Evidence map›Paper›PMID 30353044›Full record

Trial reportBritish journal of cancer2018

Candidate biomarkers of PARP inhibitor sensitivity in ovarian cancer beyond the BRCA genes.

Darren R Hodgson, Brian A Dougherty, Zhongwu Lai, Anitra Fielding, Lynda Grinsted, Stuart Spencer, Mark J O'Connor, Tony W Ho, Jane D Robertson, Jerry S Lanchbury and 9 more

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

Trial report in British journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00753545 (Phase II Randomised, Double Blind, Multicentre Study to Assess the Efficacy of AZD2281 in the Treatment of Patients With Platinum Sensitive Relapsed Serous Ovarian Cancer Following Treatment With Two or More Platinum Containing Regimens), which is not on this map. Cited by 126 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
126citing papers in PubMed, 2 pooled it
8.9field-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.

NCT00753545 phase2completednot on this map

Phase II Randomised, Double Blind, Multicentre Study to Assess the Efficacy of AZD2281 in the Treatment of Patients With Platinum Sensitive Relapsed Serous Ovarian Cancer Following Treatment With Two or More Platinum Containing Regimens

TypeinterventionalSponsorAstraZenecaRan2008 to 2023Enrolled265ConditionsOvarian CancerArmsAZD2281, matching placebo
3 · Its place in the literature

Who cites it

126 citing papers in PubMed, 2 syntheses or guidelines pooled it, 230 citations in OpenAlex.

  1. Pooled it
  2. Germline and Somatic Tumor Testing in Epithelial Ovarian Cancer: ASCO Guideline.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Impact of germlineMolecular therapy. Oncology · 2026
    Article
  11. RAD51-targeting small molecule degrader sensitizesActa pharmaceutica Sinica. B · 2026
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Observational
  17. Article
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  19. Article
  20. Article

66 more citing papers are in PubMed but not listed here.

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

19 authors at 7 institutions in 4 countries.

Darren R HodgsonAstraZeneca, Macclesfield, UK. darren.hodgson@astrazeneca.com.
Brian A DoughertyAstraZeneca, Waltham, MA, USA.
Zhongwu LaiAstraZeneca, Waltham, MA, USA.
Anitra FieldingAstraZeneca, Macclesfield, UK.
Lynda GrinstedAstraZeneca, Macclesfield, UK.
Stuart SpencerAstraZeneca, Macclesfield, UK.
Mark J O'ConnorAstraZeneca, Macclesfield, UK.
Tony W HoAstraZeneca, Wilmington, DE, USA.
Jane D RobertsonAstraZeneca, Macclesfield, UK.
Jerry S LanchburyMyriad Genetics, Inc., Salt Lake City, UT, USA.
Kirsten M TimmsMyriad Genetics, Inc., Salt Lake City, UT, USA.
Alexander GutinMyriad Genetics, Inc., Salt Lake City, UT, USA.
Maria OrrAstraZeneca, Macclesfield, UK.
Helen JonesAstraZeneca, Macclesfield, UK.
Blake GilksUniversity of British Columbia, Vancouver, BC, Canada.
Chris WomackWomack Consulting Ltd, Stamford, UK.
Charlie GourleyNicola Murray Centre for Ovarian Cancer Research, University of Edinburgh, Edinburgh, UK.
Jonathan LedermannUCL Cancer Institute, University College London, London, UK.
J Carl BarrettAstraZeneca, Waltham, MA, USA.
AstraZeneca (United Kingdom) · GBAstraZeneca (United States) · USMyriad Genetics · USAstraZeneca (Singapore) · SGCRUK Lung Cancer Centre of Excellence · GBEdinburgh Cancer Research · GBUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlaparib (Lynparza™) is a PARP inhibitor approved for advanced BRCA-mutated (BRCAm) ovarian cancer. PARP inhibitors may benefit patients whose tumours are dysfunctional in DNA repair mechanisms unrelated to BRCA1/2. We report exploratory analyses, including the long-term outcome of candidate biomarkers of sensitivity to olaparib in BRCA wild-type (BRCAwt) tumours.

methodsTumour samples from an olaparib maintenance monotherapy trial (Study 19, D0810C00019; NCT00753545) were analysed. Analyses included classification of mutations in genes involved in homologous recombination repair (HRR), BRCA1 promoter methylation status, measurement of BRCA1 protein and Myriad HRD score.

resultsPatients with BRCAm tumours gained most benefit from olaparib; a similar treatment benefit was also observed in 21/95 patients whose tumours were BRCAwt but had loss-of-function HRR mutations compared to patients with no detectable HRR mutations (58/95). A higher median Myriad MyChoice

conclusionsOvarian cancer patients with tumours harbouring loss-of-function mutations in HRR genes other than BRCA1/2 may constitute a small, molecularly identifiable and clinically relevant population who derive treatment benefit from olaparib similar to patients with BRCAm.

Indexed as

Biomarkers, TumorBRCA1 ProteinBRCA2 ProteinDouble-Blind MethodFemaleHumansOvarian NeoplasmsPoly(ADP-ribose) Polymerase InhibitorsBiomarkers, TumorBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humanPoly(ADP-ribose) Polymerase Inhibitors

Identifiers

PMID30353044
PMCPMC6265286
OpenAlexW2896626889

What OpenQuestion holds

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LicenceCC BY
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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.