<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT03787680</url>
  </required_header>
  <id_info>
    <org_study_id>UMCC 2018.108</org_study_id>
    <secondary_id>HUM00152799</secondary_id>
    <nct_id>NCT03787680</nct_id>
  </id_info>
  <brief_title>Targeting Resistant Prostate Cancer With ATR and PARP Inhibition (TRAP Trial)</brief_title>
  <official_title>A Multi-Center Phase II Study Testing the Activity of Olaparib and AZD6738 (ATR Inhibitor) in Metastatic Castration-Resistant Prostate Cancer</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>University of Michigan Rogel Cancer Center</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
  </sponsors>
  <source>University of Michigan Rogel Cancer Center</source>
  <oversight_info>
    <is_fda_regulated_drug>Yes</is_fda_regulated_drug>
    <is_fda_regulated_device>No</is_fda_regulated_device>
  </oversight_info>
  <brief_summary>
    <textblock>
      The purpose of this study is to test the effectiveness (how well the drugs work), safety, and&#xD;
      tolerability of the investigational drug combination of olaparib and AZD6738 for all patients&#xD;
      with metastatic castration-resistant prostate cancer.&#xD;
    </textblock>
  </brief_summary>
  <overall_status>Active, not recruiting</overall_status>
  <start_date type="Actual">October 31, 2019</start_date>
  <completion_date type="Anticipated">January 2027</completion_date>
  <primary_completion_date type="Actual">January 26, 2023</primary_completion_date>
  <phase>Phase 2</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>Non-Randomized</allocation>
    <intervention_model>Single Group Assignment</intervention_model>
    <primary_purpose>Treatment</primary_purpose>
    <masking>None (Open Label)</masking>
  </study_design_info>
  <primary_outcome>
    <measure>Rate of response (Complete Response [CR] or Partial Response [PR]) in DNA repair proficient (DRPro) patients</measure>
    <time_frame>Up to 30 days after study completion (an average of 1 year)</time_frame>
    <description>Evaluated per radiographic response according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or by Prostate Specific Antigen (PSA) (≥50% decline).</description>
  </primary_outcome>
  <secondary_outcome>
    <measure>Rate of response (Complete Response [CR] or Partial Response [PR]) in DNA repair deficient (DRDef) patients</measure>
    <time_frame>Up to 30 days after study completion (an average of 1 year for study completion)</time_frame>
    <description>Evaluated per radiographic response according to RECIST v1.1 or PSA (≥50% decline).</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Progression-free survival (PFS) in DRPro patients</measure>
    <time_frame>Up to 30 days after study completion (an average of 1 year for study completion)</time_frame>
    <description>Duration of time from start of treatment to time of progression (based only on radiographic progression or clinical decline/death).</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Progression-free survival (PFS) in DRDef patients</measure>
    <time_frame>Up to 30 days after study completion (an average of 1 year for study completion)</time_frame>
    <description>Duration of time from start of treatment to time of progression (based only on radiographic progression or clinical decline/death).</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Radiographic response rate in DRPro patients</measure>
    <time_frame>Up to 30 days after study completion (an average of 1 year for study completion)</time_frame>
    <description>Evaluated according to RECIST v1.1.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Radiographic response rate in DRDef patients</measure>
    <time_frame>Up to 30 days after study completion (an average of 1 year for study completion)</time_frame>
    <description>Evaluated according to RECIST v1.1.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>PSA progression-free survival in DRPro patients</measure>
    <time_frame>Up to 30 days after study completion (an average of 1 year for study completion)</time_frame>
    <description>Composite of survival and duration of PSA control as defined by time from start of therapy to first PSA increase ≥ 25% and ≥2 ng/ml above the nadir and confirmed by a second value at or beyond 4 weeks later.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>PSA progression-free survival in DRDef patients</measure>
    <time_frame>Up to 30 days after study completion (an average of 1 year for study completion)</time_frame>
    <description>Composite of survival and duration of PSA control as defined by time from start of therapy to first PSA increase ≥ 25% and ≥2 ng/ml above the nadir and confirmed by a second value at or beyond 4 weeks later.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>PSA response rate in DRPro patients</measure>
