To Assess Safety and Effect of Olaparib on the Pharmacokinetics of Anastrozole, Letrozole & Tamoxifen, and Their Effect on Olaparib, in Patients With Advanced Solid Cancer
CompletedPhase 1Results postedLast updated 2 October 2019
What this trial tests
Phase 1 trial testing Olaparib in Solid Tumours in 79 participants. Completed in 29 April 2019.
Adults 18 to 130, any sex, with Solid Tumours. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Effect of Olaparib on Exposure to Tamoxifen - Cmax ssPrimary· Pre-dose and at 1, 2, 4, 5, 6, 8, 12 and 24 hours post-dose on Day 26 and Day 31
Tamoxifen, N-desmethyl tamoxifen (N-DMT) and endoxifen Cmax ss in the presence and absence of co-administered olaparib, and associated Cmax ss treatment ratios
PK analysis of tamoxifen
Group
Value
95% CI
Cohort 1 - Tamoxifen Alone (Treatment Period 2)
130.3
± 27.3
Cohort 1 - Olaparib + Tamoxifen (Treatment Period 3)
154.2
± 34.9
PK analysis of N-DMT
Group
Value
95% CI
Cohort 1 - Tamoxifen Alone (Treatment Period 2)
162.9
± 28.0
Cohort 1 - Olaparib + Tamoxifen (Treatment Period 3)
149.1
± 44.8
PK analysis of endoxifen
Group
Value
95% CI
Cohort 1 - Tamoxifen Alone (Treatment Period 2)
5.923
± 65.7
Cohort 1 - Olaparib + Tamoxifen (Treatment Period 3)
5.727
± 61.2
Effect of Tamoxifen on Exposure to Olaparib - Cmax ssPrimary· Pre-dose and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hours post morning dose on Day 5 and Day 31
Olaparib Cmax ss in the presence and absence of co-administered tamoxifen, and associated Cmax ss treatment ratios
Group
Value
95% CI
Cohort 1 - Olaparib (Treatment Period 1)
9.456
± 41.5
Cohort 1 - Olaparib + Tamoxifen (Treatment Period 3)
7.216
± 43.6
Effect of Olaparib on Exposure to Anastrozole - Cmax ssPrimary· Pre-dose and at 1, 2, 4, 6, 8, 12 and 24 hours post-dose on Day 19 and Day 24
Anastrozole maximum plasma concentration at steady state (Cmax ss) in the presence and absence of co-administered olaparib, and associated Cmax ss treatment ratios
Group
Value
95% CI
Cohort 2 - Anastrozole Alone (Treatment Period 2)
40.98
± 36.2
Cohort 2 - Olaparib + Anastrozole (Treatment Period 3)
35.83
± 31.9
Effect of Anastrozole on Exposure to Olaparib - Cmax ssPrimary· Pre-dose and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hours post morning dose on Day 5 and Day 24
Olaparib Cmax ss in the presence and absence of co-administered anastrozole, and associated Cmax ss treatment ratios
Group
Value
95% CI
Cohort 2 - Olaparib (Treatment Period 1)
9.490
± 34.3
Cohort 2 - Olaparib + Anastrozole (Treatment Period 3)
8.256
± 39.9
Effect of Olaparib on Exposure to Letrozole - Cmax ssPrimary· Pre-dose and at 1, 2, 4, 6, 8, 12 and 24 hours post-dose on Day 38 and Day 43
Letrozole Cmax ss in the presence and absence of co-administered olaparib, and associated Cmax ss treatment ratios
Group
Value
95% CI
Cohort 3 - Letrozole Alone (Treatment Period 2)
118.9
± 32.6
Cohort 3 - Olaparib + Letrozole (Treatment Period 3)
111.8
± 30.4
Effect of Letrozole on Exposure to Olaparib - Cmax ssPrimary· Pre-dose and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hours post morning dose on Day 5 and Day 43
Olaparib Cmax ss in the presence and absence of co-administered letrozole, and associated Cmax ss treatment ratios
Group
Value
95% CI
Cohort 3 - Olaparib (Treatment Period 1)
10.05
± 30.2
Cohort 3 - Olaparib + Letrozole (Treatment Period 3)
10.48
± 33.6
