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    Home > Active Ingredient News > Urinary System > [News] First-line treatment of prostate cancer, Olapali Phase III PROpel test is highly positive

    [News] First-line treatment of prostate cancer, Olapali Phase III PROpel test is highly positive

    • Last Update: 2021-10-11
    • Source: Internet
    • Author: User
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    This article is original by Translational Medicine Network.
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    Author: John Guide: Recently, the results of the interim analysis of AstraZeneca Olapali Phase III PROpel trial have been released, showing high rates in first-line treatment of patients with metastatic castration-resistant prostate cancer The level is positive
    .

    As the first PARP inhibitor approved for marketing in China, it has been approved for 3 indications so far while being included in the National Medical Insurance Catalog
    .

    Lynparza (olaparib, olaparib) is a "first-in-class" PARP inhibitor jointly developed by AstraZeneca and Merck
    .

    It targets the DNA damage repair response (DDR) pathway and uses the "synthetic lethal" principle to kill cancer cells without affecting healthy cells
    .

    As the world's first PARP inhibitor, it has been approved for the treatment of 4 types of cancer, including ovarian cancer, breast cancer, pancreatic cancer, and prostate cancer
    .

    In May 2020, the drug was approved by the FDA for the treatment of homologous recombination repair (HRR) gene mutations in metastatic castration-resistant prostate cancer (mCRPC), and it is also the second PARP inhibitor approved for this indication
    .

    Prostate cancer is the second most common cancer among men.
    Although the treatment options for patients with metastatic castration-resistant prostate cancer have increased in recent years, the 5-year survival rate is still low
    .

    PROpel is a randomized, double-blind, multicenter, placebo-controlled phase III clinical trial (treated with the hormone abiraterone alone) for the first-line treatment of mCRPC male patients who have not received previous chemotherapy or new hormone drugs (NHAs), and Whether or not patients carry homologous recombination repair (HRR) gene mutations, to evaluate its effectiveness, safety and tolerability
    .

    The interim analysis of the Phase III PROpel trial showed that compared with the hormone drug abiraterone (abiraterone), the combination of Lynparza and abiraterone in previously untreated mCRPC patients has the primary endpoint of imaging progression-free survival (rPFS) It showed statistically significant and clinically significant improvements
    .

    In addition, there is a trend of improvement in the overall survival (OS) of the key secondary endpoint, but the OS data is not yet mature at the time of the interim analysis
    .

    At the same time, the safety and tolerability are consistent with the known characteristics of each drug
    .

    It is worth mentioning that Lynparza is the first PARP inhibitor to show clinical benefit in the first-line treatment of prostate cancer
    .

    The high level of positive results from the PROpel test is expected to open up a broader market for Lynparza
    .

    Although the data is not yet mature, AstraZeneca and Merck have planned to submit it to regulatory agencies for review
    .

    At the same time, Lynparza, as the first PARP inhibitor approved for marketing in China, has been approved for 3 indications so far
    .

    As of June 2021, it was approved in China for the treatment of BRCA-mutated advanced prostate cancer (mCRPC)
    .

    Previously, in November 2019, Lynparza was included in the National Medical Insurance Directory
    .

    At present, Lynparza is in a leading position in the field of PARP inhibitors, with sales of US$1.
    13 billion in the first half of 2021, a year-on-year increase of 15%
    .

    With the success of the latest first-line treatment of mCRPC and the recent positive data of adjuvant treatment of high-risk early breast cancer, Lynparza is expected to further grow strongly in the future
    .

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