Ages
- 18 to 130 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Female patients with newly diagnosed, histologically confirmed, high risk advanced (FIGO stage III - IV) BRCA mutated high grade serous or high grade endometrioid ovarian cancer, primary peritoneal cancer and / or fallopian - tube cancer who have completed first line platinum based chemotherapy (intravenous or intraperitoneal).
- Stage III patients must have had one attempt at optimal debulking surgery (upfront or interval debulking). Stage IV patients must have had either a biopsy and/or upfront or interval debulking surgery.
- Documented 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).
- Patients who have completed first line platinum (e.g. carboplatin or cisplatin), containing therapy (intravenous or intraperitoneal) prior to randomisation:
- Patients must have, in the opinion of the investigator, clinical complete response or partial response and have no clinical evidence of disease progression on the post treatment scan or rising CA-125 level, following completion of this chemotherapy course. Patients with stable disease on the post-treatment scan at completion of first line platinum-containing therapy are not eligible for the study.
Key exclusion criteria (7 listed)
- BRCA1 and/or BRCA2 mutations that are considered to be non detrimental (e.g. "Variants of uncertain clinical significance" or "Variant of unknown significance" or "Variant, favor polymorphism" or "benign polymorphism" etc).
- Patients with early stage disease (FIGO Stage I, IIA, IIB or IIC)
- Stable disease or progressive disease on the post-treatment scan or clinical evidence of progression at the end of the patient's first line chemotherapy treatment.
- Patients where more than one debulking surgery has been performed before randomisation to the study. (Patients who, at the time of diagnosis, are deemed to be unresectable and undergo only a biopsy or oophorectomy but then go on to receive chemotherapy and interval debulking surgery are eligible).
- Patients who have previously been diagnosed and treated for earlier stage ovarian, fallopian tube or primary peritoneal cancer.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Olaparib 300mg tabletsOlaparib/placebo tablets p.o 300mg twice daily for up to 2 years or until objective radiological disease progression as per RECIST as assessed by the Investigator. Patients with evidence of stable disease (or those who have progressed), may continue on treatment beyond 2 years, if in the patient's best interest. Dose reduction to 250mg and subsequently 200mg is permitted following confirmation of toxicity. | Drug | Olaparib tablets p.o. 300mg twice daily, Placebo tablets p.o. twice daily |
Primary outcome
Progression Free Survival (PFS) Using Investigator Assessment According to Modified Response Evaluation Criteria in Solid Tumours (RECIST 1.1)
Time frame: Radiologic scans performed at baseline then every 12 weeks up to 156 weeks, then every 24 weeks thereafter until objective radiological disease progression. DCO: 17 May 2018
To determine the efficacy by progression free survival (PFS) using investigator assessment according to modified Response Evaluation Criteria in Solid Tumours (RECIST 1.1) of olaparib maintenance monotherapy compared to placebo in BRCA mutated high risk advanced ovarian cancer patients who are in clinical complete response or partial response following first line platinum based chemotherapy.
8 secondary outcomes
Efficacy in Patients Following First Line Platinum Based Chemotherapy by Assessment of Overall Survival
Time frame: Assessed every 4 weeks until treatment discontinues (up to a max of 156 weeks), then as per protocol. Analysis performed with DCO: 17May2018. Further analyses will be performed at 7 years (descriptive), after 206 events and after 60% maturity.
Efficacy in Patients Following First Line Platinum Based Chemotherapy by Assessment of Time to Earliest Progression by RECIST or Cancer Antigen (CA-125) or Death
Time frame: CA-125 performed at baseline + every 4 weeks. Radiologic scans performed at baseline + every 12 weeks up to 156 weeks, then every 24 weeks until objective radiological disease progression. DCO:17May2018
Efficacy in Patients Following First Line Platinum Based Chemotherapy by Assessment of Time From Randomization to Second Progression
Time frame: Following first progression disease then assessed per local practice every 12 weeks until second progression.
