Clinical Trials /

Efficacy and Safety of Olaparib (MK-7339) in Participants With Previously Treated, Homologous Recombination Repair Mutation (HRRm) or Homologous Recombination Deficiency (HRD) Positive Advanced Cancer (MK-7339-002 / LYNK-002)

NCT03742895

Description:

This study will evaluate the efficacy and safety of olaparib (MK-7339) monotherapy in participants with multiple types of advanced cancer (unresectable and/or metastatic) that: 1) have progressed or been intolerant to standard of care therapy; and 2) are positive for homologous recombination repair mutation (HRRm) or homologous recombination deficiency (HRD).

Related Conditions:
  • Breast Carcinoma
  • Malignant Solid Tumor
  • Ovarian Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Efficacy and Safety of Olaparib (MK-7339) in Participants With Previously Treated, Homologous Recombination Repair Mutation (HRRm) or Homologous Recombination Deficiency (HRD) Positive Advanced Cancer (MK-7339-002 / LYNK-002)
  • Official Title: A Phase 2 Study of Olaparib Monotherapy in Participants With Previously Treated, Homologous Recombination Repair Mutation (HRRm) or Homologous Recombination Deficiency (HRD) Positive Advanced Cancer

Clinical Trial IDs

  • ORG STUDY ID: 7339-002
  • SECONDARY ID: MK-7339-002
  • SECONDARY ID: 2018-003007-19
  • SECONDARY ID: LYNK-002
  • SECONDARY ID: 194694
  • NCT ID: NCT03742895

Conditions

  • Advanced Solid Neoplasms

Interventions

DrugSynonymsArms
OlaparibMK-7339, AZD2281, KU-0059436, LYNPARZA®Olaparib

Purpose

This study will evaluate the efficacy and safety of olaparib (MK-7339) monotherapy in participants with multiple types of advanced cancer (unresectable and/or metastatic) that: 1) have progressed or been intolerant to standard of care therapy; and 2) are positive for homologous recombination repair mutation (HRRm) or homologous recombination deficiency (HRD).

Trial Arms

NameTypeDescriptionInterventions
OlaparibExperimentalParticipants with HRRm or HRD-positive advanced cancer will receive oral olaparib, 300 mg twice daily (BID).
  • Olaparib

Eligibility Criteria

        Inclusion Criteria:

          -  For all participants:

          -  Has measurable disease per RECIST 1.1 or PCWG-modified RECIST 1.1 as assessed by the
             local site Investigator/radiology and confirmed by BICR.

          -  Is able to provide a newly obtained core or excisional biopsy of a tumor lesion or
             either an archival formalin-fixed paraffin embedded (FFPE) tumor tissue block or
             slides.

          -  Has a life expectancy of at least 3 months.

          -  Has an Eastern Cooperative Oncology Group (ECOG) performance status of either 0 or 1,
             as assessed within 7 days of treatment initiation.

          -  Male participants must agree to use contraception during the treatment period and for
             at least 95 days (3 months and 5 days) after the last dose of study treatment and
             refrain from donating sperm during this period.

          -  A female participant is eligible to participate if she is not pregnant or
             breastfeeding, and at least one of the following conditions applies:

               1. Is not a woman of childbearing potential (WOCBP).

               2. Is a WOCBP and using a contraceptive method that is highly effective with low
                  user dependency, or be abstinent from heterosexual intercourse as their preferred
                  and usual lifestyle (abstinent on a long term and persistent basis), during the
                  intervention period and for at least 180 days after the last dose of study
                  intervention, AND agrees not to donate eggs (ova, oocytes) to others or
                  freeze/store for her own use for the purpose of reproduction during this period.

          -  Has adequate organ function.

          -  For participants who have non-breast or -ovarian cancers that are breast cancer
             susceptibility gene 1/2 (BRCA1/2) mutated (BRCAm), or who have cancers that are
             BRCA1/2 non-mutated and homologous recombination repair nonmutated:

          -  Has a histologically- or cytologically-confirmed advanced (metastatic and/or
             unresectable) solid tumor (except ovarian cancer whose tumor has a germline or somatic
             BRCA mutation and breast cancer whose tumor has a germline BRCA mutation) that is not
             eligible for curative treatment and for which standard of care therapy has failed.
             Participants must have progressed on or be intolerant to standard of care therapies
             that are known to provide clinical benefit. There is no limit on the number of prior
             treatment regimens.

