Evidence map›Paper›PMID 34742344›Full record

ArticleJournal of hematology & oncology2021

VEGF pathway inhibition potentiates PARP inhibitor efficacy in ovarian cancer independent of BRCA status.

Francesca Bizzaro, Ilaria Fuso Nerini, Molly A Taylor, Alessia Anastasia, Massimo Russo, Giovanna Damia, Federica Guffanti, Francesca Guana, Paola Ostano, Lucia Minoli and 12 more

Open access · goldAbstract readLetter
In one paragraph

Article in Journal of hematology & oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
4.0field-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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 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

22 authors at 6 institutions in 3 countries.

Francesca Bizzaro *Laboratory of Cancer Metastasis Therapeutics, Department of Oncology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, 20156, Milan, Italy.
Ilaria Fuso NeriniLaboratory of Cancer Metastasis Therapeutics, Department of Oncology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, 20156, Milan, Italy.
Molly A TaylorEarly Oncology, AstraZeneca, Cambridge, UK.
Alessia AnastasiaLaboratory of Cancer Metastasis Therapeutics, Department of Oncology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, 20156, Milan, Italy.
Massimo RussoLaboratory of Cancer Metastasis Therapeutics, Department of Oncology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, 20156, Milan, Italy.
Giovanna DamiaLaboratory of Molecular Pharmacology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Federica GuffantiLaboratory of Molecular Pharmacology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, Italy.
Francesca GuanaLaboratory of Cancer Genomics, Fondazione Edo ed Elvo Tempia Valenta, Biella, Italy.
Paola OstanoLaboratory of Cancer Genomics, Fondazione Edo ed Elvo Tempia Valenta, Biella, Italy.
Lucia MinoliDepartment of Veterinary Medicine, University of Milan, Milan, Italy.
Maureen M HattersleyEarly Oncology, AstraZeneca, Boston, USA.
Stephanie ArnoldEarly Oncology, AstraZeneca, Cambridge, UK.
Antonio Ramos-MontoyaEarly Oncology, AstraZeneca, Cambridge, UK.
Stuart C WilliamsonEarly Oncology, AstraZeneca, Cambridge, UK.
Alessandro GalbiatiEarly Oncology, AstraZeneca, Cambridge, UK.
Jelena UrosevicEarly Oncology, AstraZeneca, Cambridge, UK.
Elisabetta LeoEarly Oncology, AstraZeneca, Cambridge, UK.
Ugo CavallaroUnit of Gynecological Oncology Research, Istituto Europeo di Oncologia IRCCS, Milan, Italy.
Carmen GhilardiLaboratory of Cancer Metastasis Therapeutics, Department of Oncology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, 20156, Milan, Italy.
Simon T Barry *Early Oncology, AstraZeneca, Cambridge, UK.
Maria Rosa Bani *Laboratory of Cancer Metastasis Therapeutics, Department of Oncology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, 20156, Milan, Italy. mariarosa.bani@marionegri.it.ORCID 0000-0001-8178-1432
Raffaella Giavazzi *Laboratory of Cancer Metastasis Therapeutics, Department of Oncology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, 20156, Milan, Italy.
Mario Negri Institute for Pharmacological Research · ITAstraZeneca (United Kingdom) · GBFondazione Edo ed Elvo Tempia · ITAstraZeneca (United States) · USEuropean Institute of Oncology · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Poly ADP-ribose polymerase inhibitors (PARPi) have transformed ovarian cancer (OC) treatment, primarily for tumours deficient in homologous recombination repair. Combining VEGF-signalling inhibitors with PARPi has enhanced clinical benefit in OC. To study drivers of efficacy when combining PARP inhibition and VEGF-signalling, a cohort of patient-derived ovarian cancer xenografts (OC-PDXs), representative of the molecular characteristics and drug sensitivity of patient tumours, were treated with the PARPi olaparib and the VEGFR inhibitor cediranib at clinically relevant doses. The combination showed broad anti-tumour activity, reducing growth of all OC-PDXs, regardless of the homologous recombination repair (HRR) mutational status, with greater additive combination benefit in tumours poorly sensitive to platinum and olaparib. In orthotopic models, the combined treatment reduced tumour dissemination in the peritoneal cavity and prolonged survival. Enhanced combination benefit was independent of tumour cell expression of receptor tyrosine kinases targeted by cediranib, and not associated with change in expression of genes associated with DNA repair machinery. However, the combination of cediranib with olaparib was effective in reducing tumour vasculature in all the OC-PDXs. Collectively our data suggest that olaparib and cediranib act through complementary mechanisms affecting tumour cells and tumour microenvironment, respectively. This detailed analysis of the combined effect of VEGF-signalling and PARP inhibitors in OC-PDXs suggest that despite broad activity, there is no dominant common mechanistic inter-dependency driving therapeutic benefit.

Indexed as

AnimalsAntineoplastic AgentsCell Line, TumorFemaleGenes, BRCA1Genes, BRCA2HumansIndolesMiceMice, NudeOvarian NeoplasmsPhthalazinesPiperazinesPoly(ADP-ribose) Polymerase InhibitorsQuinazolinesSignal TransductionAntineoplastic AgentscediranibIndolesolaparibPhthalazinesPiperazinesPoly(ADP-ribose) Polymerase InhibitorsQuinazolinesVascular Endothelial Growth Factor ABRCACediranibOlaparibOvarian cancerPARP inhibitorPatient-derived xenograftVEGF pathway inhibitor

Identifiers

PMID34742344
PMCPMC8572452
OpenAlexW3211666548

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Registered trials

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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.