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Last Updated: December 12, 2025

CLINICAL TRIALS PROFILE FOR OLAPARIB


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505(b)(2) Clinical Trials for OLAPARIB

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Combination NCT04538378 ↗ Olaparib (LYNPARZA) Plus Durvalumab (IMFINZI) in EGFR-Mutated Adenocarcinomas That Transform to Small Cell Lung Cancer (SCLC) and Other Neuroendocrine Tumors Recruiting National Cancer Institute (NCI) Phase 2 2021-07-07 Background: Lung cancers with EGFR mutations may develop resistance to therapies targeting this protein by evolving/being transformed into small cell or neuroendocrine cancers. There are no standard treatments for it. Researchers want to see if a new combination of drugs can help. Objective: To see if the combination of durvalumab and olaparib will cause tumors to shrink. Eligibility: Adults age 18 and older who had EGFR-mutated non-small-cell lung carcinoma (NSCLC) that was treated and now transformed to SCLC or another neuroendocrine tumor. Design: Participants will be screened under a separate protocol. They may have a tumor biopsy. Participants will have a physical exam. They will have a review of their symptoms, their medicines, and their ability to do their normal activities. They will have blood tests. They will have an electrocardiogram to evaluate their heart. Participants will have a computed tomography (CT) scan, a series of x-rays taken of parts of the body. Participants will get durvalumab on Day 1 of each 28-day cycle. It is given through a small plastic tube that is put in an arm vein. They will take olaparib by mouth twice every day. They will keep a medicine diary. Participants will take the study drugs until their disease gets worse or they have unacceptable side effects. About 30 days after they stop taking the study drugs, participants will have a follow-up visit. Then they will be contacted every 6 months for the rest of their life....
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for OLAPARIB

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00494234 ↗ Study to Assess the Efficacy and Safety of a PARP Inhibitor for the Treatment of BRCA-positive Advanced Breast Cancer Active, not recruiting KuDOS Pharmaceuticals Limited Phase 2 2007-06-15 The purpose of the study is to see if the drug KU 0059436 (olaparib) is effective and well tolerated in treating patients with measurable BRCA1- or BRCA2-positive advanced breast cancer and for whom no curative therapeutic option exists
NCT00494234 ↗ Study to Assess the Efficacy and Safety of a PARP Inhibitor for the Treatment of BRCA-positive Advanced Breast Cancer Active, not recruiting AstraZeneca Phase 2 2007-06-15 The purpose of the study is to see if the drug KU 0059436 (olaparib) is effective and well tolerated in treating patients with measurable BRCA1- or BRCA2-positive advanced breast cancer and for whom no curative therapeutic option exists
NCT00494442 ↗ Study to Assess the Efficacy and Safety of a PARP Inhibitor for the Treatment of BRCA-positive Advanced Ovarian Cancer Completed KuDOS Pharmaceuticals Limited Phase 2 2007-06-11 The purpose of the study is to see if the drug KU 0059436 is effective and well tolerated in treating patients with measurable BRCA1- or BRCA2-positive advanced ovarian cancer and for whom no curative therapeutic option exists.
NCT00494442 ↗ Study to Assess the Efficacy and Safety of a PARP Inhibitor for the Treatment of BRCA-positive Advanced Ovarian Cancer Completed AstraZeneca Phase 2 2007-06-11 The purpose of the study is to see if the drug KU 0059436 is effective and well tolerated in treating patients with measurable BRCA1- or BRCA2-positive advanced ovarian cancer and for whom no curative therapeutic option exists.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for OLAPARIB

Condition Name

Condition Name for OLAPARIB
Intervention Trials
Ovarian Cancer 46
Breast Cancer 43
Prostate Cancer 20
Triple Negative Breast Cancer 13
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Condition MeSH

Condition MeSH for OLAPARIB
Intervention Trials
Ovarian Neoplasms 86
Breast Neoplasms 81
Carcinoma, Ovarian Epithelial 64
Neoplasms 60
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Clinical Trial Locations for OLAPARIB

Trials by Country

Trials by Country for OLAPARIB
Location Trials
Canada 167
France 146
Spain 123
United Kingdom 122
Japan 104
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Trials by US State

Trials by US State for OLAPARIB
Location Trials
California 83
New York 81
Texas 75
Florida 69
Pennsylvania 63
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Clinical Trial Progress for OLAPARIB

