Evidence map›Paper›PMID 28454085›Full record

ArticleOncotarget2017

Baseline clinical predictors of antitumor response to the PARP inhibitor olaparib in germline BRCA1/2 mutated patients with advanced ovarian cancer.

Saeed Rafii, Charlie Gourley, Rajiv Kumar, Elena Geuna, Joo Ern Ang, Tzyvia Rye, Lee-May Chen, Ronnie Shapira-Frommer, Michael Friedlander, Ursula Matulonis and 7 more

Abstract read
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 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

17 authors.

Saeed RafiiDrug Development Unit, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, London, UK.
Charlie GourleyUniversity of Edinburgh Cancer Research UK Centre, Edinburgh, UK.
Rajiv KumarDrug Development Unit, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, London, UK.
Elena GeunaDrug Development Unit, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, London, UK.
Joo Ern AngDrug Development Unit, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, London, UK.
Tzyvia RyeUniversity of Edinburgh Cancer Research UK Centre, Edinburgh, UK.
Lee-May ChenUniversity of California San Francisco, San Francisco, CA, USA.
Ronnie Shapira-FrommerSheba Medical Centre, Ramat Gan, Israel.
Michael FriedlanderPrince of Wales Cancer Centre, Randwick, Australia.
Ursula MatulonisDana-Farber Cancer Institute, Boston, MA, USA.
Jacques De GreveOncologisch Centrum UZ Brussel, Brussels, Belgium.
Amit M OzaPrincess Margaret Cancer Centre, University Health Network, Toronto, Canada.
Susana BanerjeeGynae-Oncology Unit, Royal Marsden Hospital, London, UK.
L Rhoda MolifeDrug Development Unit, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, London, UK.
Martin E GoreGynae-Oncology Unit, Royal Marsden Hospital, London, UK.
Stan B KayeDrug Development Unit, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, London, UK.
Timothy A YapDrug Development Unit, The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe PARP inhibitor olaparib was recently granted Food and Drug Administration (FDA) accelerated approval in patients with advanced BRCA1/2 mutation ovarian cancer. However, antitumor responses are observed in only approximately 40% of patients and the impact of baseline clinical factors on response to treatment remains unclear. Although platinum sensitivity has been suggested as a marker of response to PARP inhibitors, patients with platinum-resistant disease still respond to olaparib.

results108 patients with advanced BRCA1/2 mutation ovarian cancers were included. The interval between the end of the most recent platinum chemotherapy and PARPi (PTPI) was used to predict response to olaparib independent of conventional definition of platinum sensitivity. RECIST complete response (CR) and partial response (PR) rates were 35% in patients with platinum-sensitive versus 13% in platinum-resistant (p<0.005). Independent of platinum sensitivity status, the RECIST CR/PR rates were 42% in patients with PTPI greater than 52 weeks and 18% in patients with PTPI less than 52 weeks (p=0.016). No association was found between baseline clinical factors such as FIGO staging, debulking surgery, BRCA1 versus BRCA2 mutations, prior history of breast cancer and prior chemotherapy for breast cancer, and the response to olaparib.

methodsWe conducted an international multicenter retrospective study to investigate the association between baseline clinical characteristics of patients with advanced BRCA1/2 mutation ovarian cancers from eight different cancer centers and their antitumor response to olaparib.

conclusionPTPI may be used to refine the prediction of response to PARP inhibition based on the conventional categorization of platinum sensitivity.

Indexed as

Germ-Line MutationAdultAgedAntineoplastic AgentsBRCA1 ProteinBRCA2 ProteinFemaleHumansMiddle AgedNeoplasm GradingNeoplasm MetastasisNeoplasm StagingOvarian NeoplasmsPhthalazinesPiperazinesPoly(ADP-ribose) Polymerase InhibitorsAntineoplastic AgentsBRCA1 ProteinBRCA2 ProteinolaparibPhthalazinesPiperazinesPoly(ADP-ribose) Polymerase InhibitorsBRCAolaparibovarian cancerPARP inhibitorpredictive biomarkers

Identifiers

PMID28454085
PMCPMC5564551

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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.