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. 2020 Mar 25;20(2):55–73. doi: 10.1007/s40268-020-00301-8

Table 1.

Clinical trials exploring talazoparib in ovarian cancer (www.clinicaltrials.gov)

Study Phase Patient s (n) Description Population Outcome Trial, status
de Bono et al. [13] I 113 Talazoparib 1 mg daily

1. Solid tumors (34/113 platinum-treated EOC, primary peritoneal or fallopian tube cancer)

2. gBRCAm (25/34 EOC)

1. ORR: 41.7%

2. gBRCAm: ORR: 55% in platinum-sensitive

ORR: 20% in platinum-resistant

3. PFS: 36.4 mo

NCT01286987 Completed
Dhawan et al. [72] I 24

Talazoparib + carboplatin

Talazoparib starting dose of 0.75 mg daily

One cycle equaled 21 days

1. Solid tumors (2/24 EOC)

2. 14/24 (58%) of patients received prior platinum CTH

3. gBRCAm (7/24, 29%)

4. sBRCAm (3/24, 12.5%)

1. 14% ORR

2. 52% SD

3. Dose reduction: 50%

4. Dose interruptions: 75%

5. Pharmacokinetics

Completed
POSITION [73] I 30 Talazoparib 1 mg daily

1. EOC, primary peritoneal or fallopian tube cancer

2. Neoadjuvant setting

Basal levels and effects of talazoparib on DNA copy number, LOH, and mutation, and level of RNA and protein expression in HRD-related pathways before and after treatment

NCT02316834

Ongoing

NCT02326844 [74] II 3 Talazoparib 1 mg daily

1. Recurrent and/or metastatic EOC

2. Progression on PARP inhibitors monotherapy

3. gBRCAm

1. Objective response (CR + PR)

2. Safety

3. Duration of response

4. PFS

NCT02326844

Terminated (closed by the Cancer Therapy Evaluation Program)

NCT02836028 [75] II N/A

Arm 1: talazoparib 1 mg daily

Arm 2: talazoparib 1 mg daily + temozolomide 37.5 mg/m2 on days 1–5

1. Recurrent EOC, primary peritoneal or fallopian tube cancer

2. <3 prior lines of CTH

3. gBRCAm, or sBRCAm, or HRD(+)

ORR

NCT02836028

Withdrawn

BRCA breast cancer susceptibility genes, CR complete response, CTH chemotherapy, EOC epithelial ovarian cancer, HRD homologous recombination deficiency, LOH loss of heterozygosis, mo months, ORR objective response rate, PARP poly(ADP-ribose) polymerase, PFS progression-free survival, PR partial response, SD stable disease