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    Summary
    EudraCT Number:2018-003007-19
    Sponsor's Protocol Code Number:MK-7339-002
    National Competent Authority:Spain - AEMPS
    Clinical Trial Type:EEA CTA
    Trial Status:Ongoing
    Date on which this record was first entered in the EudraCT database:2018-10-25
    Trial results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedSpain - AEMPS
    A.2EudraCT number2018-003007-19
    A.3Full title of the trial
    A Phase 2 Study of Olaparib Monotherapy in Participants with Previously Treated, Homologous Recombination Repair Mutation (HRRm) or Homologous Recombination Deficiency (HRD) Positive Advanced Cancer
    Estudio de fase 2 de olaparib en monoterapia en participantes con cáncer avanzado positivo para la mutación del sistema de reparación por recombinación homóloga (HRRm) o déficit del sistema de recombinación homóloga (DRH) tratados previamente
    A.3.1Title of the trial for lay people, in easily understood, i.e. non-technical, language
    Olaparib Monotherapy in HRRm or HRD Positive Cancer
    Olaparib en monoterapia en el cáncer positivo para HRRm o DRH
    A.3.2Name or abbreviated title of the trial where available
    Olaparib Monotherapy in HRRm or HRD Positive Cancer
    Olaparib en monoterapia en el cáncer positivo para HRRm o DRH
    A.4.1Sponsor's protocol code numberMK-7339-002
    A.7Trial is part of a Paediatric Investigation Plan No
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorMerck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.
    B.1.3.4CountryUnited States
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing supportMerck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.
    B.4.2CountryUnited States
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisationMerck Sharp & Dohme de España S.A.
    B.5.2Functional name of contact pointInvestigación Clínica
    B.5.3 Address:
    B.5.3.1Street AddressC/ Josefa Valcárcel, 38
    B.5.3.2Town/ cityMadrid
    B.5.3.3Post code28037
    B.5.3.4CountrySpain
    B.5.4Telephone number+34913210600
    B.5.5Fax number+34913210590
    B.5.6E-mailensayos_clinicos@merck.com
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameOlaparib
    D.3.2Product code AZD2281, KU-0059436
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNOLAPARIB
    D.3.9.1CAS number 763113-22-0
    D.3.9.2Current sponsor codeMK-7339
    D.3.9.3Other descriptive nameOLAPARIB
    D.3.9.4EV Substance CodeSUB32234
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number150
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation No
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameOlaparib
    D.3.2Product code AZD2281, KU-0059436
    D.3.4Pharmaceutical form Film-coated tablet
    D.3.4.1Specific paediatric formulation No
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNOLAPARIB
    D.3.9.1CAS number 763113-22-0
    D.3.9.2Current sponsor codeMK-7339
    D.3.9.3Other descriptive nameOLAPARIB
    D.3.9.4EV Substance CodeSUB32234
    D.3.10 Strength
    D.3.10.1Concentration unit mg milligram(s)
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number100
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) No
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product No
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) No
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product No
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy No
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product No
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    Homologous recombination repair mutation (HRRm) or Homologous recombination deficiency (HRD) positive cancer
    Cancer positivo con mutación homologa del sistema de reparación (HRRm) o déficit del sistema de recombinación homóloga (DRH)
    E.1.1.1Medical condition in easily understood language
    Male and female participants with previously treated, advanced (metastatic and/or unresectable) HRRm and/or HRD-positive solid tumors
    Se incluirá a participantes de ambos sexos con tumores sólidos avanzados (metastásicos y/o irresecables) positivos para HRRm y/o DRH
    E.1.1.2Therapeutic area Diseases [C] - Cancer [C04]
    MedDRA Classification
    E.1.2 Medical condition or disease under investigation
    E.1.2Version 20.0
    E.1.2Level LLT
    E.1.2Classification code 10065252
    E.1.2Term Solid tumor
