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NCT01847274 · OUTCOME

Progression-Free Survival (PFS) in Cohort With Germline BReast CAncer Gene (BRCA) Mutation (gBRCA)

A Maintenance Study With Niraparib Versus Placebo in Patients With Platinum Sensitive Ovarian Cancer · Source last updated 2023-06-02

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
MEDIAN
Unit
months
Interval / dispersion
95% Confidence Interval
Time frame
From date of randomization to the earliest date of disease progression or death from any cause, up to 7 years 7 months and 4 days

What was measured

PFS was defined as the time between randomization and disease progression or death from any cause. Computed tomography or magnetic resonance imaging to assess disease progression was performed at baseline, every 8 weeks through cycle 14, and then every 12 weeks until treatment discontinuation. The objective assessment of disease progression was determined by means of central radiologic and clinical review, according to Response Evaluation Criteria in Solid Tumors (RECIST),version 1.1, which was performed in a blinded fashion. PD is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study.

Analysis population: Intent-to-treat population was defined as all randomized participants with participants analyzed according to the study drug assigned via randomization

Groups in this outcome

gBRCA Niraparib

Participants with germline breast cancer gene (gBRCA) mutation received oral dose of niraparib 300 milligrams (mg) once daily in 28-day cycles until disease progression.

gBRCA Placebo

Participants with germline BRCA mutation received oral dose of placebo matching niraparib once daily in 28-day cycles until disease progression.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
gBRCA Niraparib138
gBRCA Placebo65

Reported measurements

Source class 1
Values in months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
gBRCA Niraparib21Not reported12.9NAUpper limit of confidence interval (CI) was not estimable as upper limits of CI for survivor function were above 0.5 (SAS PROC LIFETEST).
gBRCA Placebo5.5Not reported3.87.2Not reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    0.173
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.410
    estimate Comment
    Niraparib:Placebo, based on the stratified Cox Proportional Hazards Model using randomization stratification factors.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    <0.0001
    p Value Comment
    Two-sided P-value. PFS was independently evaluated in gBRCAmut cohort and non-gBRCAmut cohort.
    param Type
    Hazard Ratio (HR)
    param Value
    0.27
    statistical Comment
    Strata: tm to progression after penultimate platinum tx; use of bevacizumab w/penultimate or last platinum tx; best response during last platinum tx.
    statistical Method
    Log Rank
Complete source fields
analyses
  1. ci Lower Limit
    0.173
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    0.410
    estimate Comment
    Niraparib:Placebo, based on the stratified Cox Proportional Hazards Model using randomization stratification factors.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    <0.0001
    p Value Comment
    Two-sided P-value. PFS was independently evaluated in gBRCAmut cohort and non-gBRCAmut cohort.
    param Type
    Hazard Ratio (HR)
    param Value
    0.27
    statistical Comment
    Strata: tm to progression after penultimate platinum tx; use of bevacizumab w/penultimate or last platinum tx; best response during last platinum tx.
    statistical Method
    Log Rank
classes
  1. categories
    1. measurements
      1. comment
        Upper limit of confidence interval (CI) was not estimable as upper limits of CI for survivor function were above 0.5 (SAS PROC LIFETEST).
        group Id
        OG000
        lower Limit
        12.9
        upper Limit
        NA
        value
        21
      2. group Id
        OG001
        lower Limit
        3.8
        upper Limit
        7.2
        value
        5.5
denoms
  1. counts
    1. group Id
      OG000
      value
      138
    2. group Id
      OG001
      value
      65
    units
    Participants
description
PFS was defined as the time between randomization and disease progression or death from any cause. Computed tomography or magnetic resonance imaging to assess disease progression was performed at baseline, every 8 weeks through cycle 14, and then every 12 weeks until treatment discontinuation. The objective assessment of disease progression was determined by means of central radiologic and clinical review, according to Response Evaluation Criteria in Solid Tumors (RECIST),version 1.1, which was performed in a blinded fashion. PD is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants with germline breast cancer gene (gBRCA) mutation received oral dose of niraparib 300 milligrams (mg) once daily in 28-day cycles until disease progression.
    id
    OG000
    title
    gBRCA Niraparib
  2. description
    Participants with germline BRCA mutation received oral dose of placebo matching niraparib once daily in 28-day cycles until disease progression.
    id
    OG001
    title
    gBRCA Placebo
param Type
MEDIAN
population Description
Intent-to-treat population was defined as all randomized participants with participants analyzed according to the study drug assigned via randomization
reporting Status
POSTED
time Frame
From date of randomization to the earliest date of disease progression or death from any cause, up to 7 years 7 months and 4 days
title
Progression-Free Survival (PFS) in Cohort With Germline BReast CAncer Gene (BRCA) Mutation (gBRCA)
type
PRIMARY
unit Of Measure
months

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