Assessment of Efficacy of AZD2281 in Platinum Sensitive Relapsed Serous Ovarian Cancer
Phase II Randomised, Double Blind, Multicentre Study to Assess the Efficacy of AZD2281 in the Treatment of Patients With Platinum Sensitive Relapsed Serous Ovarian Cancer Following Treatment With Two or More Platinum Containing Regimens
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Expanded Access
Expanded Access
Approved
- Available: Expanded access is currently available for this investigational treatment, and patients who are not participants in the clinical study may be able to gain access to the drug, biologic, or medical device being studied.
- No longer available: Expanded access was available for this intervention previously but is not currently available and will not be available in the future.
- Temporarily not available: Expanded access is not currently available for this intervention but is expected to be available in the future.
- Approved for marketing: The intervention has been approved by the U.S. Food and Drug Administration for use by the public.
Contacts and Locations
Study Locations
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Adelaide, Australia, 5000
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East Bentleigh, Australia, 3165
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Heidelberg, Australia, 3084
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Melbourne, Australia, 3000
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Nambour, Australia, 4560
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Randwick, Australia, 2031
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South Brisbane, Australia, 4101
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Toorak Gardens, Australia, 5065
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Innsbruck, Austria, 6020
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Wein, Austria, 1130
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Wien, Austria, 1090
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Brussels, Belgium, 1090
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Leuven, Belgium, 3000
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Quebec, Canada, G1R 2J6
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British Columbia
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Vancouver, British Columbia, Canada, V5Z 4E6
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Ontario
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Toronto, Ontario, Canada, M5G 2M9
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Quebec
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Sherbrooke, Quebec, Canada, J1H 5N4
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Brno, Czechia, 656 53
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Brno, Czechia, 625 00
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Olomouc, Czechia, 775 20
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Praha 10, Czechia, 100 34
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Tallinn, Estonia, 11619
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Tartu, Estonia, 51014
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Bordeaux, France, 33076
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Caen Cedex, France, 14076
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Lyon Cedex 08, France, 69373
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Nantes, France, 44202
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Paris, France, 75020
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Paris, France, 75004
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Reims Cedex, France, 51056
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Bonn, Germany, 53105
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Düsseldorf, Germany, 40217
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Essen, Germany, 45147
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Freiburg, Germany, 79106
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Göttingen, Germany, 37075
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Hannover, Germany, 30177
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Kiel, Germany, 24105
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Marburg, Germany, 35043
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München, Germany, 81675
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Rostock, Germany, 18059
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Ulm, Germany, 89081
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Wiesbaden, Germany, 65199
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Haifa, Israel, 31096
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Holon, Israel, 58100
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Jerusalem, Israel, 91031
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Jerusalem, Israel, 91120
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Nahariya, Israel, 22100
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Ramat Gan, Israel, 52621
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Tel-Aviv, Israel, 64239
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Zerifin, Israel, 70300
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Amsterdam, Netherlands, 1066 CX
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Amsterdam, Netherlands, 1081 HV
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Białystok, Poland, 15-027
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Grzepnica, Poland, 72-003
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Lublin, Poland, 20 - 081
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Poznan, Poland, 60-569
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Poznan, Poland, 61-866
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Poznań, Poland
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Szczecin, Poland, 70-111
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Warszawa, Poland, 02-781
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Baia Mare, Romania, 430222
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Cluj-Napoca, Romania, 400015
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Iasi, Romania, 700106
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Suceava, Romania, 720237
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Barnaul, Russian Federation, 656049
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Ekaterinburg, Russian Federation, 620036
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Obninsk, Russian Federation, 249036
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Orenburg, Russian Federation, 460021
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Perm, Russian Federation, 614066
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Pyatigorsk, Russian Federation, 357502
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Saint-Petersburg, Russian Federation, 197758
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St. Petersburg, Russian Federation, 197002
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Voronezh, Russian Federation, 394000
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Córdoba, Spain, 14004
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Madrid, Spain, 28041
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Madrid, Spain, 08035
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Madrid, Spain, 28007
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Valencia, Spain, 46010
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Donetsk, Ukraine, 83092
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Kharkiv Region, Ukraine, 61024
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Kyiv, Ukraine, 03115
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Kyiv, Ukraine, 03022
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Lutsk, Ukraine, 43018
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Odesa, Ukraine, 65009
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Odesa, Ukraine, 65055
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Ternopil, Ukraine, 46023
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Uzhhorod, Ukraine, 88014
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Dundee, United Kingdom, DD1 9SY
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Edinburgh, United Kingdom, EH4 2XR
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London, United Kingdom, NW1 2PG
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London, United Kingdom, SW3 6JJ
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London, United Kingdom, SW17 0QT
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Manchester, United Kingdom, M20 4BX
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Northwood, United Kingdom, HA6 2RN
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Sutton, United Kingdom, SM2 5PT
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Wirral, United Kingdom, CH63 4JY
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California
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Berkeley, California, United States, 94704
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San Francisco, California, United States, 94115
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West Hollywood, California, United States, 90048
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Florida
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Sunrise, Florida, United States, 33027
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West Palm Beach, Florida, United States, 33401
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Indiana
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Indianapolis, Indiana, United States, 46202
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Massachusetts
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Boston, Massachusetts, United States, 02115
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Boston, Massachusetts, United States, 02114
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Boston, Massachusetts, United States, 02215
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New York
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New York, New York, United States, 10016
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Rhode Island
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Providence, Rhode Island, United States, 02905
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Female patients with histologically diagnosed serous ovarian cancer or recurrent serous ovarian cancer.
