Last Updated: August 7, 2026

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 21
PHASE1 17
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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 416
Industry 348
NIH 65
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Last updated: July 23, 2026

Olaparib Clinical Trials Update, Market Analysis, and 2025–2035 Forecast: Indications, Competitors, and Patent/Access Risks

Executive summary: Olaparib (Lynparza; AstraZeneca) is an anchored PARP inhibitor with ongoing trials across breast, ovarian, prostate, pancreatic, and solid tumors. Commercial momentum remains most tied to (1) label expansion in earlier lines and maintenance settings, (2) combinations that convert recurrence into treatment sequences, and (3) geographic and payer access. The next decade’s demand profile is shaped by competitive entry from next-generation PARP inhibitors (and emerging DDR combinations), patent expiry-driven generic/biosimilar threat on specific formulations/uses, and FDA label sequencing constraints.


What is the latest clinical trial update for olaparib (Lynparza) in 2024–2026?

Current clinical strategy: Olaparib’s late-stage program concentrates on broadening the patient funnel (earlier lines and additional biomarkers), improving response depth via combinations (anti-angiogenics, immunotherapy, and chemotherapy), and expanding non-BRCA settings (HRR gene alterations beyond germline/somatic BRCA). Clinical readouts have been stacked across confirmatory and exploratory phases, with emphasis on progression-free survival (PFS), overall survival (OS) where mature, and safety/tolerability profiles that support combination dosing.

Which trials are most likely to move the label?

Label-impacting olaparib trials cluster in these cohorts:

  • Ovarian cancer: maintenance or combination regimens in platinum-sensitive disease and recurrent settings, often stratified by homologous recombination deficiency (HRD) and BRCA status.
  • Breast cancer: HER2-negative metastatic disease sequences with biomarker refinement and line-of-therapy positioning.
  • Prostate cancer: metastatic castration-resistant prostate cancer (mCRPC) in HRR-altered disease, including treatment combinations designed to extend durability beyond prior PARP exposure.
  • Pancreatic cancer: HRR-mutated metastatic disease programs and earlier-stage or combination expansions.

Primary endpoints tracked by sponsors:

  • PFS and time to deterioration in quality-of-life measures
  • OS in mature subsets or pooled analyses
  • Biomarker response rates by BRCA1/2 and broader HRR gene panels

What trial designs define the competitive cycle for olaparib?

  • Biomarker-enriched randomized studies to keep responder subsets identifiable.
  • Earlier-line “shift” trials to replace chemotherapy cycles with PARP-based maintenance.
  • Combination expansion trials where olaparib is paired with agents that address resistance pathways (DNA damage response crosstalk, angiogenesis, and immune modulation).

How many active clinical trials involve olaparib across solid tumors, and what phases are they in?

A full count requires direct registry extraction; however, the operational pattern is consistent:

  • Multiple concurrent Phase 3 programs in core indications (ovarian, breast, prostate, pancreatic).
  • Phase 2 basket studies designed to test expansion across HRR-altered tumors.
  • Phase 1b/2 combination studies that set dosing, then feed into confirmatory randomized trials.

Market implication: The number of active combinations matters less than the subset of trials with (a) randomized comparators, (b) analyzable OS or clinically accepted PFS magnitude, and (c) safety profiles that preserve long-term adherence in maintenance. Those are the programs that change payer decisions and competitor share.


When do olaparib clinical exclusivity and patent protection begin to erode?

Timeline logic: For branded oncology drugs, commercial “cliffs” typically occur on a formulation and use-by-use basis, often starting with:

  1. loss of U.S. regulatory exclusivity for the reference listed drug or specific supplement pathway, then
  2. approach to expiration of key composition-of-matter and formulation patents, followed by
  3. Orange Book listing-driven generic entry risk if patents expire or are invalidated, and
  4. potential Paragraph IV challenges on specific listed patents.

Business takeaway: For olaparib, erosion is not a single date event; it is a staged risk curve driven by patent clusters tied to specific dosage forms (tablets), strengths, and method-of-use claims for HRR/BRCA patient selection and combination regimens.


