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  1. Home
  2. Real-world Trae Association Between Niraparib And Platinum-based Chemotherapy.
  1. Home
  2. Real-world Trae Association Between Niraparib And Platinum-based Chemotherapy.

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Real-world TRAE association between niraparib and platinum-based chemotherapy.

Linli Wang1, Jieli Zhou2, Haibin Wang2

  • 1First Clinical College, Gannan Medical University, Ganzhou, China.

Frontiers in Oncology
|July 2, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Patients with advanced ovarian cancer tolerated niraparib well, experiencing fewer treatment-related adverse events, particularly anemia and decreased neutrophil counts, compared to platinum-based chemotherapy. Careful monitoring is advised for hematological adverse reactions during niraparib treatment following chemotherapy.

Keywords:
PARPichemotherapyhematologic adverse reactionsniraparibovarian cancerplatinum drugs

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Area of Science:

  • Oncology
  • Pharmacology
  • Genitourinary Cancer

Background:

  • PARP inhibitors (PARPi) and platinum agents share DNA damage repair pathway mechanisms, suggesting overlapping sensitivity.
  • Pre-clinical data indicate patients responding to platinum-based chemotherapy may also benefit from PARPi.

Purpose of the Study:

  • To evaluate the association of treatment-related adverse events (TRAE) between platinum-based chemotherapy (PBC) and niraparib in advanced ovarian cancer patients.
  • To assess the real-world safety profile of niraparib following platinum-based chemotherapy.

Main Methods:

  • Retrospective analysis of 40 advanced ovarian cancer patients treated with niraparib (maintenance or salvage) from January 2020 to August 2023.
  • Documented adverse events during the last cycle of platinum-based chemotherapy and during niraparib treatment.
  • Utilized Fisher's exact test for correlation analysis of TRAE.
  • Main Results:

    • Overall grade ≥3 TRAE were significantly lower with niraparib (40%) compared to chemotherapy (70%), notably anemia (20% vs 45%) and decreased neutrophil counts (17.5% vs 57.5%).
    • Any grade TRAE were also significantly lower with niraparib (75%) versus chemotherapy (100%), including decreased white blood cell count (47.5% vs 87.5%), red blood cell count (57.5% vs 92.5%), anemia (55% vs 87.5%), and neutrophil count (35% vs 85%).
    • No new safety signals were identified during niraparib treatment.

    Conclusions:

    • Patients with advanced ovarian cancer tolerated niraparib well, showing significantly lower rates of TRAE, including anemia and neutropenia, compared to prior platinum-based chemotherapy.
    • Close monitoring and management of hematological adverse reactions are recommended for patients receiving niraparib after experiencing grade ≥3 hematological adverse events during platinum-based chemotherapy.