Evidence map›Paper›PMID 39817648›Full record

Trial reportCancer2025

Olaparib as treatment for platinum-sensitive relapsed ovarian cancer by BRCA mutation and homologous recombination deficiency: Phase 2 LIGHT study final overall survival analysis.

Ying L Liu, Cara A Mathews, Fiona Simpkins, Karen A Cadoo, Diane Provencher, Colleen C McCormick, Adam C ElNaggar, Alon D Altman, Lucy Gilbert, Destin Black and 5 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02983799 (Non-Randomized, Open-Label Phase II Study to Assess Olaparib Tablets as a Treatment for Subjects With Different HRD Tumor Status and With Platinum-Sensitive, Relapsed, High-Grade Serous or High-Grade Endometrioid Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer That Have Received at Least 1 Prior Line of Chemotherapy), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT02983799 phase2completednot on this map

Non-Randomized, Open-Label Phase II Study to Assess Olaparib Tablets as a Treatment for Subjects With Different HRD Tumor Status and With Platinum-Sensitive, Relapsed, High-Grade Serous or High-Grade Endometrioid Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer That Have Received at Least 1 Prior Line of Chemotherapy

TypeinterventionalSponsorAstraZenecaRan2016 to 2020Enrolled272ConditionsRelapsed Ovarian Cancer, BRCA Mutation, Platinum SensitivityArmsOLAPARIB
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Article
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

15 authors.

Ying L LiuMemorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0001-5790-851X
Cara A MathewsProgram in Women's Oncology, Department of Obstetrics and Gynecology, Women and Infants Hospital, Legoretta Cancer Center, Brown University, Providence, Rhode Island, USA.
Fiona SimpkinsDepartment of Obstetrics and Gynecology, Jordan Center for Gynecologic Oncology at the Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-0840-2368
Karen A CadooMemorial Sloan Kettering Cancer Center, New York, New York, USA.
Diane ProvencherDivision of Gynecologic-Oncology, Centre de recherche du Centre hospitalier de l'Université de Montréal, Montréal, Quebec, Canada.
Colleen C McCormickLegacy Medical Group Gynecologic Oncology, Portland, Oregon, USA.
Adam C ElNaggarWest Cancer Center and Research Institute, Memphis, Tennessee, USA.
Alon D AltmanCancerCare Manitoba, Research Institute of Oncology and Hematology, University of Manitoba, Winnipeg, Manitoba, Canada.ORCID https://orcid.org/0000-0002-6345-4910
Lucy GilbertDivision of Gynecologic Oncology, McGill University Health Centre and The Gerald Bronfman Department of Oncology, McGill University, Montreal, Quebec, Canada.
Destin BlackWillis-Knighton Cancer Center, Shreveport, Louisiana, USA.
Nashwa KabilAstraZeneca, Gaithersburg, Maryland, USA.
Rosie N TaylorAstraZeneca, Cambridge, UK.
Alan BarnicleAstraZeneca, Cambridge, UK.
Jiefen Y MunleyAstraZeneca, Wilmington, Delaware, USA.
Carol AghajanianMemorial Sloan Kettering Cancer Center, New York, New York, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
AstraZenecaMerck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc., Rahway, NJ, USA.NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundLIGHT (oLaparib In HRD-Grouped Tumor types; NCT02983799) prospectively evaluated olaparib treatment in patients with platinum-sensitive relapsed ovarian cancer (PSROC) assigned to cohorts by known BRCA mutation (BRCAm) and homologous recombination deficiency (HRD) status: germline BRCAm (gBRCAm), somatic BRCAm (sBRCAm), HRD-positive non-BRCAm, and HRD-negative. At the primary analysis, olaparib treatment demonstrated activity across all cohorts, with greatest efficacy in terms of objective response rate and progression-free survival observed in the g/sBRCAm cohorts. The authors report final overall survival (OS).

methodsIn this phase 2, open-label, noncomparative study, patients with PSROC and one or more prior line of platinum-based chemotherapy were assigned to cohorts by BRCAm and HRD status. OS was a secondary end point. Tumors were analyzed using Myriad BRACAnalysis CDx and MyChoice CDx assays; HRD-positive tumors were defined using a genomic instability score of ≥42.

resultsOf 272 enrolled patients, 271 received olaparib and 270 met the inclusion criteria for the efficacy analysis. At data cutoff, 18-month OS rates in the gBRCAm, sBRCAm, HRD-positive non-BRCAm, and HRD-negative cohorts were 86.4%, 88.0%, 78.6%, and 59.6%, respectively. No new safety signals were observed. In a post hoc analysis, patients on treatment for >18 months were most frequently present in g/sBRCAm cohorts (31.0%).

conclusionsOlaparib treatment continued to demonstrate benefit across all cohorts. Consistent with the primary analysis, the highest OS rates were observed in the BRCAm cohorts, regardless of g/sBRCAm. In patients without a BRCAm, a higher OS rate was observed in the HRD-positive non-BRCAm than the HRD-negative cohorts. These results highlight the importance of biomarker testing in this treatment setting.

Indexed as

BRCA1 ProteinBRCA2 ProteinNeoplasm Recurrence, LocalOvarian NeoplasmsPhthalazinesPiperazinesPoly(ADP-ribose) Polymerase InhibitorsAdultAgedFemaleGerm-Line MutationHomologous RecombinationHumansMiddle AgedMutationProgression-Free SurvivalBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humanolaparibPhthalazinesPiperazinesPoly(ADP-ribose) Polymerase Inhibitorscarcinomagenomic instabilitymutationolaparibovarian epithelialovarian neoplasmsplatinumpoly(ADP‐ribose) polymerase inhibitors

Identifiers

PMID39817648
PMCPMC11736996

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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.