- Patients must have completed at least 2 previous courses of platinum containing therapy; the patient must have been platinum sensitive to the penultimate chemo regimen.
- For the last chemotherapy course prior to enrolment on the study, patients must have demonstrated an objective stable maintained response (partial or complete response) and this response needs to be maintained until completion of chemotherapy.
- Patients must be treated on the study within 8 wks of completion of their final dose of the platinum containing regimen.
Exclusion Criteria:
- Previous treatment with PARP inhibitors including AZD2281
- Patients with low grade ovarian carcinoma.
- Patients who have had drainage of their ascites during the final 2 cycles of their last chemotherapy regimen prior to enrolment on the study
- Patients receiving any chemotherapy, radiotherapy (except for palliative reasons), within 2 weeks from the last dose prior to study entry (or a longer period depending on the defined characteristics of the agents used).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
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Placebo Comparator: 2
matching placebo
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matching placebo bid
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Experimental: 1
AZD2281
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Tablets Oral BID
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Progression Free Survival (PFS) (According to Response Evaluation Criteria in Solid Tumours [RECIST])
Time Frame: Radiologic scans performed at baseline then every 12 weeks (+/- 1 week) for the first 60 weeks, then every 24 weeks (+/-1 week) thereafter, assessed maximum up to 14 months.
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PFS was defined as the time from randomisation to the earlier date of radiological progression (per RECIST criteria) or death by any cause in the absence of objective progression.
[Full analysis set (FAS)]
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Radiologic scans performed at baseline then every 12 weeks (+/- 1 week) for the first 60 weeks, then every 24 weeks (+/-1 week) thereafter, assessed maximum up to 14 months.
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Overall Survival (OS)
Time Frame: Follow up every 12 weeks post progression, assessed maximum up to 90 months.
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OS = time from randomisation to date of death from any cause.
Patients who had not died at time of analysis were censored at last date patient was known to be alive.
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Follow up every 12 weeks post progression, assessed maximum up to 90 months.
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Objective Response Rate (ORR) (According to RECIST)
Time Frame: Radiologic scans performed at baseline then every 12 weeks (+/- 1 week) for the first 60 weeks, then every 24 weeks (+/-1 week) thereafter, assessed maximum up to 14 months.
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For each treatment group, the ORR was the number of Complete Response (CR) and Partial Response (PR) divided by the number of patients in the group in the FAS with measurable disease at baseline (displayed as a percentage below).
Evaluable for response set
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Radiologic scans performed at baseline then every 12 weeks (+/- 1 week) for the first 60 weeks, then every 24 weeks (+/-1 week) thereafter, assessed maximum up to 14 months.
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Disease Control Rate
Time Frame: Assessed at 24 weeks. Radiologic scans performed at baseline, week 12 (+/- 1 week) and week 24 (+/- 1 week).
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Disease control rate was defined as the percentage of patients who have at least 1 confirmed visit response of CR or PR or have demonstrated SD or NED for at least 23 weeks (ie, 24 weeks +/- 1 week) prior to any evidence of progression.
[FAS]
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Assessed at 24 weeks. Radiologic scans performed at baseline, week 12 (+/- 1 week) and week 24 (+/- 1 week).
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Duration of Response
Time Frame: Radiologic scans performed at baseline then every 12 weeks (+/- 1 week) for the first 60 weeks, then every 24 weeks (+/-1 week) thereafter, assessed maximum up to 14 months.
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Duration of response = time from assessment prior to timepoint where PR or CR confirmed (i.e. initial assessment of PR/CR), until earliest date of objective progression or death.
[Responding patients only].
There were insufficient responses to enable conclusions to be drawn.
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Radiologic scans performed at baseline then every 12 weeks (+/- 1 week) for the first 60 weeks, then every 24 weeks (+/-1 week) thereafter, assessed maximum up to 14 months.
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Percentage Change From Baseline in Tumour Size at Week 24
Time Frame: Radiologic scans performed at baseline then every 12 weeks (+/- 1week) for the first 60 weeks, then every 24 weeks (+/-1 week) thereafter, assessed maximum up to 14 months.
