Table 1 Selected studies with platinum salts in gBRCA1/2m breast cancer

From: BRCA1/2 testing: therapeutic implications for breast cancer management

Study

Disease

Phase

Total (n)

BRCAm (n)

TNBC (n)

BRCAm ER+ (n)

Treatment

Response in overall population

Response in patients with wtBRCA1/2

Response in patients with gBRCA1/2m

Response in patients with BRCA1m

Advanced and metastatic breast cancer

TNT45

Metastatic TNBC or BRCA1/2 mutation BC

III

376

43

363

12

Carboplatin vs docetaxel

ORR: 31% with carboplatin vs 36% with docetaxel

NR

68% with carboplatin vs 33% with docetaxel

NR

TBCRC00948

Metastatic TNBC

II

86

11

86

0

Cisplatin or carboplatin

ORR: 25.6% (22/86)

ORR: 19.7% (13/66)

ORR: 54.5% (6/11)

NR

NCT0161172747

Metastatic BC with a BRCA1 mutation

II

20

20a

14

5

Cisplatin

NR

NR

NR

ORR: 80% CR: 45%

Brocade 2 NCT0150660982

Locally recurrent or metastatic BC with a gBRCA1/2 mutation

II

99

99

42

56 (ER+ and/or PgR+)

Paclitaxel/carboplatin/placebo (PCP)

61%

NR

61%

NR

Early-stage disease

NCT0163022685

Stage I–III BC with a BRCA1 mutation

II

107

107b

82

16

Cisplatin

NR

NR

NR

pCR: 61%

GeparSixto/GBG 66 NCT0142688087,88

Stage I–III TNBC or HER2+ BC

II/III

588

50

315

291 BRCA known

0

Backbone regimen ± carboplatin

With vs without carboplatin:

TNBC pCR: 53% vs 37%

291 BRCA known status: 57% vs 41%

With vs without carboplatin:

TNBC pCR: 55% vs 36%

With vs without carboplatin:

TNBC pCR: 65% vs 67%

NR

  1. BC breast cancer, CR complete response, ER+ oestrogen receptor-positive, gBRCA1/2 germline BRCA1/2, HER2+ human epidermal growth factor receptor 2-positive, NR not reported, ORR overall response rate, pCR pathologic complete response, PgR+ progesterone receptor-positive, TNBC triple-negative breast cancer, wtBRCA1/2 wild-type BRCA1/2
  2. aAll were HER2-negative, 15 were ER-negative, 17 were PgR-negative, and 14 were TNBC
  3. b100 were HER2-negative (5 HER2 status unknown), 86 were ER-negative (5 ER status unknown), 91 were PgR-negative (6 PgR status unknown), and 82 were TNBC