TABLE A1.
Characteristics of the Pooled Trials
| Clinical Trial | Study Population | PARPi Arm | Control Arm | Stratification Factors | HRR Genes | Diagnostic Assays | Imaging Interval |
|---|---|---|---|---|---|---|---|
| PROfound37 | Second-line mCRPC | Olaparib | Abiraterone or enzalutamide | Previous taxane (yes v no) Measurable disease (yes v no) |
ATM
BRCA1 BRCA2 BRIP1 BARD1 CDK12 CHEK1 CHEK2 FANCL PALB2 PPP2R2A RAD51B RAD51C RAD51D RAD54L |
FoundationOne CDx; FoundationOne Liquid CDx | CT/MRI and bone scan; every 8 weeks (±7 days) relative to the date of random assignment, until disease progression by BICR |
| PROpel20 | First-line mCRPC | Olaparib plus abiraterone | Abiraterone plus placebo | Metastases (bone only v visceral v other) Docetaxel treatment at mCSPC stage (yes v no) |
ATM
BRCA1 BRCA2 BARD1 BRIP1 CDK12 CHEK1 CHEK2 FANCL PALB2 RAD51B RAD51C RAD51D RAD54L |
FoundationOne CDx; FoundationOne Liquid CDx | CT/MRI and bone scan; every 8 weeks (±7 days) for the first 24 weeks, then every 12 weeks (±7 days) relative to the date of random assignment |
| TALAPRO-238 | First-line mCRPC | Talazoparib plus enzalutamide | Enzalutamide plus placebo | HRR gene alteration status (HRRm v non-HRRm v unknown) Previous treatment with life-prolonging therapy (docetaxel or abiraterone, or both) in the castration-sensitive setting (yes v no) |
ATM
ATR BRCA1 BRCA2 CDK12 CHEK2 FANCA NBN MLH1 MRE11A PALB2 RAD51C |
FoundationOne CDx; FoundationOne Liquid CDx | CT/MRI and bone scan; every 8 weeks through week 25 and then every 12 weeks until radiographic progression is determined by investigator (part 1) or by investigator and BICR (part 2) |
| MAGNITUDE39 | First-line mCRPC | Niraparib plus abiraterone | Abiraterone plus placebo | Cohort 1 and 2: Previous treatment with taxane-based chemotherapy (yes v no) Previous treatment with novel antiandrogen therapy such as enzalutamide, apalutamide, and darolutamide (yes v no) Previous treatment with abiraterone (yes v no). Cohort 1 only: Gene alteration group (BRCAm v non-BRCA HRRm) |
ATM
BRCA1 BRCA2 BRIP1 CDK12 CHEK2 FANCA HDAC2 PALB2 |
FoundationOne CDx; Resolution Bioscience HRD plasma test; AmoyDx blood and tissue assays; Accredited local laboratory tests | CT/MRI and bone scan; at cycle 3 day 1, cycle 5 day 1, cycle 7 day 1, and then every 12 weeks until radiographic progression (a treatment cycle was defined as 28 days) |
| TRITON-240 | ≥Second-line mCRPC | Rucaparib | NA (single-arm trial) | NA (single-arm trial) |
ATM
BRCA1 BRCA2 BARD1 BRIP1 CDK12 CHEK2 FANCA NBN PALB2 RAD51 RAD51B RAD51C RAD51D RAD54L |
Central testing by Foundation Medicine. Germline testing was performed by Color Genomics | CT and bone scan (MRI, X-ray, PET-CT, and ultrasound if required); every 8 weeks for up to 24 weeks, then every 12 weeks |
| TALAPRO-121 | ≥Second-line mCRPC | Talazoparib | NA (single-arm trial) | NA (single-arm trial) |
ATM
ATR BRCA1 BRCA2 CHEK2 FANCA MLH1 MRE11A NBN PALB2 RAD51C |
FoundationOne CDx | CT/MRI and bone scan; every 8 weeks through week 25, then every 12 weeks thereafter |
Abbreviations: BICR, blinded independent central review; CT, computed tomography; HRR, homologous recombination repair; mCRPC, metastatic castration-resistant prostate cancer; mCSPC, metastatic castration-sensitive prostate cancer; MRI, magnetic resonance imaging; NA, not available; PARPi, poly(ADP-ribose) polymerase inhibitor; PET, positron emission tomography.