Evidence map›Paper›PMID 39951918›Full record

Trial reportGynecologic oncology2025

A clinical study of tremelimumab, alone or in combination with olaparib, for recurrent epithelial ovarian cancer.

Stéphanie Gaillard, Neha Verma, Maureen Berg, Jeanne Harrison, Peng Huang, James M Leatherman, Michele Doucet, Rupashree Sen, Aditya Suru, Hongyan Cai and 6 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Gynecologic oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

5 citing papers in PubMed.

  1. Review
  2. Advances in Systemic Therapy for Ovarian Cancer Over the Past Decade: A Clinical and Molecular Perspective.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
  3. Chemotherapy-free treatment of recurrent advanced ovarian cancer: myth or reality?International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2023
    Review
  4. Review
  5. 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.

Stéphanie GaillardDepartment of Oncology Johns Hopkins School of Medicine, Baltimore, MD, United States of America; Department of Gynecology and Obstetrics Division of Gynecologic Oncology, Johns Hopkins School of Medicine, Baltimore, MD, United States of America. Electronic address: stephanie.gaillard@jhmi.edu.
Neha VermaDepartment of Oncology Johns Hopkins School of Medicine, Baltimore, MD, United States of America.
Maureen BergDepartment of Oncology Johns Hopkins School of Medicine, Baltimore, MD, United States of America.
Jeanne HarrisonDepartment of Oncology Johns Hopkins School of Medicine, Baltimore, MD, United States of America.
Peng HuangDepartment of Oncology Division of Biostatistics and Bioinformatics, Johns Hopkins School of Medicine, Baltimore, MD, United States of America.
James M LeathermanDepartment of Oncology Johns Hopkins School of Medicine, Baltimore, MD, United States of America.
Michele DoucetDepartment of Oncology Johns Hopkins School of Medicine, Baltimore, MD, United States of America.
Rupashree SenDepartment of Oncology Johns Hopkins School of Medicine, Baltimore, MD, United States of America.
Aditya SuruDepartment of Oncology Johns Hopkins School of Medicine, Baltimore, MD, United States of America.
Hongyan CaiDepartment of Oncology Johns Hopkins School of Medicine, Baltimore, MD, United States of America.
Jennifer DurhamDepartment of Oncology Johns Hopkins School of Medicine, Baltimore, MD, United States of America.
Danijela JelovacDepartment of Oncology Johns Hopkins School of Medicine, Baltimore, MD, United States of America.
Ashley Cimino-MathewsDepartment of Oncology Johns Hopkins School of Medicine, Baltimore, MD, United States of America; Department of Pathology, Johns Hopkins School of Medicine, Baltimore, MD, United States of America.
Christopher CherryDepartment of Oncology Johns Hopkins School of Medicine, Baltimore, MD, United States of America.
Sudipto GangulyDepartment of Oncology Johns Hopkins School of Medicine, Baltimore, MD, United States of America.
Leisha A EmensDepartment of Oncology Johns Hopkins School of Medicine, Baltimore, MD, United States of America.

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI WILLIAM George NELSON · 1985 to 2026
$208.6M
NCI NIH HHS P30 CA006973
6 · The paper itself

Abstract

objectivePARP inhibitors may work synergistically to improve the efficacy of immunotherapy in patients with epithelial ovarian cancer (EOC). We performed a parallel-arm study of tremelimumab, alone or with olaparib, in patients with recurrent EOC.

methodsEligibility criteria included measurable disease and progression <12 months from last platinum. Participants were randomized to Arm A (tremelimumab monotherapy, 10 mg/kg/dose intravenously [IV]) or Arm B (dose level 1 [DL1] olaparib orally 150 mg twice daily with tremelimumab IV 3 mg/kg/dose and DL2 olaparib orally 150 mg twice daily with tremelimumab IV 10 mg/kg/dose). Primary objectives were safety, change in peripheral ICOS

resultsAmong 24 total patients (12 on Arm A, 6 on Arm B-DL1, 6 on Arm B-DL2), the most common grade 3 toxicities were rash (13 %), immune-mediated hepatitis (8 %), and colitis (8 %). No grade ≥ 4 toxicities were identified. No dose-limiting toxicities were identified. One patient (Arm B-DL2) experienced a partial response; no complete responses were observed. Ten patients (7 on Arm A, 2 on Arm B-DL2, and 1 on Arm B-DL1) had a best response of stable disease. There was a significant increase in CD4

conclusionsTremelimumab IV 10 mg/kg/dose with olaparib 150 mg orally twice daily was safe and feasible. Tremelimumab 10 mg/kg/dose (as opposed to 3 mg/kg/dose) was required for immune activation, although this did not translate into clinical responses.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Ovarian EpithelialNeoplasm Recurrence, LocalOvarian NeoplasmsPhthalazinesPiperazinesAdultAgedFemaleHumansMiddle AgedPoly(ADP-ribose) Polymerase InhibitorsAntibodies, Monoclonal, HumanizedolaparibPhthalazinesPiperazinesPoly(ADP-ribose) Polymerase InhibitorstremelimumabEpithelial ovarian cancerImmune activationOlaparibPARP inhibitorTremelimumab

Identifiers

PMID39951918
PMCPMC11993342

What OpenQuestion holds

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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.