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OncoMatch/Clinical Trials/NCT03786796

Study of Olaparib in Metastatic Renal Cell Carcinoma Patients With DNA Repair Gene Mutations

Is NCT03786796 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Olaparib for renal cell carcinoma.

Phase 2RecruitingSidney Kimmel Comprehensive Cancer Center at Johns HopkinsNCT03786796Data as of May 2026

Treatment: OlaparibSingle arm, single site, open-label Phase II study of the effects of oral olaparib in participants with metastatic renal cell carcinoma that harbor an inactivating mutation in BAP-1, ATM, BRCA1, BRCA2, PALB2, CHEK2, BRIP1, RAD51C, BARD1, CDK12, CHEK1, FANCL, PP2R2A, RAD51B, RAD51D, or RAD54L who have had prior treatment with at least one immune checkpoint inhibitor or anti-VEGF therapy. Must have measurable disease on CT imaging per RECIST 1.1 criteria.

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Extracted eligibility criteria

Cancer type

Renal Cell Carcinoma

Biomarker criteria

Required: BAP1 somatic or germline mutation

Somatic or germline mutation in BAP-1

Required: ATM somatic or germline mutation

Somatic or germline mutation in ATM

Required: BRCA1 somatic or germline mutation

Somatic or germline mutation in BRCA1

Required: BRCA2 somatic or germline mutation

Somatic or germline mutation in BRCA2

Required: PALB2 somatic or germline mutation

Somatic or germline mutation in PALB2

Required: CHEK2 somatic or germline mutation

Somatic or germline mutation in CHEK2

Required: BRIP1 somatic or germline mutation

Somatic or germline mutation in BRIP1

Required: RAD51C somatic or germline mutation

Somatic or germline mutation in RAD51C

Required: BARD1 somatic or germline mutation

Somatic or germline mutation in BARD1

Required: CDK12 somatic or germline mutation

Somatic or germline mutation in CDK12

Required: CHEK1 somatic or germline mutation

Somatic or germline mutation in CHEK1

Required: FANCL somatic or germline mutation

Somatic or germline mutation in FANCL

Required: PP2R2A somatic or germline mutation

Somatic or germline mutation in PP2R2A

Required: RAD51B somatic or germline mutation

Somatic or germline mutation in RAD51B

Required: RAD51D somatic or germline mutation

Somatic or germline mutation in RAD51D

Required: RAD54L somatic or germline mutation

Somatic or germline mutation in RAD54L

Disease stage

Required: Stage IV

Metastatic disease required

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Min 1 prior line

Must have received: anti-angiogenic agent

at least one prior treatment with an anti-angiogenic agent

Must have received: immune checkpoint inhibitor

at least one prior treatment with an immune checkpoint inhibitor

Cannot have received: PARP inhibitor (olaparib)

Any previous treatment with PARP inhibitor, including olaparib

Cannot have received: allogenic bone marrow transplant or double umbilical cord blood transplantation

Previous allogenic bone marrow transplant or double umbilical cord blood transplantation (dUCBT)

Lab requirements

Blood counts

Hemoglobin ≥ 10.0 g/dL with no blood transfusion in the past 28 days; ANC ≥ 1.5 x 10^9/L; Platelet count ≥ 100 x 10^9/L

Kidney function

Creatinine clearance ≥ 40 mL/min calculated by Cockroft-Gault formula or 24 hour urine test

Liver function

Total bilirubin ≤ 1.5 x institutional ULN; AST/ALT ≤ 2.5 x institutional ULN unless liver metastases are present in which case they must be ≤ 5 x ULN

Cardiac function

Resting ECG with QTc ≤ 500 ms and no indication of uncontrolled cardiac conditions

Participants must have normal organ and bone marrow function measured within 28 days prior to administration of study treatment as defined below: Hemoglobin ≥ 10.0 g/dL with no blood transfusion in the past 28 days; ANC ≥ 1.5 x 10^9/L; Platelet count ≥ 100 x 10^9/L; Total bilirubin ≤ 1.5 x institutional ULN; AST/ALT ≤ 2.5 x institutional ULN unless liver metastases are present in which case they must be ≤ 5 x ULN. Patients must have a creatinine clearance ≥ 40 mL/min calculated by Cockroft-Gault formula or 24 hour urine test. Resting ECG with QTc > 500 ms and/or indication of uncontrolled cardiac conditions [excluded].

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Johns Hopkins Sidney Kimmel Comprehensive Cancer Center · Baltimore, Maryland

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