Clinical Trial Details
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NCT03233204 : Olaparib in Treating Patients With Relapsed or Refractory Advanced Solid Tumors, Non-Hodgkin Lymphoma, or Histiocytic Disorders With Defects in DNA Damage Repair Genes (A Pediatric MATCH Treatment Trial)
PhasePhase 2
AgesMin: 12 Months Max: 21 Years
Inclusion Criteria:

- Patient must have enrolled onto APEC1621SC and must have been given a treatment
assignment to Molecular Analysis for Therapy Choice (MATCH) to APEC1621H based on the
presence of an actionable mutation

- Patients must have a body surface area >= 0.65 m^2 at enrollment

- Patients must have radiographically measurable disease at the time of study
enrollment; patients with neuroblastoma who do not have measurable disease but have
iobenguane (MIBG) positive (+) evaluable disease are eligible; measurable disease in
patients with CNS involvement is defined as tumor that is measurable in two
perpendicular diameters on magnetic resonance imaging (MRI) and visible on more than
one slice

- Note: The following do not qualify as measurable disease:

- Malignant fluid collections (e.g., ascites, pleural effusions)

- Bone marrow infiltration except that detected by MIBG scan for neuroblastoma

- Lesions only detected by nuclear medicine studies (e.g., bone, gallium or
positron emission tomography [PET] scans) except as noted for neuroblastoma

- Elevated tumor markers in plasma or cerebrospinal fluid (CSF)

- Previously radiated lesions that have not demonstrated clear progression
post radiation

- Leptomeningeal lesions that do not meet the measurement requirements for
Response Evaluation Criteria in Solid Tumors (RECIST) 1.1

- Karnofsky >= 50% for patients > 16 years of age and Lansky >= 50 for patients =< 16
years of age

- Note: Neurologic deficits in patients with CNS tumors must have been relatively
stable for at least 7 days prior to study enrollment; patients who are unable to
walk because of paralysis, but who are up in a wheelchair, will be considered
ambulatory for the purpose of assessing the performance score

- Patients must have fully recovered from the acute toxic effects of all prior
anti-cancer therapy and must meet the following minimum duration from prior
anti-cancer directed therapy prior to enrollment; if after the required timeframe, the
numerical eligibility criteria are met, e.g. blood count criteria, the patient is
considered to have recovered adequately

- Cytotoxic chemotherapy or other anti-cancer agents known to be myelosuppressive

- >= 21 days after the last dose of cytotoxic or myelosuppressive chemotherapy
(42 days if prior nitrosourea)

- Anti-cancer agents not known to be myelosuppressive (e.g. not associated with
reduced platelet or absolute neutrophil count [ANC] counts): >= 7 days after the
last dose of agent

- Antibodies: >= 21 days must have elapsed from infusion of last dose of antibody,
and toxicity related to prior antibody therapy must be recovered to grade =< 1

- Corticosteroids: If used to modify immune adverse events related to prior
therapy, >= 14 days must have elapsed since last dose of corticosteroid

- Hematopoietic growth factors: >= 14 days after the last dose of a long-acting
growth factor (e.g. pegfilgrastim) or 7 days for short-acting growth factor; for
growth factors that have known adverse events occurring beyond 7 days after
administration, this period must be extended beyond the time during which adverse
events are known to occur; the duration of this interval must be discussed with
the study chair and the study-assigned research coordinator

- Interleukins, interferons and cytokines (other than hematopoietic growth
factors): >= 21 days after the completion of interleukins, interferon or
cytokines (other than hematopoietic growth factors)

- Stem cell infusions (with or without total body irradiation [TBI]):

- Allogeneic (non-autologous) bone marrow or stem cell transplant, or any stem
cell infusion including donor lymphocyte infusion (DLI) or boost infusion:
>= 84 days after infusion and no evidence of graft versus host disease

- Autologous stem cell infusion including boost infusion: >= 42 days

- Cellular therapy: >= 42 days after the completion of any type of cellular therapy
(e.g. modified T cells, natural killer [NK] cells, dendritic cells, etc.)