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Percentage change from baseline to Week 24 in target tumour size.
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Radiologic scans performed at baseline then every 12 weeks (+/- 1week) for the first 60 weeks, then every 24 weeks (+/-1 week) thereafter, assessed maximum up to 14 months.
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Best Percentage Change in Cancer Antigen 125 (CA-125) Levels
Time Frame: CA-125 was measured at baseline then every 28 days on treatment, assessed maximum up to 14 months.
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Best percentage change from baseline in CA-125 level
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CA-125 was measured at baseline then every 28 days on treatment, assessed maximum up to 14 months.
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Best Objective Response
Time Frame: Radiologic scans performed at baseline then every 12 weeks (+/- 1week) for the first 60 weeks, then every 24 weeks (+/- 1 week) thereafter, assessed maximum up to 14 months.
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Best overall response from radiologic assessments.
[FAS]
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Radiologic scans performed at baseline then every 12 weeks (+/- 1week) for the first 60 weeks, then every 24 weeks (+/- 1 week) thereafter, assessed maximum up to 14 months.
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RECIST and CA-125 Response Separately and Combined
Time Frame: Radiologic scans performed at baseline then every 12 weeks (+/- 1week) for the first 60 weeks, then every 24 weeks (+/- 1 week) thereafter and monthly for CA-125 measurements, assessed maximum up to 14 months.
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RECIST and CA-125 response separately and combined [Patients evaluable for either CA-125 response or RECIST response]
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Radiologic scans performed at baseline then every 12 weeks (+/- 1week) for the first 60 weeks, then every 24 weeks (+/- 1 week) thereafter and monthly for CA-125 measurements, assessed maximum up to 14 months.
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Time to Earlier of CA-125 or RECIST Progression
Time Frame: Radiologic scans performed at baseline then every 12 weeks (+/- 1 week) for the first 60 weeks, then every 24 weeks (+/- 1 week) thereafter and monthly for CA-125 measurements, assessed maximum up to 14 months.
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Time from randomisation to the earlier date of radiological progression (per RECIST criteria) or CA-125 or death by any cause in the absence of objective progression.
[FAS]
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Radiologic scans performed at baseline then every 12 weeks (+/- 1 week) for the first 60 weeks, then every 24 weeks (+/- 1 week) thereafter and monthly for CA-125 measurements, assessed maximum up to 14 months.
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Improvement Rate for FACT-O Symptom Index (FOSI)
Time Frame: Patient reported outcome questionnaire completed at baseline then every 28 days up to disease progression, assessed maximum up to 14 months.
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The percentage of patients with an improvement in FOSI.
Improvement was defined as a change from baseline of greater than or equal to +3. [Evaluable for FOSI set]
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Patient reported outcome questionnaire completed at baseline then every 28 days up to disease progression, assessed maximum up to 14 months.
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Improvement Rate for Trial Outcome Index (TOI)
Time Frame: Patient reported outcome questionnaire completed at baseline then every 28 days up to disease progression, assessed maximum up to 14 months.
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The percentage of patients with an improvement in TOI.
Improvement was defined as a change from baseline of greater than or equal to +7. [Evaluable for TOI set]
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Patient reported outcome questionnaire completed at baseline then every 28 days up to disease progression, assessed maximum up to 14 months.
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Improvement Rate for Total Functional Analysis of Cancer Therapy - Ovarian (FACT-O)
Time Frame: Patient reported outcome questionnaire completed at baseline then every 28 days up to disease progression, assessed maximum up to 14 months.
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The percentage of patients with an improvement in total FACT-O.
Improvement was defined as a change from baseline of greater than or equal to +9. [Evaluable for FACT-O set]
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Patient reported outcome questionnaire completed at baseline then every 28 days up to disease progression, assessed maximum up to 14 months.
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FACT-O Symptom Index (FOSI) Time to Worsening
Time Frame: Patient reported outcome questionnaire completed at baseline then every 28 days up to disease progression, assessed maximum up to 14 months.
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The time to worsening was compared between treatments for each of the TOI, FOSI and total FACT-O.
[Evaluable for FOSI set]
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Patient reported outcome questionnaire completed at baseline then every 28 days up to disease progression, assessed maximum up to 14 months.
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Trial Outcome Index(TOI)Time to Worsening
Time Frame: Patient reported outcome questionnaire completed at baseline then every 28 days up to disease progression, assessed maximum up to 14 months.
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The time to worsening was compared between treatments for each of the TOI, FOSI and total FACT-O.
[Evaluable for TOI set]
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Patient reported outcome questionnaire completed at baseline then every 28 days up to disease progression, assessed maximum up to 14 months.
