Overall survival in patients with platinum-sensitive recurrent serous ovarian cancer receiving olaparib maintenance monotherapy: an updated analysis from a randomised, placebo-controlled, double-blind, phase 2 trial

Ledermann, Jonathan A.; Harter, Philipp; Gourley, Charlie; Friedlander, Michael; Vergote, Ignace; Rustin, G. J. S.; Scott, Clare L.; Meier, W.; Shapira‐Frommer, Ronnie; Safra, Tamar; Matei, Daniela; Fielding, Anitra; Spencer, Stuart; Rowe, Philip; Lowe, Elizabeth S.; Hodgson, Darren; Sovak, Mika A.; Matulonis, Ursula A.

doi:10.1016/s1470-2045(16)30376-x

Cited by 406 publications

(324 citation statements)

References 21 publications

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Section: Discussionmentioning

confidence: 99%

“…Nevertheless, survival data of a merely descriptive nature were recently reported [51]. It is interesting to note that, after a median follow-up of 5.9 years, there are still 15 patients (11%) taking olaparib (8 with mutated BRCA and 7 wild-type) and one patient taking placebo, and no new safety data have been documented that were not already known [51]. These results have been confirmed in the phase III SOLO2 study [52], which included patients with high-grade endometrioid or serous carcinoma with a germline BRCA mutation.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Recommendations for biomarker testing in epithelial ovarian cancer: a National Consensus Statement by the Spanish Society of Pathology and the Spanish Society of Medical Oncology

Oaknin

Guarch²,

Barretina-Ginesta

et al. 2017

Clin Transl Oncol

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Because of advances in the understanding of histological and molecular characteristics in ovarian cancer, it is now possible to recognize the existence of five subtypes, which in turn has allowed a more refined therapeutic approach and better design of clinical trials. Each of these five subtypes has specific histological features and a particular biomarker expression, as well as mutations in different genes, some of which have prognostic and predictive value. CA125 and HE4 are examples of ovarian cancer biomarkers used in the diagnosis and follow-up of these malignancies. Currently, somatic or germinal mutations on BRCA1 and BRCA2 genes are the most important biomarkers in epithelial ovarian cancer having prognostic and predictive value. This article will review the histological and molecular characteristics of the five subtypes of ovarian cancer, describing the most important biomarkers and mutations that can guide in diagnosis, screening and tailored treatment strategy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Recommendations for biomarker testing in epithelial ovarian cancer: a National Consensus Statement by the Spanish Society of Pathology and the Spanish Society of Medical Oncology

Oaknin

Guarch²,

Barretina-Ginesta

et al. 2017

Clin Transl Oncol

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“…The homologous recombination pathway is also affected in about 50% of the tumours providing potential treatment options with PARP inhibitors, as already applied in the clinic for BRCA mutant platinum-sensitive ovarian cancers [42]. In type I ovarian tumours the RAS pathway is frequently affected, implying a potential role for MEK inhibitors.…”

Section: Discussionmentioning

confidence: 99%

Next-Generation Sequencing in Gynaecological Tumours: The Prognostic and Predictive Value of the Most Common Mutations Found in Ovarian, Endometrial, and Cervical Tumours: Literature Review and the University Medical Centre Utrecht Next-Generation Sequencing Data

et al. 2017

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Objective: To investigate whether next-generation sequencing (NGS) in ovarian and endometrial tumours can discover mutations with a relevant prognostic or predictive value. Methods: After a literature search, selected studies were critically appraised using the Quality in Prognostic Studies tool. Data on mutation incidence and correlations with prognostic and predictive items were extracted from relevant studies and compared to our own cohort consisting of 28 patients analysed using NGS. Results: Eight out of 739 articles were found eligible, including different tumour types. Prevalence of mutations in the KRAS gene ranged between 5.34 and 58.8% in ovarian cancer. Two studies showed a significant correlation between KRAS mutations and an improved disease free- and overall survival. Clinical data were available for 17 of our patients, mostly cases of endometrial carcinomas. KRAS, PIK3CA, CTNNB1, and TP53 were the most frequently mutated genes in endometrial carcinomas, and PTEN and CTNNB1 correlated with a higher FIGO stage. Conclusion: In the ovary KRAS mutation is associated with type I ovarian tumours (low-grade serous, mucinous, endometrioid, and clear-cell) and may seem to have a more favourable prognosis. The prognostic value of TP53 is still controversial. In endometrial tumours, PTEN shows a positive correlation with better prognosis. PIK3CA may have a correlation with poorer prognosis. CTNNB1 mutations in endometrial carcinomas could predict a worse prognosis.

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“…Прекратить прием олапа-риба в связи с нежелательными явлениями пришлось 8 пациенткам (6%) из 136. Новых случаев миелодиспласти-ческого синдрома зарегистрировано не было [16].…”

Section: олапариб (линпарза)  первый зарегистрированный Parpингибиторunclassified

Parp Inhibitors in Ovarian Cancer: Toxicity Profile

Хохлова¹,

Шилкина²

2017

Med. sov.

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Сегодня роль генетического фактора в этиологии рака яичников не вызывает сомнения. Генетические нарушения при низкодифференцированной серозной аденокарциноме яичников примерно в 50% случаев наблюдаются в виде дефицита гомологичной репарации ДНК. Около 2/3 этих случаев связано с мутацией в генах BRCA. Применение PARP-ингибиторов является перспективным направлением в лечении BRCA-ассоциированного рака яичников, и уже в ряде исследований доказано их преимущество. Но так как их используют в поддерживающем режиме, одним из основных требований, предъ-являемых к этой группе препаратов, является профиль токсичности. Наиболее частые осложнения при приеме PARP-ингибиторов -тошнота, утомляемость, рвота, анемия, тромбоцитопения. Из всех PARP-ингибиторов, известных сегодня в лечении рака яичников, самым низким спектром токсичности обладает олапариб.

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Overall survival in patients with platinum-sensitive recurrent serous ovarian cancer receiving olaparib maintenance monotherapy: an updated analysis from a randomised, placebo-controlled, double-blind, phase 2 trial

Abstract: AstraZeneca.

Cited by 406 publications

References 21 publications

Recommendations for biomarker testing in epithelial ovarian cancer: a National Consensus Statement by the Spanish Society of Pathology and the Spanish Society of Medical Oncology

Recommendations for biomarker testing in epithelial ovarian cancer: a National Consensus Statement by the Spanish Society of Pathology and the Spanish Society of Medical Oncology

Next-Generation Sequencing in Gynaecological Tumours: The Prognostic and Predictive Value of the Most Common Mutations Found in Ovarian, Endometrial, and Cervical Tumours: Literature Review and the University Medical Centre Utrecht Next-Generation Sequencing Data

Parp Inhibitors in Ovarian Cancer: Toxicity Profile

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