    E.1.2System Organ Class 100000004864
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To evaluate the objective response rate (ORR) as assessed by blinded independent central review (BICR) according to Response Evaluation Criteria in Solid Tumors 1.1 (RECIST 1.1) or Prostate Cancer Working Group (PCWG)-modified RECIST 1.1, modified to follow a maximum of 10 target lesions and a maximum of 5 target lesions per organ, following olaparib administration in Cohort 1 and Cohort 2
    Evaluar la tasa de respuesta objetiva (TRO), evaluada mediante una revisión central independiente y enmascarada (RCIE) conforme a los criterios de evaluación de la respuesta en tumores sólidos 1.1 (RECIST 1.1) o a los criterios RECIST 1.1 modificados por el grupo de trabajo sobre el cáncer de próstata (PCWG), modificados para el seguimiento de un máximo de 10 lesiones diana y un máximo de 5 lesiones diana por órgano, tras la administración de olaparib en las cohortes 1 y 2
    E.2.2Secondary objectives of the trial
    -To evaluate the duration of response(DOR)as assessed by BICR according to RECIST1.1 or PCWGmodified RECIST1.1, modified to follow a maximum of 10 target lesions and a maximum of 5 target lesions per organ, following olaparib administration in Cohort 1 and 2
    -To evaluate overall survival(OS), following administration of olaparib in Cohort 1 and 2
    -To evaluate progression free survival(PFS)as assessed by BICR according to RECIST1.1 or PCWGmodified RECIST1.1, modified to follow a maximum of 10 target lesions and a maximum of 5 target lesions per organ, following olaparib administration in Cohort 1 and 2
    -To evaluate the safety and tolerability of olaparib
    -To evaluate the ORR, DOR, OS, and PFS in participants who are HRRm, HRD positive, and in all participants regardless of biomarker status following olaparib administration in Cohort 1 and 2
    -To assess time to earliest progression by CA-125 following olaparib administration in participants with BRCA1/2 non mutated ovarian cancer
    -Evaluar la duración de la respuesta (DR) evaluada mediante una RCIE conforme a los criterios RECIST 1.1 o a los criterios RECIST 1.1 modificados por el PCWG, modificados para el seguimiento de un máximo de 10 lesiones diana y un máximo de 5 lesiones diana por órgano, tras la administración de olaparib en las cohortes 1 y 2
    -Evaluar la supervivencia global (SG) tras la administración de olaparib en las cohortes 1 y 2
    -Evaluar la supervivencia sin progresión (SSP), evaluada mediante una RCIE conforme a los criterios RECIST 1.1 o a los criterios RECIST 1.1 modificados por el PCWG, modificados para el seguimiento de un máximo de 10 lesiones diana y un máximo de 5 lesiones diana por órgano, tras la administración de olaparib en las cohortes 1 y 2
    -Evaluar la seguridad y la tolerabilidad de olaparib

    Leer resto en el Protocolo
    E.2.3Trial contains a sub-study Yes
    E.2.3.1Full title, date and version of each sub-study and their related objectives
    Merck will conduct Future Biomedical Research on DNA (Blood and tissue) specimens collected during this clinical trial. Such research is for biomarker testing to address emergent questions not described elsewhere in the protocol (as part of the main trial) and will only be conducted on specimens from appropriately consented subjects. The objective of collecting specimens for Future Biomedical Research is to explore and identify biomarkers that inform the scientific understanding of diseases and/or their therapeutic treatments. The overarching goal is to use such information to develop safer, more effective drugs, and/or to ensure that subjects receive the correct dose
    of the correct drug at the correct time
    Merck llevará a cabo investigaciones biomédicas futuras (FBR) con las muestras (ADN) (suero, plasma) recogidas durante el ensayo clínico. Estas investigaciones tendrán por objeto el análisis de biomarcadores con el fin de abordar aspectos nuevos que no se describen en otras partes del protocolo (como parte del ensayo principal) y solo se llevarán a cabo en muestras de los participantes que hayan otorgado el consentimiento correspondiente. El objetivo de la obtención y conservación de muestras para FBR consiste en estudiar e identificar biomarcadores que proporcionen información a los científicos sobre las enfermedades y/o sus tratamientos. El objetivo último es utilizar tal información para desarrollar vacunas y fármacos más seguros y eficaces y/o garantizar que los participantes reciban la dosis correcta del fármaco o la vacuna adecuados en el momento preciso
