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Ovarian Cancer · Medical · First-line maintenance after platinum response; BRCA-mutated

SOLO-1 / GOG 3004

After response to platinum chemotherapy, does olaparib maintenance improve outcomes in advanced BRCA-mutated ovarian cancer?

Trial design and population

Population / eligibility
391 patients with advanced BRCA1/2-mutated ovarian/fallopian tube/primary peritoneal cancer responding to platinum.
Treatment vs comparator
Olaparib 300 mg orally twice daily for up to 2 years vs placebo.
Sample size
391 (reported trial population)
Featured endpoint
Five-year progression-free survival · 5 years

Registry: undefined.

Key results

Five-year PFS 48% vs 21% (HR 0.33, 95% CI 0.25–0.43). Seven-year OS 67.0% vs 46.5% (HR 0.55, 95% CI 0.40–0.76); p=0.0004 did not cross prespecified p<0.0001 boundary.

Outcome visualization

Five-year progression-free survival · 5 years · 48

Placebo
21
Grade 3–4 anaemia about 22% vs 2% in primary safety analysis. Monitor blood counts; fatigue, nausea and rare MDS/AML matter; twice-daily dosing up to 2 years.
Olaparib

Bars scale to the larger reported value. Median survival values are time-to-event summaries, not fixed-time absolute event risks.

Absolute Effect

Endpoint/time horizon: Five-year progression-free survival · 5 years · 48.

NNT: Not calculated from median survival or hazard ratios; calculate only from defensible fixed-time absolute risks.

NNH: Not calculated unless a fixed-time excess-harm risk difference is available. Applies to BRCA-mutated disease after platinum response. Seven-year OS estimate was favourable but did not meet the prespecified significance threshold.

Safety, burden and QoL

Applies to BRCA-mutated disease after platinum response. Seven-year OS estimate was favourable but did not meet the prespecified significance threshold.

QoL and discontinuation percentages are not asserted where not verified from the full primary report; complete source-table audit remains a QC item.

Subgroups, maturity and limitations

https://pubmed.ncbi.nlm.nih.gov/36082969/

Distinguish prespecified from exploratory subgroups, immature from mature endpoints, and superiority from non-inferiority. Historical comparators may not represent all current treatment sequences.

Current-practice context · 21 October 2026

Verify current guidelines, regulatory status, biomarker requirements, prior treatment, comorbidities and patient goals before applying these historical trial results. Clinical freshness and full QoL/toxicity source review remain open where noted.

Primary and authoritative sources