- Radiation therapy (XRT)/external beam irradiation including protons: >= 14 days
after local XRT; >= 150 days after TBI, craniospinal XRT or if radiation to >=
50% of the pelvis; >= 42 days if other substantial bone marrow (BM) radiation

- Note: Radiation may not be delivered to "measurable disease" tumor site(s)
being used to follow response to subprotocol treatment

- Radiopharmaceutical therapy (e.g., radiolabeled antibody, 131iodine [I]-MIBG): >=
42 days after systemically administered radiopharmaceutical therapy

- Patients must not have received prior exposure to olaparib, veliparib, niraparib,
rucaparib, talazoparib or other poly adenosine diphosphate ribose polymerase
inhibitors (PARPi)

- For patients with solid tumors without known bone marrow involvement:

- Peripheral absolute neutrophil count (ANC) >= 1000/mm^3

- Platelet count >= 100,000/mm^3 (transfusion independent, defined as not receiving
platelet transfusions for at least 7 days prior to enrollment)

- Patients with known bone marrow metastatic disease will be eligible for study provided
they meet the blood counts in (may receive platelet or packed red blood cells [pRBC]
transfusions provided they are not known to be refractory to red cell or platelet
transfusions); these patients will not be evaluable for hematologic toxicity

- Creatinine clearance or radioisotope glomerular filtration rate (GFR) >= 70
ml/min/1.73 m^2 or

- A serum creatinine based on age/gender as follows:

- Age 1 to < 2 years: maximum serum creatinine 0.6 mg/dL for male and 0.6 mg/dL for

- Age 2 to < 6 years: maximum serum creatinine 0.8 mg/dL for male and 0.8 mg/dL for

- Age 6 to < 10 years: maximum serum creatinine 1 mg/dL for male and 1 mg/dL for

- Age 10 to < 13 years: maximum serum creatinine 1.2 mg/dL for male and 1.2 mg/dL
for female

- Age 13 to < 16 years: maximum serum creatinine 1.5 mg/dL for male and 1.4 mg/dL
for female

- Age >= 16 years: maximum serum creatinine 1.7 mg/dL for male and 1.4 mg/dL for

- Patients with solid tumors: bilirubin (sum of conjugated + unconjugated) =< 1.5 x
upper limit of normal (ULN) for age

- Patients with solid tumors: serum glutamic pyruvic transaminase (SGPT) (alanine
aminotransferase [ALT]) =< 135 U/L; (for the purpose of this study, the ULN for SGPT
is 45 U/L)

- Patients with solid tumors: serum albumin >= 2 g/dL

- Activated partial thromboplastin time (aPTT) =< 1.5 x ULN

- International normalized ratio (INR) =< 1.5

- Patients must be able to swallow intact tablets

- All patients and/or their parents or legally authorized representatives must sign a
written informed consent; assent, when appropriate, will be obtained according to
institutional guidelines

Exclusion Criteria:

- Pregnant or breast-feeding women will not be entered on this study; pregnancy tests
must be obtained in girls who are post-menarchal; women of child-bearing potential and
their partners should agree to use two (2) highly effective forms of contraception
throughout study participation and for at least one (1) month after the last dose of
olaparib; male study participants should avoid fathering a child or donating sperm
during the study and for three (3) months after the last dose of olaparib

- Concomitant medications

- Corticosteroids: patients receiving corticosteroids who have not been on a stable
or decreasing dose of corticosteroid for at least 7 days prior to enrollment are
not eligible; if used to modify immune adverse events related to prior therapy,
>= 14 days must have elapsed since last dose of corticosteroid

- Investigational drugs: patients who are currently receiving another
investigational drug are not eligible

- Anti-cancer agents: patients who are currently receiving other anti-cancer agents
are not eligible

