Evidence map›Paper›PMID 38759516›Full record

Trial reportGynecologic oncology2024

A phase 2 trial exploring the significance of homologous recombination status in patients with platinum sensitive or platinum resistant relapsed ovarian cancer receiving combination cediranib and olaparib.

Joyce F Liu, Niya Xiong, Robert M Wenham, Andrea Wahner-Hendrickson, Deborah K Armstrong, Nancy Chan, David M O'Malley, Jung-Min Lee, Richard T Penson, Mihaela C Cristea and 11 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Gynecologic oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Joyce F LiuDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, United States of America. Electronic address: joyce_liu@dfci.harvard.edu.
Niya XiongDepartment of Data Science, Dana-Farber Cancer Institute, Boston, MA, United States of America.
Robert M WenhamDepartment of Gynecologic Oncology, Moffitt Cancer Center, Tampa, FL, United States of America.
Andrea Wahner-HendricksonDepartment of Medical Oncology, Mayo Clinic, Rochester, MN, United States of America.
Deborah K ArmstrongDepartment of Medical Oncology, Johns Hopkins Sidney Kimmel Comprehensive Cancer Center, Baltimore, MD, United States of America.
Nancy ChanDepartment of Medical Oncology, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, United States of America.
David M O'MalleyDepartment of Obstetrics and Gynecology, The Ohio State University, Columbus, OH, United States of America.
Jung-Min LeeWomen's Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD, United States of America.
Richard T PensonDepartment of Medical Oncology, Massachusetts General Hospital, Boston, MA, United States of America.
Mihaela C CristeaDepartment of Medical Oncology, City of Hope Comprehensive Cancer Center, Duarte, CA, United States of America.
James L AbbruzzeseDepartment of Medical Oncology, Duke Cancer Institute, Durham, NC, United States of America.
Koji MatsuoDepartment of Obstetrics & Gynecology, Keck School of Medicine of University of Southern California, Los Angeles, CA, United States of America.
Alexander B OlawaiyeDepartment of OBGYN, University of Pittsburgh Medical Center, Pittsburgh, PA, United States of America.
William T BarryDepartment of Data Science, Dana-Farber Cancer Institute, Boston, MA, United States of America.
Su-Chun ChengDepartment of Data Science, Dana-Farber Cancer Institute, Boston, MA, United States of America.
Madeline PolakDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, United States of America.
Elizabeth M SwisherDepartment of Obstetrics & Gynecology, University of Washington, Seattle, WA, United States of America.
Geoffrey I ShapiroDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, United States of America.
Elise C KohnWomen's Malignancies Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD, United States of America; Clinical Investigations Branch, NCI Cancer Therapy Evaluation Program, National Cancer Institute, Bethesda, MD, United States of America.
S Percy IvyInvestigational Drug Branch, NCI Cancer Therapy Evaluation Program, National Cancer Institute, Bethesda, MD, United States of America.
Ursula A MatulonisDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, United States of America.

Funding

XPO1 inhibitors Selinexor and Eltanexor in Combination with Venetoclax and Decitabine (ASTX727) in AMLUM1CA186709 · NCI · DANA-FARBER CANCER INST · PI KEITH T FLAHERTY, DONALD W. KUFE · 2014 to 2026
$25.9M
The Johns Hopkins Translational Science Team for the ET-CTNUM1CA186691 · NCI · JOHNS HOPKINS UNIVERSITY · PI Jan Hendrik Beumer, Michael A Carducci · 2014 to 2026
$21.9M
Targeting DNA damage repair and related pathways in HRD-womens cancersZIABC011525 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI LEE, JUNG-MIN · 2013 to 2025
$14.8M
NCI ET-CTN with Phase i Emphasis at UPCIUM1CA186690 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOHN C. BYRD, Farshid Dayyani · 2014 to 2026
$9.1M
NCI NIH HHS UM1 CA186690NCI NIH HHS UM1 CA186691NCI NIH HHS UM1 CA186709
6 · The paper itself

Abstract

objectiveCombination cediranib/olaparib has reported activity in relapsed ovarian cancer. This phase 2 trial investigated the activity of cediranib/olaparib in relapsed ovarian cancer and its association with homologous recombination deficiency (HRD).

methodsSeventy patients were enrolled to cohorts of either platinum-sensitive or platinum-resistant ovarian cancer and received olaparib tablets 200 mg twice daily and cediranib tablets 30 mg once daily under a continuous dosing schedule. HRD testing was performed on pre-treatment, on-treatment and archival biopsies by sequencing key homologous recombination repair (HRR) genes and by genomic LOH analysis. The primary objective for the platinum-sensitive cohort was the association of HRD, defined as presence of HRR gene mutation, with progression-free survival (PFS). The primary objective for the platinum-resistant cohort was objective response rate (ORR), with a key secondary endpoint evaluating the association of HRD status with activity.

resultsIn platinum-sensitive ovarian cancer (N = 35), ORR was 77.1% (95% CI 59.9-89.6%) and median PFS was 16.4 months (95% CI 13.2-18.6). Median PFS in platinum-sensitive HRR-HRD cancers (N = 22) was 16.8 months (95% CI 11.3-18.6), and 16.4 months (95% CI 9.4-NA) in HRR-HR proficient cancers (N = 13; p = 0.57). In platinum-resistant ovarian cancer (N = 35), ORR was 22.9% (95% CI 10.4-40.1%) with median PFS 6.8 months (95% CI 4.2-9.1). Median PFS in platinum-resistant HRR-HRD cancers (N = 7) was 10.5 months (95% CI 3.6-NA) and 5.6 months (95% CI 3.6-7.6) in HRR-HR proficient cancers (N = 18; p = 0.23).

conclusionsCediranib/olaparib had clinical activity in both platinum-sensitive and -resistant ovarian cancer. Presence of HRR gene mutations was not associated with cediranib/olaparib activity in either setting.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsDrug Resistance, NeoplasmNeoplasm Recurrence, LocalOvarian NeoplasmsPhthalazinesPiperazinesQuinazolinesAdultAgedAged, 80 and overCarcinoma, Ovarian EpithelialFemaleHomologous RecombinationHumansIndolesMiddle AgedcediranibIndolesolaparibPhthalazinesPiperazinesQuinazolinesAnti-angiogenicCediranibOlaparibOvarian cancerPARP inhibitor

Identifiers

PMID38759516
PMCPMC11309890

What Socratic holds

Textmetadata
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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.