Effect of Olaparib on Exposure to Tamoxifen - AUC0-τPrimary· Pre-dose and at 1, 2, 4, 5, 6, 8, 12 and 24 hours post-dose on Day 26 and Day 31
Tamoxifen, N-DMT and endoxifen AUC0-τ, in the presence and absence of co-administered olaparib, and associated AUC0-τ treatment ratios
PK analysis of tamoxifen
Group
Value
95% CI
Cohort 1 - Tamoxifen Alone (Treatment Period 2)
2233
± 31.9
Cohort 1 - Olaparib + Tamoxifen (Treatment Period 3)
2751
± 28.9
PK analysis of N-DMT
Group
Value
95% CI
Cohort 1 - Tamoxifen Alone (Treatment Period 2)
3189
± 28.8
Cohort 1 - Olaparib + Tamoxifen (Treatment Period 3)
2955
± 37.3
PK analysis of endoxifen
Group
Value
95% CI
Cohort 1 - Tamoxifen Alone (Treatment Period 2)
119.3
± 66.1
Cohort 1 - Olaparib + Tamoxifen (Treatment Period 3)
115.8
± 64.8
Effect of Tamoxifen on Exposure to Olaparib - AUC0-τPrimary· Pre-dose and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hours post morning dose on Day 5 and Day 31
Olaparib AUC0-τ, in the presence and absence of co-administered tamoxifen, and associated AUC0-τ treatment ratios
Group
Value
95% CI
Cohort 1 - Olaparib (Treatment Period 1)
62.12
± 51.6
Cohort 1 - Olaparib + Tamoxifen (Treatment Period 3)
42.27
± 60.6
Effect of Olaparib on Exposure to Anastrozole - AUC0-τPrimary· Pre-dose and at 1, 2, 4, 6, 8, 12 and 24 hours post-dose on Day 19 and Day 24
Anastrozole Area under plasma concentration-time curve over the dosing interval at steady state (AUC0-τ), in the presence and absence of co-administered olaparib, and associated AUC0-τ treatment ratios
Group
Value
95% CI
Cohort 2 - Anastrozole Alone (Treatment Period 2)
696.8
± 36.6
Cohort 2 - Olaparib + Anastrozole (Treatment Period 3)
582.5
± 31.6
Effect of Anastrozole on Exposure to Olaparib - AUC0-τPrimary· Pre-dose and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hours post morning dose on Day 5 and Day 24
Olaparib AUC0-τ, in the presence and absence of co-administered anastrozole, and associated AUC0-τ treatment ratios
Group
Value
95% CI
Cohort 2 - Olaparib (Treatment Period 1)
55.49
± 53.8
Cohort 2 - Olaparib + Anastrozole (Treatment Period 3)
44.33
± 63.6
Effect of Olaparib on Exposure to Letrozole - AUC0-τPrimary· Pre-dose and at 1, 2, 4, 6, 8, 12 and 24 hours post-dose on Day 38 and Day 43
Letrozole AUC0-τ, in the presence and absence of co-administered olaparib, and associated AUC0-τ treatment ratios
Group
Value
95% CI
Cohort 3 - Letrozole Alone (Treatment Period 2)
2292
± 36.7
Cohort 3 - Olaparib + Letrozole (Treatment Period 3)
2167
± 38.0
Effect of Letrozole on Exposure to Olaparib - AUC0-τPrimary· Pre-dose and at 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 12 hours post morning dose on Day 5 and Day 43
Olaparib AUC0-τ, in the presence and absence of co-administered letrozole, and associated AUC0-τ treatment ratios
Group
Value
95% CI
Cohort 3 - Olaparib (Treatment Period 1)
61.77
± 43.2
Cohort 3 - Olaparib + Letrozole (Treatment Period 3)
67.82
± 44.1
Adverse events — posted to ClinicalTrials.gov
Time frame: For Part A, adverse events (AEs) were collected from the date of first dose up to last dose of study medication in Part A for patients continuing to Part B, or up to 30 days after last dose for patients who did not enter Part B (up to approximately 2 months). For Part B, AEs were collected from date of first dose in Part B up to 30 days after last dose (up to approximately 18 months)..
