Durvalumab Treatment in Combination With Chemotherapy and Bevacizumab, Followed by Maintenance Durvalumab, Bevacizumab and Olaparib Treatment in Advanced Ovarian Cancer Patients
Bevacizumab: Bevacizumab by intravenous infusion. In tBRCAm cohort bevacizumab is optional according to local practice.
Durvalumab: Durvalumab by intravenous infusion
Olaparib: Olaparib tablets
Placebo olaparib: Placebo tablets to match olaparib
Durvalumab placebo: Matching placebo for intravenous infusion
Carboplatin+Paclitaxel: Standard of care chemotherapy
Study summary
This is a Phase III randomised, double-blind, multi-centre study to evaluate the efficacy and safety of durvalumab in combination with standard of care platinum based chemotherapy and bevacizumab followed by maintenance durvalumab and bevacizumab or durvalumab, bevacizumab and olaparib in patients with newly diagnosed advanced ovarian cancer.
Eligibility
Sex
FEMALE
Min age
18 Years
Max age
130 Years
Healthy volunteers
No
Key Inclusion Criteria:
Female patients with newly diagnosed, histologically confirmed, advanced (Stage III-IV) high grade epithelial ovarian cancer including high grade serious, high grade endometriod, clear cell ovarian cancer or carcinosarcoma, primary peritoneal cancer and / or fallopian-tube cancer
* Patients must be aged ≥18 years of age. For patients enrolled in Japan that are aged \<20 year
* All patients should be candidates for cytoreductive surgery either: upfront primary surgery OR plan to undergo chemotherapy with interval debulking surgery
* Evidence of presence or absence of BRCA1/2 mutation in tumour tissue
* Mandatory provision of tumour sample for centralised tBRCA testing
* ECOG performance status 0-1
* Patients must have preserved organ and bone marrow function
* Postmenopausal or evidence of non-childbearing status for women of childbearing potential: negative urine or serum pregnancy test
Key Exclusion Criteria:
Non-epithelial ovarian cancer, borderline tumors, low grade epithelial tumors or mucinous histology
* Prior systemic anti-cancer therapy for ovarian cancer
* Inability to determine the presence or absence of a deleterious or suspected deleterious BRCA mutation
* Prior treatment with PARP inhibitor or immune mediated therapy
* Planned intraperitoneal cytotoxic chemotherapy
* Active or prior documented autoimmune or inflammatory disorders
* Patients considered a poor medical risk due to a serious, uncontrolled intercurrent illness
* Clinically significant cardiovascular disease
* Patients with known brain metastases
* History of another primary malignancy except for:
* Malignancy treated with curative intent and with no known active disease ≥5 years before the first dose of study treatment and of low potential risk for recurrence (patients who have received prior adjuvant chemotherapy for early stage breast cancer may be eligible, provided that it was completed ≥3 years prior to registration, and that the patient remains free of recurrent or metastatic disease)
* Adequately treated non-melanoma skin cancer or lentigo maligna without evidence of disease
* Adequately treated carcinoma in situ without evidence of disease
* Endometrial cancer FIGO Stage IA, Grade 1 or Grade 2
* Persistent toxicities CTCAE Grade \>2 caused by previous cancer therapy
* Patients with a known hypersensitivity to olaparib, durvalumab or any of the excipients of these products and to the combination/comparator agents
* Breast feeding women
Primary outcome measure(s)
Progression-free Survival (PFS) by Investigator Assessment Using Modified RECIST 1.1 - Full Analysis Set — At baseline, within 3 weeks of last dose of chemotherapy, then every 12 weeks for 3 years and thereafter every 24 weeks. Assessed until primary analysis - (05DEC2022 for Global cohort, 17MAR2025 for China cohort) - upto 46 months To determine the efficacy of durvalumab in combination with platinum based chemotherapy and bevacizumab and continued as maintenance in combination with bevacizumab and olaparib versus SoC platinum based chemotherapy in combination with bevacizumab by assessment of PFS (using investigator assessment according to Response Evaluation Criteria in Solid Tumours version 1.1 \[RECIST 1.1\]) in the first line treatment of patients with newly diagnosed advanced ovarian cancer.
Per MTP, the comparison of SoC+D+O v SoC in the Non-tbRCAm patients is a primary endpoint. SoC+D v SoC is reported separately as a secondary endpoint. Results for tBRCAm SoC+D+O are not presented as this was prespecified to be assessed only in the Non-tBRCAm patients.
Progression-free Survival (PFS) by Investigator Assessment Using Modified RECIST 1.1 - (Full Analysis Set, HRD Positive) — At baseline, within 3 weeks of last dose of chemotherapy, then every 12 weeks for 3 years and thereafter every 24 weeks. Assessed until DCO1 - (05DEC2022 for Global cohort, 17MAR2025 for China cohort) - upto 46 months To determine the efficacy of durvalumab and olaparib assessed by PFS in the first line treatment of patients with newly diagnosed advanced ovarian cancer.
Per MTP, the comparison of SoC+D+O v SoC in the Non-tBRCAm HRD positve population is a primary endpoint. SoC+D v SoC is reported separately as a secondary endpoint. Results for tBRCAm SoC+D+O are not presented as as this was prespecified to be assessed only in the Non-tBRCAm patients.
Trial sites (214)
Facility
City
Region
Status
Research Site
Foothill Ranch
California
Research Site
Los Angeles
California
Research Site
Orange
California
Research Site
San Francisco
California
Research Site
Tampa
Florida
Research Site
Augusta
Georgia
Research Site
Hinsdale
Illinois
Research Site
Indianapolis
Indiana
Research Site
Towson
Maryland
Research Site
Detroit
Michigan
Research Site
Springfield
Missouri
Research Site
Middletown
New Jersey
Research Site
Montvale
New Jersey
Research Site
Albany
New York
Research Site
New York
New York
Research Site
Uniondale
New York
Research Site
Durham
North Carolina
Research Site
Cleveland
Ohio
Research Site
Dayton
Ohio
Research Site
Hilliard
Ohio
Research Site
Tulsa
Oklahoma
Research Site
Lancaster
Pennsylvania
Research Site
Philadelphia
Pennsylvania
Research Site
Philadelphia
Pennsylvania
Research Site
Pittsburgh
Pennsylvania
Research Site
Salt Lake City
Utah
Research Site
Graz
Austria
Research Site
Innsbruck
Austria
Research Site
Linz
Austria
Research Site
Vienna
Austria
Research Site
Aalst
Belgium
Research Site
Leuven
Belgium
Research Site
Namur
Belgium
Research Site
Ostend
Belgium
Research Site
Sint-Niklaas
Belgium
Research Site
Barretos
Brazil
Research Site
Florianópolis
Brazil
Research Site
Fortaleza
Brazil
Research Site
Londrina
Brazil
Research Site
Porto Alegre
Brazil
+ 174 more sites — see the full list on the official registry below.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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