Publications
Nature communicationsNov 2025 |
16
(
1
),
9756
DOI:
10.1038/s41467-025-64130-6

Olaparib, durvalumab, and cyclophosphamide, and a prognostic blood signature in platinum-sensitive ovarian cancer: the randomized phase 2 SOLACE2 trial

Lee, Chee Khoon; Kartikasari, Apriliana E R; Bound, Nirashaa T; Francis, Katherine E; Shield-Artin, Kristy; Bedo, Justin; Nesic, Ksenija; Diamante, Katrina; O'Connell, Rachel L; Madondo, Mutsa; Cox, Momodou; Davies, Claire; Deceneux, Cyril; Goodchild, Georgia; Jarratt, Andrew; Cassar, Emily; Amer, Hina; Kariyawasam, U G Imalki U; Lee, Yeh Chen; Lombard, Janine; Baron-Hay, Sally; Antill, Yoland; Shannon, Catherine; Selva-Nayagam, Sudarshan; Beale, Philip; Zebic, Danka; Simon, Sandy; Linaker, Anneliese; Quinn, Michael A; Papenfuss, Anthony T; Wakefield, Matthew J; Vandenberg, Cassandra J; Friedlander, Michael; Scott, Clare L; Plebanski, Magdalena
Product Used
Variant Libraries
Abstract
SOLACE2 (ACTRN12618000686202) investigates whether 12-weeks of olaparib, or cyclophosphamide-olaparib priming, improves subsequent durvalumab-olaparib progression-free survival (PFS), and is superior to olaparib monotherapy without any priming, in platinum-sensitive recurrent ovarian cancer (n = 114). We also evaluate the utility of CUP-CC assay, an immune signature of C-C chemokine receptor type 4 up-regulation, chemokines, and cytokines. Priming with olaparib, or cyclophosphamide-olaparib, followed by durvalumab-olaparib, are both associated with longer PFS compared to olaparib monotherapy, but do not reach the pre-specified primary endpoint of 36-week trial threshold (PFS36). PFS36 rates are 47.4% (95% CI, 31.0-62.1; olaparib priming then olaparib-durvalumab), 48.7% (32.5-63.2; olaparib-cyclophosphamide then olaparib-durvalumab) and 35.1% (20.4-50.3; olaparib monotherapy). PFS is significantly longer for the homologous recombination deficient (N = 71) as compared to the proficient (HRP) (N = 29) subgroups (Hazard Ratio (HR) 0.55, 0.35-0.87). CUP-CC+ subgroup (N = 58) has a significantly longer PFS (HR 0.31, 0.19-0.49) than CUP-CC- (N = 46). Future studies should investigate whether CUP-CC has the potential to personalize poly (ADP-ribose) polymerase inhibitor therapies for patients who are BRCA wild-type, including HRP patients.
Product Used
Variant Libraries

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