    E.3Principal inclusion criteria
    1. Participant has a histologically- or cytologically-confirmed advanced (metastatic and/or unresectable) solid tumor (except breast or ovarian cancers whose tumor has a germline or somatic BRCA mutation) that is not eligible for curative treatment and for which standard of care therapy has failed. Participants must have progressed on or be intolerant to standard of care therapies that are known to provide clinical benefit. There is no limit on the number of prior treatment regimens
    2. Participant has either centrally-confirmed known or suspected deleterious mutations in at least 1 of the specified 15 genes involved in HRR (ie, BRCA1, BRCA2, ATM, BARD1, BRIP1, CDK12, CHEK1, CHEK2, FANCL, PALB2, PPP2R2A, RAD51B, RAD51C, RAD51D, and RAD54L) or centrally-confirmed HRD based on the Lynparza HRR-HRD assay
    3. If participants have received prior platinum (cisplatin, carboplatin, or oxaliplatin either as monotherapy or in combination) for advanced (metastatic and/or unresectable) solid tumor, they are eligible to enter the study provided there has been no evidence of disease progression during the platinum chemotherapy
    4. Participant has measurable disease per RECIST 1.1 or PCWG-modified RECIST 1.1 as assessed by the local site Investigator/radiology and confirmed by BICR. BICR must confirm the presence of radiologically measureable disease based on RECIST 1.1 or PCWG-modified RECIST 1.1 for the participant to be eligible for the study. Lesions situated in a previously irradiated area are considered measurable if progression has been demonstrated in such lesions
    5. Participant is able to provide a newly obtained core or excisional biopsy of a tumor lesion or either an archival formalin-fixed paraffin embedded (FFPE) tumor tissue block or slides. A newly obtained biopsy is preferred, but not required if archival tissue is available for analysis
    6. Participant has a life expectancy of at least 3 months
    7. Participant is Male or Female who is at least 18 years of age at the time of signing the informed consent
    8. Participant has an Eastern Cooperative Oncology Group (ECOG) performance status of either 0 or 1, as assessed within 3 days of treatment initiation
    9. A male participant must agree to use contraception during the treatment period and for at least 90 days (3 months), corresponding to time needed to eliminate any study intervention(s) (ie, olaparib) plus a spermatogenesis cycle, after the last dose of study intervention and refrain from donating sperm during this period
    10. A female participant is eligible to participate if she is not pregnant, not breastfeeding, and at least 1 of the following conditions applies:
    a) Not a woman of childbearing potential (WOCBP)
    OR
    b) A WOCBP who agrees to follow the contraceptive guidance during the treatment period and for at least 30 days (1 month) after the last dose of study intervention, corresponding to time needed to eliminate any study intervention(s (ie, olaparib) plus 30 days (a menstruation cycle) for study interventions with risk of genotoxicity
    11. The participant (or legally acceptable representative if applicable) provides written informed consent for the study. The participant may also provide consent for FBR. However, the participant may participate in the main study without participating in FBR
    12. Participant has adequate organ function
    1. El participante presenta un tumor sólido avanzado (metastásico y/o irresecable) confirmado mediante estudio histológico o citológico (excepto cánceres de mama u ovario que contengan una mutación de BRCA somática o en la línea germinal) que no es elegible para tratamiento curativo y en el que ha fracasado el tratamiento de referencia. Los participantes deberán haber presentado progresión con los tratamientos habituales que aportan beneficios clínicos conocidos o ser intolerantes a dichos tratamientos. No hay límite en el número de pautas de tratamiento previas
