Evidence map›Paper›PMID 40349134›Full record

Observational studyThe oncologist2025

PARP inhibitors as maintenance therapy in ovarian cancer after platinum-sensitive recurrence: real-world experience from the Unicancer network.

Nicolas Rippstein, Christophe Zemmour, Manuel Rodrigues, Isabelle Ray-Coquard, Laurence Gladieff, Patricia Pautier, Jean-Sébastien Frénel, Hélène Costaz, Coriolan Lebreton, Christophe Pomel and 8 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in The oncologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03275298 (Epidemiological Strategy and Medical Economic), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03275298 suspendednot on this map

Epidemiological Strategy and Medical Economic (ESME) Research Program / Academic Real World Database : Evolution of the Therapeutic Care in Ovarian Cancer Across the French Comprehensive Cancer Centers From 2011

TypeobservationalSponsorUNICANCERRan2017 to 2026Enrolled13,331ConditionsOvarian Cancer
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

18 authors.

Nicolas RippsteinMedical Oncology Department, Limoges University Hospital, Limoges, France.
Christophe ZemmourDepartment of Clinical Research and Investigation. Biostatistics unit. Paoli-Calmettes Institute, Marseille, France.
Manuel RodriguesMedical Oncology Department, Curie Institute, University of Paris, Paris, France.ORCID 0000-0002-5443-0802
Isabelle Ray-CoquardMedical Oncology Department, Léon Bérard Cancer Centre, Lyon, France.ORCID 0000-0003-2472-8306
Laurence GladieffMedical Oncology Department, Oncopole Claudius Régaud IUCT, Toulouse, France.
Patricia PautierMedical Oncology Department, Gustave Roussy, Villejuif, France.
Jean-Sébastien FrénelInstitut de Cancérologie de L'Ouest, Medical Oncology Department, Saint-Herblain, France.
Hélène CostazSurgical Oncology Department, Georges-François Leclerc Cancer Center, Dijon, France.
Coriolan LebretonMedicla Oncology Department, Institut Bergonié, 12 ARTiST lab, Inserm U1312, Université de Bordeaux, Bordeaux, France.ORCID 0000-0002-4275-1721
Christophe PomelSurgical Oncology Department, Jean Perrin Cancer Center, Unité Inserm IMOST, Université de Clermont Auvergne, Clermont-Ferrand, France.
Pierre-Emmanuel ColomboSurgical Oncology Department, Montpellier Cancer Institute, Montpellier, France.
Frédéric MarchalSurgical Oncology Department, Lorraine Cancer Institute, Université de Lorraine, Nancy, France.
Cécile GuillemetMedical Oncology Department, Henri Becquerel Cancer Center, Rouen, France.
Thibault de la Motte RougeMedical Oncology Department, Eugène Marquis Cancer Center, Rennes, France.
Lauriane EberstMedical Oncology Department, Institut de Cancérologie de Strasbourg Europe, Strasbourg, France.
Lise BosquetHealth Data and Partnerships Departement, Unicancer, Paris, France.
Elise DelucheMedical Oncology Department, Limoges University Hospital, Limoges, France.
Renaud SabatierAix-Marseille Univ, CRCM, Inserm, CNRS, Institut Paoli-Calmettes, Department of Medical Oncology, Marseille, France.ORCID 0000-0002-5821-682X

Funding

Unicancer
6 · The paper itself

Abstract

backgroundBased on results of randomized clinical trials, polyADP-ribose polymerase inhibitors (PARPi) have become the standard of care in patients with platinum-sensitive recurrent ovarian cancer (OvC) in patients responding to platinum chemotherapy. However, little is known about their impact on survival in a real-world setting. PATIENTS AND

methodsThis retrospective French multicenter observational study included women with platinum-sensitive recurrent OvC (not limited to the first platinum-sensitive relapse) receiving PARPi as maintenance after response to platinum-based chemotherapy. They were compared to patients with similar characteristics undergoing observation after chemotherapy completion. Data were collected in the Ovarian Cancer Epidemiological Strategy and Medical Economics (ESME-OC) database between 2011 and 2021. We explored progression-free survival (PFS) and overall survival (OS) benefits with PARPi maintenance.

resultsOne hundred and twenty-three patients matching the selection criteria were included in the PARPi group and 397 patients in the control group. Median PFS was 19.9 months (95CI [15.0-21.9]) in the PARPi group vs 13.4 months (95CI [11.8-15.0]) in the control group, with a HR = 0.71 (95CI [0.55-0.93]), P = .01). Median OS was 82.0 months (95CI [48.6-Not Estimable]) in the PARPi group vs 44.7 months (95CI [38.8-53.7]) in the control group (HR = 0.47, 95CI [0.30-0.74], P < .001). Multivariate analyses including performance status, histological subtype, achievement of cytoreductive surgery at relapse, and platinum-free interval, confirmed the independent prognostic impact of PARPi treatment.

conclusionThis first national study focusing on the efficacy of PARPi in a real-world population shows similar benefits than in randomized clinical trials, supporting their use in clinical routine practice. DATABASE REGISTRATION: clinicaltrials.gov Identifier NCT03275298.

Indexed as

Neoplasm Recurrence, LocalOvarian NeoplasmsPoly(ADP-ribose) Polymerase InhibitorsAdultAgedFemaleHumansMiddle AgedRetrospective StudiesPoly(ADP-ribose) Polymerase Inhibitorsmaintenance therapyPARP inhibitorplatinum-sensitivereal word datarecurrent ovarian cancer

Identifiers

PMID40349134
PMCPMC12065941

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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.