Potential Cure for Early BRCA-Mutated Breast Cancer?

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Potential Cure for Early BRCA-Mutated Breast Cancer?
Lung CarcinomaCancer Of The LungBreast Cancer
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A small trial found 'a remarkable 100% of patients were still alive at 36 months' after receiving olaparib plus standard chemotherapy.

It's a"small but very powerful signal" of"what could be a potentially curative regimen that definitely does need to be confirmed in a larger study," Abraham added.trial, included 84 patients with T1-2 tumors of any hormone status. Just over 70% in both arms hadPast attempts at combining chemotherapy with PARP inhibitors have been hampered by excess bone marrow toxicity.

At a median follow-up of 40.7 months, 96% of patients in the combination arm demonstrated event-free survival, with one patient relapsing, vs 80% in the chemotherapy-alone group, with nine patients relapsing. The trial was stopped short at 50% enrollment after the data monitoring safety committee determined that olaparib add-on was unlikely to improve pathological complete response rates, the trial's primary endpoint."It didn't seem to matter whether you had a non-pathological complete response, you still survived 100%" with the combination, Abraham said, adding that this is not the first study to show a disconnect between response rates and survival.

First,"this is a very small population, so small differences in the biology of the tumor, the patients, and even stage that we can't assess in the neoadjuvant setting could make a difference that would affect event-free and overall survival," she said.

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Lung Carcinoma Cancer Of The Lung Breast Cancer Malignant Breast Neoplasm Breast Carcinoma Ovarian Cancer Malignant Ovarian Neoplasm Ovary Cancer Chemotherapy Toxicology Toxicity Poisoning Toxins BRCA Breast Mammary Gland Cancer Malignant Neoplasia Carcinoma Malignant Neoplasm Biologic Therapy Biologics PARP Inhibitors PARP Inhibition

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