Evidence map›Paper›PMID 34527850›Full record

Trial reportJCO precision oncology2021

Ceralasertib-Mediated ATR Inhibition Combined With Olaparib in Advanced Cancers Harboring DNA Damage Response and Repair Alterations (Olaparib Combinations).

Haider Mahdi, Navid Hafez, Deborah Doroshow, Davendra Sohal, Vickie Keedy, Khanh T Do, Patricia LoRusso, Juliane Jürgensmeier, Manuel Avedissian, Jeffrey Sklar and 6 more

Open access · bronzeAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in JCO precision oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
4.2field-weighted citation impact, top 4% 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

55 citing papers in PubMed, 66 citations in OpenAlex.

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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

16 authors at 5 institutions in 2 countries.

Haider MahdiCleveland Clinic, Cleveland, OH.ORCID 0000-0002-6343-5314
Navid HafezYale Cancer Center, New Haven, CT.
Deborah DoroshowYale Cancer Center, New Haven, CT.ORCID 0000-0002-2221-9818
Davendra SohalCleveland Clinic, Cleveland, OH.
Vickie KeedyVanderbilt-Ingram Cancer Center, Nashville, TN.
Khanh T DoDana-Farber Cancer Institute, Boston, MA.ORCID 0000-0002-9411-8899
Patricia LoRussoYale Cancer Center, New Haven, CT.
Juliane JürgensmeierYale Cancer Center, New Haven, CT.
Manuel AvedissianYale Cancer Center, New Haven, CT.
Jeffrey SklarYale Cancer Center, New Haven, CT.ORCID 0000-0001-5334-6070
Colin GloverOncology Early Clinical Projects, Oncology R&D, AstraZeneca, Cambridge, United Kingdom.
Brunella FelicettiOncology Early Clinical Projects, Oncology R&D, AstraZeneca, Cambridge, United Kingdom.
Emma DeanOncology Early Clinical Projects, Oncology R&D, AstraZeneca, Cambridge, United Kingdom.ORCID 0000-0001-9956-257X
Peter MortimerOncology Early Clinical Projects, Oncology R&D, AstraZeneca, Cambridge, United Kingdom.ORCID 0000-0003-2900-2336
Geoffrey I ShapiroDana-Farber Cancer Institute, Boston, MA.ORCID 0000-0002-3331-4095
Joseph Paul EderYale Cancer Center, New Haven, CT.ORCID 0000-0002-7805-0986
Yale Cancer Center · USAstraZeneca (United Kingdom) · GBCleveland Clinic · USDana-Farber Cancer Institute · USVanderbilt University · US

Funding

TRANSLATIONAL RESEARCH ONCOLOGY TRAINING GRANTK12CA076917 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI GERSON, STANTON L. · 1997 to 2022
$14.2M
Project 2: Combined personal neoantigen-targeting cancer vaccines with immune checkpoint blockade for ovarian cancerP50CA240243 · NCI · DANA-FARBER CANCER INST · PI CASTRO, CESAR M · 2020 to 2024
$11.5M
NCI NIH HHS K12 CA076917NCI NIH HHS P50 CA240243
6 · The paper itself

Abstract

Poly (ADP-ribose) polymerase (PARP) inhibitors have emerged as promising therapy in cancers with homologous recombination repair deficiency. However, efficacy is limited by both intrinsic and acquired resistance. The Olaparib Combinations basket trial explored olaparib alone and in combination with other homologous recombination-directed targeted therapies. Here, we report the results of the arm in which olaparib was combined with the orally bioavailable ataxia telangiectasia and RAD3-related inhibitor ceralasertib in patients with relapsed or refractory cancers harboring DNA damage response and repair alterations, including patients with PATIENTS AND

methodsGermline and somatic mutations had to be deleterious by COSMIC or ClinVar for eligibility. Olaparib was administered at 300 mg twice daily and ceralasertib at 160 mg daily on days 1-7 in 28-day cycles until progression or unacceptable toxicities. Primary end points were confirmed complete response (CR) or partial response (PR) rates and clinical benefit rate (CBR; CR + PR + stable disease [SD] at 16 weeks).

resultsTwenty-five patients were enrolled, with median four prior therapies. Five patients required dose reductions for myelosuppression. Overall response rate was 8.3% and CBR was 62.5% among the entire cohort. Two of five patients with tumor harboring

conclusionOlaparib with ceralasertib demonstrated preliminary activity in

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsAtaxia Telangiectasia Mutated ProteinsBRCA1 ProteinDNA DamageFemaleHumansIndolesMaleMiddle AgedMorpholinesNeoplasmsPhthalazinesPiperazinesPoly(ADP-ribose) Polymerase InhibitorsAtaxia Telangiectasia Mutated ProteinsATR protein, humanBRCA1 ProteinBRCA1 protein, humanceralasertibIndolesMorpholinesolaparibPhthalazinesPiperazinesPoly(ADP-ribose) Polymerase InhibitorsProtein Kinase InhibitorsPyrimidinesSulfonamides

Identifiers

PMID34527850
PMCPMC8437220
OpenAlexW3198165388

What OpenQuestion 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 OpenQuestion graph.