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Clinical Trials in the USA / NCT05498155
Active, not recruiting Phase 2

Study of Neoadjuvant Olaparib Monotherapy and Olaparib and Durvalumab Combination in HER2 Negative BRCAm Breast Cancer

NCT05498155 · tracked via the Priya Life Science USA tracker
Sponsor
AstraZeneca
Phase
Phase 2
Started
2022-11-07
Last updated
2026-07-07

Condition(s) studied

Breast Cancer

Investigational drug(s) / intervention(s)

Neoadjuvant Olaparib monotherapy groupNeoadjuvant combination therapy with olaparib plus durvalumab

Neoadjuvant Olaparib monotherapy group: Neoadjuvant olaparib monotherapy (300 mg BID) for four to six 28-day cycles.

Neoadjuvant combination therapy with olaparib plus durvalumab: Neoadjuvant combination therapy with olaparib (300 mg BID) plus durvalumab (1500 mg IV Q4W) for four to six 28-day cycles.

Study summary

This study to learn more about olaparib and olaparib plus durvalumab combination therapy and also to better understand the studied disease, breast cancer, and associated health problems.

Olaparib is a type of drug called a PARP (poly \[adenosine diphosphate-ribose\] polymerase) inhibitor. PARP inhibitors can destroy cancer cells that are not good at repairing DNA damage. Olaparib is also approved by US Food and Drug Administration (FDA), European Medicines Agency (EMA) and in other countries for treating women with BRCA-mutated, human epidermal growth factor receptor 2 (HER2)-negative metastatic breast cancer.

Durvalumab is a type of anticancer drug called immunotherapy that targets cancer cells by blocking the signal that prevents the immune system from seeing the cancer cell. Your immune system can then attack and kill the cancer cells. Durvalumab is approved by the FDA and the EMA for the treatment of patients with locally advanced non-small cell lung cancer after receiving chemoradiation therapy and extensive-stage small cell lung cancer in combination with chemotherapy .

Some parts of this study are experimental, which means that durvalumab and the combination of olaparib and durvalumab are still in the development stage for the treatment of breast cancer, and they are not approved for treatment of breast cancer, except for use in research studies like this.

