Abstract |
Olaparib ( AZD2281) is an orally active Poly(ADP-ribose) polymerase ( PARP) inhibitor with favorable antitumor activity in advanced ovarian and breast cancers with BRCA1/2 mutations in Western (USA and European) studies. This Phase I dose-finding study evaluated the tolerability, pharmacokinetics, PARP inhibitory activity, and antitumor activity of olaparib in Japanese patients with solid tumors. Olaparib was administered as a single-dose on day 1, followed by twice-daily dosing for 28 days from 48 h after a single dose. Doses were escalated from 100 mg b.i.d. in successive cohorts, up to a maximum of 400 mg b.i.d. The present study enrolled 12 patients (n = 3, 3, and 6 in 100, 200 and 400-mg b.i.d. levels, respectively). The most common adverse events were nausea, increased blood creatinine, decreased hematocrit, leukopenia and lymphopenia; dose-limiting toxicities were not observed up to and including the 400-mg b.i.d. dose level. Following twice-daily dosing, olaparib showed no marked increase in exposure at steady state over that expected from the single-dose pharmacokinetics. PARP-1 inhibition was observed from the 100-mg b.i.d. dose level in peripheral blood mononuclear cells from 6 h post-dose on day 1 during the multiple-dosing period. A patient with metastatic breast cancer (100 mg b.i.d.) had a partial response for 13 months and four patients (two each in the 200 and 400-mg b.i.d. levels) had stable disease >8 weeks. Olaparib was well tolerated up to the 400-mg b.i.d. dose in Japanese patients with solid tumors. Preliminary evidence of antitumor activity was observed.
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Authors | Noboru Yamamoto, Hiroshi Nokihara, Yasuhide Yamada, Yasushi Goto, Maki Tanioka, Takashi Shibata, Kazuhiko Yamada, Hajime Asahina, Toshio Kawata, Xiaojin Shi, Tomohide Tamura |
Journal | Cancer science
(Cancer Sci)
Vol. 103
Issue 3
Pg. 504-9
(Mar 2012)
ISSN: 1349-7006 [Electronic] England |
PMID | 22145984
(Publication Type: Clinical Trial, Phase I, Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | © 2011 Japanese Cancer Association. |
Chemical References |
- Antineoplastic Agents
- Phthalazines
- Piperazines
- Poly(ADP-ribose) Polymerase Inhibitors
- olaparib
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Topics |
- Adult
- Aged
- Antineoplastic Agents
(administration & dosage, adverse effects, pharmacokinetics)
- Asian People
- Dose-Response Relationship, Drug
- Female
- Humans
- Male
- Middle Aged
- Neoplasms
(drug therapy)
- Phthalazines
(administration & dosage, adverse effects, pharmacokinetics)
- Piperazines
(administration & dosage, adverse effects, pharmacokinetics)
- Poly(ADP-ribose) Polymerase Inhibitors
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