Table 3.
Current Clinical Trials of PARP1 Inhibitors in Prostate Cancer
| Study # | Phase/Design | Disease State | Agent | Prior Treatment | Primary Outcome |
|---|---|---|---|---|---|
| NCT01972217 | II, double blind, placebo controlled, RCT | Metastatic CRPC | Abiraterone + Olaparib vs. Abiraterone + placebo | Docetaxel | Radiologic PFS |
| NCT02324998 | I, open label RCT | Localized intermediate/high risk prostate cancer | Neoadjuvant Olaparib vs. neoadjuvant Olaparib + Degarelix | none | Degree of PARP inhibition |
| NCT01078662 | II, open label non-randomized, non-controlled | Advanced ovarian, breast, prostate, pancreatic, advanced tumors w/BRCA1 and/or BRCA2 mutations | Olaparib | All ok but previous PARPi | Tumor response rate |
| NCT02500901 | I, open label, non-randomized, non-controlled | Metastatic prostate cancer | Enzalutamide + Niraparib | All ok but prior PARPi, ezalutamide or other next generation AR targeted therapy | Maximum tolerated dose |
| NCT01576172 | II, open label RCT | Metastatic CRPC | Abiraterone + prednisone + Veliparib vs. Abiraterone + prednisone | All ok | PSA response rate |
| NCT02952534 | II, open label | Metastatic CRPC w/HR deficiency (BRCA1/2, ATM, or molecular evidence of HR deficiency) | Rucaparib | Abiraterone and/or Enzalutamide and 1 prior taxane based chemotherapy. No prior PARPi, mitoxantrone, cyclophosphomide, platinum-based chemotherapy. | ORR and PSA response |
| NCT02975934 | III, open label, RCT | Metastatic CRPC w/HR deficiency (BRCA1/2, ATM) | Rucaparib vs. standard therapy (enzalutamide, abiraterone + prednisone, or docetaxel) | 1 prior next generation androgen receptor targeted therapy. No prior PARPi | rPFS |