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Table 2 Phase II or III trials using PARP inhibitors in combination to treat prostate cancers

From: Prostate cancer and PARP inhibitors: progress and challenges

CTID

Treatment

Phase

No. patients or estimated enrollment

Disease status

Mandatory HRR status for inclusion

Determination method for HRD

Primary endpoints

Results

NCT01972217

Abiraterone ± olaparib

2

142

mCRPC after docetaxel, no prior NHT

No

Plasma or blood or tumor

Radiographic PFS

13.8 months (combination) versus 8.2 months (control), P = 0.034, HR = 0.65 (CI 95% 0.44–0.97)

NCT03732820/PROpel

Abiraterone ± olaparib

3

720

mCRPC, 1st line

No

Tumor

Radiographic PFS

Ongoing, not recruiting

NCT02484404

Olaparib + durvalumab

2

17

mCRPC after 1 NHT

No

Not performed

Clinical efficacy

PSA response rate: 53%, Radiographic response: 44%

Radiographic PFS: 16.1 months

NCT02861573/KEYNOTE-365 cohort A

Olaparib + pembrolizumab

2

41

mCRPC after at least docetaxel

No

Not performed

PSA response rate, safety

PSA response rate: 13%

NCT03834519/KEYLINK-010

Olaparib + pembrolizumab vs NHT

3

780

mCRPC after CT and 1 NHT

No

Not performed

OS, radiographic PFS

Recruiting

NCT03810105

Olaparib + durvalumab

2

32

Castration Sensitive Biochemically Recurrent nmPC

Bi- or mono-allelic deleterious HRD

Undescribed method

Number of undetectable PSA

Recruiting

NCT04336943

Olaparib + durvalumab

2

30

Castration Sensitive Biochemically Recurrent nmPC

Deleterious HRD, bi-allelic CDK12 alteration, MSIa

Undescribed method

Number of undetectable PSA

Recruiting

NCT03787680 /TRAP

Olaparib + ATRi (AZD6738)

2

45

mCRPC after docetaxel or 1 NHT

Cohort 1: no

Cohort 2:a HRD

Tumor or blood

ORR in DNA repair proficient patients

Recruiting

NCT03516812

Olaparib + testosterone

2

30

mCRPC after 1 NHT, no chemotherapy

50% witha deleterious HRD, 50% with competent HRR

Tumor or blood

PSA decrease, AES

Recruiting

NCT02893917

Olaparib ± cediranib

2

90

mCRPC after 2 lines of treatment

No

Not performed

Radiographic PSA

Ongoing, not recruiting

NCT03748641/MAGNITUDE

Abiraterone ± niraparib

3

1000

mCRPC, 1st line

No

Tumor

Radiographic PFS

Recruiting

NCT04497844/AMPLITUDE

ADT + abiraterone ± niraparib

3

788

mCSPC

No

Tumor

Radiographic PFS

Recruiting

NCT03431350

Niraparib + cetrelimab or niraparib + abiraterone

1–2

148

mCRPC after 1 or 2 NHT

No

Not performed

ORR and AES

Recruiting

NCT04455750/CASPAR

Enzalutamide ± rucaparib

3

1002

mCRPC, 1st line

No

Tumor

Radiographic PFS and OS

Not yet recruiting

NCT03338790/CheckMate 9KD

Nivolumab + rucaparib/enzalutamide/docetaxel

2

330

mCRPC

No

Not performed

ORR and PSA response rate

Ongoing, not recruiting

NCT03395197 (TALAPRO-2)

Enzalutamide ± talazoparib

3

1037

mCRPC, 1st line

No

Not performed

Radiographic PFS

Recruiting

NCT04332744/ZZ-first

ADT + enzalutamide ± talazoparib

2

54

mCSPC high volume

No

 

PSA complete response rate

Recruiting

  1. CRPC metastatic castration-resistant prostate cancer, mCSPC metastatic castration-sensitive prostate cancer, nmPC non-metastatic prostate cancer, NHT new hormonal therapy, HRR homologous recombination repair, HRD homologous repair deficiency, CTID clinical trial identification, PFS progression free survival, ORR objective response rate, OS overall survival, PSA response rate: decline of more than 50, AES adverse events. ATRi: ceralasertib: orally available inhibitor of ataxia telangiectasia and rad3 related (ATR) kinase
  2. aMono- or bi-allelic status not specified