    <time_frame>Up to 30 days after study completion (an average of 1 year for study completion)</time_frame>
    <description>Rate of achieving PSA response rate of ≤ 0.2 ng/ml, 50% decline, or 90% decline from entry PSA and confirmed 4 weeks later</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>PSA response rate in DRDef patients</measure>
    <time_frame>Up to 30 days after study completion (an average of 1 year for study completion)</time_frame>
    <description>Rate of achieving PSA response rate of ≤ 0.2 ng/ml, 50% decline, or 90% decline from entry PSA and confirmed 4 weeks later</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Duration of combined radiographic and PSA response in DRPro patients</measure>
    <time_frame>Up to 30 days after study completion (an average of 1 year for study completion)</time_frame>
    <description>Time from first documented response (RECIST v1.1 CR/PR or PSA decline ≥50%) until death, recurrent or progressive disease (based on RECIST v1.1) or first PSA increase ≥ 25% and ≥2 ng/ml above the PSA nadir.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Duration of combined radiographic and PSA response in DRDef patients</measure>
    <time_frame>Up to 30 days after study completion (an average of 1 year for study completion)</time_frame>
    <description>Time from first documented response (RECIST v1.1 CR/PR or PSA decline ≥50%) until death, recurrent or progressive disease (based on RECIST v1.1) or first PSA increase ≥ 25% and ≥2 ng/ml above the PSA nadir.</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Adverse Events</measure>
    <time_frame>Up to 30 days after study completion (an average of 1 year for study completion)</time_frame>
    <description>NCI Common Terminology Criteria for Adverse Events (CTCAE) version 5.0</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Incidence of Myelodysplastic Syndrome (MDS), acute myeloid leukemia (AML) and new primary malignancy</measure>
    <time_frame>Up to 5 years after study completion (an average of 1 year for study completion)</time_frame>
  </secondary_outcome>
  <number_of_arms>2</number_of_arms>
  <enrollment type="Actual">49</enrollment>
  <condition>Prostate Cancer</condition>
  <arm_group>
    <arm_group_label>Cohort 1 (DRPro)</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>Patients with metastatic castration-resistant prostate cancer (mCRPC) who are DNA repair proficient (DRPro).</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Cohort 2 (DRDef)</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>Patients with metastatic castration-resistant prostate cancer (mCRPC) who are DNA repair deficient (DRDef).</description>
  </arm_group>
  <intervention>
    <intervention_type>Drug</intervention_type>
    <intervention_name>Olaparib</intervention_name>
    <description>300 mg by mouth twice a day for days 1-28 of a 28-day cycle.</description>
    <arm_group_label>Cohort 1 (DRPro)</arm_group_label>
    <arm_group_label>Cohort 2 (DRDef)</arm_group_label>
    <other_name>AZD2281</other_name>
    <other_name>ceralasertib</other_name>
  </intervention>
  <intervention>
    <intervention_type>Drug</intervention_type>
    <intervention_name>AZD6738</intervention_name>
    <description>160 mg by mouth daily for days 1-7 of a 28-day cycle.</description>
    <arm_group_label>Cohort 1 (DRPro)</arm_group_label>
    <arm_group_label>Cohort 2 (DRDef)</arm_group_label>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          1. Provision of informed consent prior to any study specific procedures&#xD;
&#xD;
          2. Male ages 18 years and older at time of signing the informed consent form&#xD;
&#xD;
          3. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 within 42 days&#xD;
             prior to registration&#xD;
&#xD;
          4. Histologic or cytologic proof of prostate adenocarcinoma (excluding small-cell or&#xD;
             neuroendocrine pathologies)&#xD;
&#xD;
          5. Metastatic prostate cancer on CT, MRI or Bone scan&#xD;
&#xD;
          6. Must have disease progression (while testosterone level is under 50 ng/dl) on prior&#xD;
             therapy prior to study entry defined as one (or more) of the following:&#xD;
&#xD;
               1. PSA progression defined as continuously rising PSA values measured a minimum of 1&#xD;
                  week apart with a minimal starting value of 1.0 ng/mL&#xD;
&#xD;
               2. Progression of bidimensionally measurable soft tissue or nodal metastasis by CT&#xD;
                  or MRI based on RECIST, v1.1&#xD;
&#xD;
          7. Prior treatment with at least one of the following:&#xD;
&#xD;
               1. One line of therapy in mCRPC&#xD;
&#xD;
