Evidence map›Paper›PMID 37864337›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2024

Durvalumab Plus Carboplatin/Paclitaxel Followed by Maintenance Durvalumab With or Without Olaparib as First-Line Treatment for Advanced Endometrial Cancer: The Phase III DUO-E Trial.

Shannon N Westin, Kathleen Moore, Hye Sook Chon, Jung-Yun Lee, Jessica Thomes Pepin, Michael Sundborg, Ayelet Shai, Joseph de la Garza, Shin Nishio, Michael A Gold and 21 more

Erratum issuedOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 205 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
205citing papers in PubMed, 13 pooled it
64.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

205 citing papers in PubMed, 13 syntheses or guidelines pooled it, 282 citations in OpenAlex.

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  3. SEOM-GEICO clinical guidelines on endometrial cancer (2025).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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  17. A Phase II Trial of Olaparib plus Pembrolizumab in Patients with Recurrent Copy Number-High/p53-Abnormal Endometrial Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
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145 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors at 20 institutions in 15 countries.

Shannon N WestinUniversity of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-1922-0156
Kathleen MooreStephenson Cancer Center at the University of Oklahoma Medical Center, Oklahoma, OK.
Hye Sook ChonH.Lee Moffitt Cancer Center, Tampa, FL.
Jung-Yun LeeDepartment of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0001-7948-1350
Jessica Thomes PepinMinnesota Oncology, Minneapolis, MN.
Michael SundborgFirstHealth Moore Regional Hospital, Pinehurst, NC.
Ayelet ShaiRAMBAM Health Care Campus, Haifa, and Israeli Society of Gynecologic Oncology (ISGO), Israel.
Joseph de la GarzaTexas Oncology-San Antonio Medical Center, San Antonio, TX.
Shin NishioDepartment of Obstetrics and Gynecology, Kurume University School of Medicine, Kurume, Fukuoka, Japan.ORCID 0000-0003-2526-630X
Michael A GoldOklahoma Cancer Specialists and Research Institute, Tulsa, OK.
Ke WangTianjin Medical University Cancer Institute & Hospital, Tianjin, China.
Kristi McIntyreTexas Health Presbyterian Hospital, Dallas, TX.
Todd D TillmannsWest Cancer Center Research Institute & University of Tennessee Health Science Center, Memphis, TN.
Stephanie V BlankTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, and GOG Foundation (GOG-F), USA.ORCID 0000-0003-0605-6753
Ji-Hong LiuSun Yat-sen University Cancer Center, Guangzhou, China.
Michael McCollumVirginia Oncology Associates, Brock Cancer Center, Norfolk, VA, and GOG Foundation (GOG-F), USA.
Fernando Contreras MejiaNational Cancer Institute of Colombia, Bogotá, Colombia.ORCID 0000-0003-1859-5906
Tadaaki NishikawaDepartment of Medical Oncology, National Cancer Center Hospital, Tokyo, Japan.ORCID 0000-0003-2606-4208
Kathryn PenningtonFred Hutchinson Cancer Center, University of Washington Medical Center, Seattle, WA.
Zoltan NovakNational Institute of Oncology, Budapest, and Central and Eastern European Gynecologic Oncology Group (CEEGOG), Hungary.
Andreia Cristina De MeloClinical Research and Technological Development Division, Brazilian National Cancer Institute, Rio de Janeiro, Brazil.ORCID 0000-0002-1201-4333
Jalid SehouliCharité-Department of Gynecology with Center of Oncological Surgery, Universitätsmedizin Berlin, Berlin, and North Eastern German Society of Gynecological Oncology (NOGGO), Germany.
Dagmara Klasa-MazurkiewiczDepartment of Obstetrics and Gynecology, Gynecological Oncology and Gynecological Endocrinology, Medical University of Gdańsk, Gdańsk, and Polish Gynecologic Oncology Group (PGOG), Poland.ORCID 0000-0003-0122-9504
Christos PapadimitriouAretaieion University Hospital, National and Kapodistrian University of Athens, Athens, and Hellenic Cooperative Oncology Group (HeCOG), Greece.
Marta Gil-MartinMedical Oncology Department, Catalan Institute of Oncology-Institut d'Investigació Biomédica de Bellvitge (IDIBELL), Hospital Duran i Reynals, L'Hospitalet-Barcelona, Barcelona, and Grupo Español de Investigación en Cáncer de Ovario (GEICO), Spain.ORCID 0000-0002-8548-5355
Birute BrasiunieneDepartment of Medical Oncology, National Cancer Institute of Lithuania, Faculty of Medicine of Vilnius University, Vilnius, and Nordic Society of Gynaecological Oncology (NSGO), Lithuania.ORCID 0000-0002-7097-1131
Conor DonnellyOncology Biometrics, AstraZeneca, Cambridge, United Kingdom.
Paula Michelle Del RosarioOncology R&D, Global Medicines Development, AstraZeneca, Cambridge, United Kingdom.
Xiaochun LiuOncology R&D, Late-stage Development, AstraZeneca, Gaithersburg, MD.
Els Van NieuwenhuysenUniversity Hospital Leuven, Leuven, and Luxembourg Gynaecological Oncology Group (BGOG), Belgium.
DUO-E Investigators
The University of Texas MD Anderson Cancer Center · USGynecologic Oncology Group · USNational and Kapodistrian University of Athens · GRAstraZeneca (United Kingdom) · GBKurume University · JPNational Institute of Oncology · HUNord-Ostdeutsche Gesellschaft für Gynäkologische Onkologie · DEUniversity of Washington Medical Center · USVilnius University · LTFirstHealth of the Carolinas · USInstituto Nacional de Câncer - INCA · BRInstituto Nacional de Cancerología · COMinnesota Oncology · USOklahoma Cancer Specialists and Research Institute · USTexas Oncology · USThe European Academy of Gynaecological Surgery · BEUniversity of Oklahoma Medical Center · USUniversity of Tennessee Health Science Center · USYonsei University · KRGdańsk Medical University · PL

