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Alkylating agents
Temozolomide + Olaparib for Breast Cancer
Phase 2
Waitlist Available
Led By Don Morris, MD, PhD
Research Sponsored by AHS Cancer Control Alberta
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
At least one line of chemotherapy in the context of metastatic disease.
ECOG performance status 0 or 1 (Appendix A).
Must not have
Patients who have received chemotherapy within 4 weeks or radiotherapy to a non-target site within 2 weeks prior to entering the study or who have not recovered from adverse events from prior anti-cancer therapy (residual toxicities > Grade 1) with the exception of alopecia.
Patients with HIV, Hepatitis B, or Hepatitis C infection.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from the date of first study drug dosing to the date of death, assessed up to 5 years.
Awards & highlights
No Placebo-Only Group
Summary
This trial studies if a combination of drugs can better treat triple-negative breast cancer with an MGMT gene. Patients randomly get either 1 drug or a combo of 2.
Who is the study for?
This trial is for adults with a specific type of breast cancer called triple-negative that hasn't spread to the bone. They must have had at least one chemotherapy treatment, be able to use effective birth control, and not be pregnant or breastfeeding. People can't join if they're allergic to the drugs being tested, have certain infections like HIV or Hepatitis B/C, or have been treated with these drugs before.
What is being tested?
The study is testing Temozolomide alone versus Temozolomide combined with Olaparib in patients whose tumors are MGMT-methylated. It's a phase II trial where participants are randomly placed into two groups to compare how well each treatment controls the disease.
What are the potential side effects?
Temozolomide may cause nausea, fatigue, constipation, headache and low blood counts leading to infection risk. Olaparib could add side effects like anemia, loss of appetite, taste changes and dizziness. Each person might experience side effects differently.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I have received chemotherapy for cancer that has spread.
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I am fully active or restricted in physically strenuous activity but can do light work.
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My breast cancer is triple negative as confirmed by tests.
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I have a tumor that can be seen on a CT scan or felt by a doctor, but it's not just in my bones.
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I am 18 years old or older.
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I have been treated with anthracyclines and taxanes before.
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My cancer has a specific genetic feature known as MGMT promoter methylation.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I haven't had chemotherapy in the last 4 weeks or radiotherapy in the last 2 weeks, and I've recovered from previous cancer treatment side effects.
Select...
I have HIV, Hepatitis B, or Hepatitis C.
Select...
I have a known BRCA1 or BRCA2 gene mutation.
Select...
My cancer has spread to the bones only.
Select...
I am not allergic to Olaparib, temozolomide, or dacarbazine.
Select...
I have been treated with Temozolomide or Olaparib.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ from the date of first study drug dosing to the date of death, assessed up to 5 years.
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from the date of first study drug dosing to the date of death, assessed up to 5 years.
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Disease Control Rate (DCR)
Secondary study objectives
Duration of Response (DoR)
Number of adverse events in participants treated with Temozolomide ± Olaparib as assessed by CTCAE version 5.0.
Overall Survival (OS)
+1 moreOther study objectives
Correlative Analyses
Disease control rate in patients with BRCAness phenotype
Duration of Response in patients with BRCAness phenotype
+2 moreAwards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Experimental Treatment
Group I: Temozolomide+Olaparib ArmExperimental Treatment2 Interventions
Temozolomide 75 mg/m2 day 1 to day 7 with Olaparib 200 mg BID, oral, day 1 to day 7 in cycles of 21 days
Group II: Temozolomide ArmExperimental Treatment1 Intervention
Temozolomide: 50 mg/m2 daily in cycles of 21 days
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Olaparib
2007
Completed Phase 4
~2190
Temozolomide
2010
Completed Phase 3
~1880
Find a Location
Who is running the clinical trial?
AHS Cancer Control AlbertaLead Sponsor
182 Previous Clinical Trials
26,791 Total Patients Enrolled
13 Trials studying Breast Cancer
1,337 Patients Enrolled for Breast Cancer
Don Morris, MD, PhDPrincipal InvestigatorAlberta Health services
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I haven't had chemotherapy in the last 4 weeks or radiotherapy in the last 2 weeks, and I've recovered from previous cancer treatment side effects.I have received chemotherapy for cancer that has spread.I can sign a form showing I understand and agree to join the trial.I have HIV, Hepatitis B, or Hepatitis C.I have a known BRCA1 or BRCA2 gene mutation.My cancer has spread to the bones only.I am fully active or restricted in physically strenuous activity but can do light work.I agree not to father a child or donate sperm while on temozolomide and for 6 months after.I understand this trial is open to people of all genders and ethnicities.Your bilirubin levels in the blood should be within a certain range.Your alkaline phosphatase level is not more than 2.5 times the upper limit of what's considered normal in the lab.My breast cancer is triple negative as confirmed by tests.My heart function is better than NYHA class 2B, despite my history or symptoms of heart disease.I have a tumor that can be seen on a CT scan or felt by a doctor, but it's not just in my bones.I agree to use effective birth control or remain abstinent during and 6 months after treatment.My brain scans show no cancer growth after treatment, and I don't need steroids.Your white blood cell count is higher than 1.5 x 10^9 per liter.I have had cancer before, but it was either skin cancer treated fully, cervical cancer treated without spreading, or any cancer treated and clear for over 5 years.I am 18 years old or older.I am not allergic to Olaparib, temozolomide, or dacarbazine.Your platelet count is higher than 100 billion per liter.Your liver enzymes (AST or ALT) levels are not more than 2.5 times the upper limit of normal.Your kidney function, as measured by a blood test, is within a certain range.I can provide a tissue sample of my tumor for testing.I have been treated with Temozolomide or Olaparib.I have been treated with anthracyclines and taxanes before.My blood, kidney, and liver tests are all within normal ranges.My cancer has a specific genetic feature known as MGMT promoter methylation.
Research Study Groups:
This trial has the following groups:- Group 1: Temozolomide Arm
- Group 2: Temozolomide+Olaparib Arm
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.