Eligibility

Sex
ALL
Min age
18 Years
Max age
130 Years
Healthy volunteers
No
Inclusion Criteria: * Males or Females ≥18 years * Minimum body weight of 30 kg * Capable of giving signed informed consent. * Male and Female participants of childbearing potential must use effective methods of contraception * Histologically confirmed, newly diagnosed, primary, operable, nonmetastatic invasive breast cancer with the following characteristics: --ER-negative or ER-low defined as IHC nuclear staining ≤10% * HER2-negative (not eligible for anti-HER2 therapy) defined as: * IHC 0, 1+ without in situ hybridization OR * In situ hybridization non-amplified with ratio less than 2.0 OR * In situ hybridization average HER2 copy number \< 6 signals/cells * Clinical TNM staging (per AJCC 8th Edition) as follows: * T1b (\>5 mm but ≤10 mm), N0, no known metastases (M0 or MX); OR * T1c (\>10 mm but ≤20 mm), N0, no known metastases (M0 or MX); OR * T1 (\>1 mm but ≤20 mm), N1, no known metastases (M0 or MX); OR * T2 (\>20 mm but ≤50 mm), N0, no known metastases (M0 or MX).). * Documented deleterious or suspected deleterious mutation in BRCA1 or BRCA2 from local BRCA testing using either a germline or tumour test. * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 * Participants must have adequate organ and bone marrow function * Participant must be willing to undergo a baseline research biopsy prior to start of study treatment. * Participant must be willing to have any leftover tumour tissue/FFPE from the diagnostic biopsy submitted for research purposes, if available. Exclusion Criteria: * Any evidence of other diseases (such as severe or uncontrolled systemic diseases or active, uncontrolled infections, including but not limited to, uncontrolled ventricular arrhythmia, uncontrolled hypertension, recent \[within 3 months\] myocardial infarction, uncontrolled major seizure disorder, renal transplant, active bleeding diseases, unstable spinal cord compression, superior vena cava syndrome, extensive interstitial bilateral lung disease on High Resolution Computed Tomography scan * Refractory nausea and vomiting, chronic gastrointestinal disease likely to interfere with absorption of the study medication, inability to swallow the formulated product * History of another primary malignancy except for malignancy treated with curative intent with no known active disease for ≥5 years before the first dose of study intervention and of low potential risk for recurrence * Participants with MDS or AML * For higher risk (Cohort B) participants only: Active or prior documented autoimmune or inflammatory disorders (including inflammatory bowel disease \[eg, colitis or Crohn's disease\], diverticulitis \[with the exception of diverticulosis\], systemic lupus erythematosus, sarcoidosis, granulomatosis with polyangiitis, Graves' disease, rheumatoid arthritis, hypophysitis, uveitis, etc), autoimmune pneumonitis, and autoimmune myocarditis * Known active hepatitis infection, positive hepatitis C antibody, hepatitis B virus surface antigen or hepatitis B virus core antibody * Known to have tested positive for human immunodeficiency virus unless currently on effective anti-retroviral therapy with an undetectable viral load within 6 months * History of arrhythmia (multifocal premature ventricular contractions, bigeminy, trigeminy, ventricular tachycardia), which is symptomatic or requires treatment (Common Terminology Criteria for Adverse Events \[CTCAE\] Grade 3), symptomatic or uncontrolled atrial fibrillation despite treatment, or asymptomatic sustained ventricular tachycardia * Participant must not have had any prior treatment for the current breast cancer, including surgery, chemotherapy, hormonal therapy, radiation, or experimental therapy * For higher risk (Cohort B) participants only: Prior exposure to anti-PD1, anti-PD-L1, or anti-CTLA4 agents (ICIs); OR an agent directed to other co-inhibitory or co-stimulatory T-cell receptors * Any concurrent anticancer treatment * Major surgical procedure (excluding placement of vascular access, local surgery of isolated lesions, or diagnostic staging) within 2 weeks of the first dose of study intervention * For higher risk (Cohort B) participants only: Current or prior use of immunosuppressive medication within 14 days before the first dose of durvalumab. * Concomitant use of: * Known strong cytochrome P450 (CYP3A) inhibitors or moderate CYP3A inhibitors within 2 weeks prior to first dose of study intervention * Known strong CYP3A inducers or moderate CYP3A inducers .The required washout period prior to starting study therapy is 5 weeks for enzalutamide or phenobarbital and 3 weeks for other agents

Primary outcome measure(s)

Trial sites (37)

FacilityCityRegionStatus
Research Site Greeley Colorado
Research Site Loveland Colorado
Research Site Boston Massachusetts
Research Site Portland Oregon
Research Site Philadelphia Pennsylvania
Research Site Melbourne Australia
Research Site Rankweil Austria
Research Site Salzburg Austria
Research Site Brussels Belgium
Research Site Liège Belgium
Research Site Augsburg, by Germany
Research Site Cologne Germany
Research Site Essen Germany
Research Site Hamburg Germany
Research Site Hanover Germany
Research Site Heidelberg Germany
Research Site München Germany
Research Site Jerusalem Israel
Research Site Kfar Saba Israel
Research Site Ramat Gan Israel
Research Site Rehovot Israel
Research Site Bologna Italy
Research Site Meldola Italy
Research Site Modena Italy
Research Site Roma Italy
Research Site A Coruña Spain
Research Site Barcelona Spain
Research Site Barcelona Spain
Research Site Cáceres Spain
Research Site Hospitalet deLlobregat Spain
Research Site Lleida Spain
Research Site Madrid Spain
Research Site Málaga Spain
Research Site Seville Spain
Research Site Seville Spain
Research Site Valencia Spain
Research Site Nottingham United Kingdom

More AstraZeneca trials in the USA

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Official registry record

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.

View NCT05498155 on ClinicalTrials.gov ↗ ← All trials in the USA