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A

Indication details

Control Arm
Placebo
FDA Therapeutic Indication
Adjuvant treatment of adult patients with germline BRCA1/2-mutations who have HER2-negative, high risk early breast cancer previously treated with neoadjuvant or adjuvant ChT
Tumour Sub-type
Early Breast Cancer
Tumour Stage
Adjuvant
Tumour Sub-Group
gBRCAm HER2-negative
Trial Name
OlympiA
NCT Number
NCT02032823
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval March 2022
EMA Approval
EMA (CHMP) June 2022 EC decicion August 2022

Primary Outcome(s)

Primary Outcome(s)
iDFS
Evaluated Outcome
iDFS at 4-years
Form(s)
Form 1

Outcome Data

OS Control
4-year: 86.4%
OS Gain
4-year: 3.4%
OS HR
0.68 (98.5% CI 0.47-0.97) immature
DFS Control
4-year: 75.4%
DFS Gain
4-year: 7.3%
DFS HR
0.63 (0.50-0.78)

Adjustments

QoL Comment
QoL data pending

Score (after adjustments)

Curative score

A

Comment
EMA (CHMP) June 2022 EC decision August 2022
FDA approval March 2022

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
331
Scorecard version
1
Issue date
21.04.2022
Last update
10.02.2023
Olaparib OlympiA

PRELIMINARY SCORE

DFS

ADJUSTMENTS

?
QoL data pending
Olaparib OlympiA

SCORE

A

Overall Survival / Disease-Free Survival / Pathological Complete Response
Overall Survival
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Adjuvant treatment of adult patients with germline BRCA1/2-mutations who have HER2-negative, high risk early breast cancer previously treated with neoadjuvant or adjuvant ChT
Olaparib
Placebo

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    Legend

    Information about symbols, abbrevations and color codes

    Red = negative
    Green = positive
    Grey = neutral
    ? Grey + ? = neutral with pending data
    DFS
    Disease-Free Survival
    DoR
    Duration of Response
    EFS
    Event-Free Survival
    HR
    Hazard Ratio
    NEB
    No evaluable benefit
    NI
    Non-inferiority Study
    ORR
    Overall Response Rate
    OS
    Overall Surival
    pCR
    Pathological Complete Response/Remission
    PFS
    Progression-Free Survival
    QoL
    Quality of Life
    RFS
    Relapse-Free Survival
    RR
    Response Rate

    QoL adjustments

    Other adjustments*

    Serious and disabling adverse effects

    Red = negative / deterioration

    Green = positive / improvement

    QoL adjustments

    Red = negative / deterioration

    Green = positive / improvement

    Other adjustments*

    Red = negative / deterioration

    Green = positive / improvement

    Serious and disabling adverse effects

    Red = negative / deterioration

    Green = positive / improvement

    * Other adjustments include:

    - Long-term plateau in the survival curve
    - Long-term plateau in the PFS curve
    - Early stopping or crossover
    - Only improved PFS mature data shows no OS advantage and no improved Qol.

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