Olaparib in HR-deficient, metastatic triple-negative breast and platinum-sensitive relapsed ovarian cancers without germline mutations in BRCA1/2: phase 2 EMBRACE trial.
Katrin M Sjoquist, Alexander Dobrovic, Kristy P Robledo et al.
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In 30 seconds
The phase 2 EMBRACE trial evaluated olaparib in patients with platinum-sensitive relapsed high-grade serous ovarian cancer (HGSOC) and metastatic triple-negative breast cancer (TNBC) with non-germline BRCA mutations. The objective tumor response rate (OTRR) at 6 months was 40% for HGSOC and 0% for TNBC, indicating olaparib's efficacy in HGSOC but limited activity in TNBC.
Key findings
- OTRR at 6 months was 40% for HGSOC and 0% for TNBC.
- Promoter methylation was detected in 8/15 HGSOC and 5/7 TNBC.
- 6-month progression-free survival was 53% for HGSOC and 17% for TNBC.
- OTRR was 38% in methylated cases vs 43% for other HRD.
Why it matters
This study highlights the potential of olaparib in treating HGSOC with non-germline BRCA mutations, suggesting a need for further exploration of patient selection criteria to optimize treatment outcomes.