Sökning: WFRF:(Tennevet I.) > Overall survival in...
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000 | 06705naa a2201273 4500 | |
001 | oai:gup.ub.gu.se/324088 | |
003 | SwePub | |
008 | 240528s2022 | |||||||||||000 ||eng| | |
009 | oai:prod.swepub.kib.ki.se:151557370 | |
024 | 7 | a https://gup.ub.gu.se/publication/3240882 URI |
024 | 7 | a https://doi.org/10.1016/j.annonc.2022.09.1592 DOI |
024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1515573702 URI |
040 | a (SwePub)gud (SwePub)ki | |
041 | a eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Geyer, C. E.4 aut |
245 | 1 0 | a Overall survival in the OlympiA phase Ill trial of adjuvant olaparib in patients with germime pathogenic variants in BRCA1/2 and high-risk, early breast cancer |
264 | 1 | b Elsevier BV,c 2022 |
520 | a Background: The randomized, double-blind OlympiA trial compared 1 year of the oral poly(adenosine diphosphate-ribose) polymerase inhibitor, olaparib, to matching placebo as adjuvant therapy for patients with pathogenic or likely pathogenic variants in germline BRCA1 or BRCA2 (gBRCA1/2pv) and high-risk, human epidermal growth factor receptor 2-negative, early breast cancer (EBC). The first pre-specified interim analysis (IA) previously demonstrated statistically significant improvement in invasive disease-free survival (IDFS) and distant disease-free survival (DDFS). The olaparib group had fewer deaths than the placebo group, but the difference did not reach statistical significance for overall survival (OS). We now report the pre-specified second IA of OS with updates of IDFS, DDFS, and safety. Patients and methods: One thousand eight hundred and thirty-six patients were randomly assigned to olaparib or placebo following (neo)adjuvant chemotherapy, surgery, and radiation therapy if indicated. Endocrine therapy was given concurrently with study medication for hormone receptor-positive cancers. Statistical significance for OS at this IA required P < 0.015. Results: With a median follow-up of 3.5 years, the second IA of OS demonstrated significant improvement in the olaparib group relative to the placebo group [hazard ratio 0.68; 98.5% confidence interval (CI) 0.47-0.97; P = 0.009]. Four-year OS was 89.8% in the olaparib group and 86.4% in the placebo group (Delta 3.4%, 95% CI -0.1% to 6.8%). Four-year IDFS for the olaparib group versus placebo group was 82.7% versus 75.4% (Delta 7.3%, 95% CI 3.0% to 11.5%) and 4-year DDFS was 86.5% versus 79.1% (Delta 7.4%, 95% CI 3.6% to 11.3%), respectively. Subset analyses for OS, IDFS, and DDFS demonstrated benefit across major subgroups. No new safety signals were identified including no new cases of acute myeloid leukemia or myelodysplastic syndrome. Conclusion: With 35 years of median follow-up, OlympiA demonstrates statistically significant improvement in OS with adjuvant olaparib compared with placebo for gBRCA1/2pv-associated EBC and maintained improvements in the previously reported, statistically significant endpoints of IDES and DDFS with no new safety signals. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng |
653 | a breast cancer | |
653 | a BRCA1/2 | |