               2. Second generation anti-androgen (e.g. abiraterone, enzalutamide or apalutamide)&#xD;
                  within the hormone-sensitive phase of disease AND progression occurs while on&#xD;
                  therapy&#xD;
&#xD;
          8. Patients must be withdrawn from prior therapy for ≥3 weeks (patients may remain on&#xD;
             prior prednisone up to 10 mg total daily exposure at provider's discretion) at planned&#xD;
             time of treatment start.&#xD;
&#xD;
          9. Agree to undergo a biopsy of at least one metastatic site (if feasible) to determine&#xD;
             DNA repair status, unless prior metastatic tissue underwent next-generation sequencing&#xD;
             in a CLIA certified lab or known germline loss of BRCA1, BRCA2 or ATM. If no site is&#xD;
             reachable, or first biopsy insufficient/unsuccessful, circulating tumor DNA may be&#xD;
             obtained.&#xD;
&#xD;
         10. Treated with continuous androgen deprivation therapy (either surgical castration or&#xD;
             LHRH agonist/antagonist) with documented castrate level of serum testosterone (&lt;50&#xD;
             ng/dL). A stable dose of bisphosphonate or denosumab for bone metastases should be&#xD;
             continued as long as started at least 5 days prior to C1D1 planned start day.&#xD;
&#xD;
         11. At the time of planned treatment start (C1D1), at least 21 or more days will have&#xD;
             elapsed from palliative radiation (with the exception of radiation to &gt;30% of bone&#xD;
             marrow or with a wide field of radiation, this requires 28 or more days).&#xD;
&#xD;
         12. Patient must have normal organ and bone marrow function measured within 42 days prior&#xD;
             to registration as defined below&#xD;
&#xD;
               1. Hemoglobin ≥10 g/dL (with no blood transfusion or erythropoietin use within the&#xD;
                  past 42 days)&#xD;
&#xD;
               2. Absolute neutrophil count ≥1.5x109/L&#xD;
&#xD;
               3. Platelet count ≥100x109/L (with no platelet transfusions within last 42 days)&#xD;
&#xD;
               4. Total bilirubin &lt;1.5x ULN (unless the patient has documented Gilbert's disease&#xD;
                  and &lt;2.0x ULN should be used)&#xD;
&#xD;
               5. AST or ALT ≤ 2.5x ULN, unless liver metastases are present in which case they&#xD;
                  cannot be ≥5x ULN&#xD;
&#xD;
               6. Glomerular filtration rate (GFR) ≥51 mL/min, as assessed using the Cockcroft-&#xD;
                  Gault equation&#xD;
&#xD;
         13. Estimated life expectancy ≥16 weeks&#xD;
&#xD;
         14. Male patients who are sexually active must be willing to use barrier contraception for&#xD;
             the duration of the study and for 1 week after the last study drug administration,&#xD;
             with all sexual partners. Male patients must use a condom during treatment and for 6&#xD;
             months after the last dose of study drug(s) when having sexual intercourse with a&#xD;
             pregnant woman or with a woman of childbearing potential and must not donate sperm for&#xD;
             6 months after the last dose of study drug. Female partners of male patients should&#xD;
             also use a highly effective form of contraception (per protocol) for 6 months after&#xD;
             the last dose of study drug(s) if they are of childbearing potential. True abstinence&#xD;
             is an acceptable form of contraception and must be documented as such.&#xD;
&#xD;
         15. Patient is willing and able to comply with the protocol for the duration of the study,&#xD;
             including undergoing biopsy (if warranted), treatment, scheduled visits and&#xD;
             examinations&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          1. A diagnosis of ataxia telangiectasia&#xD;
&#xD;
          2. Prior treatment with a PARP inhibitor (e.g. olaparib, veliparib, niraparib,&#xD;
             rucaparib), AZD6738 or other DNA-damage response agents (e.g. cisplatin or&#xD;
             carboplatin)&#xD;
&#xD;
          3. Cytotoxic chemotherapy, first- or second-generation antiandrogen or CYP17 inhibitors&#xD;
             are not permitted within 21 days or 5 half-lives of registration (whichever is&#xD;
             longest) of planned treatment start. For clarity, enzalutamide requires 5 weeks&#xD;
             washout.&#xD;
&#xD;
          4. Major surgery &lt; 2 weeks prior to enrolment; patients must have recovered from any&#xD;
             effects of major surgery&#xD;
&#xD;
          5. Persistent toxicities (≥CTCAE Grade 2) caused by previous cancer therapy, besides&#xD;
             Grade 2 alopecia and Grade 2 neuropathy (these are allowed).&#xD;
&#xD;
