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Brief Title: Analysis of Olaparib Response in Patients With BRCA1 and/or 2 Promoter Methylation Diagnosed of Advanced Breast Cancer
Official Title: A Phase II Clinical Trial to Analyse Olaparib Response in Patients With BRCA1 and/or 2 Promoter Methylation Diagnosed of Advanced Breast Cancer (COMETA-Breast Study)
Study ID: NCT03205761
Brief Summary: This is a multicenter single-arm phase II clinical trial to evaluate the efficacy and safety of olaparib in patients diagnosed of advanced triple negative breast cancer (TNBC) with methylation of BRCA1 and/or BRCA2 promoters assessed in DNA from metastatic lesions and absence of BRCA1 and 2 germline mutations.
Detailed Description: Patients must have received at least one previous regimen in the advance disease setting and must have at least one measurable lesion that can be accurately assessed according to RECIST v.1.1. Potential eligible patients will be screened to assess somatic (s) BRCA promoter methylation at an reference central laboratory. Germinal (g) BRCA mutational status will be analyzed also centrally at 'Myriad Genetics GmBh' laboratory unless the BRCA mutational status is already known based on a Myriad previous report. Patients with a positive methylation status on at least one of the two genes and lacking of known deleterious or suspected deleterious mutations in both genes could be enrolled in the study and receive olaparib. Blood and tumor samples collected from all screened patients could be used for the biomarker analysis, including the assessment of germline methylation status and gene expression levels of BRCA1/2. An early efficacy review will be performed after 12 evaluable patients are enrolled; if at least 4 of them show tumour response, additional patients will be included to complete a total of 34 patients.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: FEMALE
Healthy Volunteers: No
Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, Spain
Hospital Universitario San Joan de Reus, Reus, Tarragona, Spain
Hospital del Mar, Barcelona, , Spain
Hospital Universitario Vall d´Hebron, Barcelona, , Spain
Hospital Clinic i Provincial, Barcelona, , Spain
Hospital de la Santa Creu i Sant Pau, Barcelona, , Spain
Complejo Hospitalario Universitario Reina Sofía, Cordoba, , Spain
Hospital San Pedro de Alcántara, Cáceres, , Spain
Hospital General Universitario Gregorio Marañón, Madrid, , Spain
Centro Oncológico MD Anderson International España, Madrid, , Spain
Hospital Universitario Puerta de Hierro Majadahonda, Madrid, , Spain
Hospital Universitario Virgen de la Macarena, Sevilla, , Spain
Instituto Valenciano de Oncología (IVO), Valencia, , Spain
Hospital Clínico Universitario de Valencia, Valencia, , Spain
Hospital Clínico Universitario de Zaragoza "Lozano Blesa", Zaragoza, , Spain
Hospital Universitario Miguel Servet, Zaragoza, , Spain
Name: Study Director
Affiliation: Complejo Hospitalario Universitario Reina Sofía
Role: STUDY_DIRECTOR