    2. El participante presenta mutaciones nocivas confirmadas o presuntas según la evaluación del laboratorio central en al menos 1 de los 15 genes especificados que intervienen en el HRR (es decir, BRCA1, BRCA2, ATM, BARD1, BRIP1, CDK12, CHEK1, CHEK2, FANCL, PALB2, PPP2R2A, RAD51B, RAD51C, RAD51D y RAD54L) o DRH confirmado por el laboratorio central mediante el análisis de HRR-DRH de Lynparza
    3. Si los participantes han recibido tratamiento previo con platino (cisplatino, carboplatino u oxaliplatino en monoterapia o en combinación) por un tumor sólido avanzado (metastásico y/o irresecable), podrán participar en el estudio siempre que no haya habido indicios de progresión de la enfermedad durante la quimioterapia con platino
    4. El participante presenta enfermedad mensurable conforme a los criterios RECIST 1.1 o RECIST 1.1 modificados por el PCWG, según la evaluación del investigador o el radiólogo del centro y confirmada mediante una RCIE. La RCIE deberá confirmar la presencia de enfermedad mensurable radiológicamente conforme a los criterios RECIST 1.1 o RECIST 1.1 modificados por el PCWG para que el paciente pueda participar en el estudio. Las lesiones ubicadas en una zona previamente irradiada se considerarán mensurables siempre que se haya constatado progresión en dichas lesiones
    5. El participante estará en disposición de proporcionar una biopsia con aguja gruesa o por escisión reciente, obtenida de una lesión tumoral, o bien un bloque o extensiones de tejido tumoral fijado con formol e incluido en parafina (FFIP) de archivo. Es preferible una biopsia reciente, pero no será obligatoria si se dispone de tejido de archivo para el análisis
    6. El participante tiene una esperanza de vida de al menos 3 meses
    7. El participante es un varón o una mujer de al menos 18 años en el momento de la firma del consentimiento informado
    8. El participante tiene un estado funcional del Eastern Cooperative Oncology Group (ECOG) de 0 o 1, evaluado en los 3 días previos al inicio del tratamiento
    9. Los participantes varones deberán comprometerse a utilizar métodos anticonceptivos durante el período de tratamiento y durante al menos 90 días (3 meses), lo que corresponde al tiempo necesario para eliminar cualquier intervención del estudio (es decir, olaparib) más un ciclo de espermatogenia, después de la última dosis de la intervención del estudio, así como a abstenerse de donar semen durante este tiempo.
    10. Podrán participar en el estudio las mujeres que no estén embarazadas, no estén dando el pecho y cumplan al menos una de las condiciones siguientes:
    • No es una mujer en edad fértil (MEF)
    O
    • Es una MEF que se compromete a seguir las normas sobre el uso de anticonceptivos del apéndice 5 durante el período de tratamiento y durante al menos 30 días (1 mes) después de la última dosis de la intervención del estudio, lo que corresponde al tiempo necesario para eliminar cualquier intervención del estudio (es decir, olaparib) más 30 días (un ciclo menstrual) para las intervenciones del estudio con riesgo de genotoxicidad
    11. El participante (o su representante legal cuando proceda) otorga su consentimiento informado por escrito para el estudio. El participante también podrá otorgar su consentimiento para investigaciones biomédicas futuras. No obstante, podrá participar en el estudio principal sin necesidad de hacerlo en las investigaciones biomédicas futuras
    12. El participante presenta una función orgánica adecuada
    E.4Principal exclusion criteria
    1. Participant has a known additional malignancy that is progressing or has required active treatment in the last 5 years
    2. Participant has myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML) or with features suggestive of MDS/AML
    3. Participant has persistent toxicities (>CTCAE Grade 2) caused by previous cancer therapy, excluding alopecia
    4. Participant has known central nervous system (CNS) metastases and/or carcinomatous meningitis
    5. Participant has an active infection requiring systemic therapy
    6. Participant has a history or current evidence of any condition (eg, cytopenia, transfusion-dependent anemia, or thrombocytopenia), therapy, or laboratory abnormality that might confound the results of the study, interfere with the participant’s involvement for the full duration of the study, or is not in the best interest of the participant to be involved, in the opinion of the treating Investigator
