Clinicopathological characteristics and eligibility for adjuvant olaparib of germline BRCA1/2 mutation carriers with HER2-negative early breast cancer.
Journal
NPJ breast cancer
ISSN: 2374-4677
Titre abrégé: NPJ Breast Cancer
Pays: United States
ID NLM: 101674891
Informations de publication
Date de publication:
16 Apr 2024
16 Apr 2024
Historique:
received:
29
06
2023
accepted:
22
03
2024
medline:
17
4
2024
pubmed:
17
4
2024
entrez:
16
4
2024
Statut:
epublish
Résumé
Following the survival benefit demonstrated in the OlympiA trial, one year of adjuvant olaparib is now recommended for all patients with germline BRCA1/2 pathogenic/likely pathogenic variants (PV) and high-risk, HER2-negative early breast cancer after chemotherapy. However, optimal identification of high-risk patients who may derive benefit from this genomically-directed therapy is debated. In this study, we sought to characterize the real-world proportion of gBRCA1/2 PV carriers eligible for adjuvant olaparib according to the OlympiA criteria, and to compare clinicopathologic characteristics and outcomes between eligible and ineligible patients.
Identifiants
pubmed: 38627457
doi: 10.1038/s41523-024-00632-8
pii: 10.1038/s41523-024-00632-8
doi:
Types de publication
Journal Article
Langues
eng
Pagination
28Informations de copyright
© 2024. The Author(s).
Références
Breast Cancer Association Consortium. et al. Breast cancer risk genes - association analysis in more than 113,000 women. N. Engl. J. Med. 384, 428–439 (2021).
doi: 10.1056/NEJMoa1913948
Hu, C. et al. A population-based study of genes previously implicated in breast cancer. N. Engl. J. Med. 384, 440–451 (2021).
doi: 10.1056/NEJMoa2005936
pubmed: 33471974
pmcid: 8127622
Geyer, C. E. Jr et al. Overall survival in the OlympiA phase III trial of adjuvant olaparib in patients with germline pathogenic variants in BRCA1/2 and high risk, early breast cancer. Ann. Oncol. 33, 1250–1268, (2022).
doi: 10.1016/j.annonc.2022.09.159
pubmed: 36228963
Tutt, A. N. J. et al. Adjuvant Olaparib for Patients with BRCA1- or BRCA2-Mutated Breast Cancer. N. Engl. J. Med. 384, 2394–2405 (2021).
doi: 10.1056/NEJMoa2105215
pubmed: 34081848
pmcid: 9126186
Morganti, S. et al. Adjuvant olaparib for germline BRCA carriers with HER2-negative early breast cancer: Evidence and controversies. Oncologist 28, 565–574, (2023).
doi: 10.1093/oncolo/oyad123
pubmed: 37210568
pmcid: 10322138
Center for Drug Evaluation & Research. FDA approves olaparib for adjuvant treatment of high-risk early breast cancer. U.S. Food and Drug Administration https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-olaparib-adjuvant-treatment-high-risk-early-breast-cancer (2022).
EMA. Lynparza. European Medicines Agency https://www.ema.europa.eu/en/medicines/human/summaries-opinion/lynparza-1 (2022).
Tolaney, S. M. et al. Updated Standardized Definitions for Efficacy End Points (STEEP) in adjuvant breast cancer clinical trials: STEEP version 2.0. J. Clin. Oncol. 39, 2720–2731 (2021).
doi: 10.1200/JCO.20.03613
pubmed: 34003702
pmcid: 10166345
Johnston, S. R. D. et al. Abemaciclib plus endocrine therapy for hormone receptor-positive, HER2-negative, node-positive, high-risk early breast cancer (monarchE): results from a preplanned interim analysis of a randomised, open-label, phase 3 trial. Lancet Oncol. https://doi.org/10.1016/S1470-2045(22)00694-5 (2022).
doi: 10.1016/S1470-2045(22)00694-5
pubmed: 36493792