E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10033128 |
E.1.2 | Term | Ovarian cancer |
E.1.2 | System Organ Class | 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) |
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E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective of this study is to compare the efficacy of oral olaparib in combination with carboplatin and paclitaxel versus carboplatin and paclitaxel alone, by assessment of Progression Free Survival (PFS). (Independent Central Review) |
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E.2.2 | Secondary objectives of the trial |
The secondary objectives of this study are to:
- To compare the efficacy of olaparib when given in combination with paclitaxel and carboplatin to paclitaxel and carboplatin alone, by assessment of Overall Survival (OS), percent change in tumour size, Objective Response Rate (ORR), Ovarian Cancer Response Rate (a composite of CA-125 Response Rate [Gynecologic Cancer InterGroup {GCIG} criteria] and/or RECIST Response Rate), and CA-125 response rate (GCIG criteria).
- To compare the safety and tolerability of olaparib when given in combination with paclitaxel and carboplatin to paclitaxel and carboplatin alone.
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Provision of fully informed consent prior to any study specific procedures
2. Patients must be > 18 years of age.
3. Histologically or cytologically diagnosed ovarian cancer with a serous histology or a serous component, including primary peritoneal and fallopian tube cancer.
4. Patients who have received no more than 3 previous platinum containing regimens and were progression free, in the opinion of the Investigator, for a minimum of 6 months following completion of their last platinum containing regimen, prior to randomisation in the study.
5. At least one lesion, not previously irradiated, that can be accurately measured at baseline as ≥ 10 mm in the longest diameter (except lymph nodes which must have short axis ≥ 15 mm) with computed tomography (CT) or magnetic resonance imaging (MRI) and which is suitable for accurate repeated measurements.
6. Patients must have normal organ and bone marrow function measured within 28 days prior to administration of study treatment.
7. ECOG performance status ≤ 2
8. Patients must have a life expectancy ≥ 12 weeks.
9. 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.
10. Patient is willing and able to comply with the protocol for the duration of the study including undergoing treatment and scheduled visits and examinations.
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E.4 | Principal exclusion criteria |
1. Patients receiving any systemic anticancer chemotherapy, radiotherapy (except for palliative reasons), within 2 weeks from the last dose 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 for bone metastases, before and during the study as long as these were started at least 4 weeks prior to treatment.
2. Patients with second primary cancer, 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, or other solid tumours including lymphomas (without bone marrow involvement) curatively treated with no evidence of disease for ≥ 5 years.
3. Patients with symptomatic uncontrolled brain metastases. A scan to confirm the absence of brain metastases is not required. 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.
4. Major surgery within 2 weeks of starting study treatment and patients must have recovered from any effects of any major surgery.
5. Patients with severe hypersensitivity reactions to paclitaxel, macrogolglycerol ricinoleate (polyoxyl castor oil) or to any of the excipients in paclitaxel.
6. Patients with a known hypersensitivity to olaparib or any of the excipients of the products
7. Patients with a history of severe allergic reaction to carboplatin or other platinum containing compounds. Patients who require desensitisation procedures for further platinum-based treatment should not be included.
8. Hypersensitivity to pre-medications required for treatment with carboplatin / paclitaxel.
9. Any previous treatment with a PARP inhibitor, including olaparib.
10. Patients receiving inhibitors of CYP3A4.
11. Persisting toxicities (>CTCAE grade 2) caused by previous cancer therapy.
12. Patients considered a 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, or any psychiatric disorder that prohibits obtaining informed consent.
13. Patients unable to swallow orally administered medication and patients with gastrointestinal disorders likely to interfere with absorption of the study medication.
14. Breast feeding women.
15. known immunocompromised patients, e.g., patients who are known to be serologically positive for human immunodeficiency virus (HIV).
16. Patients with known active hepatic disease (i.e., Hepatitis B or C).
17. Patients with uncontrolled seizures.
18. Previous randomisation in this study.
19. Participation in another clinical study with an investigational product during the last 14 days.
20. Involvement in the planning and/or conduct of the study (applies to both AstraZeneca staff and/or staff at the study site)
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E.5 End points |
E.5.1 | Primary end point(s) |
Primary outcome variable:
Progression Free Survival (PFS) based on Central Review
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
38 progression events (interim 2)
70 progression events (primary analysis)
90 progression events (post-primary analysis) |
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E.5.2 | Secondary end point(s) |
· Secondary outcome variables:
- Overall Survival (OS)
- Percentage change in tumour size
- Objective response rate
- Ovarian Cancer Response Rate
- CA 125 response (Gynaecologic Cancer InterGroup [GCIG] criteria)
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
- Overall Survival (OS): at 90 deaths (final OS analysis). An interim analysis will be performed when at least 30% deaths have occurred. If there is insufficient evidence of an effect on OS at the time of the interim analysis, then a decision may be made not to continue to the planned final OS analysis at 60% OS maturity (approximately 90 deaths)
- Percentage change in tumour size: baseline and after 9 weeks for first 50 patients (interim 1)
- Objective response rate: interim 1, interim 2, primary analysis, and post-primary analysis
- Ovarian Cancer Response Rate: interim 1, interim 2, primary analysis, and post-primary analysis
- CA 125 response: interim 1, interim 2, primary analysis, and post-primary analysis
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 25 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Australia |
Belgium |
Canada |
Czech Republic |
Germany |
Italy |
Japan |
Netherlands |
Panama |
Spain |
United Kingdom |
United States |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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The end of this study is defined as the date of the last visit of the last patient, occurring when all patients have completed study therapy. There will be a final data cut-off defined as the time when all patients receiving olaparib or placebo have been followed for a minimum period of 6 months since start of treatment or the date of the final analysis of the data, whichever is the later. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | 4 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 4 |
E.8.9.2 | In all countries concerned by the trial days | 0 |