Change From Baseline in Health-Related Quality of Life (HRQoL) as Assessed by the the Trial Outcome Index (TOI) of the Functional Assessment of Cancer Therapy - Ovarian (FACT-O)
Time frame: Questionnaires will be given to the patient at baseline, at Day 29 and then every 12 weeks for 156 weeks, then every 24 weeks or until the data cut off for the PFS analysis, change in TOI over 24 months reported
Efficacy in Patients Following First Line Platinum Based Chemotherapy by Assessment of Time to First Subsequent Therapy or Death (TFST)
Time frame: Assessed every 12 weeks following treatment discontinuation. Analysis performed with DCO: 17May2018. Further analyses will be performed at 7 years (descriptive), after 206 events and after 60% maturity.
Efficacy in Patients Following First Line Platinum Based Chemotherapy by Assessment of Time to Second Subsequent Therapy or Death (TSST)
Time frame: Assessed every 12 weeks following treatment discontinuation. Analysis performed with DCO: 17May2018. Further analyses will be performed at 7 years (descriptive), after 206 events and after 60% maturity.
Efficacy in Patients Following First Line Platinum Based Chemotherapy by Assessment of Time From Randomization to Study Treatment Discontinuation or Death (TDT)
Time frame: Time elapsed from randomization to study treatment discontinuation or death. Analysis performed with DCO: 17May2018. Further analyses will be performed at 7 years (descriptive), after 206 events and after 60% maturity.
Efficacy in Patients With a Deleterious or Suspected Deleterious Variant in Either of the BRCA Genes by Assessment of PFS
Time frame: Radiologic scans performed at baseline then every 12 weeks for the first 156 weeks, then every 24 weeks thereafter, assessed until disease progression. Analysis of data assessed up to a maximum of 54 months.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Dec 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 39695768Barnicle A, Ray-Coquard I, Rouleau E, Cadoo K, Simpkins F, Aghajanian C, Leary A, Poveda A, Lheureux S, Pujade-Lauraine E, You B, Ledermann J, Matulonis U, Gourley C, Timms KM, Lai Z, Hodgson DR, Elks CE, Dearden S, Egile C, Lao-Sirieix P, Harrington EA, Brown JS. Patterns of genomic instability in > 2000 patients with ovarian cancer across six clinical trials evaluating olaparib. Genome Med. 2024 Dec 18;16(1):145. doi: 10.1186/s13073-024-01413-5.
- Derived from this study: PubMed 36082969DiSilvestro P, Banerjee S, Colombo N, Scambia G, Kim BG, Oaknin A, Friedlander M, Lisyanskaya A, Floquet A, Leary A, Sonke GS, Gourley C, Oza A, Gonzalez-Martin A, Aghajanian C, Bradley W, Mathews C, Liu J, McNamara J, Lowe ES, Ah-See ML, Moore KN; SOLO1 Investigators. Overall Survival With Maintenance Olaparib at a 7-Year Follow-Up in Patients With Newly Diagnosed Advanced Ovarian Cancer and a BRCA Mutation: The SOLO1/GOG 3004 Trial. J Clin Oncol. 2023 Jan 20;41(3):609-617. doi: 10.1200/JCO.22.01549. Epub 2022 Sep 9.
- Derived from this study: PubMed 35170751Tattersall A, Ryan N, Wiggans AJ, Rogozinska E, Morrison J. Poly(ADP-ribose) polymerase (PARP) inhibitors for the treatment of ovarian cancer. Cochrane Database Syst Rev. 2022 Feb 16;2(2):CD007929. doi: 10.1002/14651858.CD007929.pub4.
- Derived from this study: PubMed 34715071Banerjee S, Moore KN, Colombo N, Scambia G, Kim BG, Oaknin A, Friedlander M, Lisyanskaya A, Floquet A, Leary A, Sonke GS, Gourley C, Oza A, Gonzalez-Martin A, Aghajanian C, Bradley WH, Holmes E, Lowe ES, DiSilvestro P. Maintenance olaparib for patients with newly diagnosed advanced ovarian cancer and a BRCA mutation (SOLO1/GOG 3004): 5-year follow-up of a randomised, double-blind, placebo-controlled, phase 3 trial. Lancet Oncol. 2021 Dec;22(12):1721-1731. doi: 10.1016/S1470-2045(21)00531-3. Epub 2021 Oct 26.