What patents protect olaparib (Lynparza), and how do they map to likely generic entry pathways?

Patent estate structure typical for olaparib:

  • Composition-of-matter for the active ingredient and core chemical variants
  • Formulation patents for tablet composition, coatings, stability, and dissolution performance
  • Method-of-use patents for specific biomarkers and lines of therapy
  • Combination regimen patents that cover defined pairings and sequencing

Entry pathway mechanics:

  • Paragraph IV filings target the listed patents that block generic approval.
  • Section viii and 505(b)(2) pathways can route around specific claim coverage depending on what is claimed in the RLD listing and which patents are successfully challenged.

Commercial risk: If method-of-use patents remain intact for key labels (maintenance and HRD-stratified settings), biosimilar-style “near substitutes” may still require narrower labeling and face uptake friction even after composition/formulation patent expiry.


What is the Orange Book status of olaparib, and which listed patents drive bottlenecks?

Orange Book status is determinative because it shows which patents must be cleared for generic substitution. A complete list and status requires Orange Book extraction.

Decision-relevant mapping:

  • Patents listed against the RLD can block immediate generic approval
  • Patents listed against supplemental applications can create delayed entry even after earlier-listing expiry
  • The last-expiring patents often combine formulation and method-of-use coverage, shifting generic entry to later years and/or enabling “carve-out” labeling strategies

Which companies are challenging olaparib with Paragraph IV filings?

Paragraph IV challenger names and patent-by-patent mapping must be pulled from Orange Book litigation dockets and FDA/REMS records. Without that extraction, a precise competitor list cannot be produced.


What olaparib patent litigation affects market exclusivity, settlements, or launch timing?

The market impact of litigation comes from:

  • settlement agreements with “design-around” and launch date covenants,
  • court decisions narrowing claims (especially method-of-use),
  • dismissal outcomes that re-open earlier-expiry entry routes.

A litigation timeline also depends on specific patent numbers and jurisdictions (U.S. only for generic timing; other jurisdictions for commercial parallel trade and enforcement). Without patent-level docket data, a court-grade timeline cannot be stated.


How does olaparib compare with other PARP inhibitors on efficacy, safety, and combination positioning?

Competitive set (class-level): Olaparib competes with other PARP inhibitors that vary in pharmacokinetics, dosing convenience, and label breadth.

How the comparison typically resolves in payers and formularies:

  • Label breadth: which PARP inhibitor covers the largest subset of HRR/BRCA patients across earlier lines.
  • Combination tolerance: whether the PARP partner regimen supports durable maintenance dosing with acceptable discontinuation rates.
  • Biomarker gating: whether a drug is positioned for HRD-positive populations in ways that align with local diagnostic availability.
  • Dose and adherence: regimen complexity can affect persistence in maintenance settings.

Market implication: Olaparib’s strongest commercial positioning is typically linked to evidence maturity in maintenance-like sequences and HRR-driven responder enrichment, which reduces payers’ clinical uncertainty relative to newer agents with narrower OS maturity.


What biosimilar risk exists for olaparib? Is biosimilar entry relevant?

Olaparib is a small molecule, so biosimilar frameworks do not apply. Competitive risk comes from:

  • small-molecule generics,
  • authorized generics,
  • and line-of-therapy erosion from superior or better-tolerated competitors, not biosimilars.

What generic entry risks exist for olaparib in the U.S., and what could delay them?

Generic entry depends on:

  • which listed patents expire first,
  • outcomes of Paragraph IV litigation,
  • whether settlement agreements delay launch,
  • whether method-of-use patents preserve key label barriers,
  • and whether FDA requires labeling carve-outs.

Key delay drivers for oncology brands:

  • multi-patent blocking strategies that cover different aspects of the product
  • method-of-use claims that remain enforceable even after formulation expiry
  • exclusivity extensions tied to supplemental approvals

How does olaparib’s market performance break down by indication (ovarian, breast, prostate, pancreatic)?

A precise indication-level breakdown requires paid claims data or company-reported net sales segmentation. Without cited financials, only a qualitative structure is possible.

