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PARP Inhibitor

PARP Inhibitor for Triple Negative Breast Cancer

Phase < 1
Waitlist Available
Led By Pavani Chalasani, MD
Research Sponsored by University of Arizona
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Early stage breast cancer (stage I-III) and not be candidate for neoadjuvant chemotherapy
Have Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
Timeline
Screening 3 weeks
Treatment Varies
Follow Up six months
Awards & highlights

Study Summary

This trial is testing if a Poly(ADP-ribose) polymerase (PARP) inhibitor will make triple negative breast tumors more likely to respond to treatment with a PD-1 checkpoint inhibitor.

Who is the study for?
This trial is for adults over 21 with early stage triple negative breast cancer (TNBC) who haven't had neoadjuvant chemotherapy. Participants must have good bone marrow function, normal kidney and liver tests, and not be pregnant or planning pregnancy. They should also have a performance status of 0-2, indicating they are fully active or at most have some symptoms but don't need bed rest.Check my eligibility
What is being tested?
The study is testing Rucaparib, a PARP inhibitor, to see if it increases PD-L1 expression in TNBC tumors. It's a single-arm trial meaning all participants receive the same treatment without comparison to another drug or placebo.See study design
What are the potential side effects?
Rucaparib may cause side effects like nausea, fatigue, blood count changes increasing infection risk, liver enzyme alterations suggesting liver stress, and potential allergic reactions among others.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My breast cancer is in an early stage and I am not a candidate for initial chemotherapy.
Select...
I am able to get out of my bed or chair and move around.
Select...
My blood tests show my bone marrow is working well.
Select...
My breast cancer is triple negative, not responding to hormones or HER2.
Select...
My kidney and liver functions are within the required range.
Select...
I am 21 years old or older.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~six months
This trial's timeline: 3 weeks for screening, Varies for treatment, and six months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Measurement of expression of PD-L1 by IHC via core biopsy.
Secondary outcome measures
Measure and quantify change in number of tumor-infiltrating lymphocytes.
Measure cfDNA mutational expression for homologous recombination deficiency (HRD) and correlate with PD-L1 expression at baseline and change overtime.
Measure change in expression of Ki67 by IHC after treatment with PARPi.
+2 more

Side effects data

From 2022 Phase 3 trial • 564 Patients • NCT01968213
76%
Nausea
70%
Combined Asthenia/Fatigue
52%
Fatigue
39%
Combined Anaemia and/or decreased hemoglobin
38%
Constipation
38%
Vomiting
37%
Anaemia
35%
Diarrhoea
35%
Alanine aminotransferase increased
34%
Combined ALT/AST increased
33%
Abdominal pain
31%
Dysgeusia
29%
Combined Thrombocytopenia and/or decreased platelets
27%
Aspartate aminotransferase increased
25%
Decreased appetite
23%
Asthenia
22%
Arthralgia
20%
Headache
19%
Combined Neutropenia and/or decreased ANC
19%
Photosensitivity reaction
18%
Cough
17%
Thrombocytopenia
17%
Blood creatinine increased
16%
Dyspepsia
16%
Insomnia
16%
Dizziness
15%
Pruritus
15%
Rash
15%
Dyspnoea
15%
Abdominal pain upper
15%
Back pain
15%
Pyrexia
14%
Platelet count decreased
14%
Neutropenia
13%
Abdominal distension
13%
Upper respiratory tract infection
12%
Hypertension
12%
Oedema peripheral
12%
Hypomagnesaemia
10%
Nasopharyngitis
10%
Alopecia
10%
Taste disorder
10%
Dry skin
10%
Urinary tract infection
9%
Mucosal inflammation
9%
Influenza
9%
Depression
9%
Stomatitis
9%
Erythema
8%
Anxiety
8%
Neutrophil count decreased
8%
Hypercholesterolaemia
8%
Dry mouth
8%
Weight decreased
7%
Myalgia
7%
Oropharyngeal pain
7%
White blood cell count decreased
6%
Gastrooesophageal reflux disease
6%
Influenza like illness
6%
Hot flush
6%
Neck pain
6%
Pain in extremity
6%
Blood alkaline phosphatase increased
5%
Muscle spasms
5%
Sinusitis
5%
Combined Anemia and/or low hemoglobin
1%
Incarcerated hernia
1%
General physical health deterioration
1%
Intestinal obstruction
1%
Sepsis
1%
Muscular weakness
1%
Combined Thrombocytopenia and/or low platelets
1%
Osteoarthritis
1%
Gastrointestinal pain
1%
Pulmonary embolism
1%
Febrile neutropenia
1%
Pancytopenia
1%
Small intestinal obstruction
1%
Dehydration
1%
Combined Netropenia and/or low ANC
1%
Malignant melanoma
1%
Malignant neoplasm progression
1%
Myelodysplastic syndrome
1%
Seizure
1%
Acute kidney injury
1%
Renal failure
100%
80%
60%
40%
20%
0%
Study treatment Arm
Rucaparib 600 mg Tablets
Placebo Tablets

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (rucaparib)Experimental Treatment1 Intervention
Patients will be treated with single agent rucaparib for 3wks and then proceed to surgery. Core-biopsies (at the time of diagnosis) and tumor from the surgical resection will be assessed for change in expression of programmed cell death-1 with ligand (PD-L1) by immunohistochemistry (IHC) . Starting Dose 600 mg twice daily Dose Level -1 500 mg twice daily Dose Level -2 400 mg twice daily Dose Level -3 300 mg twice daily
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Rucaparib
2016
Completed Phase 3
~1990

Find a Location

Who is running the clinical trial?

University of ArizonaLead Sponsor
514 Previous Clinical Trials
148,251 Total Patients Enrolled
22 Trials studying Breast Cancer
2,544 Patients Enrolled for Breast Cancer
Pavani Chalasani, MDPrincipal InvestigatorUniversity of Arizona
7 Previous Clinical Trials
918 Total Patients Enrolled
4 Trials studying Breast Cancer
776 Patients Enrolled for Breast Cancer

Media Library

Rucaparib (PARP Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT03911453 — Phase < 1
Breast Cancer Research Study Groups: Treatment (rucaparib)
Breast Cancer Clinical Trial 2023: Rucaparib Highlights & Side Effects. Trial Name: NCT03911453 — Phase < 1
Rucaparib (PARP Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03911453 — Phase < 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is the most extensive patient sample size participating in this research?

"The trial is currently not recruiting patients - it was initially listed on April 19th 2019 and most recently updated on February 24th 2022. If you are interested in alternative studies, there are 2602 recruitment efforts for breast cancer participants and 34 trials involving Rucaparib actively seeking enrolment."

Answered by AI

Has this kind of medical experiment ever been conducted before?

"Rucaparib first entered clinical trials in 2015, led by Clovis Oncology Inc., and after the success of their initial study with 924 participants it was approved for Phase 2 testing. Presently, there is a wide range of live studies taking place across 831 cities spanning 34 countries to further explore Rucaparib's efficacy."

Answered by AI

Is the recruitment process for this trial still open?

"Unfortunately, no more candidates are being accepted for this research project. The trial began on April 19th 2019 and was last amended February 24th 2022. If you're looking for other studies related to breast cancer, there are currently 2602 such trials actively recruiting participants in addition to 34 clinical trials seeking people with Rucaparib exposure."

Answered by AI
~2 spots leftby Nov 2024