Video

Updates From a PARP Inhibitor Clinical Trial for Patients with Metastatic Pancreatic Cancer

A subset of patients with metastatic pancreatic cancer and an inherited BRCA mutation rapidly progressed during a clinical trial of Lynparza.

In the phase 3 POLO trial looking at Lynparza (olaparib), a PARP inhibitor, as maintenance therapy for patients with metastatic pancreatic cancer and an inherited BRCA mutation, researchers weren’t able to identify the clinical characteristics of patients whose cancer rapidly progressed, according to Dr. Teresa Macarulla.

At the start of the trial, there were already patients with more advanced cancer compared with other patients, and through the course of the study the patients with advanced disease didn’t benefit as well as the rest of the trial participants.

During the annual American Society of Clinical Oncology Gastrointestinal Cancers symposium, Macarulla, a gastrointestinal oncologist at the Vall d’Hebron Institute of Oncology in Barcelona, Spain, presented updated study findings and also spoke with CURE® about patient outcomes.

TRASNCRIPTION

There's a percentage of patients that are included in the POLO trial that progress rapidly. We define this population as those patients that progress within the first four months of the randomization after the organization, so in the second CT scan.

Unfortunately, we see that the numbers are not so high, because the number of the total population of the trial is not so high, and it’s difficult to define the clinical characteristics of the patients in this group. It is true that those patients at the beginning presented worse general status or worse performing status. In that, are those patients that it seems that are more likely to be rapid progressors, but we cannot identify more than this.

Related Videos
Dr. Alan Tan is the GU Oncology Lead at the Vanderbilt-Ingram Cancer Center in Nashville, Tennessee, as well as an associate professor in the Division of Hematology/Oncology at Vanderbilt University Medical Center and GU Executive Officer with the Alliance for Clinical Trials in Oncology.
Bald Doctor.
Dr. Anna Arthur is the Director of the Medical Nutrition Science Program, as well as a tenure-track Assistant Professor in the Department of Dietetics and Nutrition at the University of Kansas Medical Center.
Dr. Ritu Salani, the Director of Gynecologic Oncology at the University of California, Los Angeles (UCLA), UCLA Health, and a board-certified gynecologic oncologist.
Image of Dr. Scott Kopetz
Image of Dr. Susumu Hijoka
Image of Dr. Braun.
Dr. Sattva S. Neelapu is a professor and deputy department chair in the Department of Lymphoma/Myeloma, Division of Cancer Medicine, at The University of Texas MD Anderson Cancer Center, in Houston, as well as a member of Graduate Faculty, Immunology Program, Graduate School of Biomedical Sciences, at The University of Texas Health Science Center, also located in Houston.
Dr. Azka Ali is a medical oncologist at the Cleveland Clinic Taussig Cancer Institute, in Ohio.
Dr. Michael Bogenschutz