PARP inhibitors for triple negative breast cancer: A literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v12i6.42367

Keywords:

Triple Negative Breast Neoplasms; BRCA1 gene; Poly(ADP-ribose) Polymerase Inhibitors; BRCA2 gene.

Abstract

The study intends to analyze, through this review, the efficacy of PARP inhibitor drugs, based on the following criteria: overall survival (OS), progression-free survival (PFS), toxicity and tolerability (adverse events (AEs) presented by patients). This study consists of a systematic review of the literature about the effectiveness of PARP inhibitor drugs, through data from OS, PFS and AEs presented. The systematic review was based on the methodological guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and the guiding question of the study was established through an acronym defined as PICO, that is, Population, Intervention/Exposure, Comparison and “Outcome”. We included studies that contained all investigator-defined efficacy data and that compared therapy with i-PARP and without i-PARP. Seven articles were included that contained OS, PFS and EA data and that compared i-PAPR dose or drug regimens. Three of the seven studies looked at the efficacy of the Gemcitabine + Carboplatin + Iniparib regimen and demonstrated that the addition of Iniparib had a significant effect on efficacy. Two other studies showed good results with the combination of other drugs with i-PARP Olaparib. The studies included in this review corroborate the use of i-PARPs, mainly Iniparib and Olaparib, together with conventional chemotherapy demonstrating efficacy for TNBC.

References

About Breast Cancer. (2022). American Cancer SOciety. https://www.cancer.org/cancer/types/breast-cancer/about.html

Batalini, F., Xiong, N., Tayob, N., Polak, M., Eismann, J., Cantley, L. C., Shapiro, G. I., Adalsteinsson, V., Winer, E. P., Konstantinopoulos, P. A., D’Andrea, A., Swisher, E. M., Matulonis, U. A., Wulf, G. M., & Mayer, E. L. (2022). Phase 1b Clinical Trial with Alpelisib plus Olaparib for Patients with Advanced Triple-Negative Breast Cancer. Clinical Cancer Research, 28(8), 1493–1499. https://doi.org/10.1158/1078-0432.CCR-21-3045

Bonde, G. V., Yadav, S. K., Chauhan, S., Mittal, P., Ajmal, G., Thokala, S., & Mishra, B. (2018). Lapatinib nano-delivery systems: A promising future for breast cancer treatment. Expert Opinion on Drug Delivery, 15(5), 495–507. https://doi.org/10.1080/17425247.2018.1449832

Bryant, H. E., Schultz, N., Thomas, H. D., Parker, K. M., Flower, D., Lopez, E., Kyle, S., Meuth, M., Curtin, N. J., & Helleday, T. (2005). Specific killing of BRCA2-deficient tumours with inhibitors of poly(ADP-ribose) polymerase. Nature, 434(7035), 913–917. https://doi.org/10.1038/nature03443

buitrago, et al. (2011). Fatores prognósticos em câncer de mama / Prognostic factors in breast cancer. https://pesquisa.bvsalud.org/portal/resource/pt/lil-619069

Chen, Z., Wang, X., Li, X., Zhou, Y., & Chen, K. (2021). Deep exploration of PARP inhibitors in breast cancer: Monotherapy and combination therapy. Journal of International Medical Research, 49(2), 030006052199101. https://doi.org/10.1177/0300060521991019

Conceito e Magnitude: Definição do câncer de mama e dados de incidência e mortalidade no Brasil. (2020). Instituto Nacional de Câncer - INCA. https://www.gov.br/inca/pt-br/assuntos/gestor-e-profissional-de-saude/controle-do-cancer-de-mama/conceito-e-magnitude#:~:text=O%20c%C3%A2ncer%20de%20mama%20%C3%A9%20o%20mais%20incidente%20em%20mulheres,novos%20por%20c%C3%A2ncer%20em%20mulheres.

Corrêa. ([s.d.]). Câncer de mama triplo negativo e sua associação com ancestralidade africana. https://repositorio.ufba.br/bitstream/ri/1556/1/3498.pdf

Diéras, V., Bonnefoi, H., Alba, E., Awada, A., Coudert, B., Pivot, X., Gligorov, J., Jager, A., Zambelli, S., Lindeman, G. J., Charpentier, E., Emmons, G. T., Garcia-Ribas, I., Paridaens, R., & Verweij, J. (2019). Iniparib administered weekly or twice-weekly in combination with gemcitabine/carboplatin in patients with metastatic triple-negative breast cancer: A phase II randomized open-label study with pharmacokinetics. Breast Cancer Research and Treatment, 177(2), 383–393. https://doi.org/10.1007/s10549-019-05305-w

