A Phase III Randomized, Double-blinded Trial of Platinum-based Chemotherapy With or Without Atezolizumab Followed by Niraparib Maintenance With or Without Atezolizumab in Patients With Recurrent Ovarian, Tubal or Peritoneal Cancer and Platinum Treatment-free Interval (TFIp) >6 Months

Trial ID # NCT03598270; ANITA
Phase III
Drug Class Immunotherapy: Checkpoint Inhibitors/PD-L1
Drug Name Atezolizumab
Alternate Drug Names Tecentriq, Anti-PD-L1 Monoclonal Antibody MPDL3280A , MPDL3280A, RG7446
Drugs in Trial Atezolizumab, Carboplatin, Liposomal doxorubicin, Niraparib, Paclitaxel, Gemcitabine
Eligible Participant

Platinum sensitive ovarian cancer at first or second recurrence

Patients Enrolled

417

Therapy Setting

Recurrence

Study Design

Double Blind, Randomized

Endpoints

ORR, PFS, evaluated per RECIST

Biomarkers

PD-L1 status

Efficacy

CarboPt+Gem/Pac/PLD+Aze w/Nir+Aze maint (n=209) vs CarboPt+Gem/Pac/PLD+Placebo w/ Nir+Placebo maint (n=208):

ORR: 45 vs 43%
PFS: 11.2 vs 10.1 months, HR: 0.89 (0.71-1.10, p=0.28)

PD-L1+:
PFS: 12.8 vs 11.1 months, HR: 0.87 (0.61-1.25)

PD-L1-:
PFS: 10.5 vs 9.2 months, HR: 0.93 (0.70-1.24)

Clinically Significant Adverse Events

CarboPt+Gem/Pac/PLD+Aze w/Nir+Aze maint vs CarboPt+Gem/Pac/PLD+Placebo w/ Nir+Placebo maint:
MDS/AML: 0.5 vs 0.5 %
Serious AE: 37 vs 30%
Grade 3-4 AE: 65 vs 63%

Conclusion

Combining atezolizumab with chemotherapy and maintenance niraparib for platinum sensitive recurrent OC does not significantly improve ORR or PFS; no difference in treatment effect according to PD-L1 status

Reference

Gonzalez Martin A et al. Atezolizumab (atezo) combined with platinum-based chemotherapy (CT) and maintenance niraparib for recurrent ovarian cancer (rOC) with a platinum-free interval (TFIp) >6 months: Primary analysis of the double-blind placebo (pbo)-controlled ENGOT-Ov41/GEICO 69-O/ANITA phase III trial. Ann Oncol (2023) 34(2) abstract LBA37
https://www.clearityfoundation.org/wp-content/uploads/2023/11/ANITA-abstract-ESMO-2023.pdf

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