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.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 6 (estimated) |
| Sponsor | Dartmouth-Hitchcock Medical Center Academic / other |
| Drugs / interventions | denosumab, chemotherapy, radiation |
| Locations | 1 site (Lebanon, New Hampshire) |
| Status | Recruiting |
| Started | July 15, 2024 |
| Main results expected | December 2027 |
| Study ends | December 2028 |
| Registry record updated | November 20, 2025 |
| Trial ID | NCT05900895 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
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Dartmouth Cancer Center
Lebanon, New Hampshire, United States Recruiting
Study contacts
- Principal investigator: Mary Chamberlin, MD — Dartmouth-Hitchcock Medical Center
- Study coordinator: Research Nurse
- Email: Cancer.Research.Nurse@dartmouth.edu
- Phone: 1-800-639-6918
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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PRT13722 in advanced HR+/HER2- breast cancer
This early study tests PRT13722, by itself and with standard therapies, to see if it is safe and has any signs of activity in adults with HR+/HER2- breast cancer who have progressed on prior treatments.
-
Personalized treatment after endocrine therapy failure in metastatic breast cancer
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SSGJ-612 plus a HER2-targeted ADC in HR-positive, HER2-low metastatic breast cancer
This phase II study tests whether adding SSGJ-612 to a HER2-targeted antibody-drug conjugate helps people with HR-positive, HER2-low or ultralow metastatic breast cancer.
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SMP-656 in HER2-positive advanced breast cancer after ADC therapy
This trial tests whether SMP-656 given by IV every 3 weeks can help people with HER2-positive locally advanced or metastatic breast cancer who progressed after a HER2-targeted antibody-drug conjugate.
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Entinostat with Pyrotinib and Endocrine Therapy in HER2-positive, HR-positive Advanced Breast Cancer after Trastuzumab Failure
This study tests whether adding entinostat to pyrotinib and hormone therapy is safe and helps patients with advanced HR+/HER2+ breast cancer who progressed after trastuzumab.
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T-DXd–based therapy followed by targeted HER2 blockade and endocrine therapy in first-line HER2+ / HR+ metastatic breast cancer
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.