    7. Participant received colony-stimulating factors (eg, granulocyte colony-stimulating factor [G-CSF], granulocyte macrophage colony-stimulating factor [GM-CSF] or recombinant erythropoietin) within 28 days prior to the first dose of study intervention
    8. Participant is 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, extensive interstitial bilateral lung disease on High Resolution Computed Tomography (HRCT) scan or any psychiatric disorder that prohibits obtaining informed consent
    9. Participant has a known psychiatric or substance abuse disorder that would interfere with cooperation with the requirements of the study
    10. Participant has a known history of human immunodeficiency virus (HIV) infection. Testing for HIV at screening is only required if mandated by local health authority.
    11. Participant has known active hepatitis (ie, Hepatitis B or C)
    a) Active hepatitis B virus (HBV) is defined by a known positive HBV surface antigen (HBsAg) result. Participants with a past or resolved HBV infection (defined as the presence of hepatitis B core antibody and absence of HBsAg) are eligible
    b) Participants positive for hepatitis C virus (HCV) antibody are eligible only if polymerase chain reaction is negative for HCV RNA
    12. Participant is unable to swallow orally administered medication or has a gastrointestinal disorder affecting absorption (eg, gastrectomy, partial bowel obstruction, malabsorption)
    13. Participant has received prior therapy with olaparib or with any other PARP inhibitor.
    14. Participant has a known hypersensitivity to the components or excipients in olaparib
    15. Participant is currently receiving either strong (eg, itraconazole, telithromycin, clarithromycin, protease inhibitors boosted with ritonavir or cobicistat, indinavir, saquinavir, nelfinavir, boceprevir, telaprevir) or moderate (eg. ciprofloxacin, erythromycin, diltiazem, fluconazole, verapamil) inhibitors of cytochrome P450 (CYP)3A4 that cannot be discontinued for the duration of the study. The required washout period prior to starting olaparib is 2 weeks
    16. Participant is currently receiving either strong (phenobarbital, enzalutamide, phenytoin, rifampicin, rifabutin, rifapentine, carbamazepine, nevirapine and St John’s Wort) or moderate (eg. bosentan, efavirenz, modafinil) inducers of CYP3A4 that cannot be discontinued for the duration of the study. The required washout period prior to starting olaparib is 5 weeks for phenobarbital and 3 weeks for other agents
    17. Participant has received previous allogenic bone-marrow transplant or double umbilical cord transplantation (dUCBT)
    18. Participant has received a whole blood transfusion 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
    19. Participant is currently enrolled in and receiving study therapy, was enrolled in a study of an investigational agent and received study therapy, or used an investigational device within 4 weeks (28 days) of the first dose of study intervention
    20. Participant either had major surgery within 2 weeks of starting study intervention or has not recovered from any effects of any major surgery
    21. Participant is involved in the planning and/or conduct of the study (applies to both Sponsor staff and/or staff at the study site)
    22. Participant, in the judgement of the Investigator, is unlikely to comply with the study procedures, restrictions, and requirements of the study
    1. El participante tiene otra neoplasia maligna conocida que está en progresión o ha precisado tratamiento activo en los últimos 5 años
    2. El participante presenta un síndrome mielodisplásico (SMD)/leucemia mieloide aguda (LMA) o signos indicativos de SMD/LMA
    3.El participante presenta toxicidades persistentes (grado > 2 de los CTCAE) secundarias a un tratamiento antineoplásico previo, excluida la alopecia
    4. El participante tiene metástasis en el sistema nervioso central (SNC) y/o meningitis carcinomatosa
    5. El participante presenta una infección activa que requiere tratamiento sistémico
    6.El participante presenta antecedentes o datos actuales de cualquier proceso (p. ej., citopenia, anemia dependiente de transfusiones o trombocitopenia), tratamiento o anomalía analítica que, en opinión del investigador responsable del tratamiento, podría confundir los resultados del estudio, dificultar la participación durante la totalidad del estudio o hacer que la participación no sea lo más conveniente para el posible participante
