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Women with breast cancer with BRCA1/2 germline mutations (gBRCAm) are sensitive to platinum-based chemotherapy and PARP inhibitors, which target potential defects in DNA repair
Breast cancer Niraparib (Niraparib) is an effective oral selective PARP inhibitor that has been proven effective for ovarian cancer and prostate cancer
Recruited HER2-negative advanced breast cancer patients with gBRCAm who had been treated with no more than 2-line chemotherapy and were randomly (2:1) assigned to the niraparib group and the chemotherapy group determined by the doctor (PC; Eribulin, Cappe Monotherapy with tabine, vinorelbine or gemcitabine)
In the interim and final analysis, the PFS assessed by the center
After a pre-planned interim analysis, recruitment was stopped due to ineffectiveness (the PC group’s local and central assessments of PFS were highly inconsistent, leading to information review)
In the final analysis (median follow-up was 19.
OS in both treatment groups
In summary, although there is clear evidence that niraparib has therapeutic activity in the patient population evaluated in this study, the review of information in the control group prevents accurate evaluation of the experimental hypothesis
Original source:
Original source:Nicholas C.
Niraparib for Advanced Breast Cancer with Germline BRCA1 and BRCA2 Mutations: the EORTC 1307-BCG / BIG5-13 / TESARO PR-30-50-10-C BRAVO Study
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