653 | a PARP inhibition | |
653 | a olaparib | |
653 | a adjuvant therapy | |
700 | 1 | a Garber, J. E.4 aut |
700 | 1 | a Gelber, R. D.4 aut |
700 | 1 | a Yothers, G.4 aut |
700 | 1 | a Taboada, M.4 aut |
700 | 1 | a Ross, L.4 aut |
700 | 1 | a Rastogi, P.4 aut |
700 | 1 | a Cui, K.4 aut |
700 | 1 | a Arahmani, A.4 aut |
700 | 1 | a Aktan, G.4 aut |
700 | 1 | a Armstrong, A. C.4 aut |
700 | 1 | a Arnedos, M.4 aut |
700 | 1 | a Balmana, J.4 aut |
700 | 1 | a Bergh, J.u Karolinska Institutet4 aut |
700 | 1 | a Bliss, J.4 aut |
700 | 1 | a Delaloge, S.4 aut |
700 | 1 | a Domchek, S. M.4 aut |
700 | 1 | a Eisen, A.4 aut |
700 | 1 | a Elsafy, F.4 aut |
700 | 1 | a Fein, L. E.4 aut |
700 | 1 | a Fielding, A.4 aut |
700 | 1 | a Ford, J. M.4 aut |
700 | 1 | a Friedman, S.4 aut |
700 | 1 | a Gelmon, K. A.4 aut |
700 | 1 | a Gianni, L.4 aut |
700 | 1 | a Gnant, M.4 aut |
700 | 1 | a Hollingsworth, S. J.4 aut |
700 | 1 | a Im, S. A.4 aut |
700 | 1 | a Jager, A.4 aut |
700 | 1 | a Lakhani, S. R.4 aut |
700 | 1 | a Janni, W.4 aut |
700 | 1 | a Linderholm, Barbro,d 1959u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för onkologi,Institute of Clinical Sciences, Department of Oncology4 aut0 (Swepub:gu)xlibar |
700 | 1 | a Liu, T. W.4 aut |
700 | 1 | a Loman, N.4 aut |
700 | 1 | a Korde, L.4 aut |
700 | 1 | a Loibl, S.4 aut |
700 | 1 | a Lucas, P. C.4 aut |
700 | 1 | a Marme, F.4 aut |
700 | 1 | a de Duenas, E. M.4 aut |
700 | 1 | a McConnell, R.4 aut |
700 | 1 | a Phillips, K. A.4 aut |
700 | 1 | a Piccart, M.4 aut |
700 | 1 | a Rossi, G.4 aut |
700 | 1 | a Schmutzler, R.4 aut |
700 | 1 | a Senkus, E.4 aut |
700 | 1 | a Shao, Z.4 aut |
700 | 1 | a Sharma, P.4 aut |
700 | 1 | a Singer, C. F.4 aut |
700 | 1 | a Spanic, T.4 aut |
700 | 1 | a Stickeler, E.4 aut |
700 | 1 | a Toi, M.4 aut |
700 | 1 | a Traina, T. A.4 aut |
700 | 1 | a Viale, G.4 aut |
700 | 1 | a Zoppoli, G.4 aut |
700 | 1 | a Park, Y. H.4 aut |
700 | 1 | a Yerushalmi, R.4 aut |
700 | 1 | a Yang, H.4 aut |
700 | 1 | a Pang, D.4 aut |
700 | 1 | a Jung, K. H.4 aut |
700 | 1 | a Mailliez, A.4 aut |
700 | 1 | a Fan, Z.4 aut |
700 | 1 | a Tennevet, I.4 aut |
700 | 1 | a Zhang, J.4 aut |
700 | 1 | a Nagy, T.4 aut |
700 | 1 | a Sonke, G. S.4 aut |
700 | 1 | a Sun, Q.4 aut |
700 | 1 | a Parton, M.4 aut |
700 | 1 | a Colleoni, M. A.4 aut |
700 | 1 | a Schmidt, M.4 aut |
700 | 1 | a Brufsky, A. M.4 aut |
700 | 1 | a Razaq, W.4 aut |
700 | 1 | a Kaufman, B.4 aut |
700 | 1 | a Cameron, D.4 aut |
700 | 1 | a Campbell, C.4 aut |
700 | 1 | a Tutt, A. N. J.4 aut |
700 | 1 | a Johannsson, O. T.4 aut |
710 | 2 | a Karolinska Institutetb Institutionen för kliniska vetenskaper, Avdelningen för onkologi4 org |
773 | 0 | t Annals of Oncologyd : Elsevier BVg 33:12, s. 1250-1268q 33:12<1250-1268x 0923-7534 |
773 | 0 | t Annals of oncology : official journal of the European Society for Medical Oncologyd : Elsevier BVg 33:12, s. 1250-1268q 33:12<1250-1268x 1569-8041 |
856 | 4 8 | u https://gup.ub.gu.se/publication/324088 |
856 | 4 8 | u https://doi.org/10.1016/j.annonc.2022.09.159 |
856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:151557370 |
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