          -  Has either centrally-confirmed known or suspected deleterious mutations in at least 1
             of the genes involved in HRR or centrally-confirmed HRD.

          -  For participants receiving prior platinum (cisplatin, carboplatin, or oxaliplatin
             either as monotherapy or in combination) for advanced (metastatic and/or unresectable)
             solid tumor, have no evidence of disease progression during the platinum chemotherapy
             or ≤4 weeks of completing the platinum-containing regimen.

          -  For participants who have somatic BRCAm breast cancer:

          -  Has histologically- or cytologically-confirmed breast cancer with evidence of
             metastatic disease.

          -  Has a centrally-confirmed known or suspected deleterious mutation in breast cancer
             susceptibility gene (BRCA) 1 or BRCA2 and does not harbor a germline BRCA1 or BRCA2
             mutation.

          -  Has received treatment with an anthracycline unless contraindicated and a taxane in
             either the neoadjuvant/adjuvant or metastatic setting.

          -  Participants with estrogen and/or progesterone receptor-positive disease must have
             received and progressed on at least one endocrine therapy (adjuvant or metastatic), or
             have disease that the treating physician believes to be inappropriate for endocrine
             therapy.

        Exclusion Criteria:

          -  Has a known additional malignancy that is progressing or has required active treatment
             in the last 5 years. Note: Participants with basal cell carcinoma of the skin,
             squamous cell carcinoma of the skin, ductal carcinoma in situ, or cervical carcinoma
             in situ that has undergone potentially curative therapy are not excluded.

          -  Has myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML) or with features
             suggestive of MDS/AML.

          -  Has known central nervous system (CNS) metastases and/or carcinomatous meningitis.
             Note: Participants with previously treated brain metastases may participate if
             radiologically stable, clinically stable, and without requirement for steroid
             treatment for at least 14 days prior to the first dose of study treatment.

          -  Has received colony-stimulating factors (e.g., granulocyte colony-stimulating factor
             [G-CSF], granulocyte-macrophage colony-stimulating factor [GM-CSF] or recombinant
             erythropoietin) within 28 days prior to the first dose of study treatment.

          -  Has a known history of human immunodeficiency virus (HIV) infection.

          -  Has known active hepatitis infection (i.e., Hepatitis B or C).

          -  Is unable to swallow orally administered medication or has a gastrointestinal disorder
             affecting absorption (e.g., gastrectomy, partial bowel obstruction, malabsorption).

          -  Has received prior therapy with olaparib or with any other polyadenosine 5'
             diphosphoribose (poly[ADP ribose]) polymerization (PARP) inhibitor.

          -  Has a known hypersensitivity to the components or excipients in olaparib.

          -  Has received previous allogenic bone-marrow transplant or double umbilical cord
             transplantation (dUCBT).

          -  Has received a whole blood transfusion in the last 120 days prior to entry to the
             study. Packed red blood cells and platelet transfusions are acceptable if not
             performed within 28 days of the first dose of study treatment.

          -  Has received any anti-neoplastic systemic chemotherapy or biological therapy, targeted
             therapy, or an anticancer hormonal therapy within 3 weeks prior to the first dose of
             study intervention.

          -  Has a primary cancer of unknown origin.

          -  Has received prior radiotherapy within 2 weeks of start of study intervention.
             Participants must have recovered from all radiation-related toxicities, not require
             corticosteroids, and not have had radiation pneumonitis. A 1-week washout is permitted
             for palliative radiation (≤2 weeks of radiotherapy) to non-CNS disease.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Objective Response Rate (ORR)
Time Frame:Up to 53 months
Safety Issue:
Description:ORR is defined as the percentage of participants who achieve a confirmed complete response ([CR]; disappearance of all target lesions) or partial response ([PR]: ≥30% decrease in the sum of diameters of target lesions) as assessed by blinded independent central review (BICR) per Response Evaluation Criteria in Solid Tumors 1.1, modified to follow a maximum of 10 target lesions in total and a maximum of 5 target lesions per organ (modified RECIST 1.1). For participants with prostate cancer, ORR will be based on Prostate Cancer Working Group (PCWG)-modified RECIST 1.1 as assessed by BICR.

