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FältnamnIndikatorerMetadata
00006705naa a2201273 4500
001oai:gup.ub.gu.se/324088
003SwePub
008240528s2022 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:151557370
024a https://gup.ub.gu.se/publication/3240882 URI
024a https://doi.org/10.1016/j.annonc.2022.09.1592 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1515573702 URI
040 a (SwePub)gud (SwePub)ki
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Geyer, C. E.4 aut
2451 0a 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 1b 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 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe
650 7a 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
700a Garber, J. E.4 aut
700a Gelber, R. D.4 aut
700a Yothers, G.4 aut
700a Taboada, M.4 aut
700a Ross, L.4 aut
700a Rastogi, P.4 aut
700a Cui, K.4 aut
700a Arahmani, A.4 aut
700a Aktan, G.4 aut
700a Armstrong, A. C.4 aut
700a Arnedos, M.4 aut
700a Balmana, J.4 aut
700a Bergh, J.u Karolinska Institutet4 aut
700a Bliss, J.4 aut
700a Delaloge, S.4 aut
700a Domchek, S. M.4 aut
700a Eisen, A.4 aut
700a Elsafy, F.4 aut
700a Fein, L. E.4 aut
700a Fielding, A.4 aut
700a Ford, J. M.4 aut
700a Friedman, S.4 aut
700a Gelmon, K. A.4 aut
700a Gianni, L.4 aut
700a Gnant, M.4 aut
700a Hollingsworth, S. J.4 aut
700a Im, S. A.4 aut
700a Jager, A.4 aut
700a Lakhani, S. R.4 aut
700a Janni, W.4 aut
700a 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
700a Liu, T. W.4 aut
700a Loman, N.4 aut
700a Korde, L.4 aut
700a Loibl, S.4 aut
700a Lucas, P. C.4 aut
700a Marme, F.4 aut
700a de Duenas, E. M.4 aut
700a McConnell, R.4 aut
700a Phillips, K. A.4 aut
700a Piccart, M.4 aut
700a Rossi, G.4 aut
700a Schmutzler, R.4 aut
700a Senkus, E.4 aut
700a Shao, Z.4 aut
700a Sharma, P.4 aut
700a Singer, C. F.4 aut
700a Spanic, T.4 aut
700a Stickeler, E.4 aut
700a Toi, M.4 aut
700a Traina, T. A.4 aut
700a Viale, G.4 aut
700a Zoppoli, G.4 aut
700a Park, Y. H.4 aut
700a Yerushalmi, R.4 aut
700a Yang, H.4 aut
700a Pang, D.4 aut
700a Jung, K. H.4 aut
700a Mailliez, A.4 aut
700a Fan, Z.4 aut
700a Tennevet, I.4 aut
700a Zhang, J.4 aut
700a Nagy, T.4 aut
700a Sonke, G. S.4 aut
700a Sun, Q.4 aut
700a Parton, M.4 aut
700a Colleoni, M. A.4 aut
700a Schmidt, M.4 aut
700a Brufsky, A. M.4 aut
700a Razaq, W.4 aut
700a Kaufman, B.4 aut
700a Cameron, D.4 aut
700a Campbell, C.4 aut
700a Tutt, A. N. J.4 aut
700a Johannsson, O. T.4 aut
710a Karolinska Institutetb Institutionen för kliniska vetenskaper, Avdelningen för onkologi4 org
773t Annals of Oncologyd : Elsevier BVg 33:12, s. 1250-1268q 33:12<1250-1268x 0923-7534
773t 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
8564 8u https://gup.ub.gu.se/publication/324088
8564 8u https://doi.org/10.1016/j.annonc.2022.09.159
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:151557370

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