TricDB

olaparib

Drug Code : 22020124180
Drug Brand : Lynparza
Company : AstraZeneca Pharmaceuticals Inc
Approved by : FDA, EMA, NMPA, NCCN
Approval Time : Aug. 17, 2017
Direct Target : PARP1,PARP2,PARP3
Drug Type : Single-target inhibitor
Gene : BRCA2
Alteration : Deleterious Mutations
Indications : Olaparib tablets was approved to be used for the maintenance treatment of adult patients with recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer, who are in a complete or partial response to platinum-based chemotherapy and for the treatment of adult patients with deleterious or suspected deleterious germline BRCA-mutated advanced ovarian cancer who have been treated with three or more prior lines of chemotherapy.
Mechanism Of Action :
Olaparib is an inhibitor of poly (ADP-ribose) polymerase (PARP) enzymes, including PARP1, PARP2, and PARP3. PARP enzymes are involved in normal cellular functions, such as DNA transcription and DNA repair. Olaparib has been shown to inhibit growth of select tumor cell lines in vitro and decrease tumor growth in mouse xenograft models of human cancer, both as monotherapy or following platinum_x0002_based chemotherapy. Increased cytotoxicity and anti-tumor activity following treatment with olaparib were noted in cell lines and mouse tumor models with deficiencies in BRCA and non-BRCA proteins involved in the homologous recombination repair (HRR) of DNA damage and correlated with platinum response. In vitro studies have shown that olaparib-induced cytotoxicity may involve inhibition of PARP enzymatic activity and increased formation of PARP-DNA complexes, resulting in DNA damage and cancer cell death.
Clinical Trial : NCT01874353
Dosage : The recommended dose of olaparib tablets for both maintenance and later-line treatment is 300 mg (two 150-mg tablets) twice daily, with treatment continued until disease progression or unacceptable toxicity. A 100-mg tablet is available for use in dose reduction. The first dose reduction should be to 250 mg twice daily and the second, to 200 mg twice daily.
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