Evidence map›Paper›PMID 37365284›Full record

Trial reportBritish journal of cancer2023

A signal-seeking Phase 2 study of olaparib and durvalumab in advanced solid cancers with homologous recombination repair gene alterations.

Subotheni Thavaneswaran, Maya Kansara, Frank Lin, David Espinoza, John P Grady, Chee Khoon Lee, Mandy L Ballinger, Lucille Sebastian, Theresa Corpuz, Min Ru Qiu and 6 more

Open access · hybridAbstract readClinical Trial, Phase II
In one paragraph

Trial report in British journal of cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. PARP inhibitors in non-ovarian gynecologic cancers.Therapeutic advances in medical oncology · 2024
    Review
  10. Review
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 3 institutions in 1 country.

Subotheni Thavaneswaran *NHMRC Clinical Trials Centre, University of Sydney, Sydney, NSW, Australia. s.thavaneswaran@garvan.org.au.ORCID 0000-0002-8946-6709
Maya Kansara *School of Clinical Medicine, Faculty of Medicine and Health, University of NSW, Sydney, NSW, Australia.
Frank LinNHMRC Clinical Trials Centre, University of Sydney, Sydney, NSW, Australia.
David EspinozaNHMRC Clinical Trials Centre, University of Sydney, Sydney, NSW, Australia.
John P GradySchool of Clinical Medicine, Faculty of Medicine and Health, University of NSW, Sydney, NSW, Australia.ORCID 0000-0001-9667-3872
Chee Khoon LeeNHMRC Clinical Trials Centre, University of Sydney, Sydney, NSW, Australia.
Mandy L BallingerSchool of Clinical Medicine, Faculty of Medicine and Health, University of NSW, Sydney, NSW, Australia.
Lucille SebastianNHMRC Clinical Trials Centre, University of Sydney, Sydney, NSW, Australia.
Theresa CorpuzSchool of Clinical Medicine, Faculty of Medicine and Health, University of NSW, Sydney, NSW, Australia.
Min Ru QiuSchool of Clinical Medicine, Faculty of Medicine and Health, University of NSW, Sydney, NSW, Australia.
Piyushkumar MundraSchool of Clinical Medicine, Faculty of Medicine and Health, University of NSW, Sydney, NSW, Australia.
Charles G BaileyCancer & Gene Regulation Laboratory Centenary Institute, The University of Sydney, Camperdown, NSW, Australia.
Ulf SchmitzGene and Stem Cell Therapy Program Centenary Institute, The University of Sydney, Camperdown, NSW, Australia.ORCID 0000-0001-5806-4662
John SimesNHMRC Clinical Trials Centre, University of Sydney, Sydney, NSW, Australia.
Anthony M JoshuaThe Kinghorn Cancer Centre, St Vincent's Hospital, Sydney, NSW, Australia.ORCID 0000-0001-5159-4580
David M ThomasThe Kinghorn Cancer Centre, St Vincent's Hospital, Sydney, NSW, Australia.
The University of Sydney · AUGarvan Institute of Medical Research · AUSt Vincent's Hospital Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the safety and efficacy of PARP plus PD-L1 inhibition (olaparib + durvalumab, O + D) in patients with advanced solid, predominantly rare cancers harbouring homologous recombination repair (HRR) defects. PATIENTS AND

methodsIn total, 48 patients were treated with O + D, 16 with BRCA1/2 alterations (group 1) and 32 with other select HRR alterations (group 2). Overall, 32 (66%) patients had rare or less common cancers. The primary objective of this single-arm Phase II trial was a progression-free survival rate at 6 months (PFS6). Post hoc exploratory analyses were conducted on archival tumour tissue and serial bloods.

resultsThe PFS6 rate was 35% and 38% with durable objective tumour responses (OTR) in 3(19%) and 3(9%) in groups 1 and 2, respectively. Rare cancers achieving an OTR included cholangiocarcinoma, perivascular epithelioid cell (PEComa), neuroendocrine, gallbladder and endometrial cancer. O + D was safe, with five serious adverse events related to the study drug(s) in 3 (6%) patients. A higher proportion of CD38 high B cells in the blood and higher CD40 expression in tumour was prognostic of survival.

conclusionsO + D demonstrated no new toxicity concerns and yielded a clinically meaningful PFS6 rate and durable OTRs across several cancers with HRR defects, including rare cancers.

Indexed as

BRCA1 ProteinEndometrial NeoplasmsAntibodies, MonoclonalBRCA2 ProteinFemaleHumansPhthalazinesPiperazinesRecombinational DNA RepairAntibodies, MonoclonalBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humandurvalumabolaparibPhthalazinesPiperazines

Identifiers

PMID37365284
PMCPMC10403555
OpenAlexW4382133009

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.