          6. Patients with current or prior MDS/AML or with features suggestive of MDS/AML&#xD;
&#xD;
          7. Any other malignancy which has been active or treated within the past 3 years, with&#xD;
             the exception of non-melanomatous skin cancer, or Ta bladder cancer&#xD;
&#xD;
          8. Patients with active brain metastases are excluded because of unknown penetration into&#xD;
             the CNS. A confirmatory scan for asymptomatic patients is not required. Patients with&#xD;
             a history of treated central nervous system (CNS) metastases are eligible provided&#xD;
             they meet all of the following criteria: disease outside the CNS is present, no&#xD;
             clinical evidence of progression since completion of CNS-directed therapy, minimum 3&#xD;
             weeks between completion of radiotherapy and registration and recovery from&#xD;
             significant (Grade ≥ 3) acute toxicity with no ongoing requirement for &gt;10 mg of&#xD;
             prednisone per day or an equivalent dose of other corticosteroid. If a patient must&#xD;
             remain on steroids, they must have started the steady dose at least 28 days prior to&#xD;
             treatment. Patients with spinal cord compression unless considered to have received&#xD;
             definitive treatment for this and evidence of clinically stable disease for 28 days&#xD;
             prior to study treatment.&#xD;
&#xD;
          9. Any of the following cardiac disease currently or within the last 6 months:&#xD;
&#xD;
               1. Unstable angina pectoris&#xD;
&#xD;
               2. Congestive heart failure (by New York Heart Association ≥ Class 2) or known&#xD;
                  reduced LVEF &lt; 55%&#xD;
&#xD;
               3. Acute myocardial infarction&#xD;
&#xD;
               4. Conduction abnormality not controlled with pacemaker or medication (e.g. complete&#xD;
                  left bundle branch block or third-degree heart block)&#xD;
&#xD;
               5. Significant ventricular or supraventricular arrhythmias (patients with chronic&#xD;
                  rate-controlled atrial fibrillation in the absence of other cardiac abnormalities&#xD;
                  are eligible).&#xD;
&#xD;
               6. Uncontrolled hypertension (Grade 2 or above) requiring urgent (for example,&#xD;
                  adjusting medications within 24 hours) clinical intervention&#xD;
&#xD;
               7. Patients at risk of brain perfusion problems, e.g. TIAs or history of pre-&#xD;
                  syncope or syncopal episodes unexplained by reversible causes&#xD;
&#xD;
         10. Mean resting corrected QT interval &gt;450, obtained from 3 ECGs 2-5 minutes apart using&#xD;
             the Fredericia formula. Absence of any factors that increase the risk of QTc&#xD;
             prolongation or risk of arrhythmic such as congenital long QT syndrome, immediate&#xD;
             family history of long QT syndrome or unexplained sudden death under 40 year of age.&#xD;
             Patients with relative hypotension (&lt;90/60 mmHg) or previously known clinically&#xD;
             relevant orthostatic hypotension defined as a postural hypotension ≥20 mmHg&#xD;
&#xD;
         11. Concomitant use of known potent or moderate cytochrome P (CYP) 3A inhibitors (e.g.&#xD;
             itraconazole, ciprofloxacin, diltiazem) require 2-week washout prior to planned C1D1.&#xD;
             Concomitant use of strong or moderate CYP3A inducers (e.g. phenobarbital,&#xD;
             enzalutamide, modafinil require 5-week washout for enzalutamide or phenobarbital and 3&#xD;
             week washout for all others, per protocol.&#xD;
&#xD;
         12. As judged by the Investigator, any evidence of severe or uncontrolled systemic&#xD;
             diseases that places the patient at unacceptable risk of toxicity or non-compliance.&#xD;
             Examples include, but are not limited to, active bleeding diatheses, renal transplant,&#xD;
             uncontrolled major seizure disorder, severe COPD, superior vena cava syndrome,&#xD;
             extensive bilateral lung disease on High Resolution CT scan, severe Parkinson's&#xD;
             disease, active inflammatory bowel disease, psychiatric condition, immunocompromised&#xD;
             patients or active infection including any patient known to have hepatitis B,&#xD;
             hepatitis C and human immunodeficiency virus (HIV) or requiring systemic antibiotics,&#xD;
             antifungals or antiviral drugs. Screening for chronic conditions is not required&#xD;
&#xD;
         13. A known hypersensitivity to olaparib, AZD6738 or any excipient of the product or any&#xD;
             contraindication to the combination anti-cancer agent as per local prescribing&#xD;
