SOLO1 and SOLO2: Randomized phase III trials of olaparib in patients (pts) with ovarian cancer and a BRCA1/2 mutation (BRCAm).

Authors

Kathleen Moore

Kathleen N. Moore

University of Oklahoma Health Sciences Center, Oklahoma City, OK

Kathleen N. Moore , Paul DiSilvestro , Elizabeth S. Lowe , Sally Garnett , Eric Pujade-Lauraine

Organizations

University of Oklahoma Health Sciences Center, Oklahoma City, OK, Women and Infants Hospital/The Warren Alpert Medical School of Brown University, Providence, RI, AstraZeneca, Wilmington, DE, AstraZeneca, Macclesfield, United Kingdom, GINECO and Université Paris Descartes, Paris, France

Research Funding

Pharmaceutical/Biotech Company

Background: In a pivotal Phase II trial (NCT00753545), maintenance treatment with the oral PARP inhibitor olaparib (400 mg bid; capsules) led to a significant PFS improvement vs placebo in pts with platinum-sensitive, relapsed serous ovarian cancer (Ledermann et al NEJM 2012), with the greatest PFS benefit seen in pts with a BRCAm (HR=0.18, 95% CI 0.10–0.31, P<0.00001; Ledermann et al ASCO 2013). Two AstraZeneca-sponsored Phase III trials of olaparib maintenance monotherapy have been initiated in ovarian cancer pts with a BRCAm: SOLO1 (NCT01844986); SOLO2 (NCT01874353). Methods: SOLO1 and SOLO2 are double-blind multicenter studies in which pts are being randomized (2:1) to receive olaparib (300 mg [2 x 150 mg tablets] bid) or placebo. Both trials are recruiting pts with high-grade serous or endometrioid ovarian cancer, including primary peritoneal and/or fallopian tube cancer, who have a known deleterious (or suspected deleterious) BRCAm and who are in complete or partial response following the completion of platinum-based chemotherapy. To be eligible for SOLO1, pts must have newly diagnosed, advanced (FIGO stage III–IV) disease and have responded to first-line platinum therapy, whereas pts in SOLO2 must have completed ≥2 lines of platinum therapy. All eligible pts will have a BRCAm and will undergo germline BRCA testing (Myriad Integrated BRACAnalysis) as part of the trials. For both trials, the primary objective is PFS by blinded independent central review using RECIST v1.1. Radiologic scans will be performed at baseline and every 12 weeks for 120 (SOLO1) or 72 (SOLO2) weeks, and every 24 weeks thereafter. Blinded treatment will continue until objective disease progression. Primary analyses will be performed at ≈60% maturity using log-rank tests. Other objectives for both trials include: overall survival; time to earliest progression (RECIST or CA-125); time from randomization to second progression (PFS2); HRQoL; tolerability. Enrollment began in Sep 2013. As of Jan 2014, both trials have recruited approximately 10% of the target patient population. Target recruitment: SOLO1, n≈344 randomized pts (≈110 sites worldwide); SOLO2, n≈264 randomized pts (≈80 sites worldwide). Clinical trial information: NCT01844986 and NCT01874353.

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Abstract Details

Meeting

2014 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Gynecologic Cancer

Track

Gynecologic Cancer

Sub Track

Ovarian Cancer

Clinical Trial Registration Number

NCT01844986 and NCT01874353

Citation

J Clin Oncol 32:5s, 2014 (suppl; abstr TPS5616)

DOI

10.1200/jco.2014.32.15_suppl.tps5616

Abstract #

TPS5616

Poster Bd #

395B

Abstract Disclosures