The Food and Drug Administration (FDA) approved Lynparza (olaparib) for use with abiraterone and prednisone to treat adults with deleterious or suspected deleterious BRCA-mutated metastatic castration-resistant prostate cancer, the FDA announced on Wednesday.
This approval was based on findings from the PROpel trial, which demonstrated that Lynparza plus abiraterone significantly improved radiological progression-free survival (the time during and after treatment when a patient with cancer lives without disease worsening) compared with placebo with abiraterone, according to a press release from the FDA. In particular, progression-free survival was not reached in patients with metastatic castration-resistant prostate cancer assigned Lynparza plus abiraterone — meaning that more than half of patients in the trial did not meet this outcome — compared with eight months in patients assigned placebo with abiraterone.
Findings from the PROpel trial also showed that the improvement in radiological progression-free survival was primarily a result of patients with metastatic BRCA-mutated metastatic castration-resistant prostate cancer, according to the release.
The most common side effects in the trial, which occurred in at least 10% of patients treated with Lynparza plus abiraterone, included fatigue (38%), anemia (48%), diarrhea (19%), nausea (30%), lymphopenia (14%), decreased appetite (16%), abdominal pain (13%) and dizziness (14%). In addition, 72 patients from the trial —18% of the population — needed at least one blood transfusion, and 46 patients (12%) required several transfusions, according to the release.
In the PROpel trial, researchers analyzed data from 796 patients with metastatic castration-resistant prostate cancer, according to the listing on ClinicalTrials.gov.
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