- Anti-GVHD agents post-transplant: patients who are receiving cyclosporine,
tacrolimus or other agents to prevent graft-versus-host disease post bone marrow
transplant are not eligible for this trial

- CYP3A/CYP3A4 agents: patients who are currently receiving drugs that are strong
and moderate inducers or inhibitors of CYP3A or CYP3A4 are not eligible; strong
inducers or inhibitors of CYP3A4 should be avoided from 21 days prior to
enrollment to the end of the study

- Patients who have an uncontrolled infection are not eligible

- Patient who are known to be serologically positive for human immunodeficiency virus

- Patients with known active hepatitis (i.e. hepatitis B or C)

- Patients who have received a prior solid organ transplantation are not eligible

- Patients with symptomatic uncontrolled brain metastases; a scan to confirm the absence
of brain metastases is not required; the patient can receive a stable dose of
corticosteroids before and during the study as long as these were started at least 4
weeks prior to enrollment; patients with spinal cord compression unless considered to
have received definitive treatment for this and evidence of clinically stable disease
for 28 days

- Patients with known symptomatic Fanconi anemia (FA), ataxia-telangiectasia (A-T)
syndrome, Bloom syndrome (BS) and Nijmegen breakage syndrome (NBS) are not eligible
(asymptomatic carriers are acceptable)

- Major surgery must not have occurred within 2 weeks prior to enrollment and patients
must have recovered from any effects of any major surgery

- Patients who in the opinion of the investigator may not be able to comply with the
safety monitoring requirements of the study are not eligible
LinksPermanent Link to THIS page:      |      Link to official listing
Birmingham, Alabama
Facility: Children's Hospital of Alabama
Investigator: Elizabeth D. Alva
Contact: Elizabeth D. Alva
Click HERE to send email to this center

Mesa, Arizona
Facility: Cardon Children's Medical Center
Investigator: Erlyn C. Smith
Contact: Erlyn C. Smith
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Little Rock, Arkansas
Facility: Arkansas Children's Hospital
Investigator: David L. Becton
Contact: David L. Becton
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Downey, California
Facility: Southern California Permanente Medical Group
Investigator: Robert M. Cooper
Contact: Robert M. Cooper Phone: 626-564-3455
Email not avaialable

Long Beach, California
Facility: Miller Children's and Women's Hospital Long Beach
Investigator: Pamela H. Kempert
Contact: Pamela H. Kempert
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Madera, California
Facility: Children's Hospital Central California
Investigator: Vonda L. Crouse
Contact: Vonda L. Crouse
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Oakland, California
Facility: Children's Hospital and Research Center at Oakland
Investigator: Carla B. Golden
Contact: Carla B. Golden
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Oakland, California
Facility: Kaiser Permanente-Oakland
Investigator: Steven K. Bergstrom
Contact: Steven K. Bergstrom Phone: 510-891-3400
Email not avaialable

Wilmington, Delaware
Facility: Alfred I duPont Hospital for Children
Investigator: Scott M. Bradfield
Contact: Scott M. Bradfield Phone: 302-651-5755
Email not avaialable

Washington, District of Columbia
Facility: Children's National Medical Center
Investigator: Jeffrey S. Dome
Contact: Jeffrey S. Dome
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Gainesville, Florida
Facility: University of Florida Health Science Center - Gainesville
Investigator: William B. Slayton
Contact: William B. Slayton
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Jacksonville, Florida
Facility: Nemours Children's Clinic-Jacksonville
Investigator: Scott M. Bradfield
Contact: Scott M. Bradfield
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Miami, Florida
Facility: University of Miami Miller School of Medicine-Sylvester Cancer Center
Investigator: Julio C. Barredo
Contact: Julio C. Barredo Phone: 305-243-2647
Email not avaialable