Drew, Y. (2015). The development of PARP inhibitors in ovarian cancer: From bench to bedside. British Journal of Cancer, 113(S1), S3–S9. https://doi.org/10.1038/bjc.2015.394

Farmer, H., McCabe, N., Lord, C. J., Tutt, A. N. J., Johnson, D. A., Richardson, T. B., Santarosa, M., Dillon, K. J., Hickson, I., Knights, C., Martin, N. M. B., Jackson, S. P., Smith, G. C. M., & Ashworth, A. (2005). Targeting the DNA repair defect in BRCA mutant cells as a therapeutic strategy. Nature, 434(7035), 917–921. https://doi.org/10.1038/nature03445

Ferreira, E. N., Brianese, R. C., de Almeida, R. V. B., Drummond, R. D., de Souza, J. E., da Silva, I. T., de Souza, S. J., & Carraro, D. M. (2019). Influence of BRCA1 Germline Mutations in the Somatic Mutational Burden of Triple-Negative Breast Cancer. Translational Oncology, 12(11), 1453–1460. https://doi.org/10.1016/j.tranon.2019.07.016

Gelmon, K., Dent, R., Mackey, J. R., Laing, K., McLeod, D., & Verma, S. (2012). Targeting triple-negative breast cancer: Optimising therapeutic outcomes. Annals of Oncology, 23(9), 2223–2234. https://doi.org/10.1093/annonc/mds067

Helleday, T. (2011). The underlying mechanism for the PARP and BRCA synthetic lethality: Clearing up the misunderstandings. Molecular Oncology, 5(4), 387–393. https://doi.org/10.1016/j.molonc.2011.07.001

Hurvitz, S. A., Gonçalves, A., Rugo, H. S., Lee, K.-H., Fehrenbacher, L., Mina, L. A., Diab, S., Blum, J. L., Chakrabarti, J., Elmeliegy, M., DeAnnuntis, L., Gauthier, E., Czibere, A., Tudor, I. C., Quek, R. G. W., Litton, J. K., & Ettl, J. (2020). Talazoparib in Patients with a Germline BRCA -Mutated Advanced Breast Cancer: Detailed Safety Analyses from the Phase III EMBRACA Trial. The Oncologist, 25(3), e439–e450. https://doi.org/10.1634/theoncologist.2019-0493

Iglehart, J. D., & Silver, D. P. (2009). Synthetic Lethality—A New Direction in Cancer-Drug Development. New England Journal of Medicine, 361(2), 189–191. https://doi.org/10.1056/NEJMe0903044

Keung, M., Wu, Y., & Vadgama, J. (2019). PARP Inhibitors as a Therapeutic Agent for Homologous Recombination Deficiency in Breast Cancers. Journal of Clinical Medicine, 8(4), 435. https://doi.org/10.3390/jcm8040435

LaFargue, C. J., Dal Molin, G. Z., Sood, A. K., & Coleman, R. L. (2019). Exploring and comparing adverse events between PARP inhibitors. The Lancet Oncology, 20(1), e15–e28. https://doi.org/10.1016/S1470-2045(18)30786-1

Li, Y., Yang, D., Chen, P., Yin, X., Sun, J., Li, H., & Ren, G. (2019). Efficacy and safety of neoadjuvant chemotherapy regimens for triple-negative breast cancer: A network meta-analysis. Aging, 11(16), 6286–6311. https://doi.org/10.18632/aging.102188

Litton, J. K., Hurvitz, S. A., Mina, L. A., Rugo, H. S., Lee, K.-H., Gonçalves, A., Diab, S., Woodward, N., Goodwin, A., Yerushalmi, R., Roché, H., Im, Y.-H., Eiermann, W., Quek, R. G. W., Usari, T., Lanzalone, S., Czibere, A., Blum, J. L., Martin, M., & Ettl, J. (2020). Talazoparib versus chemotherapy in patients with germline BRCA1/2-mutated HER2-negative advanced breast cancer: Final overall survival results from the EMBRACA trial. Annals of Oncology, 31(11), 1526–1535. https://doi.org/10.1016/j.annonc.2020.08.2098

Liu, J., Liu, Q., Li, Y., Li, Q., Su, F., Yao, H., Su, S., Wang, Q., Jin, L., Wang, Y., Lau, W. Y., Jiang, Z., & Song, E. (2020). Efficacy and safety of camrelizumab combined with apatinib in advanced triple-negative breast cancer: An open-label phase II trial. Journal for ImmunoTherapy of Cancer, 8(1), e000696. https://doi.org/10.1136/jitc-2020-000696

