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Veliparib with First-Line Chemotherapy and as Maintenance Therapy in Ovarian Cancer

Open access
Coleman, Robert L., Fleming, Gini F., Brady, Mark F., Swisher, Elizabeth M., Steffensen, Karina D., Friedlander, Michael, Okamoto, Aikou, Moore, Kathleen N., Efrat Ben-Baruch, Noa, Werner, Theresa L., Cloven, Noelle G., Oaknin, Ana, DiSilvestro, Paul A., Morgan, Mark A., Nam, Joo-Hyun, Leath, Charles A., Nicum, Shibani, Hagemann, Andrea R., Littell, Ramey D., Cella, David, Baron-Hay, Sally, Garcia-Donas, Jesus, Mizuno, Mika, Bell-McGuinn, Katherine, Sullivan, Danielle M., Bach, Bruce A., Bhattacharya, Sudipta, Ratajczak, Christine K., Ansell, Peter J., Dinh, Minh H., Aghajanian, Carol, Bookman, Michael A.·2019·New England Journal of Medicine

Abstract

BACKGROUND: Data are limited regarding the use of poly(adenosine diphosphate [ADP]-ribose) polymerase inhibitors, such as veliparib, in combination with chemotherapy followed by maintenance as initial treatment in patients with high-grade serous ovarian carcinoma. METHODS: -mutation cohort), and the intention-to-treat population. RESULTS: -mutation cohort, the median progression-free survival was 34.7 months in the veliparib-throughout group and 22.0 months in the control group (hazard ratio for progression or death, 0.44; 95% confidence interval [CI], 0.28 to 0.68; P<0.001); in the HRD cohort, it was 31.9 months and 20.5 months, respectively (hazard ratio, 0.57; 95 CI, 0.43 to 0.76; P<0.001); and in the intention-to-treat population, it was 23.5 months and 17.3 months (hazard ratio, 0.68; 95% CI, 0.56 to 0.83; P<0.001). Veliparib led to a higher incidence of anemia and thrombocytopenia when combined with chemotherapy as well as of nausea and fatigue overall. CONCLUSIONS: Across all trial populations, a regimen of carboplatin, paclitaxel, and veliparib induction therapy followed by veliparib maintenance therapy led to significantly longer progression-free survival than carboplatin plus paclitaxel induction therapy alone. The independent value of adding veliparib during induction therapy without veliparib maintenance was less clear. (Funded by AbbVie; VELIA/GOG-3005 ClinicalTrials.gov number, NCT02470585.).

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Metadata

Authors
Coleman, R. L., Fleming, G. F., Brady, M. F., Swisher, E. M., Steffensen, K. D., Friedlander, M., Okamoto, A., Moore, K. N., Efrat Ben-Baruch, N., Werner, T. L., Cloven, N. G., Oaknin, A., DiSilvestro, P. A., Morgan, M. A., Nam, J.-H., Leath, C. A., Nicum, S., Hagemann, A. R., Littell, R. D., Cella, D., Baron-Hay, S., Garcia-Donas, J., Mizuno, M., Bell-McGuinn, K., Sullivan, D. M., Bach, B. A., Bhattacharya, S., Ratajczak, C. K., Ansell, P. J., Dinh, M. H., Aghajanian, C., & Bookman, M. A.
Venue
New England Journal of Medicine
Published
2019-12-19
Volume
381
Issue
25
Pages
2403-2415
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2976139792
Cited by
913
References
37
FWCI
47.43
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Veliparib with First-Line Chemotherapy and as Maintenance Therapy in Ovarian Cancer. https://app.cochat.ai/papers/10.1056/nejmoa1909707
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Coleman, R. L., Fleming, G. F., Brady, M. F., Swisher, E. M., Steffensen, K. D., Friedlander, M., Okamoto, A., Moore, K. N., Efrat Ben-Baruch, N., Werner, T. L., Cloven, N. G., Oaknin, A., DiSilvestro, P. A., Morgan, M. A., Nam, J.-H., Leath, C. A., Nicum, S., Hagemann, A. R., Littell, R. D., . . . Bookman, M. A. (2019). Veliparib with First-Line Chemotherapy and as Maintenance Therapy in Ovarian Cancer. New England Journal of Medicine. https://doi.org/10.1056/nejmoa1909707

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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