First-line maintenance treatment of MMR-Proficient advanced or recurrent endometrial cancer

Active Ingredient: Olaparib

Indication for Olaparib

Population group: only adults (18 years old or older)
Therapeutic intent: Curative procedure

Olaparib in combination with durvalumab is indicated for the maintenance treatment of adult patients with primary advanced or recurrent endometrial cancer that is mismatch repair proficient (pMMR) whose disease has not progressed on first-line treatment with durvalumab in combination with carboplatin and paclitaxel.

For this indication, competent medicine agencies globally authorize below treatments:

300 mg twice daily

For:

Dosage regimens

Oral, 300 milligrams olaparib, 2 times daily.

Detailed description

The recommended dose of olaparib is 300 mg taken twice daily, equivalent to a total daily dose of 600 mg.

When olaparib is used in combination with durvalumab for the maintenance treatment of patients with MMR-Proficient (pMMR) primary advanced or recurrent endometrial cancer whose disease has not progressed on first-line treatment with durvalumab in combination with carboplatin and paclitaxel, the dose of durvalumab is 1500 mg every 4 weeks. Please refer to the full product information for durvalumab.

Duration of treatment

It is recommended that treatment be continued until progression of the underlying disease or unacceptable toxicity. Please refer to the product information for durvalumab.

Missing dose

If a patient misses a dose of olaparib, they should take their next normal dose at its scheduled time.

Dose adjustments for adverse reactions

Treatment may be interrupted to manage adverse reactions such as nausea, vomiting, diarrhoea, and anaemia and dose reduction can be considered.

The recommended dose reduction is to 250 mg twice daily (equivalent to a total daily dose of 500 mg).

If a further dose reduction is required, then reduction to 200 mg twice daily (equivalent to a total daily dose of 400 mg) is recommended.

Active ingredient

Olaparib

Olaparib is a potent inhibitor of human poly (ADP-ribose) polymerase enzymes (PARP-1, PARP-2, and PARP-3), and has been shown to inhibit the growth of selected tumour cell lines in vitro and tumour growth in vivo either as a standalone treatment or in combination with established chemotherapies or new hormonal agents (NHA).

Read more about Olaparib

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