Clinical Trial Phase

Clinical Trial Phase for OLAPARIB
Clinical Trial Phase Trials
PHASE3 6
PHASE2 20
PHASE1 16
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Clinical Trial Status

Clinical Trial Status for OLAPARIB
Clinical Trial Phase Trials
Recruiting 182
Active, not recruiting 82
Not yet recruiting 68
[disabled in preview] 51
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Clinical Trial Sponsors for OLAPARIB

Sponsor Name

Sponsor Name for OLAPARIB
Sponsor Trials
AstraZeneca 173
National Cancer Institute (NCI) 64
Merck Sharp & Dohme Corp. 38
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Sponsor Type

Sponsor Type for OLAPARIB
Sponsor Trials
Other 415
Industry 347
NIH 65
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Clinical Trials Update, Market Analysis, and Projection for Olaparib

Last updated: October 26, 2025

Introduction

Olaparib (brand name Lynparza) is a groundbreaking poly (ADP-ribose) polymerase (PARP) inhibitor developed by AstraZeneca in collaboration with Merck & Co. Approved for multiple cancer types, Olaparib has established itself as a cornerstone in targeted oncology therapies. This article provides an in-depth review of current clinical trial activities, a comprehensive market analysis, and future market projections for Olaparib, offering strategic insights for stakeholders across the pharmaceutical, biotech, and healthcare sectors.

Clinical Trials Landscape for Olaparib

Ongoing and Recent Clinical Trials

As of 2023, Olaparib remains at the forefront of oncology research, supported by numerous ongoing clinical trials exploring expanded indications, combination therapies, and resistance mechanisms.

  • Indication expansion: The drug's initial indications—BRCA-mutated ovarian and breast cancers—have been supplemented by trials investigating efficacy in prostate and pancreatic cancers. The TOPARP-B trial, for instance, assessed Olaparib in metastatic castration-resistant prostate cancer (mCRPC) patients with homologous recombination repair (HRR) gene alterations; preliminary results indicate promising activity, encouraging regulatory submission opportunities [1].

  • Combination therapies: Numerous Phase I/II trials are exploring synergistic potential with immune checkpoint inhibitors (e.g., pembrolizumab), anti-angiogenic agents, and chemotherapies. The KEYLYNK-010 trial combining Olaparib with pembrolizumab exemplifies efforts to enhance antitumor immune responses.

  • Resistance and biomarker research: Studies are evaluating mechanisms of resistance to PARP inhibition, aiming to optimize patient selection and develop next-generation PARP inhibitors or combination regimens.

Regulatory Milestones and Approvals

  • Recent approvals: The FDA extended Olaparib approval to include maintenance treatment for pancreatic cancer with germline BRCA mutations, broadening its clinical scope [2].

  • Pipeline progression: The ongoing SOLO3 trial results reinforce Olaparib’s efficacy in germline BRCA-mutated ovarian cancer, potentially supporting label expansion.

Key Clinical Trial Sources

Data aggregators such as ClinicalTrials.gov and the European Union Clinical Trials Register show over 150 trials involving Olaparib, with approximately 60 actively recruiting or ongoing (as of 2023). This indicates sustained clinical interest and a robust development pipeline.

Market Analysis

Market Overview and Historical Performance

Olaparib has rapidly ascended into a multibillion-dollar franchise since its initial approval in 2014 for ovarian cancer. The global PARP inhibitor market was valued at approximately USD 1.1 billion in 2022 and is expected to grow at a CAGR around 11% through 2030, driven by expanding indications and increasing adoption [3].

  • Sales figures: AstraZeneca reported global sales of Lynparza at approximately USD 2.4 billion in 2022, reflecting strong uptake across markets. The U.S. remains the largest contributor, supported by favorable payer policies and extensive clinical evidence.

  • Geographic distribution: North America accounts for roughly 50% of sales, with Europe and emerging markets representing the fast-growing segments. Approval timelines and reimbursement landscapes significantly influence regional market penetration.

Competitive Landscape

Olaparib competes with other PARP inhibitors like niraparib (GSK), rucaparib (Clovis), and talazoparib (Pfizer). While all target similar pathways, nuanced differences in efficacy, safety profiles, and approved indications influence market share.

