AzTrials
AzTrials

Solid TumoursPhase 1NCT01894256

Study to Assess the Blood Levels and Safety of Olaparib in Patients With Advanced Solid Tumours and Normal or Impaired Kidney Function

A Phase 1 study testing Olaparib tablet dosing in people with Solid Tumours, run by AstraZeneca at 13 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a 2-part study in patients with advanced solid tumours. Part A will investigate the PK of olaparib in patients with mild or moderate renal impairment compared to patients with normal renal function; Part B will allow eligible study patients continued access to olaparib after the PK phase and will provide… Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Solid Tumours
What is being tested?
Olaparib tablet dosing
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
56 participants
Where
13 sitesin 5 countries
Study dates
Nov 2013to Feb 2016
Phase
Phase 1
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • For inclusion in the study as a patient with renal impairment, the following criterion must be met:
  • Patients must have stable renal impairment (moderate or mild), depending on creatinine clearance estimated using the Cockcroft-Gault equation (moderate 31 to 50 mL/min; mild 51 to 80 mL/min), for at least 2 months prior to the start of the study. For inclusion in the study as a patient with normal renal function, the following criterion must be met:
  • Calculated serum creatinine clearance greater than or equal to 81 mL/min (using Cockcroft-Gault equation). All patients must fulfil the following criteria:
  • Provision of written informed consent prior to any study specific procedures .
  • Patients must be greater than or equal to 18 and less than or equal to 75 years of age.
  • Histologically or, where appropriate, cytologically confirmed malignant solid tumour refractory or resistant to standard therapy or for which no suitable effective standard therapy exists.
Show all 18Show fewer
  • BMI between 18-30 kg/m2.
  • Normal liver and bone marrow function measured within 28 days prior to administration of IP as defined below: Haemoglobin (Hb) greater than or equal to 10.0 g/dL, with no blood transfusions in the previous 28 days.
  • Absolute neutrophil count (ANC) greater than or equal to 1.5 x 109/L. White blood cells (WBC) greater than 3 x 109/L. Platelet count greater than or equal to 100 x 109/L. Total bilirubin less than or equal to 1.5 x institutional upper limit of normal (ULN) (except in the case of Gilbert's disease).
  • Aspartate aminotransferase or serum glutamic oxaloacetic transaminase (AST), alanine aminotransferase or serum glutamic pyruvic transaminase (ALT) less than or equal to 2.5 x institutional ULN unless liver metastases are present in which case it must be less than or equal to 5x ULN.
  • Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 2.
  • Patients must have a life expectancy greater than or equal to 12 weeks.
  • Evidence of non childbearing status for women of childbearing potential, or postmenopausal status: negative urine or serum pregnancy test within 28 days of study treatment, confirmed prior to treatment on Day 1 of the first treatment period in Part A. Postmenopausal is defined as:
  • Amenorrheic for 1 year or more following cessation of exogenous hormonal treatments.
  • Luteinising hormone and follicle-stimulating hormone levels in the postmenopausal range for women under 50 years of age.
  • Radiation-induced oophorectomy with last menses greater than 1 year ago. Chemotherapy-induced menopause with greater than 1 year interval since last menses Surgical sterilisation (bilateral oophorectomy or hysterectomy).
  • Patients are willing and able to comply with the protocol for the duration of the study including undergoing treatment and scheduled visits and examinations.
  • Patients must be on a stable concomitant medication regimen (with the exception of electrolyte supplements), defined as no changes in medication or in dose within 2 weeks prior to start of olaparib dosing, except for bisphosphonates, denosumab and corticosteroids, which should be stable for at least 4 weeks prior to start of olaparib dosing.

Who cannot join

  • Patients must not enter the study if any of the following exclusion criteria are fulfilled:
  • Involvement in the planning and/or conduct of the study (applies to both AstraZeneca staff, its agents and/or staff at the study site).
  • Previous enrolment in the present study.
  • Participation in another clinical study with an investigational medicinal product (IP) during the last 14 days (or a longer period depending on the defined characteristics of the agent used).
  • Renal transplant and end stage renal disease (ESRD) patients.
  • Patients receiving any systemic chemotherapy or radiotherapy (except for palliative reasons) within 2 weeks prior to study treatment (or a longer period depending on the defined characteristics of the agents used). The patient can receive a stable dose of bisphosphonates or denosumab for bone metastases before and during the study as long as these were started at least 4 weeks prior to treatment.
Show all 23Show fewer
  • Patients who have received or are receiving inhibitors or inducers of CYP3A4 within the washout period.
  • For Part A only, drugs which affect creatinine clearance such as cephalosporin antibiotics, ascorbic acid, trimethoprim, cimetidine and quinine should not be used within the 7 days prior to dosing with olaparib.
  • Treatment in the previous 3 months with any drug known to have a well-defined potential for hepatotoxicity (eg, halothane).
  • Persistent toxicities (greater than or equal to CTCAE Grade 2) caused by previous cancer therapy, excluding alopecia.
  • Patients with myelodysplastic syndrome/acute myeloid leukaemia.
  • Patients with symptomatic uncontrolled brain metastases. A scan to confirm the absence of brain metastases is not required. Patients with asymptomatic brain metastases or with symptomatic but stable brain metastases can receive a stable dose of corticosteroids before and during the study as long as these were started at least 4 weeks prior to treatment.
  • Major surgery within 2 weeks of starting study treatment and patients must have recovered from any effects of major surgery.
  • Patients considered a poor medical risk due to a serious uncontrolled medical disorder, non malignant systemic disease, uncontrolled seizures, 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 bilateral interstitial lung disease on high resolution computer tomography (HRCT) scan, or any psychiatric disorder that prohibits obtaining informed consent.
  • Patients with a history of heart failure or left ventricular dysfunction.
  • Patients who have gastric, gastro-oesophageal or oesophageal cancer.
  • Patients unable to swallow orally administered medication and patients with gastrointestinal disorders or significant gastrointestinal resection likely to interfere with the absorption of olaparib.
  • Breastfeeding women.
  • Immunocompromised patients eg, patients who are known to be serologically positive for human immunodeficiency virus (HIV).
  • Patients with known active hepatic disease (eg, hepatitis B or C).
  • Patients with a known hypersensitivity to olaparib or any of the excipients of the product.
  • Resting ECG at screening with measurable QTc greater than 470 msec at 2 or more time points within a 24 hour period or family history of long QT syndrome.
  • Clinical judgment by the investigator that the patient should not participate in the study.