Funding

Targeting the PI3K Signaling Pathway in Endometrial CarcinomaP50CA098258 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI BODURKA, DIANE · 2003 to 2020
$32.0M
NCI NIH HHS P50 CA098258
6 · The paper itself

Abstract

purposeImmunotherapy and chemotherapy combinations have shown activity in endometrial cancer, with greater benefit in mismatch repair (MMR)-deficient (dMMR) than MMR-proficient (pMMR) disease. Adding a poly(ADP-ribose) polymerase inhibitor may improve outcomes, especially in pMMR disease.

methodsThis phase III, global, double-blind, placebo-controlled trial randomly assigned eligible patients with newly diagnosed advanced or recurrent endometrial cancer 1:1:1 to: carboplatin/paclitaxel plus durvalumab placebo followed by placebo maintenance (control arm); carboplatin/paclitaxel plus durvalumab followed by maintenance durvalumab plus olaparib placebo (durvalumab arm); or carboplatin/paclitaxel plus durvalumab followed by maintenance durvalumab plus olaparib (durvalumab + olaparib arm). The primary end points were progression-free survival (PFS) in the durvalumab arm versus control and the durvalumab + olaparib arm versus control.

resultsSeven hundred eighteen patients were randomly assigned. In the intention-to-treat population, statistically significant PFS benefit was observed in the durvalumab (hazard ratio [HR], 0.71 [95% CI, 0.57 to 0.89];

conclusionCarboplatin/paclitaxel plus durvalumab followed by maintenance durvalumab with or without olaparib demonstrated a statistically significant and clinically meaningful PFS benefit in patients with advanced or recurrent endometrial cancer.

Indexed as

Antibodies, MonoclonalAntineoplastic AgentsEndometrial NeoplasmsPhthalazinesPiperazinesAntineoplastic Combined Chemotherapy ProtocolsCarboplatinDouble-Blind MethodFemaleHumansNeoplasm Recurrence, LocalPaclitaxelPoly(ADP-ribose) Polymerase InhibitorsAntibodies, MonoclonalAntineoplastic AgentsCarboplatindurvalumabolaparibPaclitaxelPhthalazinesPiperazinesPoly(ADP-ribose) Polymerase Inhibitors

Identifiers

PMID37864337
PMCPMC10824389
OpenAlexW4387840851

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.