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Brief Title: A Translational Study of Single Agent Olaparib in the Treatment of Advanced Oesophagogastric Cancer
Official Title: A Translational Phase II Study of Single Agent Olaparib in the Treatment of Advanced Oesophagogastric Cancer
Study ID: NCT03829345
Brief Summary: SOlar is a multi-centre phase II clinical trial of single agent olaparib in advanced oesophagogastric cancer.
Detailed Description: Gastric and oesophageal cancers are a significant health burden and are a leading cause of cancer related death. Despite improvements in survival over the last 4 decades overall the outcomes remain poor. In patients with advanced disease the outlook is particularly bleak with survival rates of less than one year with first line chemotherapy. New treatments are urgently needed to improve the poor survival rates in these cancers. Olaparib is a PARP inhibitor which blocks poly(ADP-ribose) polymerase (PARP) 1, an enzyme which is involved in repair of damaged DNA. By inhibiting PARP1 olaparib prevents repair of damaged DNA. Cells with unrepaired DNA cannot survive and die. This trial is designed to assess the efficacy and safety/tolerability of olaparib in patients with advanced oesophagogastric cancer. It will be conducted in two stages: * The first stage will evaluate the efficacy of olaparib in 27 patients. If 4 or fewer patients have control of their disease at 8 weeks then the trial for the olaparib arm will stop and no further patients will be recruited to the study. If 5-13 patients have control of their disease at 8 weeks then the study will progress to stage 2. If 14 or more patients have disease control at 8 weeks then a larger study may be opened in an unselected population. * The second stage will evaluate disease control in a further 27 patients. This is to allow identification of potential biomarkers of response.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Claire Saffery, Sutton, Surrey, United Kingdom
Claire Saffery, Sutton, , United Kingdom
Name: Doctor Starling
Affiliation: Royal Marsden NHS Foundation Trust
Role: PRINCIPAL_INVESTIGATOR