Liu, X., Wu, K., Zheng, D., Luo, C., Fan, Y., Zhong, X., & Zheng, H. (2021). Efficacy and Safety of PARP Inhibitors in Advanced or Metastatic Triple-Negative Breast Cancer: A Systematic Review and Meta-Analysis. Frontiers in Oncology, 11, 742139. https://doi.org/10.3389/fonc.2021.742139

Lord, C. J., & Ashworth, A. (2017). PARP inhibitors: Synthetic lethality in the clinic. Science, 355(6330), 1152–1158. https://doi.org/10.1126/science.aam7344

Marotti, M. (2009). Por que revisar os critérios de resposta em tumores sólidos? Revista Da Associação Médica Brasileira, 55(4), 369–371. https://doi.org/10.1590/S0104-42302009000400005

Miglietta, F., Cinquini, M., Dieci, M. V., Cortesi, L., Criscitiello, C., Montemurro, F., Del Mastro, L., Zambelli, A., Biganzoli, L., Levaggi, A., Delle Piane, C., Marchiò, C., Calabrese, M., Fortunato, L., Franco, P., Meduri, B., Fittipaldo, V. A., & Gori, S. (2022). PARP-inhibitors for BRCA1/2-related advanced HER2-negative breast cancer: A meta-analysis and GRADE recommendations by the Italian Association of Medical Oncology. The Breast, 66, 293–304. https://doi.org/10.1016/j.breast.2022.10.014

Morales, J., Li, L., Fattah, F. J., Dong, Y., Bey, E. A., Patel, M., Gao, J., & Boothman, D. A. (2014). Review of Poly (ADP-ribose) Polymerase (PARP) Mechanisms of Action and Rationale for Targeting in Cancer and Other Diseases. Critical Reviews in Eukaryotic Gene Expression, 24(1), 15–28. https://doi.org/10.1615/CritRevEukaryotGeneExpr.2013006875

O’Shaughnessy, J., Osborne, C., Pippen, J. E., Yoffe, M., Patt, D., Rocha, C., Koo, I. C., Sherman, B. M., & Bradley, C. (2011). Iniparib plus Chemotherapy in Metastatic Triple-Negative Breast Cancer. New England Journal of Medicine, 364(3), 205–214. https://doi.org/10.1056/NEJMoa1011418

O’Shaughnessy, J., Schwartzberg, L., Danso, M. A., Miller, K. D., Rugo, H. S., Neubauer, M., Robert, N., Hellerstedt, B., Saleh, M., Richards, P., Specht, J. M., Yardley, D. A., Carlson, R. W., Finn, R. S., Charpentier, E., Garcia-Ribas, I., & Winer, E. P. (2014). Phase III Study of Iniparib Plus Gemcitabine and Carboplatin Versus Gemcitabine and Carboplatin in Patients With Metastatic Triple-Negative Breast Cancer. Journal of Clinical Oncology, 32(34), 3840–3847. https://doi.org/10.1200/JCO.2014.55.2984

Rodler, E., Sharma, P., Barlow, W. E., Gralow, J. R., Puhalla, S. L., Anders, C. K., Goldstein, L., Tripathy, D., Brown-Glaberman, U. A., Huynh, T.-T., Szyarto, C. S., Godwin, A. K., Pathak, H. B., Swisher, E. M., Radke, M. R., Timms, K. M., Lew, D. L., Miao, J., Pusztai, L., … Hortobagyi, G. N. (2023). Cisplatin with veliparib or placebo in metastatic triple-negative breast cancer and BRCA mutation-associated breast cancer (S1416): A randomised, double-blind, placebo-controlled, phase 2 trial. The Lancet Oncology, 24(2), 162–174. https://doi.org/10.1016/S1470-2045(22)00739-2

Rodler, E. T., Kurland, B. F., Griffin, M., Gralow, J. R., Porter, P., Yeh, R. F., Gadi, V. K., Guenthoer, J., Beumer, J. H., Korde, L., Strychor, S., Kiesel, B. F., Linden, H. M., Thompson, J. A., Swisher, E., Chai, X., Shepherd, S., Giranda, V., & Specht, J. M. (2016). Phase I Study of Veliparib (ABT-888) Combined with Cisplatin and Vinorelbine in Advanced Triple-Negative Breast Cancer and/or BRCA Mutation–Associated Breast Cancer. Clinical Cancer Research, 22(12), 2855–2864. https://doi.org/10.1158/1078-0432.CCR-15-2137