  • Differentiation factors: Olaparib’s established safety profile, ascending approvals in various cancers, and combination trial results support its competitive edge.

Market Drivers

  • Expanding indications: Approval for prostate and pancreatic cancers broadens its scope.
  • Biomarker-driven therapies: Precision medicine approaches enhance prescribing efficiency.
  • Combination strategies: Synergistic regimens can improve outcomes and expand use.

Market Challenges

  • Pricing and reimbursement pressures: Particularly in cost-sensitive regions.
  • Competitive dynamics: The rise of alternative PARP inhibitors and emerging treatments.
  • Resistance development: Necessitates ongoing research and tailored therapies.

Future Market Projections

Forecast for 2023–2030

  • Market growth: The Olaparib market is projected to reach USD 7.8 billion by 2030, driven by indication expansion, new combinations, and improved diagnostics [4].

  • Indications: The widest growth stems from its use in prostate and pancreatic cancers, with anticipated approvals from regulatory agencies in multiple jurisdictions following promising trial outcomes.

  • Geographical expansion: Emerging markets in Asia-Pacific and Latin America are expected to experience exponential growth, facilitated by increased healthcare infrastructure and local manufacturing.

Strategic Opportunities

  • Biomarker development: Enhancing genetic testing protocols can improve patient stratification and therapeutic outcomes.
  • Combination therapies: Developing novel, multi-modal regimens could establish Olaparib as part of first-line treatment protocols.
  • Real-world evidence gathering: Post-market studies will solidify value propositions and support reimbursement negotiations.

Potential Barriers

  • Patent expirations: Upcoming expiries could lead to generic competition, impacting revenues.
  • Regulatory delays: Hesitations or requests for additional data could postpone approvals in new markets.
  • Resistance mechanisms: As resistance to PARP inhibitors rises, innovation will be critical to sustain market relevance.

Key Takeaways

  • Clinical momentum: Olaparib’s extensive and ongoing clinical trial activity signifies strong pipeline development, with promising results in multiple cancer indications, especially beyond ovarian cancer.

  • Market leadership: With its early-mover advantage and expanding approvals, Olaparib maintains a dominant position in the PARP inhibitor space, supported by its safety profile and efficacy.

  • Market growth: The global Olaparib market is poised for robust growth, with forecasts reaching nearly USD 8 billion by 2030, driven by indications expansion, combination regimens, and geographic reach.

  • Strategic imperatives: Companies should focus on biomarker-driven patient segmentation, combination therapy innovation, and geographic expansion to capitalize on market opportunities.

  • Challenges ahead: Patent cliffs, resistance mechanisms, and competitive pressures necessitate continuous R&D investment and strategic flexibility.

FAQs

1. What are the primary cancer indications for Olaparib as of 2023?
Olaparib is approved for ovarian, breast, prostate, and pancreatic cancers, with ongoing trials exploring additional tumor types and further indication expansions.

2. How does Olaparib compare to other PARP inhibitors?
Olaparib is distinguished by its extensive clinical validation, established safety profile, and broader approved indications, positioning it favorably against competitors like niraparib and rucaparib.

3. What are the key drivers of Olaparib’s market growth?
Major drivers include expanding indications (especially in prostate and pancreatic cancers), combination therapy strategies, biomarker-driven treatment personalization, and increasing adoption in emerging markets.

4. What challenges could impact Olaparib's future market performance?
Patent expirations, emerging resistance mechanisms, competitive pressures from other PARP inhibitors, and regulatory delays could restrain growth.

5. What strategic moves should stakeholders consider?
Investing in biomarker research, pursuing combination therapy development, enhancing geographic penetration, and engaging in post-market outcome studies are critical strategies for leveraging Olaparib’s full market potential.

References

  1. ClinicalTrials.gov. "A Study of Olaparib in Men With metastatic Castration-Resistant Prostate Cancer (TOPARP-B)." [Accessed 2023].

  2. U.S. Food and Drug Administration. "FDA Approves Olaparib for Metastatic Pancreatic Cancer." 2022.

  3. MarketsandMarkets. "PARP Inhibitors Market by Application, Region – Global Forecast to 2030." 2023.

  4. Grand View Research. "Olaparib Market Size, Share & Trends." 2023.


Disclaimer: Data and projections are based on publicly available sources as of 2023 and may evolve with ongoing research and regulatory developments.

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