    7. El participante ha recibido factores estimulantes de colonias (p. ej., factor estimulante de las colonias de granulocitos [G-CSF], factor estimulante de las colonias de granulocitos y macrófagos [GM-CSF] o eritropoyetina recombinante) en los 28 días previos a la primera dosis de la intervención del estudio
    8. Se considera que el participante presenta un riesgo médico elevado debido a un trastorno médico grave no controlado, una enfermedad sistémica no maligna o una infección activa no controlada. Entre otros, algunos ejemplos son arritmia ventricular no controlada, infarto de miocardio reciente (en los últimos 3 meses), epilepsia importante no controlada, compresión medular inestable, síndrome de la vena cava superior, neumopatía intersticial bilateral extensa identificada en una tomografía computarizada de alta resolución (TCAR) o cualquier trastorno psiquiátrico que impida la obtención del consentimiento informado
    9. El participante presenta un trastorno psiquiátrico o por abuso de sustancias que pueda dificultar el cumplimiento de los requisitos del estudio
    10. El participante tiene antecedentes de infección por el virus de la inmunodeficiencia humana (VIH). Solo será necesaria la prueba del VIH en la selección si así lo exigen las autoridades sanitarias locales. Véanse en el apéndice 7 los requisitos específicos de cada país
    11. El participante presenta hepatitis activa conocida (es decir, hepatitis B o C).
    a) La infección activa por el virus de la hepatitis B (VHB) se define por un resultado positivo conocido del antígeno de superficie del VHB (HBsAg). Podrán participar pacientes con una infección por el VHB pasada o resuelta (definida por la presencia de anticuerpos contra el antígeno central del virus de la hepatitis B y ausencia de HBsAg).
    b) Los participantes con anticuerpos contra el virus de la hepatitis C (VHC) solo podrán participar si la reacción en cadena de la polimerasa es negativa para el ARN del VHC
    12. El participante es incapaz de tragar la medicación administrada por vía oral o presenta un trastorno digestivo que afecta a la absorción (p. ej., gastrectomía, obstrucción intestinal parcial, malabsorción)
    13. El participante ha recibido tratamiento previo con olaparib o cualquier otro inhibidor de la PARP
    14. El participante tiene hipersensibilidad conocida a los componentes o excipientes del olaparib
    15. El participante está recibiendo actualmente inhibidores potentes (p. ej., itraconazol, telitromicina, claritromicina, inhibidores de la proteasa reforzados con ritonavir o cobicistat, indinavir, saquinavir, nelfinavir, boceprevir, telaprevir) o moderados (p. ej., ciprofloxacino, eritromicina, diltiazem, fluconazol, verapamilo) del citocromo P450 (CYP)3A4 que no pueden suspenderse durante el estudio. El período de lavado necesario antes de iniciar el tratamiento con olaparib es de 2 semanas
    16. El participante está recibiendo inductores potentes (fenobarbital, enzalutamida, fenitoína, rifampicina, rifabutina, rifapentina, carbamazepina, nevirapina e hipérico) o moderados (p. ej., bosentán, efavirenz, modafinilo) del CYP3A4 que no pueden suspenderse durante el estudio. El período de lavado necesario antes de iniciar el tratamiento con olaparib es de 5 semanas en el caso del fenobarbital y de 3 semanas en el de otros fármacos
    17. El participante ha recibido un alotrasplante de médula ósea o un doble trasplante de sangre de cordón umbilical (dTSCU)
    18. El participante ha recibido una transfusión de sangre completa en los 120 días previos a su incorporación al estudio. Los concentrados de eritrocitos y las transfusiones de plaquetas se consideran aceptables si no se han realizado en los 28 días previos a la primera dosis de la intervención del estudio

    Leer resto en el Protocolo
    E.5 End points
    E.5.1Primary end point(s)
    Objective response rate (ORR) based on RECIST 1.1 or PCWG-modified RECIST 1.1 (participants with prostate cancer) as assessed by blinded independent central review
    Evaluar la tasa de respuesta objetiva (TRO), conforme a los criterios de evaluación de RECIST 1.1 o a los criterios RECIST 1.1 modificados por PCWG (participantes con cáncer de próstata) evaluada mediante una revisión central independiente y enmascarada.
