TABLE 1.
Main clinical features of 182 patients with epithelial ovarian cancer (EOC) with and without therapy‐related myeloid neoplasms (t‐MN) following poly(ADP‐ribose) polymerase inhibitors (PARPi) and previous poly‐chemotherapy
Characteristics | Patients without t‐MN (n = 166) | Patients with t‐MN (n = 16) |
---|---|---|
Median age at EOC diagnosis | 54 (range 33‐78) | 52 (range 39‐69) |
Histology, n (%) | ||
Serous carcinoma | 144 (87%) | 15 (94%) |
Endometrioid carcinoma | 7 (4%) | 1 (6%) |
Clear cell carcinoma | 5 (3%) | 0 |
Mixed carcinoma | 5 (3%) | 0 |
NOS carcinoma | 5 (3%) | 0 |
Grade, n (%) | ||
High | 156 (94%) | 15 (94%) |
Intermediate | 4 (2%) | 1 (6%) |
Unknown | 6 (4%) | 0 |
FIGO stage, n (%) | ||
I | 7 (4.5%) | 0 |
II | 7 (4.5%) | 2 (13%) |
III | 119 (71%) | 13 (81%) |
IV | 33 (20%) | 1 (6%) |
Germline BRCA1/2 status, n (%) | ||
Mutated | 79 (47.5%) | 9 (56%) |
Wild type/VUS | 68 (41%) | 5 (31%) |
Unknown a | 19 (11.5%) | 2 (13%) |
Prior chemotherapy lines before PARPi, n (%) | ||
1‐2 | 64 (38%) | 8 (50%) |
3‐4 | 64 (38%) | 5 (31%) |
≥5 | 38 (24%) | 3 (19%) |
Type of PARPi, n (%) | ||
Olaparib b | 100 (60%) | 9 (56%) |
Niraparib | 63 (38%) | 6 (38%) |
Rucaparib b | 4 (2%) | 1 (6%) |
PARPi therapy, n (%) | ||
Treatment | 56 (34%) | 1 (6%) |
Maintenance | 111 (66%) | 15 (94%) |
Duration of PARPi therapy, n (%) | ||
Median (months) | 7.4 (range 0.8‐110.8) | 18.5 (range 4.1‐42.2) |
≤6 months | 74 (45%) | 3 (19%) |
7‐17 months | 55 (33%) | 3 (19%) |
≥18 months | 37 (22%) | 10 (62%) |
Presents status, n (%) | ||
Dead | 54 (32%) | 12 (75%) |
Alive | 94 (57%) | 4 (25%) |
Lost at follow‐up | 18 (11%) | 0 |
Abbreviations: BRCA, breast cancer gene; FIGO, International Federation of Gynecology and Obstetrics; NOS, not otherwise specified; VUS, variant of uncertain significance.
Patients were enrolled in a 2010 clinical trial that did not require assessment of the BRCA status.
A single patient received both olaparib and rucaparib as maintenance.