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NCT02093351

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

Completed Phase 1 Results posted Last updated 2 October 2019
What this trial tests

Phase 1 trial testing Olaparib in Solid Tumours in 79 participants. Completed in 29 April 2019.

Timeline
1 September 2014
Primary endpoint
30 April 2015
29 April 2019

Quick facts

Lead sponsorAstraZeneca
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposebasic science
Enrollment79
Start date1 September 2014
Primary completion30 April 2015
Estimated completion29 April 2019
Sites14 locations across Denmark, France, Netherlands, Belgium, United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

AstraZeneca — full company profile →

Who can join

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 ss Primary · 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
GroupValue95% 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
GroupValue95% 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
GroupValue95% 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 ss Primary · 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

GroupValue95% 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 ss Primary · 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

GroupValue95% 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 ss Primary · 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

GroupValue95% 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 ss Primary · 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

GroupValue95% 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 ss Primary · 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

GroupValue95% 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-τ Primary · 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
GroupValue95% 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
GroupValue95% 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
GroupValue95% 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-τ Primary · 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

GroupValue95% 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-τ Primary · 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

GroupValue95% 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-τ Primary · 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

GroupValue95% 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-τ Primary · 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

GroupValue95% 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-τ Primary · 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

GroupValue95% 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)

ReactionSystemCohort 1 - TamoxifenCohort 2 - AnastrozoleCohort 3 - LetrozoleOlaparib (Part B)
AnaemiaBlood and lymphatic system disorders
Device OcclusionGeneral disorders
Urinary Tract InfectionInfections and infestations
UrosepsisInfections and infestations
ConstipationGastrointestinal disorders
AscitesGastrointestinal disorders
VomitingGastrointestinal disorders
Anaemia MacrocyticBlood and lymphatic system disorders
TachycardiaCardiac disorders
DiplopiaEye disorders
Oedema PeripheralGeneral disorders
CholangitisHepatobiliary disorders
Klebsiella InfectionInfections and infestations
Lower Respiratory Tract InfectionInfections and infestations
PneumoniaInfections and infestations
PyelonephritisInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
Bladder Transitional Cell CarcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cancer PainNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Cognitive DisorderNervous system disorders
NephrolithiasisRenal and urinary disorders
Superior Vena Cava OcclusionVascular disorders
Other adverse events (54 terms — click to expand)

ReactionSystemCohort 1 - TamoxifenCohort 2 - AnastrozoleCohort 3 - LetrozoleOlaparib (Part B)
FatigueGeneral disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Decreased AppetiteMetabolism and nutrition disorders
DiarrhoeaGastrointestinal disorders
HeadacheNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
ConstipationGastrointestinal disorders
Abdominal PainGastrointestinal disorders
PyrexiaGeneral disorders
DizzinessNervous system disorders
DysgeusiaNervous system disorders
InsomniaPsychiatric disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Oedema PeripheralGeneral disorders
NeutropeniaBlood and lymphatic system disorders
Back PainMusculoskeletal and connective tissue disorders
NasopharyngitisInfections and infestations
HypokalaemiaMetabolism and nutrition disorders
ThrombocytopeniaBlood and lymphatic system disorders
Abdominal DistensionGastrointestinal disorders
DyspepsiaGastrointestinal disorders
Non-Cardiac Chest PainGeneral disorders
Muscle SpasmsMusculoskeletal and connective tissue disorders
Musculoskeletal PainMusculoskeletal and connective tissue disorders
HypertensionVascular disorders
Musculoskeletal Chest PainMusculoskeletal and connective tissue disorders
Aspartate Aminotransferase IncreasedInvestigations
Abdominal Pain UpperGastrointestinal disorders
AstheniaGeneral disorders
Lower Respiratory Tract InfectionInfections and infestations
Pain in ExtremityMusculoskeletal and connective tissue disorders
RashSkin and subcutaneous tissue disorders
Hot FlushVascular disorders
Abdominal DiscomfortGastrointestinal disorders
Abdominal Pain LowerGastrointestinal disorders
StomatitisGastrointestinal disorders
Alanine Aminotransferase IncreasedInvestigations

Most-reported serious reactions: Anaemia, Device Occlusion, Urinary Tract Infection, Urosepsis, Constipation, Ascites, Vomiting, Anaemia Macrocytic.

Data from ClinicalTrials.gov NCT02093351 adverse events section.

Sponsor's own description

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):

  1. Trial watch - inhibiting PARP enzymes for anticancer therapy.
    Sistigu A, Manic G, Obrist F, Vitale I. · · 2016 · cited 19× · PMID 27308587 · DOI 10.1080/23723556.2015.1053594
  2. Pharmacokinetic Effects and Safety of Olaparib Administered with Endocrine Therapy: A Phase I Study in Patients with Advanced Solid Tumours.
    Plummer R, Verheul HM, De Vos FYFL, Leunen K, et al · · 2018 · cited 13× · PMID 30324586 · DOI 10.1007/s12325-018-0804-z
  3. Olaparib synergy screen reveals Exemestane induces replication stress in triple-negative breast cancer.
    Yusoh NA, Su L, Chia SL, Tian X, et al · · 2025 · PMID 40652528 · DOI 10.1002/1878-0261.70093

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Other trials of Olaparib

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Trials by the same sponsor.

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Data sources for this page

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.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing