- Turner, Nicholas;
- Laird, A;
- Telli, Melinda;
- Rugo, Hope;
- Mailliez, Audrey;
- Ettl, Johannes;
- Grischke, Eva-Maria;
- Mina, Lida;
- Balmaña, Judith;
- Fasching, Peter;
- Hurvitz, Sara;
- Hopkins, Julia;
- Albacker, Lee;
- Chelliserry, Jijumon;
- Chen, Ying;
- Conte, Umberto;
- Wardley, Andrew;
- Robson, Mark
These analyses explore the impact of homologous recombination repair gene mutations, including BRCA1/2 mutations and homologous recombination deficiency (HRD), on the efficacy of the poly(ADP-ribose) polymerase (PARP) inhibitor talazoparib in the open-label, two-cohort, Phase 2 ABRAZO trial in germline BRCA1/2-mutation carriers. In the evaluable intent-to-treat population (N = 60), 58 (97%) patients harbor ≥1 BRCA1/2 mutation(s) in tumor sequencing, with 95% (53/56) concordance between germline and tumor mutations, and 85% (40/47) of evaluable patients have BRCA locus loss of heterozygosity indicating HRD. The most prevalent non-BRCA tumor mutations are TP53 in patients with BRCA1 mutations and PIK3CA in patients with BRCA2 mutations. BRCA1- or BRCA2-mutated tumors show comparable clinical benefit within cohorts. While low patient numbers preclude correlations between HRD and efficacy, germline BRCA1/2 mutation detection from tumor-only sequencing shows high sensitivity and non-BRCA genetic/genomic events do not appear to influence talazoparib sensitivity in the ABRAZO trial.ClinicalTrials.gov identifier: NCT02034916.