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Functional Analysis of Cancer Therapy - Ovarian (FACT-O) Time to Worsening
Time Frame: Patient reported outcome questionnaire completed at baseline then every 28 days up to disease progression, assessed maximum up to 14 months.
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The time to worsening was compared between treatments for each of the TOI, FOSI and total FACT-O.
[Evaluable for FACT-O set]
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Patient reported outcome questionnaire completed at baseline then every 28 days up to disease progression, assessed maximum up to 14 months.
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Mika Sovak, BSc, MBCHB, MD, AstraZeneca
- Principal Investigator: Prof Jonathan A Lederman, University College, London
Publications and helpful links
General Publications
- Yap TA, Carden CP, Kaye SB. Beyond chemotherapy: targeted therapies in ovarian cancer. Nat Rev Cancer. 2009 Mar;9(3):167-81. doi: 10.1038/nrc2583.
- Tattersall A, Ryan N, Wiggans AJ, Rogozinska E, Morrison J. Poly(ADP-ribose) polymerase (PARP) inhibitors for the treatment of ovarian cancer. Cochrane Database Syst Rev. 2022 Feb 16;2(2):CD007929. doi: 10.1002/14651858.CD007929.pub4.
- Ledermann JA, Harter P, Gourley C, Friedlander M, Vergote I, Rustin G, Scott C, Meier W, Shapira-Frommer R, Safra T, Matei D, Fielding A, Bennett B, Parry D, Spencer S, Mann H, Matulonis U. Quality of life during olaparib maintenance therapy in platinum-sensitive relapsed serous ovarian cancer. Br J Cancer. 2016 Nov 22;115(11):1313-1320. doi: 10.1038/bjc.2016.348. Epub 2016 Nov 8.
- Ledermann JA, Harter P, Gourley C, Friedlander M, Vergote I, Rustin G, Scott C, Meier W, Shapira-Frommer R, Safra T, Matei D, Fielding A, Spencer S, Rowe P, Lowe E, Hodgson D, Sovak MA, Matulonis U. Overall survival in patients with platinum-sensitive recurrent serous ovarian cancer receiving olaparib maintenance monotherapy: an updated analysis from a randomised, placebo-controlled, double-blind, phase 2 trial. Lancet Oncol. 2016 Nov;17(11):1579-1589. doi: 10.1016/S1470-2045(16)30376-X. Epub 2016 Sep 9.
- Matulonis UA, Harter P, Gourley C, Friedlander M, Vergote I, Rustin G, Scott C, Meier W, Shapira-Frommer R, Safra T, Matei D, Fielding A, Spencer S, Parry D, Grinsted L, Ledermann JA. Olaparib maintenance therapy in patients with platinum-sensitive, relapsed serous ovarian cancer and a BRCA mutation: Overall survival adjusted for postprogression poly(adenosine diphosphate ribose) polymerase inhibitor therapy. Cancer. 2016 Jun 15;122(12):1844-52. doi: 10.1002/cncr.29995. Epub 2016 Apr 8.
- Ledermann J, Harter P, Gourley C, Friedlander M, Vergote I, Rustin G, Scott C, Meier W, Shapira-Frommer R, Safra T, Matei D, Macpherson E, Watkins C, Carmichael J, Matulonis U. Olaparib maintenance therapy in platinum-sensitive relapsed ovarian cancer. N Engl J Med. 2012 Apr 12;366(15):1382-92. doi: 10.1056/NEJMoa1105535. Epub 2012 Mar 27.
- Ledermann J, Harter P, Gourley C, Friedlander M, Vergote I, Rustin G, Scott CL, Meier W, Shapira-Frommer R, Safra T, Matei D, Fielding A, Spencer S, Dougherty B, Orr M, Hodgson D, Barrett JC, Matulonis U. Olaparib maintenance therapy in patients with platinum-sensitive relapsed serous ovarian cancer: a preplanned retrospective analysis of outcomes by BRCA status in a randomised phase 2 trial. Lancet Oncol. 2014 Jul;15(8):852-61. doi: 10.1016/S1470-2045(14)70228-1. Epub 2014 May 31. Erratum In: Lancet Oncol. 2015 Apr;16(4):e158. doi: 10.1016/S1470-2045(15)70153-1.
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Endocrine System Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Immune System Diseases
- Neoplasms by Histologic Type
- Genital Diseases, Female
- Endocrine Gland Neoplasms
- Neoplasms, Glandular and Epithelial
- Ovarian Diseases
- Adnexal Diseases
- Genital Neoplasms, Female
- Gonadal Disorders
- Carcinoma
- Carcinoma, Ovarian Epithelial
- Hypersensitivity
- Ovarian Neoplasms
- Poly(ADP-ribose) Polymerase Inhibitors
- Antineoplastic Agents
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Olaparib
Other Study ID Numbers
Other Study ID Numbers
- D0810C00019
- 2008-003439-18 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
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