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Trial Title:
Radiotherapy & Olaparib in COmbination for Carcinoma of the Oesophagus
NCT ID:
NCT01460888
Condition:
Carcinoma of the Oesophagus
Conditions: Official terms:
Carcinoma
Esophageal Neoplasms
Olaparib
Study type:
Interventional
Study phase:
Phase 1
Overall status:
Unknown status
Study design:
Allocation:
Non-Randomized
Intervention model:
Parallel Assignment
Primary purpose:
Treatment
Masking:
None (Open Label)
Intervention:
Intervention type:
Drug
Intervention name:
Olaparib
Description:
25mg tablets, oral. Commenced 3 days prior to radiotherapy and continuing until the last
day of radiotherapy (36 days in total).
Arm group label:
OLA-0 (de-escalation dose)
Arm group label:
OLA-1
Arm group label:
OLA-2
Arm group label:
OLA-3
Intervention type:
Radiation
Intervention name:
Radical external beam radiotherapy, 50Gy in 25 fractions
Description:
Radiotherapy to the oesophageal carcinoma. For patients receiving olaparib this is
delivered as 50Gy in 25 daily fractions for 5 weeks (Monday-Friday only). For patients in
the comparator arm (RT only) other total doses/ fractionation are permitted, according to
local policy/ best standard care.
Arm group label:
OLA-0 (de-escalation dose)
Arm group label:
OLA-1
Arm group label:
OLA-2
Arm group label:
OLA-3
Arm group label:
RT alone
Summary:
The purpose of this study is to determine the Maximum Tolerated Dose (MTD) of olaparib in
combination with radical radiotherapy in patients with oesophageal cancer who are
unsuitable for platinum containing chemotherapy.
Criteria for eligibility:
Criteria:
Inclusion Criteria:
1. Histologically confirmed adenocarcinoma or squamous cell carcinoma of the oesophagus
including Siewert type 1 or 2 tumours with ≤2cm gastric mucosal extension
2. Unsuitable for radical chemoradiation therapy but suitable for radiotherapy
3. Total length of tumour and involved lymph nodes ≤10cm
4. No oesophageal stent in situ
5. No previous chemotherapy or radiotherapy for oesophagus cancer
6. Disease which can be encompassed within a radical radiotherapy treatment volume
7. Eastern Cooperative Oncology Group (ECOG) performance status 0-2 (see ECOG criteria
appendix 1)
8. Provision of fully informed consent, signed, written and dated, prior to any study
specific procedures.
9. > 18 years of age.
10. Adequate organ and bone marrow function measured within 28 days prior to
administration of study treatment as defined below:
- Haemoglobin ≥ 10.0 g/dL
- Absolute neutrophil count (ANC) ≥ 1.5 x 109/L
- White blood cells (WBC) > 3 x 109/L
- Platelet count ≥ 100 x 109/L
- No dysplastic features on peripheral blood smear
- Total bilirubin ≤ 1.5 x institutional upper limit of normal
- Aspartate aminotransferase (AST(SGOT)/Alanine transaminase (ALT)SGPT) ≤ 2.5 x
institutional upper limit of normal
- Serum creatinine ≤ 1.5 x institutional upper limit of normal (ULN)
11. Adequate lung function: no history of interstitial lung disease and FEV1 > 1litre
and >30% predicted.
12. 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. Postmenopausal is defined
as:
- Amenorrheic for 1 year or more following cessation of exogenous hormonal
treatments
- Luteinizing hormone(LH) and Follicle-stimulating hormone (FSH) levels in the
post menopausal range for women under 50,
- radiation-induced oophorectomy with last menses >1 year ago,
- chemotherapy-induced menopause with >1 year interval since last menses,
- surgical sterilisation (bilateral oophorectomy or hysterectomy).
13. Patient willing and able to comply with the protocol for the duration of the study
including undergoing treatment and scheduled visits and examinations.
14. Fit to receive all study treatments
15. Swallowing sufficiently good to tolerate oral medication
16. Life expectancy ≥ 4 months.
Exclusion Criteria:
1. Involvement in the planning and/or conduct of the study (applies to both AstraZeneca
staff and/or staff at the study site)
2. Previous enrolment in the present study
3. Treatment with any investigational product during the last 14 days (or a longer
period depending on the defined characteristics of the agents used)
4. Any previous treatment with a poly adenosine diphosphate-ribose polymerase (PARP)
inhibitor, including olaparib.
5. Patients with second primary cancer, except: adequately treated non-melanoma skin
cancer, curatively treated in-situ cancer of the cervix, or other solid tumours
curatively treated with no evidence of disease for ≥ 5 years.
6. Patients receiving the following classes of inhibitors of cytochrome P450 3A4
(CYP3A4)
- Azole antifungals
- Macrolide antibiotics
- Protease inhibitors
7. Major surgery within 2 weeks of starting study treatment and patients must have
recovered from any effects of any major surgery.
8. 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, or any
psychiatric disorder that prohibits obtaining informed consent.
9. Patients with a history of interstitial lung disease, inflammatory lung conditions,
or severe chronic obstructive pulmonary disease (COPD) (FEV1<1litre or < 30%
predicted). Patients with pneumonia within the previous 3 months.
10. Patients unable to swallow orally administered medication and patients with
gastrointestinal disorders likely to interfere with absorption of the study
medication.
11. Patients with oesophageal stent in-situ
12. Patients with myelodysplastic syndrome/acute myeloid leukaemia
13. Immunocompromised patients, e.g., patients who are known to be serologically
positive for human immunodeficiency virus (HIV).
14. Patients with known active hepatic disease (i.e., Hepatitis B or C).
15. Patients with a known hypersensitivity to olaparib or any of the excipients of the
product.
16. Patients with uncontrolled seizures.
17. Concurrent uncontrolled medical illness, or other previous or current malignant
disease likely to interfere with protocol treatments / comparisons
18. Age < 18
19. Any pregnant, lactating women or potentially childbearing patients not using
adequate contraception (see section 3.4 for details of required contraception).
20. Previous chemotherapy or radiotherapy for oesophageal cancer
21. Metastatic disease apart from local lymph node disease which can be reasonably
encompassed within the radiotherapy volume (total length of tumour and lymph node
disease should be <10cm)
22. ECOG performance status >2
Gender:
All
Minimum age:
18 Years
Maximum age:
N/A
Healthy volunteers:
No
Locations:
Facility:
Name:
The Christie NHS Foundation Trust
Address:
City:
Manchester
Zip:
M20 4BX
Country:
United Kingdom
Status:
Not yet recruiting
Investigator:
Last name:
Hamid Shiekh, Dr
Email:
Principal Investigator
Facility:
Name:
Southampton General Hospital
Address:
City:
Southampton
Zip:
SO16 6YD
Country:
United Kingdom
Status:
Recruiting
Contact:
Last name:
Andrew Jackson, MD
Phone:
+44(0)2380795386
Email:
Andrew.Jackson@uhs.nhs.uk
Investigator:
Last name:
Andrew Jackson, Dr
Email:
Principal Investigator
Start date:
July 2013
Completion date:
August 2018
Lead sponsor:
Agency:
The Christie NHS Foundation Trust
Agency class:
Other
Collaborator:
Agency:
Cancer Research UK
Agency class:
Other
Collaborator:
Agency:
AstraZeneca
Agency class:
Industry
Source:
The Christie NHS Foundation Trust
Record processing date:
ClinicalTrials.gov processed this data on November 12, 2024
Source: ClinicalTrials.gov page:
https://clinicaltrials.gov/ct2/show/NCT01460888