Commercial segmentation logic used by analysts:

  • Ovarian cancer: typically anchors PARP inhibitor revenue due to maintenance and recurrent settings with recurring prescribing cycles.
  • Breast cancer: expands with biomarker-defined metastatic and earlier-line sequences.
  • Prostate cancer: tends to grow as mCRPC programs broaden and as HRR diagnostic penetration improves.
  • Pancreatic cancer: often has smaller absolute revenue but can be high-visibility for competitive differentiation because response rates and OS signals are closely scrutinized.

What is the olaparib 2025–2035 market projection (global), and what growth drivers matter most?

Projection framework (logic-based, not point-estimate): Growth over 2025–2035 generally depends on:

  1. further label expansion into earlier lines and additional HRR-altered populations,
  2. combination adoption that improves response rates and supports guideline integration,
  3. diagnostic availability (HRD testing reduces payer pushback),
  4. competitive positioning against next-gen PARP inhibitors and emerging DDR strategies,
  5. patent/settlement timing that determines the start of pricing pressure from generics.

Base-case dynamics: In the mid-term, category growth can outpace share erosion if combinations broaden use beyond classic BRCA maintenance. Late in the decade, patent expiry can introduce pricing pressure that compresses net unit value even if volumes remain supported by earlier-line utilization.


Which regulatory milestones for olaparib are most relevant for future uptake (FDA approvals, supplements, restrictions)?

Uptake drivers tied to FDA actions:

  • New label indications or line-of-therapy changes that move olaparib into earlier treatment.
  • Expansion of biomarker eligibility (BRCA plus HRR gene alterations) backed by clinically validated companion diagnostics.
  • Supplemental approvals for combination regimens where safety supports long-term dosing.

Regulatory friction points:

  • label restrictions requiring specific biomarker tests
  • dose modifications in combination regimens due to hematologic toxicities
  • inclusion/exclusion criteria that narrow eligible populations

How does olaparib’s pricing and payer access influence forecasted demand?

Key determinants:

  • formulary status for maintenance oncology lines,
  • step edits that steer patients to cheaper PARP options if covered,
  • prior authorization rules tied to biomarker confirmation,
  • and patient co-pay dynamics where available.

Forecast impact: Price compression accelerates when generic entry begins or when payer shifts to competitors with stronger net price arrangements. Until then, volume is more sensitive to guideline uptake and diagnostic access than to pricing.


What manufacturing or IP barriers could limit generic competition for olaparib?

Generic competition can be limited by:

  • formulation complexity tied to release characteristics,
  • bioequivalence challenges,
  • and enforceable method-of-use claims that force labeling carve-outs.

Even when composition/formulation barriers expire, the practical and litigation timing delays can postpone meaningful volume erosion.


Key Takeaways

  • Olaparib remains a high-impact PARP inhibitor with an active clinical development portfolio focused on earlier-line use, biomarker expansion, and PARP-combination optimization.
  • Market trajectory over 2025–2035 is primarily driven by label breadth, combination penetration, diagnostic availability, and staged patent erosion that delays full generic price competition.
  • Generic/biosimilar frameworks do not apply; competition is from small-molecule generics and next-gen PARP inhibitors, not biosimilars.
  • The largest forecast uncertainty is patent-litigation and settlement timing on Orange Book-listed patents that block generic labeling and launch schedules.

FAQs

  1. Does olaparib have head-to-head Phase 3 evidence versus other PARP inhibitors in ovarian cancer?
  2. How does HRD and BRCA status affect olaparib eligibility and predicted uptake?
  3. What are the most common safety management issues with olaparib in combination therapy?
  4. Which lines of therapy historically contribute most to PARP inhibitor revenue in oncology formularies?
  5. What factors determine whether a generic olaparib launch results in immediate price erosion or delayed volume impact?

References (APA)

  1. FDA. Drugs@FDA: Lynparza (olaparib) product information.
  2. FDA. Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations.
  3. ClinicalTrials.gov. Interventional studies for olaparib (Lynparza).
  4. AstraZeneca. Lynparza (olaparib) investor materials and annual reports.

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