Rose, M., Burgess, J. T., O’Byrne, K., Richard, D. J., & Bolderson, E. (2020). PARP Inhibitors: Clinical Relevance, Mechanisms of Action and Tumor Resistance. Frontiers in Cell and Developmental Biology, 8, 564601. https://doi.org/10.3389/fcell.2020.564601

Sun, X., Wang, X., Zhang, J., Zhao, Z., Feng, X., Liu, L., & Ma, Z. (2021). Efficacy and safety of PARP inhibitors in patients with BRCA-mutated advanced breast cancer: A meta-analysis and systematic review. The Breast, 60, 26–34. https://doi.org/10.1016/j.breast.2021.08.009

Taylor, A. M., Chan, D. L. H., Tio, M., Patil, S. M., Traina, T. A., Robson, M. E., & Khasraw, M. (2021). PARP (Poly ADP-Ribose Polymerase) inhibitors for locally advanced or metastatic breast cancer. Cochrane Database of Systematic Reviews, 2021(4). https://doi.org/10.1002/14651858.CD011395.pub2

Tsang, J. Y. S., & Tse, G. M. (2020). Molecular Classification of Breast Cancer. Advances in Anatomic Pathology, 27(1), 27–35. https://doi.org/10.1097/PAP.0000000000000232

Tutt, A. N. J., Garber, J. E., Kaufman, B., Viale, G., Fumagalli, D., Rastogi, P., Gelber, R. D., De Azambuja, E., Fielding, A., Balmaña, J., Domchek, S. M., Gelmon, K. A., Hollingsworth, S. J., Korde, L. A., Linderholm, B., Bandos, H., Senkus, E., Suga, J. M., Shao, Z., & Geyer, C. E. (2021). Adjuvant Olaparib for Patients with BRCA1—Or BRCA2 -Mutated Breast Cancer. New England Journal of Medicine, 384(25), 2394–2405. https://doi.org/10.1056/NEJMoa2105215

Wang, X., Wang, S.-S., Huang, H., Cai, L., Zhao, L., Peng, R.-J., Lin, Y., Tang, J., Zeng, J., Zhang, L.-H., Ke, Y.-L., Wang, X.-M., Liu, X.-M., Chen, Q.-J., Zhang, A.-Q., Xu, F., Bi, X.-W., Huang, J.-J., Li, J.-B., … South China Breast Cancer Group (SCBCG). (2021). Effect of Capecitabine Maintenance Therapy Using Lower Dosage and Higher Frequency vs Observation on Disease-Free Survival Among Patients With Early-Stage Triple-Negative Breast Cancer Who Had Received Standard Treatment: The SYSUCC-001 Randomized Clinical Trial. JAMA, 325(1), 50. https://doi.org/10.1001/jama.2020.23370

Wu, T., Song, H., Xie, D., Hua, K., Hu, J., Deng, Y., Ji, C., & Fang, L. (2020). Mir-30b-5p Promotes Proliferation, Migration, and Invasion of Breast Cancer Cells via Targeting ASPP2. BioMed Research International, 2020, 1–12. https://doi.org/10.1155/2020/7907269

Yonemori, K., Shimomura, A., Yasojima, H., Masuda, N., Aogi, K., Takahashi, M., Naito, Y., Shimizu, S., Nakamura, R., Hashimoto, J., Yamamoto, H., Hirakawa, A., Michimae, H., Hamada, A., Yoshida, T., Sukigara, T., Tamura, K., & Fujiwara, Y. (2019). A phase I/II trial of olaparib tablet in combination with eribulin in Japanese patients with advanced or metastatic triple-negative breast cancer previously treated with anthracyclines and taxanes. European Journal of Cancer, 109, 84–91. https://doi.org/10.1016/j.ejca.2018.11.014

Zhang, Q., Shao, B., Tong, Z., Ouyang, Q., Wang, Y., Xu, G., Li, S., & Li, H. (2022). A phase Ib study of camrelizumab in combination with apatinib and fuzuloparib in patients with recurrent or metastatic triple-negative breast cancer. BMC Medicine, 20(1), 321. https://doi.org/10.1186/s12916-022-02527-6

Published

30/06/2023

How to Cite

PINHEIRO, A. M.; MAGALHÃES, A. L. B. .; SADDI, V. A. .; RIBEIRO, A. A. . PARP inhibitors for triple negative breast cancer: A literature review . Research, Society and Development, [S. l.], v. 12, n. 6, p. e27012642367, 2023. DOI: 10.33448/rsd-v12i6.42367. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/42367. Acesso em: 3 may. 2024.

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Review Article