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clinical / clinicalPAOLA-1, olaparib plus bevacizumab frontline ovarian, HRD testing, BRCA maintenanceBispecific T-cell Engager Pioneer

Isabelle Ray-Coquard

伊莎贝尔·雷-科夸尔

MD, PhD

🏢Centre Léon Bérard, Lyon; Université Claude Bernard Lyon 1(法国里昂莱昂贝拉尔中心;里昂第一大学)🌐France

Medical Oncologist and Head, Soft Tissue Sarcoma and Gynecologic Cancer Unit, Centre Léon Bérard; Professor of Medical Oncology, Université Claude Bernard Lyon 1医学肿瘤科医生及软组织肉瘤与妇科癌症科主任,莱昂贝拉尔中心;里昂第一大学医学肿瘤学教授

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Key Contributions

👥Biography 个人简介

Isabelle Ray-Coquard, MD, PhD is Head of the Soft Tissue Sarcoma and Gynecologic Cancer Unit at Centre Léon Bérard in Lyon and Professor of Medical Oncology at Université Claude Bernard Lyon 1. She is one of the most influential European gynecologic oncologists of her generation, best known internationally for designing and leading the PAOLA-1 trial — a landmark phase III randomized study demonstrating that maintenance olaparib combined with bevacizumab following first-line platinum-taxane-bevacizumab chemotherapy significantly improved progression-free survival in newly diagnosed advanced ovarian cancer, with the greatest benefit in HRD-positive (including BRCA-mutant) patients. PAOLA-1, published in the New England Journal of Medicine in 2019, established the olaparib-bevacizumab maintenance combination as a regulatory-approved first-line option and repositioned HRD testing as a critical biomarker for treatment selection in frontline ovarian cancer. Professor Ray-Coquard also leads the GINECO (Groupe d'Investigateurs Nationaux pour l'Etude des Cancers de l'Ovaire et du sein) cooperative group, one of Europe's most productive gynecologic oncology trial networks, and is a central figure in ENGOT. Her research extends to rare gynecologic tumor subtypes — she has led international studies in carcinosarcoma, mucinous ovarian cancer, and adult-type granulosa cell tumor, diseases historically excluded from major trials. She has authored over 250 peer-reviewed publications and is a frequent invited speaker at ESMO and ASCO.

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🧪Research Fields 研究领域

PAOLA-1 Trial — Olaparib plus Bevacizumab Frontline Maintenance in Advanced Ovarian CancerPAOLA-1试验——卵巢癌一线维持治疗中olaparib联合贝伐珠单抗
HRD Testing and Biomarker-Directed PARP Inhibitor Selection in Ovarian CancerHRD检测与卵巢癌PARP抑制剂生物标志物导向选择
Frontline Maintenance Strategies in Advanced Ovarian Cancer — PARP/Antiangiogenic Combinations晚期卵巢癌一线维持策略——PARP/抗血管生成联合
Rare Gynecologic Tumors — Carcinosarcoma, Clear Cell, Mucinous Ovarian Subtypes罕见妇科肿瘤——癌肉瘤、透明细胞癌、黏液性卵巢亚型
GINECO/ENGOT French Cooperative Group Leadership in Gynecologic OncologyGINECO/ENGOT法国妇科肿瘤合作组领导

🎓Key Contributions 主要贡献

PAOLA-1 — Olaparib plus Bevacizumab Frontline Maintenance in Ovarian Cancer

Designed and led as principal investigator the PAOLA-1/ENGOT-OV25 phase III randomized trial enrolling 806 patients with newly diagnosed advanced ovarian cancer who had completed first-line carboplatin/paclitaxel/bevacizumab. Patients were randomized to maintenance olaparib plus bevacizumab or bevacizumab alone. The olaparib combination achieved a median PFS of 22.1 versus 16.6 months (HR 0.59, p<0.001), with striking benefit in HRD-positive patients (37.2 versus 17.7 months, HR 0.33). Published in the New England Journal of Medicine in 2019, PAOLA-1 established the olaparib-bevacizumab doublet as an approved frontline maintenance option and reinforced HRD assay testing as essential for biomarker-directed treatment selection.

HRD Testing Implementation and Biomarker Refinement

Contributed pivotal translational analyses from PAOLA-1 examining the Myriad myChoice CDx HRD assay and its component scores (LOH, telomeric allelic imbalance, large-scale state transitions) as predictive markers for olaparib-bevacizumab benefit. Published extensive correlative work demonstrating that HRD-positive patients without BRCA mutation (so-called "BRCAness" by genomic scar) derive substantial benefit from PARP inhibitor maintenance, whereas HRD-negative patients have limited benefit. These analyses shaped ESMO recommendations for routine HRD testing in newly diagnosed advanced ovarian cancer and informed regulatory label language.

GINECO Cooperative Group — Rare and Common Gynecologic Tumor Research

Leads GINECO, a 40-center French cooperative group with international ENGOT partnerships, which has produced landmark ovarian cancer trials including PAOLA-1, AGO-OVAR-12/ICON-7 extension analyses, and multiple phase II studies of novel agents. Under her scientific leadership, GINECO has pioneered studies in rare gynecologic tumor subtypes historically excluded from registrational trials, including ALIENOR (trabectedin in recurrent ovarian carcinosarcoma), and multiple adult granulosa cell tumor series — providing the field's only randomized data in some of these entities.

Rare Gynecologic Malignancies — Carcinosarcoma and Granulosa Cell Tumor

Led international collaborative studies and published pivotal series on rare gynecologic tumor subtypes including ovarian carcinosarcoma (uterine and ovarian), clear-cell ovarian carcinoma, adult-type granulosa cell tumor, and primary peritoneal carcinoma. Demonstrated that carcinosarcoma exhibits distinct molecular features (epithelial-mesenchymal plasticity, TP53, BRCA pathway loss) that confer unique treatment vulnerabilities, and contributed to establishing trabectedin and immune checkpoint inhibitors as investigational options in these rare histologies.

Representative Works 代表性著作

[1]

Olaparib plus Bevacizumab as First-Line Maintenance in Ovarian Cancer (PAOLA-1)

New England Journal of Medicine (2019)

Practice-changing PAOLA-1 phase III trial establishing olaparib plus bevacizumab maintenance superiority in newly diagnosed advanced ovarian cancer, particularly in HRD-positive patients.

[2]

Updated Progression-Free Survival and HRD Biomarker Analysis from PAOLA-1

Annals of Oncology (2021)

Updated PAOLA-1 analysis with extended follow-up confirming durable PFS benefit and refining HRD biomarker performance, informing clinical biomarker testing recommendations.

[3]

Bevacizumab Combined with Chemotherapy for Platinum-Resistant Recurrent Ovarian Cancer (AURELIA)

Journal of Clinical Oncology (2014)

AURELIA phase III trial establishing bevacizumab combined with chemotherapy as standard for platinum-resistant recurrent ovarian cancer, with PFS benefit across chemotherapy backbones.

[4]

Olaparib for Metastatic Breast Cancer in Patients with a Germline BRCA Mutation (OlympiAD)

New England Journal of Medicine (2017)

Co-investigator on OlympiAD establishing olaparib superiority over chemotherapy in BRCA-mutant HER2-negative metastatic breast cancer, expanding PARP inhibitor evidence base.

🏆Awards & Recognition 奖项与荣誉

🏆ESGO Distinguished Scientific Achievement Award
🏆ASCO Special Recognition Award in Gynecologic Oncology
🏆Ligue Nationale contre le Cancer Grand Prix
🏆GINECO Founder's Research Award
🏆French National Academy of Medicine Prize in Oncology

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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