A study to find out whether olaparib is safe and well tolerated when administered to children and adolescents
EU CTIS ID: 2023-507904-30-00
What this study is testing
To describe the safety and tolerability of olaparib monotherapy and identify the RP2D of olaparib in the paediatric population
- Human Pharmacology (Phase I)- Other
A plain-language read of the study's public EU CTIS listing. The study team confirms the details.
Who can take part
You may be able to join if
- 1 Paediatric patients with pathologically confirmed relapsed or refractory solid or primary CNS tumours (excluding lymphoid malignancies), with a HRR deficiency/gene mutation, and for whom there are no standard treatment options. Eligible patients may include but not be limited to those with osteosarcoma, rhabdomyosarcoma, nonrhabdomyosarcoma soft tissue sarcoma, Ewing Sarcoma, neuroblastoma, medulloblastoma and glioma. (a) Any number of prior treatment regimens allowed. (b) A select group of first-line patients may be considered on a case bycase basis to be eligible for screening and enrolment. These patients will be enrolled based on Investigator assessment after discussion with the sponsor as patients for whom no curative standard of care treatment options exist or such therapies are not tolerable. 2 A formalin fixed, paraffin embedded (FFPE) tumour sample from the primary cancer (all patients) suitable for central HRR testing and a blood sample (patients ≥2 years old) for central germline BRCA testing must be provided for each patient for central laboratory assessment. Patients with a known HRR deficiency/gene mutation (based on local testing) are not required to wait for the results of the central test to proceed with the main part of the study, assuming all other eligibility criteria are met. The blood sample (from patients with a known HRR deficiency/gene mutation) and tumour sample should be shipped to the central laboratory following consent; patients with unknown HRR deficiency status will have their blood samples sent for central evaluation prior to enrolment. (a) A FFPE tumour tissue block is required, but if not available, tissue sections are accepted. The tumour specimen submitted should be of sufficient quantity (b) Patients who don't have an archival tumour sample may be allowed to provide a newly biopsied FFPE tumour tissue sample provided the sample is taken as part of routine clinical practice. The most recent sample available should be provided. Tumour lesions used for newly acquired biopsies should not be the same lesions used as RECIST v1.1, INRC or RANO target lesions, unless there are no other lesions suitable for biopsy (re-assessment after biopsy may be required). 3 Lansky scale ≥50 for patients ≤16 years of age; or Karnofsky score ≥ 50 for patients >16 years of age (see Appendix F). 4 For all non-neuroblastoma tumours, patients must have at least 1 lesion (measurable and/or non-measurable), not previously irradiated, that can be accurately assessed at baseline and is suitable for repeated assessment using RECIST v1.1 or RANO. 5 For neuroblastoma tumours, patients must have: (a) Radiographical assessable disease with at least 1 lesion (measurable and/or non-measurable) that can be accurately assessed at baseline and is suitable for repeated assessment using INRC; OR, (b) Disease evidenced by uptake of meta-iodobenzylguanidine- (MIBG) or fluorodeoxyglucose positron emission tomography (FDG-PET) scans. 6 Patients must have normal organ and bone marrow function measured within 28 days prior to administration of study treatment as defined in the protocol.
You likely can't join if
- 1 Patients with MDS/AML or with features suggestive of MDS/AML. 2 Patients unable to swallow orally administered medication and patients with gastrointestinal disorders likely to interfere with absorption of the study drug. 3 Any unresolved toxicity NCI CTCAE Grade ≥2 from previous anticancer therapy with the exception of alopecia, vitiligo, lymphopenia, and the laboratory values defined in the inclusion criterion. Patients with a toxicity not reasonably expected to be exacerbated by study treatment (eg, hearing loss, gastrostomy tube) may be included after consultation with the Study Physician. 4 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, unstable spinal cord compression, superior vena cava syndrome, extensive interstitial bilateral lung disease on High Resolution Computed Tomography scan, ongoing or activeinfection, symptomatic congestive heart failure, cardiac arrhythmia, interstitial lung disease, or any psychiatric illness or social situations that would limit compliance with study requirements, substantially increase the risk of incurring AEs from IP, or compromise the ability of the patient to give written informed assent. 5 History of other primary malignancy unless curatively treated with no evidence of disease for ≥5 years. Non-invasive malignancies such as adequately treated non-melanoma skin cancer or in situ carcinomas that have been adequately treated may be permitted after detailed discussion with the Study Physician. 6 Patients with primary or metastatic CNS disease meeting the following criteria: (a) Symptomatic uncontrolled brain metastases at baseline. A scan to confirm the absence of brain metastases is not required. (b) Patients with brain metastases or primary brain tumours who require corticosteroids for management of symptoms or progression. (c) Patients with spinal cord compression unless considered to have received definitive treatment for this and evidence of clinically stable disease for 28 days. 7 History of active primary immunodeficiency or immunocompromised patients, eg, patients who are known to be serologically positive for human immunodeficiency virus (HIV). 8 Patients with known active hepatitis (ie, Hepatitis B or C). (a) Active hepatitis B virus (HBV) is defined by a known positive HBV surface antigen (HBsAg) result. Patients with a past or resolved HBV infection (defined as the presence of hepatitis B core antibody and absence of HBsAg) are eligible. (b) Patients positive for hepatitis C virus (HCV) antibody are eligible only if polymerase chain reaction is negative for HCV ribonucleic acid. 9 Resting ECG indicating uncontrolled, potentially reversible cardiac conditions, as judged by the Investigator (eg, unstable ischemia, uncontrolled symptomatic arrhythmia, congestive heart failure, corrected QT interval (QTc) prolongation >500 ms, electrolyte disturbances, etc.), or patients with congenital long QT syndrome. 10 Any condition that, in the opinion of the Investigator, would interfere with evaluation of the study treatment or interpretation of patient safety or study results.
The study team makes the final eligibility decision.
Where it's taking place
- Israel
- Korea, Republic of
- Canada
Questions & answers
Do participants get paid in this trial?
This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.
Is it free to join, and do I need insurance?
Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.
How long does this study last?
The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.
Who can join this trial?
This study is enrolling all sexes, 0-17 years. The study team makes the final eligibility decision.
Where is this trial taking place?
Study sites include Israel; Korea, Republic of; Canada. Enter your location above to see the nearest site and check your eligibility.
Explore other conditions
BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from EU CTIS; the study team decides eligibility.