Key trials of PARP inhibitors in advanced/MBC

Clinical trialPatient populationPhaseTreatment armsKey endpoints:
OlympiAD [67]gBRCAIIIOlaparib vs. PCTPFS 7 months (olaparib) vs. 4.2 months (placebo)
MEDIOLA [68]gBRCAI/IIOlaparib followed by durvalumabPFS 8.2 months; ORR 63%; OS 20.5 months
EMBRACA [19]gBRCAIIITalazoparib vs. PCTPFS 8.8 months (talazoparib) vs. 5.6 months (placebo)
JAVELIN [69]TNBC or gBRCAI/IITalazoparib + avelumabORR 24.4% (gBRCA1/2) and 4.9% (ATM)
BROCADE 3 [70]gBRCAIIICarboplatin + paclitaxel + veliparib vs. carboplatin + paclitaxelPFS 14.5 months (carboplatin + paclitaxel + veliparib) vs. 12.6 months (carboplatin + paclitaxel); OS 33.5 months (carboplatin + paclitaxel + veliparib) vs. 28.2 months (carboplatin + paclitaxel)
TOPACIO/Keynote-162 [71]TNBCIINirabarib + pembrolizumabPFS (BRCA-mutated group) 8.1 months

gBRCA: germline mutations in the BReast CAncer (BRCA) gene; ORR: objective response rate; OS: overall survival; PFS: progression-free survival; PCT: physician’s choice of chemotherapy; TNBC: triple-negative breast cancer; ATM: ataxia telangiectasia-mutated