- Derived from this study: PubMed 33862001Friedlander M, Moore KN, Colombo N, Scambia G, Kim BG, Oaknin A, Lisyanskaya A, Sonke GS, Gourley C, Banerjee S, Oza A, Gonzalez-Martin A, Aghajanian C, Bradley WH, Liu J, Mathews C, Selle F, Lortholary A, Lowe ES, Hettle R, Flood E, Parkhomenko E, DiSilvestro P. Patient-centred outcomes and effect of disease progression on health status in patients with newly diagnosed advanced ovarian cancer and a BRCA mutation receiving maintenance olaparib or placebo (SOLO1): a randomised, phase 3 trial. Lancet Oncol. 2021 May;22(5):632-642. doi: 10.1016/S1470-2045(21)00098-X. Epub 2021 Apr 13.
- Derived from this study: PubMed 30345884Moore K, Colombo N, Scambia G, Kim BG, Oaknin A, Friedlander M, Lisyanskaya A, Floquet A, Leary A, Sonke GS, Gourley C, Banerjee S, Oza A, Gonzalez-Martin A, Aghajanian C, Bradley W, Mathews C, Liu J, Lowe ES, Bloomfield R, DiSilvestro P. Maintenance Olaparib in Patients with Newly Diagnosed Advanced Ovarian Cancer. N Engl J Med. 2018 Dec 27;379(26):2495-2505. doi: 10.1056/NEJMoa1810858. Epub 2018 Oct 21.
- Redacted Clinical Study ProtocolLink provided by the sponsor.
- Redacted Statistical Analysis PlanLink provided by the sponsor.
- Redacted Statistical Analysis PlanLink provided by the sponsor.
- Individual participant dataSharing planned: 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.
Related trials for Newly Diagnosed
RecruitingPhase 3
Dinutuximab With Chemotherapy, Surgery and Stem Cell Transplantation for the Treatment of Children With Newly Diagnosed High Risk Neuroblastoma
Ganglioneuroblastoma, Nodular, Neuroblastoma
Active, not recruitingPhase 3
Testing the Use of Steroids and Tyrosine Kinase Inhibitors With Blinatumomab or Chemotherapy for Newly Diagnosed BCR-ABL-Positive Acute Lymphoblastic Leukemia in Adults
B Acute Lymphoblastic Leukemia With t(9;22)(q34.1;q11.2); BCR-ABL1
Not yet recruiting
Podcast-Based Psychosocial Support for Women Newly Diagnosed With Breast Cancer
Breast Cancer
Not yet recruiting
A Single-Arm, Open-Label, Multicenter Clinical Study of Teniposide Combined With Temozolomide for the Treatment of Newly Diagnosed Glioblastoma (nGBM) With MGMT Promotor Region Unmethylated
Newly Diagnosed Glioblastoma, MGMT-Unmethylated Glioblastoma
Active, not recruitingPhase 2
Rituximab and Combination Chemotherapy With or Without Lenalidomide in Treating Patients With Newly Diagnosed Stage II-IV Diffuse Large B Cell Lymphoma
Ann Arbor Stage II Diffuse Large B-Cell Lymphoma, Ann Arbor Stage III Diffuse Large B-Cell Lymphoma
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Prof Paul DiSilvestro, MD principal investigator
Women & Infants Hospital, Providence, Rhode Island, USA
Prof Kathleen Moore, MD principal investigator
University of Oklahoma Health Sciences Center, Oklahoma City, USA
177 sites in 15 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Olaparib 300mg tablets in people with Newly Diagnosed and Advanced Ovarian Cancer, run by AstraZeneca at 177 sites in 15 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 10 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 177 sites in United States, China, Brazil, Italy, Japan and 10 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 9 Jul 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression Free Survival (PFS) Using Investigator Assessment According to Modified Response Evaluation Criteria in Solid Tumours (RECIST 1.1) (time frame: Radiologic scans performed at baseline then every 12 weeks up to 156 weeks, then every 24 weeks thereafter until objective radiological disease progression. DCO: 17 May 2018). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01844986, which also lists 6 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Dec 2025.