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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 below
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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:
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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.
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I have HIV, Hepatitis B, or Hepatitis C.
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I have a known BRCA1 or BRCA2 gene mutation.
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My cancer has spread to the bones only.
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I am not allergic to Olaparib, temozolomide, or dacarbazine.
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I have been treated with Temozolomide or Olaparib.

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.
This trial's timeline: 3 weeks for screening, Varies for treatment, and from the date of first study drug dosing to the date of death, assessed up to 5 years. for reporting.

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 more
Other study objectives
Correlative Analyses
Disease control rate in patients with BRCAness phenotype
Duration of Response in patients with BRCAness phenotype
+2 more

Awards & 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

Temozolomide (Alkylating agents) Clinical Trial Eligibility Overview. Trial Name: NCT05128734 — Phase 2
Breast Cancer Research Study Groups: Temozolomide Arm, Temozolomide+Olaparib Arm
Breast Cancer Clinical Trial 2023: Temozolomide Highlights & Side Effects. Trial Name: NCT05128734 — Phase 2
Temozolomide (Alkylating agents) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05128734 — Phase 2
~27 spots leftby Jul 2027