Olaparib In PALB2 Advanced Pancreatic Cancer

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Study Registration Dates	Results Reporting Dates	Study Record Updates
First Submitted 2023-07-06	Results First Submitted N/A	Last Update Submitted that met QC Criteria 2024-05-03
First Submitted that Met QC Criteria 2023-10-05	Results First Submitted that Met QC Criteria N/A	Last Update Posted (ACTUAL) 2024-05-06
First Posted (ACTUAL) 2023-10-12	Results First Posted N/A	Last Verified 2024-05

Design Details

Primary Purpose:
Treatment

Allocation:
Na

Interventional Model:
Single Group

Masking:
None

Arms and Interventions

Participant Group/Arm	Intervention/Treatment
EXPERIMENTAL: Olaparb	DRUG: Olaparib 150 MG Olaparib should be dosed 2 x 150 mg tablets (300 BID)

Participant Group/Arm

Intervention/Treatment

EXPERIMENTAL: Olaparb

DRUG: Olaparib 150 MG

Olaparib should be dosed 2 x 150 mg tablets (300 BID)

Primary Outcome Measures	Measure Description	Time Frame
To evaluate the ORR according to RECIST 1.1 following Olaparib administration	Objective response rate (ORR), defined as the percentage of patients with response of either Complete Response or Partial Response.	2-3 years

Secondary Outcome Measures	Measure Description	Time Frame
To evaluate the PFS according to RECIST 1.1 following Olaparib administration	PFS, defined as the time from the date of the first dose until either disease progression or death due to any cause, whichever occurs first. .	2-3 years
To evaluate the Incidence of Treatment-Emergent Adverse Events of Olaparib	measument of Adverse events (AEs)	2-3 years
To evaluate the DOR according to RECIST 1.1 following Olaparib	DOR defined as the time from the date a response was first documented until either disease progression or death due to any cause, whichever occurs first.	2-3 years
To evaluate the DRC according to RECIST 1.1 following Olaparib	DCR defined as the percentage of patients with ORR and stable disease	2-3 years
To evaluate the OS according to RECIST 1.1 following Olaparib	OS definied as overall survival	2-3 years

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

Has a histologically or cytologically confirmed pancreatic adenocarcinoma
Has advanced (unresectable or metastatic) pancreatic cancer by American Joint Committee on Cancer 8th Edition
Has documented mutation in PALB2 gene (germline or somatic) that is predicted to be deleterious or suspected deleterious.
Has at least one lesion (measurable) that can be accurately assessed at baseline by CT scan (or MRI, if the subject is allergic to CT contrast media) and is suitable for repeated assessment according to RECIST Version 1.1 criteria.
Has a life expectancy ≥16 weeks.
Has an Eastern Cooperative Oncology Group (ECOG) performance status of either 0 or 1, as assessed within 3 days of the treatment initiation.
Has received at least one systemic treatment for advanced disease (locally advanced or metastatic disease).
Has adequate organ function as defined in Table 2; all screening laboratory tests should be performed within 10 days prior to initiation of study intervention.
Is male or female, who is at least 18 years of age at the time of signing the informed consent.

A male participant must agree to use contraception ad detailed in Appendix D of this protocol during the treatment period and for at least 3 months following the last dose of Olaparib when having sexual intercourse with pregnant woman or with a WOPBP. Female partners of male patients should also use a highly effective form of contraception ([see appendix D for acceptable methods]) if they are of childbearing potential Male patients should not donate sperm throughout the period of taking olaparib and for 3 months following the last dose of olaparib.

11. A female participant is eligible to participate if she is not pregnant
(Appendix D), not breastfeeding and at least 1 of the following conditions applies:

Amenorrhoeic for 1 year or more following cessation of exogenous hormonal treatments
Luteinizing hormone (LH) and Follicle stimulating hormone (FSH) levels in the post menopausal 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)

evidence of non-childbearing status for women of childbearing potential is defined with negative urine or serum pregnancy test within 28 days of study treatment and confirmed prior to treatment on day 1 (within 24 hours) and before every cycles.

Has (or legally acceptable representative if applicable) provided written informed consent for the study. The participant may also provide consent/assent for future biomedical research. However, the participant may participate in the main trial without participating in the FBR.

