The OPARATIC trial has paved the way for two additional clinical trials — PARADIGM and PARADIGM - 2 — testing
olaparib in combination with radiotherapy and temozolomide in patients with newly diagnosed glioblastoma.
A Phase 1/2 Study of
Olaparib in Combination with Ramucirumab in Metastatic Gastric and Gastroesophageal Junction Adenocarcinoma
Hence, a total of 90 patients from nine centers were randomly assigned to one of two study arms for the phase II clinical trial: the first taking capsules of olaparib (400 mg twice daily) and the other taking a combination of the two drugs (200 mg
olaparib in capsule - form twice daily and 30 mg tablets of cediranib once daily).
«We are really excited to now be moving forward with the next phase of our trial, which will be a key step in the evaluation of
olaparib in advanced prostate cancer.»
They found that cancer cells had acquired new genetic changes that cancelled out the original errors in DNA repair — particularly in the genes BRCA2 and PALB2 — that had made the cancer susceptible to
olaparib in the first place.
Not exact matches
Olaparib is good at killing cancer cells that have errors
in genes that have a role
in repairing damaged DNA such as BRCA1 or BRCA2.
It could
in future allow the PARP inhibitor
olaparib to become a standard treatment for advanced prostate cancer, by targeting the drug at the men most likely to benefit, picking up early signs that it might not be working, and monitoring for the later development of resistance.
Olaparib was approved by the FDA
in 2014 to treat ovarian cancers with BRCA mutations.
In particular, it has been shown that cells with other HR repair pathway defects, such as BRCA mutations frequently found in breast and ovarian cancer, are sensitive to inhibition of the enzyme PARP, and the PARP inhibitor Olaparib has been approved for treatment of BRCA - mutated ovarian cancer
In particular, it has been shown that cells with other HR repair pathway defects, such as BRCA mutations frequently found
in breast and ovarian cancer, are sensitive to inhibition of the enzyme PARP, and the PARP inhibitor Olaparib has been approved for treatment of BRCA - mutated ovarian cancer
in breast and ovarian cancer, are sensitive to inhibition of the enzyme PARP, and the PARP inhibitor
Olaparib has been approved for treatment of BRCA - mutated ovarian cancers.
In tumors formed by human breast cancer cells, DNA damage (brown staining) is increased by simultaneous
Olaparib treatment and PGAM1 suppression (right) when compared to either
Olaparib treatment (left) or PGAM1 suppression (center) alone.
In this study, the researchers tested the effects of
Olaparib on the tumors formed by human breast cancer cells injected into mice.
«The current options for maintenance therapy
in the EU are bevacizumab, which can only be given once and improves progression - free survival by just a few months, and the PARP inhibitor
olaparib, which is only approved
in patients with a germline BRCA mutation (about 10 - 15 % of ovarian cancer patients).
Olaparib stopped prostate cancer growth, generating falls
in prostate specific antigen (PSA) levels, falls
in circulating tumour cell counts
in the blood, and radiological responses on CT scans and MRI.
PARP (Poly ADP - Ribose Polymerase) inhibitors, such as
olaparib, are targeted drugs that block an enzyme involved
in many functions
in the cell, including the repair of DNA damage.
«Our trial shows that
olaparib is effective
in men with defects
in DNA repair genes who do not necessarily have an inherited risk of cancer — and that we can pick up these defects
in the clinic.
Olaparib was licensed
in December for women with ovarian cancer and inherited BRCA mutations, but the new research suggests it could also benefit men with genomic faults within their tumours.
An anti-angiogenic agent, or blood vessel inhibitor, called cediranib (which inhibits a protein known as VEGFR) and
olaparib, a PARP inhibitor, are each clinically active
in recurrent ovarian cancer.
The results will lead on to the start of TOPARP - B, a second part of the trial
in which only men with detectable DNA repair mutations will receive
olaparib.
In the trial, researchers monitored the response of 49 men with treatment - resistant, advanced prostate cancer to
olaparib.
If the results of TOPARP - A are replicated
in TOPARP - B,
olaparib could become a treatment option
in advanced prostate cancer.
«The findings of this study are exciting because they support the idea that combining these two targeted oral therapies results
in significant activity
in ovarian cancer, more so than
olaparib alone,» said Joyce Liu, M.D., MPH, the lead investigator and medical oncologist at the Susan F. Smith Center for Women's Cancers at Dana - Farber Cancer Institute, Boston.
A Phase II Study of the PARP Inhibitor
Olaparib (AZD2281) Alone and
in Combination with AZD1775, AZD5363, or AZD2014
in Advanced Solid Tumors - OLAPCO (
OLAParib COmbinations)
A Phase III, Open Label, Randomized Study to Assess the Efficacy and Safety of
Olaparib (Lynparza) versus Enzalutamide or Abiraterone Acetate
in Men with Metastatic Castration - Resistant Prostate Cancer who have Failed Prior Treatment with a New Hormonal Agent and have Homologous Recombination Repair Gene Mutations.
A Randomized Phase 2 Trial of Cediranib and
Olaparib Compared to Bevacizumab
in Patients with Recurrent Glioblastoma who have not received Prior VEGF Therapy
Olaparib targets a molecule called PARP, and exploits weaknesses
in cancer cells» ability to repair damage to their DNA.
Tumours shrank
in about 60 % of women who received the targeted drug, called
olaparib (Lynparza), compared with 29 % of those who received chemotherapy.
A Randomized Phase 2 Study of Cediranib
in Combination with
Olaparib versus
Olaparib Alone
in Men with Metastatic Castration Resistant Prostate Cancer
An international research team, led by University College London's Professor Jonathan Ledermann, carried out a trial to see whether
olaparib could have a role to play
in preventing ovarian cancer from coming back
in this group of patients.
Olaparib, taken
in pill form, was designed to target cancers containing faulty BRCA1 and BRCA2 genes, while leaving healthy cells unharmed.
Cancer Research UK, who did not fund the trial but have played an important role
in the development of PARP inhibitors like
olaparib, said the results highlighted their potential.
Olaparib was also detected
in 27 of 28 tumour margin specimens from 10 patients (mean concentration 500nM).
Researchers evaluated the maximum tolerated schedule and also measured
olaparib exposure
in tumour core, tumour margin and plasma following four doses.
«But these results suggest that
olaparib is able to leak through because this barrier is disrupted
in glioblastoma.
However, the mechanism of resistance
in prostate cancer, and to PARPi other than
olaparib, is unknown.
Olaparib resistance
in patient 2 was associated with reversion mutations.
In ovarian or breast cancers,
olaparib resistance has been associated with HRR restoration, including by BRCA2 mutation reversion.
Here, we identify BRCA2 reversion mutations associated with
olaparib and talazoparib resistance
in patients with prostate cancer.
Professor Susan Short, member of NCRI's Radiotherapy Research Working Group, said: «We're just beginning to realise the full potential of PARP inhibitors to tackle many different types of cancer, so it's exciting to see that
olaparib could potentially be used to treat glioblastoma
in combination with chemotherapy and radiotherapy.
**
Olaparib was detected
in 73 of 74 tumour core specimens from 27 patients (mean concentration: 588nM).
Here, we show BRCA2 reversion mutations
in patients with prostate cancer with metastatic disease who developed resistance to talazoparib and
olaparib.