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Cohort 1 - Tamoxifen
Serious: 2/30 (7%)
Deaths: 1/30
Cohort 2 - Anastrozole
Serious: 0/23 (0%)
Deaths: 1/23
Cohort 3 - Letrozole
Serious: 0/26 (0%)
Deaths: 1/26
Olaparib (Part B)
Serious: 22/69 (32%)
Deaths: 1/69
Serious adverse events (22 terms)
Reaction
System
Cohort 1 - Tamoxifen
Cohort 2 - Anastrozole
Cohort 3 - Letrozole
Olaparib (Part B)
Anaemia
Blood and lymphatic system disorders
—
—
—
—
Device Occlusion
General disorders
—
—
—
—
Urinary Tract Infection
Infections and infestations
—
—
—
—
Urosepsis
Infections and infestations
—
—
—
—
Constipation
Gastrointestinal disorders
—
—
—
—
Ascites
Gastrointestinal disorders
—
—
—
—
Vomiting
Gastrointestinal disorders
—
—
—
—
Anaemia Macrocytic
Blood and lymphatic system disorders
—
—
—
—
Tachycardia
Cardiac disorders
—
—
—
—
Diplopia
Eye disorders
—
—
—
—
Oedema Peripheral
General disorders
—
—
—
—
Cholangitis
Hepatobiliary disorders
—
—
—
—
Klebsiella Infection
Infections and infestations
—
—
—
—
Lower Respiratory Tract Infection
Infections and infestations
—
—
—
—
Pneumonia
Infections and infestations
—
—
—
—
Pyelonephritis
Infections and infestations
—
—
—
—
Arthralgia
Musculoskeletal and connective tissue disorders
—
—
—
—
Bladder Transitional Cell Carcinoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
—
—
—
—
Cancer Pain
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
This is an open-label 2-part Phase I study in patients with advanced solid tumours. Part A of the study (mandatory) will assess the effect of olaparib on the pharmacokinetics (PK) of anastrozole, letrozole and tamoxifen and vice versa; Part B will allow patients (if eligible) continued access to olaparib after the PK phase and will provide additional safety data.
Publications & conference data
3 peer-reviewed publications reference this trial (live from Europe PMC):
NCT05522491 — Olaparib in the Treatment of BRCA1/2 Unmutated and BRCA1 Promoter Methylated Recurrent and Metastatic Triple-negative Br
· Phase 2
· not yet recruiting
NCT05128734 — Temozolomide Monotherapy or in Combination With Olaparib in Patients With Triple Negative Breast Cancer (TNBC)
· Phase 2
· not yet recruiting
NCT07382544 — Phase 1b Trial of BMS-986504 in Combination With Olaparib in Patients With MTAP Loss
· Phase 1
· recruiting
NCT07407452 — Iparomlimab and Tuvonralimab (QL1706) Combined With Standard Chemotherapy or Combined With Intraperitoneal Perfusion Che
· Phase 2
· not yet recruiting
NCT06915025 — Phase 3 Trial Evaluating the Safety & Efficacy of IMNN-001 Administered in Combination w/ Standard NACT & Adjuvant Chemo
· Phase 3
· recruiting
Other recruiting trials for Solid Tumours
Currently open trials in the same condition.
NCT07391670 — A Phase I Dose Escalation and Dose Expansion Study to Investigate the Pharmacokinetics and Safety of Subcutaneous Durval
· Phase 1
· recruiting
NCT07446855 — Study of AZD4956 as Monotherapy and in Combination With Anti-Cancer Agents in Participants With Advanced/Metastatic Homo
· Phase 1, PHASE2
· recruiting
NCT07224425 — A Study in People With Advanced Cancer (Solid Tumours) to Test Different Doses of BI 3810944 and to Find Out Whether it
· Phase 1
· recruiting
NCT07165067 — A Study of AP601 in Patients With Locally Unresectable Advanced or Metastatic Solid Tumors
· Phase 1
· recruiting
NCT07403370 — Olanzapine Dose Comparison for the Prevention of HER-INV: A Network Meta-Analysis
· recruiting
Other AstraZeneca trials
Trials by the same sponsor.
NCT06998095 — Tezepelumab (Tezspire) Regulatory Postmarketing Surveillance in Korea
· not yet recruiting
NCT07431775 — Saphnelo Use in Females of Child-bearing Potential
· not yet recruiting
NCT07516184 — Explore the Diagnostic Value of Bronchodilation Test With Portable Oscillometry in Asthma Diagnosis
· NA
· not yet recruiting
NCT07279935 — Osimertinib Combined With Chemotherapy in Patients Who Had Distant Recurrence After Adjuvant Osimertinib for EGFRm Resec
· Phase 4
· not yet recruiting
NCT07279948 — A Single-arm Observational Study to Characterize the Demographic, Clinical Features and Outcomes of a Brazilian Cohort o
· not yet recruiting
Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by AstraZeneca
Last refreshed: 2 October 2019
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02093351.