Table 1.
Completed trials of PARP inhibitors in PDA patients
| Trial number |
Stage of study |
PARP inhibitor (monotherapy or combination) |
Number of PDA patients |
Selection criteria (germline or somatic DDR mutations) |
Primary outcome and key secondary outcome findings |
|---|---|---|---|---|---|
| NCT02184195 | III | Olaparib | 154 | Germline BRCA | PFS 7.4 months PARP maintenance arm versus 3.8 months in placebo arm (HR .53, P = .004). |
| NCT01078662 | II | Olaparib | 23 | Germline BRCA | RR 21.7%. No significant difference in RR between BRCA1 or BRCA2 mutants. |
| NCT02042378 | II | Rucaparib | 19 | Somatic or Germline BRCA | RR 15.8%, with all responses observed in patients with platinum-sensitive disease. |
| NCT02184195 | II | Veliparib | 16 | Germline BRCA and PALB2 | RR 0%, with SD in 5 patients, all with platinum-sensitive disease. The tria was stopped early. |
| NCT01585805 | II | Cisplatin and gemcitabine ± veliparib | 50 | Germline BRCA and PALB2 | RR 74% in the triplet arm and 62.5% in the doublet arm. No significant difference in PFS and OS between the triplet and doublet arms |
| NCT01585805 | I | Cisplatin, gemcitabine, and veliparib | 17 | Germline BRCA and BRCA WT patients | MTD at DL2. RR 77.8% in germline BRCA cohort and 0% in BRCA WT cohort. |
| NCT01296763 | I | Olaparib, irinotecan, cisplatin, and mitomycin | 18 | Unselected | Addition of mitomycin was too toxic (3 DLTs) with 89% of the cohort experiencing G3/G4 AEs. The RR of all patients was 23%. |
| NCT01489865 | I | FOLFOX plus veliparib | 22 | Germline BRCA, PALB2 or FANC mutation | RP2D of veLiparib 300 mg BID in addition to standard mFOLFOX 6 doses. RR of 14%, PFS 2.6 months and OS 5.4 months. |
Abbreviations: Pancreatic adenocarcinoma—PDA; poly (ADP-ribose) polymerase—PARP; DNA damage repair—DDR; progression-free survival—PFS; hazard ration—HR; response rate—RR; recommended phase 2 dose—RP2D; maximum tolerated dose—MTD; dose level 2—DL2; overall survival—OS; grade—G; dose-limiting toxicity—DLT; adverse events—AEs