    E.5.1.1Timepoint(s) of evaluation of this end point
    The primary analysis will be conducted when all enrolled participants have at least 9 months follow-up
    El análisis principal se llevará a cabo cuando todos los participantes reclutados tengan al menos 9 meses de seguimiento.
    E.5.2Secondary end point(s)
    1) Duration of response(DOR)
    2) Evaluate overall survival(OS
    3) Progression free survival(PFS)
    1. Duración de la respuesta (DR)
    2. Evaluar la supervivencia global (SG)
    3. supervivencia sin progresión (SSP)
    E.5.2.1Timepoint(s) of evaluation of this end point
    To be determined
    Esta por determinar
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy Yes
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic Yes
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic Yes
    E.6.11Pharmacogenomic Yes
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans No
    E.7.1.2Bioequivalence study No
    E.7.1.3Other No
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) Yes
    E.7.3Therapeutic confirmatory (Phase III) No
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled No
    E.8.1.1Randomised No
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group No
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) No
    E.8.2.2Placebo No
    E.8.2.3Other No
    E.8.2.4Number of treatment arms in the trial1
    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.8.4.1Number of sites anticipated in Member State concerned2
    E.8.5The trial involves multiple Member States Yes
    E.8.5.1Number of sites anticipated in the EEA10
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA Yes
    E.8.6.2Trial being conducted completely outside of the EEA No
    E.8.6.3If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned
    Argentina
    Australia
    Canada
    Colombia
    Denmark
    France
    Guatemala
    Ireland
    Israel
    Italy
    Japan
    Korea, Republic of
    Mexico
    New Zealand
    Peru
    Romania
    Russian Federation
    Spain
    Switzerland
    Turkey
    United Kingdom
    United States
    E.8.7Trial 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
    LVLS
    LVLS
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years4
    E.8.9.1In the Member State concerned months5
    E.8.9.1In the Member State concerned days
    E.8.9.2In all countries concerned by the trial years4
    E.8.9.2In all countries concerned by the trial months5
    E.8.9.2In all countries concerned by the trial days0
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero No
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) No
    F.1.1.3Newborns (0-27 days) No
    F.1.1.4Infants and toddlers (28 days-23 months) No
    F.1.1.5Children (2-11years) No
    F.1.1.6Adolescents (12-17 years) No
    F.1.2Adults (18-64 years) Yes
    F.1.2.1Number of subjects for this age range: 165
    F.1.3Elderly (>=65 years) Yes
    F.1.3.1Number of subjects for this age range: 165
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male Yes
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception No
    F.3.3.2Women of child-bearing potential using contraception Yes
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state12
    F.4.2 For a multinational trial
    F.4.2.1In the EEA 182
    F.4.2.2In the whole clinical trial 370
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    None
    Ninguno
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2018-11-30
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2018-11-19
    P. End of Trial
    P.End of Trial StatusOngoing
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