Olaparib (11) – Lynparza®

Ovarian carcinoma, fallopian tube carcinoma or primary peritoneal carcinoma, BRCA-mutated, FIGO stages III and IV, maintenance therapy

Characteristics

Start date 01.04.2023 – Marketing authorisation: 12.06.2019
Resolution 21.09.2023
INN Olaparib
Brand name Lynparza®
Pharm. company AstraZeneca GmbH
G-BA Procedure ID D-929
ATC code L01XK01 PARP inhibitors (L01XK)
Therapeutic area Oncological diseases
Reason for procedure Reassessment: G-BA limitation
Original resolution: Olaparib (4) (16.01.2020)
Specialty ACT change

Studies and Results

Adult female patients with advanced (FIGO stages III and IV) BRCA1/2-mutated (germline and/or somatic), high-grade epithelial ovarian cancer, fallopian tube cancer or primary peritoneal cancer, who have achieved a response (complete or partial) following completion of first-line platinum-based chemotherapy; maintenance therapy

  • Overall, the data presented are not sufficient to demonstrate additional benefit compared with the appropriate comparator therapy; therefore, there is no additional benefit of olaparib as maintenance therapy in adult female patients with advanced (FIGO stages III and IV) BRCA1/2-mutated (germline and/or somatic), high-grade epithelial ovarian cancer, fallopian tube cancer or primary peritoneal cancer, who have achieved a response (complete or partial) following completion of first-line platinum-based chemotherapy, is not proven.
  • Due to the lack of comparison with the appropriate comparator therapy, niraparib, the SOLO-1 trial is not suitable for assessing the additional benefit of olaparib and is therefore not used for the benefit assessment.
  • Overall assessment
    • Conclusion
    • Overall, the data presented are not sufficient to demonstrate additional benefit compared with the appropriate comparator therapy; consequently, additional benefit of olaparib is not proven.

Courtesy translation only, please refer to the German original.

Associated procedures

Olaparib (12) Lynparza® AstraZeneca GmbH Oncological diseases Primarily advanced or recurrent endometrial cancer with pMMR, combination with durvalumab, maintenance therapy 780–1,430 50% Indication of considerable additional benefit
Olaparib (11) Lynparza® AstraZeneca GmbH Oncological diseases Ovarian carcinoma, fallopian tube carcinoma or primary peritoneal carcinoma, BRCA-mutated, FIGO stages III and IV, maintenance therapy 520–630 100% additional benefit not proven
Olaparib (10) Lynparza® AstraZeneca GmbH Oncological diseases Prostate carcinoma (PC), metastatic, castration-resistant, chemotherapy not clinically indicated, combination with abiraterone and/or prednisone 9,400–12,200 25% Hint for considerable additional benefit
Olaparib (9) Lynparza® AstraZeneca GmbH Oncological diseases Ovarian carcinoma (OC), fallopian tube carcinoma or primary peritoneal carcinoma, FIGO stages III and IV, HRD-positive, maintenance therapy, combination with bevacizumab 1,030–1,250 100% Hint for considerable additional benefit
Olaparib (8) Lynparza® AstraZeneca GmbH Oncological diseases Breast carcinoma (BC), HER2, BRCA1/2 mutation, pre-treated, high risk of recurrence, adjuvant, monotherapy or combination with chemotherapy. 540–690 100% Indication of minor additional benefit
Olaparib (5) Lynparza® AstraZeneca GmbH Oncological diseases Pancreatic adenocarcinoma (AC), BRCA1/2 mutations, maintenance therapy 75–95 100% additional benefit not proven
Olaparib (6) Lynparza® AstraZeneca GmbH Oncological diseases Prostate carcinoma (PC), BRCA1/2 mutations, progression after hormonal treatment 2,290–3,040 100% Hint for considerable additional benefit
Olaparib (7) Lynparza® AstraZeneca GmbH Oncological diseases Ovarian carcinoma, fallopian tube carcinoma or primary peritoneal carcinoma, FIGO stages III and IV, HRD-positive, maintenance therapy, combination with bevacizumab 0
1,030
100% additional benefit not proven repealed
Olaparib (3) Lynparza® AstraZeneca GmbH Oncological diseases Breast cancer (BC) BRCA1/2 mutations, HER2- 460–710 100% Hint for minor additional benefit
Olaparib (4) Lynparza® AstraZeneca GmbH Oncological diseases Ovarian carcinoma, fallopian tube carcinoma or primary peritoneal carcinoma, BRCA-mutated, FIGO stages III and IV, maintenance therapy 0
140–650
100% additional benefit not proven repealed
Olaparib (2) Lynparza® AstraZeneca GmbH Oncological diseases Ovarian carcinoma, fallopian tube carcinoma or primary peritoneal carcinoma, platinum-sensitive, maintenance therapy 1,900–2,400 100% Hint for minor additional benefit
Olaparib (1) Lynparza® AstraZeneca GmbH Oncological diseases Ovarian carcinoma, fallopian tube carcinoma or primary peritoneal carcinoma, platinum-sensitive, maintenance therapy 0
200–600
100% non-quantifiable additional benefit Orphan repealed


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