Clinical trial Recruiting at 1 site Phase 1 Interventional Ages 18 and up Women only

Combination of estradiol and olaparib for advanced breast cancer treatment

Official title: Phase 1b Study of Olaparib and Estradiol in Advanced ER+ Breast Cancer (PHOEBE)

Run by Dartmouth-Hitchcock Medical Center · NCT05900895 · Data updated 2026-11-12

This study is testing a new treatment combining estradiol and olaparib to see if it helps post-menopausal women with advanced breast cancer that hasn't responded to other therapies.

More Metastatic Breast Cancer trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment6 (estimated)
SponsorDartmouth-Hitchcock Medical Center
Academic / other
Drugs / interventionsdenosumab, chemotherapy, radiation
Locations1 site (Lebanon, New Hampshire)
StatusRecruiting
StartedJuly 15, 2024
Main results expectedDecember 2027
Study endsDecember 2028
Registry record updatedNovember 20, 2025
Trial IDNCT05900895 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include post-menopausal women with ER+/HER2- metastatic or locally advanced breast cancer who have previously received endocrine therapy.

Probably not a fit

Patients with known CNS disease, recent history of certain cardiovascular events, or those currently undergoing other anti-cancer therapies may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial aims to evaluate the safety and optimal dosage of olaparib when combined with 17b-estradiol in post-menopausal women suffering from advanced ER+/HER2- breast cancer. Participants will receive the combination treatment for two cycles, followed by single-agent estradiol until disease progression occurs. The study will assess clinical benefits, progression-free survival, objective response rates, tumor metabolic response, and any associated toxicities. This approach targets patients with endocrine-resistant breast cancer who have previously undergone endocrine therapy.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with advanced breast cancer who have limited treatment alternatives.

How similar studies have gone: While the combination of estradiol and olaparib is a novel approach, similar studies have shown promise in targeting endocrine-resistant breast cancer.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Post-menopausal women with ER+/HER2- breast cancer.
* Metastatic or locoregional recurrence not amenable to treatment with curative intent.
* Received ≥1 prior line of endocrine-based therapy in the advanced/metastatic setting.

Exclusion Criteria:

* During study treatment, no concurrent anti-cancer therapies are allowed with the following exceptions:

  o Anti-resorptive bone therapies (e.g., bisphosphonates, denosumab) permitted.
* Any investigational cancer therapy or systemic chemotherapy in the last 3 weeks.
* Any radiation therapy in the last 2 weeks.
* Known CNS disease, unless clinically stable for ≥ 3 months.
* Concomitant use of known strong or moderate CYP3A inhibitors.
* Persistent toxicities (≥CTCAE grade 2) caused by previous cancer therapy.
* History of any of the following:

  * Deep venous thrombosis
  * Pulmonary embolism
  * Stroke
  * Acute myocardial infarction
  * Congestive heart failure
  * Previous malignancy not treated with curative intent, or with an estimated recurrence risk ≥30%
  * Severe renal impairment (creatinine clearance ≤ 30 mL/min).

Where it's running

  • Dartmouth Cancer Center
    Lebanon, New Hampshire, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.