             information&#xD;
&#xD;
         14. Patients unable to swallow orally administered medication and patients with&#xD;
             gastrointestinal disorders likely to interfere with the absorption of the study&#xD;
             medication, refractory nausea and vomiting, chronic gastrointestinal diseases or&#xD;
             previous significant bowel resection, with clinically significant sequelae that would&#xD;
             preclude adequate absorption of AZD6738&#xD;
&#xD;
         15. Previous allogenic bone marrow transplant or double umbilical cord blood&#xD;
             transplantation (dUCBT).&#xD;
&#xD;
         16. Whole blood transfusions in the last 120 days prior to entry to the study (packed red&#xD;
             blood cells and platelet transfusions are acceptable, for timing refer to inclusion&#xD;
             criteria no.12)&#xD;
&#xD;
         17. Involvement in the planning and/or conduct of the study&#xD;
&#xD;
         18. Judgment by the investigator that the patient should not participate in the study if&#xD;
             the patient is unlikely to comply with study procedures, restrictions and&#xD;
             requirements.&#xD;
&#xD;
         19. Previous enrolment in the present study.&#xD;
&#xD;
         20. Has received a live vaccination with 2 weeks of enrollment.&#xD;
      </textblock>
    </criteria>
    <gender>Male</gender>
    <minimum_age>18 Years</minimum_age>
    <maximum_age>N/A</maximum_age>
    <healthy_volunteers>No</healthy_volunteers>
  </eligibility>
  <overall_official>
    <last_name>Zachery Reichert, M.D.</last_name>
    <role>Principal Investigator</role>
    <affiliation>University of Michigan Rogel Cancer Center</affiliation>
  </overall_official>
  <location>
    <facility>
      <name>University of Michigan Hospital</name>
      <address>
        <city>Ann Arbor</city>
        <state>Michigan</state>
        <zip>48109</zip>
        <country>United States</country>
      </address>
    </facility>
  </location>
  <location>
    <facility>
      <name>Wayne State University/Karmanos Cancer Institute</name>
      <address>
        <city>Detroit</city>
        <state>Michigan</state>
        <zip>48201</zip>
        <country>United States</country>
      </address>
    </facility>
  </location>
  <location>
    <facility>
      <name>University of Virginia Health System</name>
      <address>
        <city>Charlottesville</city>
        <state>Virginia</state>
        <zip>22908</zip>
        <country>United States</country>
      </address>
    </facility>
  </location>
  <location_countries>
    <country>United States</country>
  </location_countries>
  <verification_date>June 2023</verification_date>
  <study_first_submitted>December 24, 2018</study_first_submitted>
  <study_first_submitted_qc>December 24, 2018</study_first_submitted_qc>
  <study_first_posted type="Actual">December 26, 2018</study_first_posted>
  <last_update_submitted>June 22, 2023</last_update_submitted>
  <last_update_submitted_qc>June 22, 2023</last_update_submitted_qc>
  <last_update_posted type="Actual">June 26, 2023</last_update_posted>
  <responsible_party>
    <responsible_party_type>Sponsor</responsible_party_type>
  </responsible_party>
  <condition_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Prostatic Neoplasms</mesh_term>
  </condition_browse>
  <intervention_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Olaparib</mesh_term>
  </intervention_browse>
  <patient_data>
    <sharing_ipd>No</sharing_ipd>
  </patient_data>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT03787680
org study id: UMCC 2018.108
secondary id: HUM00152799
nct id: NCT03787680
lead sponsor: 
is fda regulated drug: Yes
is fda regulated device: No
The purpose of this study is to test the effectiveness (how well the drugs work), safety, and
      tolerability of the investigational drug combination of olaparib and AZD6738 for all patients
      with metastatic castration-resistant prostate cancer.
allocation: Non-Randomized
intervention model: Single Group Assignment
primary purpose: Treatment
masking: None (Open Label)
measure: Rate of response (Complete Response [CR] or Partial Response [PR]) in DNA repair proficient (DRPro) patients
time frame: Up to 30 days after study completion (an average of 1 year)
description: Evaluated per radiographic response according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or by Prostate Specific Antigen (PSA) (≥50% decline).
measure: Rate of response (Complete Response [CR] or Partial Response [PR]) in DNA repair deficient (DRDef) patients
time frame: Up to 30 days after study completion (an average of 1 year for study completion)
description: Evaluated per radiographic response according to RECIST v1.1 or PSA (≥50% decline).