Trial locations and contacts

13 sites in 5 countries.

13 sites in 5 countries

Belgium5 sites
  • Research Site

    Brussels (Jette)

  • Research Site

    Edegem

  • Research Site

    Leuven

  • Research Site

    Liège

  • Research Site

    Wilrijk

Other trials in Belgium

Denmark2 sites
  • Research Site

    Herlev

  • Research Site

    København Ø

Other trials in Denmark

France2 sites
  • Research Site

    Bordeaux

  • Research Site

    Dijon

Other trials in France

Netherlands2 sites
  • Research Site

    Amsterdam

  • Research Site

    Maastricht

Other trials in Netherlands

United Kingdom2 sites
  • Research Site

    Newcastle upon Tyne

  • Research Site

    Surrey

Other trials in United Kingdom

About this study

Official title: An Open-label, Non-randomised, Multicentre, Comparative, Phase I Study of the Pharmacokinetics, Safety and Tolerability of Olaparib Following a Single Oral 300 mg Dose to Patients With Advanced Solid Tumours and Normal Renal Function or Renal Impairment

This is a 2-part study in patients with advanced solid tumours. Part A will investigate the PK of olaparib in patients with mild or moderate renal impairment compared to patients with normal renal function; Part B will allow eligible study patients continued access to olaparib after the PK phase and will provide additional safety data.

Conditions
Solid Tumours
Being tested
Olaparib tablet dosing
Keywords
oncology,, cancer,, neoplasm,, anticancer drug,, pharmacokinetics,, area under curve,, olaparib,, solid tumour,, mild renal impairment,, moderate renal impairment
Medical subject headings
Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Olaparib tablet dosingDrug

    Part A - single 300mg oral dose olaparib (administered as 2x150mg tablets) Part B - 300mg oral dose olaparib (administered as 2x150mg tablets) bd

Study groups in NCT01894256
Study groupRoleWhat they receive
Normal renal functionOtherPatients with calculated serum creatinine clearance ≥81 mL/min (using Cockcroft-Gault equation).
Receives: Drug: Olaparib tablet dosing
Mild renal impairmentOtherPatients with calculated serum creatinine clearance 51-80 mL/min (using Cockcroft-Gault equation).
Receives: Drug: Olaparib tablet dosing
Moderate renal impairmentOtherPatients with calculated serum creatinine clearance 31-50 mL/min (using Cockcroft-Gault equation).
Receives: Drug: Olaparib tablet dosing

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Cmax of Olaparib

    Maximum plasma drug concentration of olaparib

    Measured: Part A: pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose

  2. AUC of Olaparib

    Area under plasma concentration-time curve from zero to infinity of olaparib

    Measured: Part A: pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose

  3. AUC0-t of Olaparib

    Area under plasma concentration-time curve from zero to the last measurable time point of olaparib

    Measured: Part A: pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose

  4. Tmax of Olaparib

    Time to reach maximum plasma concentration of olaparib

    Measured: Part A: pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose

  5. Vz/F of Olaparib

    Apparent volume of distribution of olaparib

    Measured: Part A: pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose

  6. CL/F of Olaparib

    Apparent plasma clearance of olaparib

    Measured: Part A: pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose

  7. CLR of Olaparib

    Renal clearance of olaparib, calculated as the ratio of amount of drug excreted over 24 hours to AUC0-24

    Measured: Part A: Day 1, 0-12 hours and 12-24 hours post-dose

  8. t1/2 of Olaparib

    Terminal half-life of olaparib

    Measured: Part A: pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Jul 2013 (estimated)
  2. Study startNov 2013
  3. Primary completionMar 2015
  4. Study completionFeb 2016

Resources

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 1
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
56 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01894256
Sponsor's protocol ID
D0816C00006
Other IDs
2013-002225-30
Status last verified
Aug 2016
First submitted
4 Jul 2013
Last updated
13 Oct 2016
Data monitoring committee
No

Publications

  • Rolfo C, de Vos-Geelen J, Isambert N, Molife LR, Schellens JHM, De Greve J, Dirix L, Grundtvig-Sorensen P, Jerusalem G, Leunen K, Mau-Sorensen M, Plummer R, Learoyd M, Bannister W, Fielding A, Ravaud A. Pharmacokinetics and Safety of Olaparib in Patients with Advanced Solid Tumours and Renal Impairment. Clin Pharmacokinet. 2019 Sep;58(9):1165-1174. doi: 10.1007/s40262-019-00754-4.

    PubMed 30877569

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Olaparib tablet dosing in people with Solid Tumours, run by AstraZeneca at 13 sites in 5 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 18 inclusion and 23 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: finished, as of the sponsor's last update on 13 Oct 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in Belgium, Denmark, France, Netherlands, United Kingdom. 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. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 19 Apr 2016). 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?

Cmax of Olaparib (time frame: Part A: pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72 and 96 hours post-dose). The study lists 8 primary outcomes in all. 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 NCT01894256, which also lists 1 linked publication.

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 13 Oct 2016.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in