Miami, Florida
Facility: Nicklaus Children's Hospital
Investigator: Enrique A. Escalon
Contact: Enrique A. Escalon
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Orlando, Florida
Facility: Arnold Palmer Hospital for Children
Investigator: Vincent F. Giusti
Contact: Vincent F. Giusti Phone: 321-843-2584
Email not avaialable

Orlando, Florida
Facility: Nemours Children's Hospital
Investigator: Scott M. Bradfield
Contact: Scott M. Bradfield
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Pensacola, Florida
Facility: Nemours Children's Clinic - Pensacola
Investigator: Scott M. Bradfield
Contact: Scott M. Bradfield
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Tampa, Florida
Facility: Saint Joseph's Hospital/Children's Hospital-Tampa
Investigator: Mark J. Mogul
Contact: Mark J. Mogul
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Boise, Idaho
Facility: Saint Luke's Mountain States Tumor Institute
Investigator: Eugenia Chang
Contact: Eugenia Chang
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Indianapolis, Indiana
Facility: Riley Hospital for Children
Investigator: Kamnesh R. Pradhan
Contact: Kamnesh R. Pradhan Phone: 800-248-1199
Email not avaialable

Des Moines, Iowa
Facility: Blank Children's Hospital
Investigator: Wendy L. Woods-Swafford
Contact: Wendy L. Woods-Swafford
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New Orleans, Louisiana
Facility: Ochsner Medical Center Jefferson
Investigator: Craig Lotterman
Contact: Craig Lotterman Phone: 504-842-3708
Email not avaialable

Baltimore, Maryland
Facility: Johns Hopkins University/Sidney Kimmel Cancer Center
Investigator: Kenneth J. Cohen
Contact: Kenneth J. Cohen Phone: 410-955-8804
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Ann Arbor, Michigan
Facility: C S Mott Children's Hospital
Investigator: Rajen Mody
Contact: Rajen Mody
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Minneapolis, Minnesota
Facility: Children's Hospitals and Clinics of Minnesota - Minneapolis
Investigator: Michael K. Richards
Contact: Michael K. Richards
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Minneapolis, Minnesota
Facility: University of Minnesota/Masonic Cancer Center
Investigator: Emily G. Greengard
Contact: Emily G. Greengard
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Jackson, Mississippi
Facility: University of Mississippi Medical Center
Investigator: Anderson (Andy) B. Collier
Contact: Anderson (Andy) B. Collier Phone: 601-815-6700
Email not avaialable

Saint Louis, Missouri
Facility: Washington University School of Medicine
Investigator: Robert J. Hayashi
Contact: Robert J. Hayashi Phone: 800-600-3606
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Saint Louis, Missouri
Facility: Mercy Hospital Saint Louis
Investigator: Bethany G. Sleckman
Contact: Bethany G. Sleckman Phone: 314-251-6770
Email not avaialable

Buffalo, New York
Facility: Roswell Park Cancer Institute
Investigator: Clare J. Twist
Contact: Clare J. Twist Phone: 877-275-7724
Email not avaialable

New Hyde Park, New York
Facility: The Steven and Alexandra Cohen Children's Medical Center of New York
Investigator: Julie I. Krystal
Contact: Julie I. Krystal
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Rochester, New York
Facility: University of Rochester
Investigator: Jeffrey R. Andolina
Contact: Jeffrey R. Andolina Phone: 585-275-5830
Email not avaialable

Syracuse, New York
Facility: State University of New York Upstate Medical University
Investigator: Philip M. Monteleone
Contact: Philip M. Monteleone Phone: 315-464-5476
Email not avaialable

Asheville, North Carolina
Facility: Mission Hospital-Memorial Campus
Investigator: Douglas J. Scothorn
Contact: Douglas J. Scothorn Phone: 828-213-4150
Email not avaialable

Cincinnati, Ohio
Facility: Cincinnati Children's Hospital Medical Center
Investigator: James I. Geller
Contact: James I. Geller
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Cleveland, Ohio
Facility: Cleveland Clinic Foundation
Investigator: Aron Flagg
Contact: Aron Flagg Phone: 866-223-8100
Email not avaialable