measure: Progression-free survival (PFS) in DRPro patients
time frame: Up to 30 days after study completion (an average of 1 year for study completion)
description: Duration of time from start of treatment to time of progression (based only on radiographic progression or clinical decline/death).
measure: Progression-free survival (PFS) in DRDef patients
time frame: Up to 30 days after study completion (an average of 1 year for study completion)
description: Duration of time from start of treatment to time of progression (based only on radiographic progression or clinical decline/death).
measure: Radiographic response rate in DRPro patients
time frame: Up to 30 days after study completion (an average of 1 year for study completion)
description: Evaluated according to RECIST v1.1.
measure: Radiographic response rate in DRDef patients
time frame: Up to 30 days after study completion (an average of 1 year for study completion)
description: Evaluated according to RECIST v1.1.
measure: PSA progression-free survival in DRPro patients
time frame: Up to 30 days after study completion (an average of 1 year for study completion)
description: Composite of survival and duration of PSA control as defined by time from start of therapy to first PSA increase ≥ 25% and ≥2 ng/ml above the nadir and confirmed by a second value at or beyond 4 weeks later.
measure: PSA progression-free survival in DRDef patients
time frame: Up to 30 days after study completion (an average of 1 year for study completion)
description: Composite of survival and duration of PSA control as defined by time from start of therapy to first PSA increase ≥ 25% and ≥2 ng/ml above the nadir and confirmed by a second value at or beyond 4 weeks later.
measure: PSA response rate in DRPro patients
time frame: Up to 30 days after study completion (an average of 1 year for study completion)
description: Rate of achieving PSA response rate of ≤ 0.2 ng/ml, 50% decline, or 90% decline from entry PSA and confirmed 4 weeks later
measure: PSA response rate in DRDef patients
time frame: Up to 30 days after study completion (an average of 1 year for study completion)
description: Rate of achieving PSA response rate of ≤ 0.2 ng/ml, 50% decline, or 90% decline from entry PSA and confirmed 4 weeks later
measure: Duration of combined radiographic and PSA response in DRPro patients
time frame: Up to 30 days after study completion (an average of 1 year for study completion)
description: Time from first documented response (RECIST v1.1 CR/PR or PSA decline ≥50%) until death, recurrent or progressive disease (based on RECIST v1.1) or first PSA increase ≥ 25% and ≥2 ng/ml above the PSA nadir.
measure: Duration of combined radiographic and PSA response in DRDef patients
time frame: Up to 30 days after study completion (an average of 1 year for study completion)
description: Time from first documented response (RECIST v1.1 CR/PR or PSA decline ≥50%) until death, recurrent or progressive disease (based on RECIST v1.1) or first PSA increase ≥ 25% and ≥2 ng/ml above the PSA nadir.
measure: Adverse Events
time frame: Up to 30 days after study completion (an average of 1 year for study completion)
description: NCI Common Terminology Criteria for Adverse Events (CTCAE) version 5.0
measure: Incidence of Myelodysplastic Syndrome (MDS), acute myeloid leukemia (AML) and new primary malignancy
time frame: Up to 5 years after study completion (an average of 1 year for study completion)
arm group label: Cohort 1 (DRPro)
arm group type: Experimental
description: Patients with metastatic castration-resistant prostate cancer (mCRPC) who are DNA repair proficient (DRPro).
arm group label: Cohort 2 (DRDef)
arm group type: Experimental
description: Patients with metastatic castration-resistant prostate cancer (mCRPC) who are DNA repair deficient (DRDef).
intervention type: Drug
intervention name: Olaparib
description: 300 mg by mouth twice a day for days 1-28 of a 28-day cycle.
arm group label: Cohort 1 (DRPro)
arm group label: Cohort 2 (DRDef)
other name: AZD2281
other name: ceralasertib
intervention type: Drug
intervention name: AZD6738
description: 160 mg by mouth daily for days 1-7 of a 28-day cycle.
arm group label: Cohort 1 (DRPro)
arm group label: Cohort 2 (DRDef)
criteria: 
gender: Male
minimum age: 18 Years
maximum age: N/A
healthy volunteers: No
last name: Zachery Reichert, M.D.
role: Principal Investigator
affiliation: University of Michigan Rogel Cancer Center
facility: 
facility: 
facility: 
country: United States
responsible party type: Sponsor
mesh term: Prostatic Neoplasms
mesh term: Olaparib
sharing ipd: No