Table 2 Main results of phase II/III trials testing PARP inhibitors in breast cancer.

From: Practical classification of triple-negative breast cancer: intratumoral heterogeneity, mechanisms of drug resistance, and novel therapies

Drug(s)

Phase

N

Population enrolled

Design

Primary endpoint

Results

Trial

Olaparib

III

302

Advanced gBRCA, HER2 negative, ≤ 2 prior lines of CT

Olaparib vs TPC

PFS

Median PFS (mo)

7.0 vs 4.2

Median OS (mo)

19.3 vs 17.1

ORR

59.9% vs 28.8%

OlympiAD

(NCT02000622)

Olaparib

II

102

Neoadjuvant therapy for HER2 negative BC with gBRCA or tBRCA and/or high HRD score

Olaparib + paclitaxel → AC vs Carboplatin+ paclitaxel → AC

pCR

pCR

55.1% vs 48.6%

GeparOLA

(NCT02789332)

Veliparib

III

634

Neoadjuvant therapy for stage II/III TNBC

Carboplatin + paclitaxel + veliparib → AC vs carboplatin+ paclitaxel + placebo →AC vs placebo+placebo + paclitaxel→ AC

pCR

pCR

58% vs 53% vs 31%

BrighTNess

(NCT02032277)

Veliparib

II

116

Neoadjuvant therapy for stage II/III TNBC

Carboplatin + paclitaxel + veliparib/placebo → AC

pCR

pCR

51% vs 26%

I-SPY 2

(NCT01042379)

Veliparib

II

290

Advanced gBRCA

0–2 prior lines of CT

Carboplatin+ paclitaxel + veliparib vs carboplatin+ paclitaxel + placebo vs temozolamide + veliparib

PFS

Median PFS (mo)

14.1 vs 12.3 vs 7.4

Median OS (mo)

28.3 vs 25.9 vs 19.1

ORR

77.8% vs 61.3% vs 28.6%

BROCADE

(NCT01506609)

Veliparib

III

513

Advanced gBRCA, HER2 negative

0–2 prior lines of CT

Carboplatin + paclitaxel + veliparib vs carboplatin + paclitaxel + placebo

PFS

Median PFS (mo)

14.5 vs 12.6

Median OS (mo)

33.5 vs 28.2

ORR

75.% vs 74.1%

BROCADE3

(NCT02163694)

Talazoparib

III

431

Advanced gBRCA, HER2 negative

≤ 3 prior lines of CT

Talazoparib vs TPC

PFS

Median PFS (mo)

8.6 vs 5.8

Median OS (mo)

22.3 vs 19.5

Response rate

62.6% vs. 27.2%

EMBRACA

(NCT01945775)

Niraparib

III

 

Advanced gBRCA, HER2 negative

≤ 2 prior lines of CT

Niraparib vs TPC

PFS

Ongoing

(no results available)

BRAVO

(NCT01905592)

  1. AC doxorubicin + cyclophosphamide, CT, chemotherapy, gBRCA germline BRCA mutation, HRD score Homologous Recombinant Deficiency score, iDFS invasive disease free survival, mo months, ORR objective response rate, pCR pathological complete response, PFS progression-free survival, OS overall survival, tBRCA somatic BRCA mutation, TPC treatment of physician’s choice chemotherapy.