Evidence map›Paper›PMID 25025963›Full record

ArticleBritish journal of cancer2014

Phase I study of olaparib in combination with liposomal doxorubicin in patients with advanced solid tumours.

G Del Conte, C Sessa, R von Moos, L Viganò, T Digena, A Locatelli, E Gallerani, A Fasolo, A Tessari, R Cathomas and 1 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in British journal of cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00819221 (A Phase I, Open Label, Multicenter Study to Assess the Safety, Tolerability and Pharmacology of AZD2281 in Combination With Liposomal Doxorubicin), which is not on this map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 2% 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.

NCT00819221 phase1terminatednot on this map

A Phase I, Open Label, Multicenter Study to Assess the Safety, Tolerability and Pharmacology of AZD2281 in Combination With Liposomal Doxorubicin (Caelyx®) in Patients With Advanced Solid Tumors

TypeinterventionalSponsorAstraZenecaRan2009 to 2021Enrolled44ConditionsSolid TumorsArmsAZD2281, liposomal doxorubicin
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 102 citations in OpenAlex.

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  14. The role of PARP inhibitor combination therapy in ovarian cancer.Therapeutic advances in medical oncology · 2023
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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

11 authors at 4 institutions in 2 countries.

G Del ConteDepartment of Medical Oncology, Ospedale San Raffaele Scientific Institute, Milan, Italy.
C Sessa1] Department of Medical Oncology, Ospedale San Raffaele Scientific Institute, Milan, Italy [2] Oncology Institute of Southern Switzerland, Ospedale San Giovanni, Bellinzona Hospital, Bellinzona, Switzerland.
R von MoosKantonsspital Graubünden, Chur, Switzerland.
L ViganòDepartment of Medical Oncology, Ospedale San Raffaele Scientific Institute, Milan, Italy.
T DigenaOncology Institute of Southern Switzerland, Ospedale San Giovanni, Bellinzona Hospital, Bellinzona, Switzerland.
A LocatelliDepartment of Medical Oncology, Ospedale San Raffaele Scientific Institute, Milan, Italy.
E GalleraniOncology Institute of Southern Switzerland, Ospedale San Giovanni, Bellinzona Hospital, Bellinzona, Switzerland.
A FasoloDepartment of Medical Oncology, Ospedale San Raffaele Scientific Institute, Milan, Italy.
A TessariFondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.
R CathomasKantonsspital Graubünden, Chur, Switzerland.
L GianniDepartment of Medical Oncology, Ospedale San Raffaele Scientific Institute, Milan, Italy.
IRCCS Ospedale San Raffaele · ITKantonsspital Graubünden · CHOspedale San Giovanni Bellinzona · CHFondazione IRCCS Istituto Nazionale dei Tumori · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlaparib, an oral PARP inhibitor, has shown antitumour activity as monotherapy in patients with germline BRCA1/2 (gBRCA)-mutated breast and ovarian cancer. This study evaluated olaparib capsules in combination with liposomal doxorubicin (PLD) in patients with advanced solid tumours (NCT00819221).

methodsPatients received 28-day cycles of olaparib, continuously (days 1-28) or intermittently (days 1-7), plus PLD (40 mg m(-2), day 1); seven olaparib dose cohorts (50-400 mg bid) were explored to determine the recommended dose. Assessments included safety, pharmacokinetics, pharmacodynamics and preliminary efficacy (objective response rate (ORR)).

resultsOf 44 patients treated (ovarian, n=28; breast, n=13; other/unknown, n=3), two experienced dose-limiting toxicities (grade 3 stomatitis and fatal pneumonia/pneumonitis (200 mg per 28-day cycle); grade 4 thrombocytopenia (400 mg per 7-day cycle)). The maximum tolerated dose was not reached using continuous olaparib 400 mg bid plus PLD. Grade ≥3 and serious AEs were reported for 27 (61%) and 12 (27%) patients, respectively. No major pharmacokinetic interference was observed between olaparib and PLD. The ORR was 33% (n=14 out of 42; complete response, n=3). A total of 13 responders had ovarian cancer: 10 were platinum-sensitive, 11 had a gBRCA mutation.

conclusionsContinuous/intermittent olaparib (up to 400 mg bid) combined with PLD (40 mg m(-2)) was generally tolerated and showed evidence of antitumour activity in ovarian cancer.

Indexed as

AgedAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsDNA DamageDoxorubicinFemaleHistonesHumansMaleMaximum Tolerated DoseMiddle AgedOvarian NeoplasmsPhthalazinesPiperazinesPolyethylene GlycolsTreatment OutcomeDoxorubicinH2AX protein, humanHistonesliposomal doxorubicinolaparibPhthalazinesPiperazinesPolyethylene Glycols

Identifiers

PMID25025963
PMCPMC4134498
OpenAlexW1984087886

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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Registered trials

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 OpenQuestion graph.