RT Journal Article
SR Electronic
T1 ICON 9—an international phase III randomized study to evaluate the efficacy of maintenance therapy with olaparib and cediranib or olaparib alone in patients with relapsed platinum-sensitive ovarian cancer following a response to platinum-based chemotherapy
JF International Journal of Gynecologic Cancer
JO Int J Gynecol Cancer
FD BMJ Publishing Group Ltd
SP 134
OP 138
DO 10.1136/ijgc-2020-002073
VO 31
IS 1
A1 Osnat Elyashiv
A1 Jonathan Ledermann
A1 Gita Parmar
A1 Laura Farrelly
A1 Nicholas Counsell
A1 Amanda Feeney
A1 Fatima El-Khouly
A1 Ian Macdonald
A1 Andreia Neto
A1 Esther Arthur-Darkwa
A1 Eva Burnett
A1 Gordon C Jayson
A1 Linda Mileshkin
A1 Charlie Gourley
A1 Shibani Nicum
YR 2021
UL http://ijgc.bmj.com/content/31/1/134.abstract
AB Background Two novel biological agents—cediranib targeting angiogenesis, and olaparib targeting DNA repair processes—have individually led to an improvement in ovarian cancer control. The aim of ICON9 is to investigate the combination of cediranib and olaparib maintenance in recurrent ovarian cancer following platinum-based therapy.Primary objective To assess the efficacy of maintenance treatment with olaparib in combination with cediranib compared with olaparib alone following a response to platinum-based chemotherapy in women with platinum-sensitive ovarian, fallopian tube or peritoneal cancer during first relapse.Study hypothesis Maintenance therapy with cediranib and olaparib in combination is associated with improved patient outcomes compared with olaparib alone.Trial design International phase III randomized controlled trial. Following a response to platinum-based chemotherapy patients are randomized 1:1 to either oral olaparib and cediranib (intervention arm) or oral olaparib alone (control arm).Major inclusion criteria Patients with a known diagnosis of high grade serous or endometrioid carcinoma of the ovary, fallopian tube or peritoneum, progressing more than 6 months after first-line platinum-based chemotherapy, who have responded to second-line platinum-based chemotherapy.Primary endpoints Progression-free and overall survival. Co-primary endpoints to be assessed using a fixed-sequence gatekeeping approach: (1) progression-free survival, all patients; (2) progression-free survival, BRCA wild type; (3) overall survival, all patients; (4) overall survival, BRCA wild type.Sample size 618 patients will be recruited.Estimated dates for completing accrual and presenting results Accrual is expected to be completed in 2024 with presentation of results in 2025.Trial registration ClinicalTrials.gov: NCT03278717.