Would you consider adjuvant olaparib in a premenopausal female with TNBC with high risk features and germline BRCA1 mutation who achieved pCR after neoadjuvant chemotherapy?

Does not meet Olympia trial indication

Answer from: Medical Oncologist at Academic Institution

I would not, as these patients were not allowed to go on OlympiA. Their residual risk of TNBC relapse after PCR is low so the absolute benefit of olaparib for a year (if any) is also going to be low.

Comments

Medical Oncologist at NYU Winthrop Hospital
Thanks, Dr. @Hatem H. Soliman.

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Would you consider adjuvant olaparib in a premenopausal female with TNBC with high risk features and germline BRCA1 mutation who achieved pCR after neoadjuvant chemotherapy?

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