Dayton, Ohio
Facility: Dayton Children's Hospital
Investigator: Ayman A. El-Sheikh
Contact: Ayman A. El-Sheikh
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Toledo, Ohio
Facility: The Toledo Hospital/Toledo Children's Hospital
Investigator: Jamie L. Dargart
Contact: Jamie L. Dargart Phone: 419-824-1842
Email not avaialable

Oklahoma City, Oklahoma
Facility: University of Oklahoma Health Sciences Center
Investigator: Rene Y. McNall-Knapp
Contact: Rene Y. McNall-Knapp Phone: 405-271-8777
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Portland, Oregon
Facility: Legacy Emanuel Children's Hospital
Investigator: Janice F. Olson
Contact: Janice F. Olson
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Portland, Oregon
Facility: Oregon Health and Science University
Investigator: Suman Malempati
Contact: Suman Malempati Phone: 503-494-1080
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Philadelphia, Pennsylvania
Facility: Children's Hospital of Philadelphia
Investigator: Elizabeth Fox
Contact: Elizabeth Fox
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Philadelphia, Pennsylvania
Facility: Childrens Oncology Group
Investigator: Julia Glade-Bender
Contact: Julia Glade-Bender Phone: 212-305-8615
Email not avaialable

Pittsburgh, Pennsylvania
Facility: Children's Hospital of Pittsburgh of UPMC
Investigator: Jean M. Tersak
Contact: Jean M. Tersak
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Greenville, South Carolina
Facility: BI-LO Charities Children's Cancer Center
Investigator: Nichole L. Bryant
Contact: Nichole L. Bryant
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Sioux Falls, South Dakota
Facility: Sanford USD Medical Center - Sioux Falls
Investigator: Kayelyn J. Wagner
Contact: Kayelyn J. Wagner Phone: 605-328-1367
Email not avaialable

Memphis, Tennessee
Facility: St. Jude Children's Research Hospital
Investigator: Alberto S. Pappo
Contact: Alberto S. Pappo
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Austin, Texas
Facility: Dell Children's Medical Center of Central Texas
Investigator: Amy C. Fowler
Contact: Amy C. Fowler
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Dallas, Texas
Facility: UT Southwestern/Simmons Cancer Center-Dallas
Investigator: Theodore W. Laetsch
Contact: Theodore W. Laetsch Phone: 214-648-7097
Email not avaialable

Fort Worth, Texas
Facility: Cook Children's Medical Center
Investigator: Kelly L. Vallance
Contact: Kelly L. Vallance
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Houston, Texas
Facility: Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
Investigator: Jodi Muscal
Contact: Jodi Muscal Phone: 713-798-1354
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Norfolk, Virginia
Facility: Childrens Hospital-King's Daughters
Investigator: Eric J. Lowe
Contact: Eric J. Lowe
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Seattle, Washington
Facility: Seattle Children's Hospital
Investigator: Douglas S. Hawkins
Contact: Douglas S. Hawkins
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Spokane, Washington
Facility: Providence Sacred Heart Medical Center and Children's Hospital
Investigator: Judy L. Felgenhauer
Contact: Judy L. Felgenhauer
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Morgantown, West Virginia
Facility: West Virginia University Healthcare
Investigator: Stephan R. Paul
Contact: Stephan R. Paul Phone: 304-293-7374
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Madison, Wisconsin
Facility: University of Wisconsin Hospital and Clinics
Investigator: Kenneth B. De Santes
Contact: Kenneth B. De Santes Phone: 800-622-8922
Email not avaialable

Milwaukee, Wisconsin
Facility: Children's Hospital of Wisconsin
Investigator: Paul D. Harker-Murray
Contact: Paul D. Harker-Murray Phone: 414-955-4727
Click HERE to send email to this center

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