Secondary Outcome Measures

Measure:Duration of Response (DOR)
Time Frame:Up to 53 months
Safety Issue:
Description:DOR is defined as the time from first documented evidence of CR or PR until the first documented sign of disease progression or death due to any cause, whichever occurs first. DOR will be assessed by BICR according to either modified RECIST 1.1 or PCWG-modified RECIST 1.1 for participants with prostate cancer.
Measure:Overall Survival (OS)
Time Frame:Up to 53 months
Safety Issue:
Description:OS is defined as the time from the date of the first dose to the date of death due to any cause.
Measure:Progression Free Survival (PFS)
Time Frame:Up to 53 months
Safety Issue:
Description:PFS is defined as the time from the date of the first dose to either: 1) the first documented disease progression as assessed either by BICR according to modified RECIST 1.1 or PCWG-modified RECIST 1.1 for participants with prostate cancer; or 2) death due to any cause, whichever occurs first.
Measure:Number of Participants Experiencing an Adverse Event (AE)
Time Frame:Up to 53 months
Safety Issue:
Description:An AE is any unfavorable and unintended sign, symptom, or disease (new or exacerbated) in a clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. The number of participants experiencing an AE will be assessed.
Measure:Number of Participants Discontinuing Study Treatment due to an Adverse Event (AE)
Time Frame:Up to 52 months
Safety Issue:
Description:The number of participants discontinuing study treatment due to an AE will be assessed.
Measure:Objective Response Rate (ORR) in Participants with HRRm or HRD Positive Cancer
Time Frame:Up to 53 months
Safety Issue:
Description:For participants with homologous recombination repair mutation (HRRm) or homologous recombination deficiency (HRD) positive cancer, the ORR will be assessed. ORR is defined as the percentage of participants who achieve a confirmed complete response ([CR]; disappearance of all target lesions) or partial response ([PR]: ≥30% decrease in the sum of diameters of target lesions) as assessed by blinded independent central review (BICR) per Response Evaluation Criteria in Solid Tumors 1.1, modified to follow a maximum of 10 target lesions in total and a maximum of 5 target lesions per organ (modified RECIST 1.1). For participants with prostate cancer, ORR will be based on Prostate Cancer Working Group (PCWG)-modified RECIST 1.1 as assessed by BICR.
Measure:Time to Earliest Progression by Cancer Antigen-125 (CA-125)
Time Frame:Up to 53 months
Safety Issue:
Description:For participants with BRCA1/2 non-mutated ovarian cancer only, the time to earliest progression by CA-125 will be assessed. Progression by CA-125 is defined as an increase in CA-125 level ≥2x upper limit normal (ULN) on 2 occasions, 1 week apart. For participants with elevated CA-125 (≥ULN) at baseline, progression by CA-125 is defined as an increase in CA-125 level ≥2x the nadir value on 2 occasions, 1 week apart.
Measure:Prostate-specific Antigen (PSA) Response Rate in Participants with Prostate Cancer
Time Frame:Up to 53 months
Safety Issue:
Description:For participants with prostate cancer, the PSA response rate will be presented. PSA response rate is defined as the percentage of participants in the analysis population with PSA reduction of ≥50% from baseline measured twice at least 3 weeks apart.
Measure:Progression-Free Survival After Next-Line Treatment in Participants with sBRCAm Breast Cancer
Time Frame:Up to 53 months
Safety Issue:
Description:For participants with somatic BRCA mutated (sBRCAm) breast cancer, the PFS after next-line treatment will be presented. PFS is defined as the time from the date of the first dose to either: 1) the first documented disease progression on the next-line of treatment, as assessed by BICR according to modified RECIST 1.1; or 2) death due to any cause, whichever occurs first.

Details

Phase:Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Merck Sharp & Dohme Corp.

Last Updated

August 26, 2021