Has a known additional malignancy that is progressing or requires active treatment. Other malignancy 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.
Has myelodysplastic syndrome/acute myeloid leukaemia or features suggestive of MDS/AML.
3. Patients with symptomatic uncontrolled brain metastases and/or carcinomatous meningitis. Subject with previously treated brain metastasis may participate proved they are stable (without evidence of progression by imaging for at leat four weeks prior to the first dose of trial treatment and any neurological symptoms have returned to baseline), no evidence of new or enlarging brain metastases. The patient 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. Patients with spinal cord compression unless considered to have received definitive treatment for this and evidence of clinically stable disease for 28 days.
4. Has a documented weigh loss > 10% from baseline during screening and/or decline in ECOG PS to >1 between visit and within 73 hours prior to first dose of therapy.
Has an active infection requiring systemic therapy.
Has a known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial.
Persistent toxicities (>Common Terminology Criteria for Adverse Event (CTCAE) grade 2) caused by previous cancer therapy, excluding alopecia. Patients previously treated with Oxaliplatinum who experienced a ≤ G2 neuropathy can be included after consultation with the study physician
Patients considered at 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 informed consent.
Is unable to swallow orally administered medication or patients with gastrointestinal disorders likely to interfere with absorption of the study medication.
Is a immunocompromised patients, e.g., patients who are known to be serologically positive for human immunodeficiency virus (HIV).
Has a known active hepatitis (i.e. Hepatitis B or C).

Active hepatitis B virus (HBV) is defined by a known positive HBV surface antigen (HBsAg) result. Patients with a past or resolved HBV infection (defined as the presence of hepatitis B core antibody and absence of HBsAg) are eligible.
Patients positive for hepatitis C virus (HCV) antibody are eligible only if polymerase chain reaction is negative for HCV RNA.

Any previous treatment with PARP inhibitor, including Olaparib.
Has prior systemic chemotherapy, targeted small molecule therapy or radiotherapy (except for palliative reasons) within 3 weeks prior to study treatment.
Has received prior therapy with an anti-monoclonal antibody within 4 weeks or who has not recovered (i.e. <= G1 or at baseline) from adverse events due to agents administered more than 4 weeks earlier.
15. Bone as only site of metastatic disease from pancreatic cancer (bone only disease)
16. Major surgery within 2 weeks of starting study treatment and patients must have recovered from any effects of any major surgery.
17. Is currently receiving known strong CYP3A inhibitors (eg. itraconazole, telithromycin, clarithromycin, protease inhibitors boosted with ritonavir or cobicistat, indinavir, saquinavir, nelfinavir, boceprevir, telaprevir) or moderate CYP3A inhibitors (eg. ciprofloxacin, erythromycin, diltiazem, fluconazole, verapamil). The required washout period prior to starting olaparib is 2 weeks.
18. Is currently receiving known strong (eg. phenobarbital, enzalutamide, phenytoin, rifampicin, rifabutin, rifapentine, carbamazepine, nevirapine and St John's Wort) or moderate CYP3A inducers (eg. bosentan, efavirenz, modafinil). The required washout period prior to starting olaparib is 5 weeks for enzalutamide or phenobarbital and 3 weeks for other agents.
19. Has received previous allogenic bone marrow transplant or double umbilical cord blood transplantation (dUCBT).
20. Has received a whole blood transfusions in the last 120 days prior to entry to the study. Packed red blood cells and platelet transfusions are acceptable, if not performed within 28 days of the first dose of study intervention.

21. Patients that is currently participating or has participated in another clinical study with an investigational product administered in the last 4 weeks
22. Patients with a known hypersensitivity to olaparib or any of the excipients of the product.

23. Has resting ECG indicating uncontrolled, potentially reversible cardiac conditions, as judged by the investigator (eg., unstable ischemia, uncontrolled symptomatic arrhythmia, congestive heart failure, QTcF prolongation >500 ms, electrolyte disturbances, etc.), or patients with congenital long QT syndrome.
24. Has a history or current evidence of any condition, therapy or laboratory abnormality that might confound the results of the trial, interfere with the subject's participation for the full duration of the trial, or is not in the best interest of the subject to participate, in the opinion of the treating investigator.

Has a benign variant of PALB2 gene or variant of uncertain (or unknown) significance (VUS)
Has a histology other than pancreatic adenocarcinoma (for example, neuroendocrine, adenosquamous etc.)
Involvement in the planning and/or conduct of the study
Judgment by the investigator that the patient should not participate in the study if the patient is unlikely to comply with study procedures, restrictions and requirements.
Is pregnant or breastfeeding,or expecting to conceive or father children within the projected duration of the trial, starting with the pre-screening or screening visit through 30-90 days after the last dose of trial treatment.

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