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PARP inhibitors in breast cancer
Melinda L Telli1, James M Ford
1Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305-5151, USA.
Abstract:
The therapeutic implications of DNA damage in cancer therapy have long been appreciated and form the basis of many successful cytotoxic chemotherapy and radiotherapy treatment strategies. A novel class of DNA repair defect targeted therapeutics that inhibit poly (ADP-Ribose) polymerase (PARP) are being rapidly developed in breast cancer based on exciting preliminary clinical activity as single agents in BRCA mutation-associated breast cancer and in combination with chemotherapy in triple-negative breast cancer. Though there is widespread enthusiasm to move these drugs forward quickly, much remains to be understood about the optimal use of the novel agents. Here we review the clinical development of PARP inhibitors in breast cancer and highlight clinical trials in progress. We also provide commentary on a series of outstanding questions in the field, the answers to which will be critical for the successful development of PARP inhibitor-based strategies in early- and late-stage breast cancer.
Insights
Poly (ADP-Ribose) polymerase (PARP) inhibitors show promise for breast cancer treatment, especially in BRCA-mutated and triple-negative types. Further research is needed to optimize their use in various stages of breast cancer.
Area of Science:
- Oncology
- Cancer Therapeutics
- DNA Repair Mechanisms
Background:
- DNA damage is a cornerstone of cancer therapy, utilized in chemotherapy and radiotherapy.
- Poly (ADP-Ribose) polymerase (PARP) inhibitors represent a novel class of targeted therapeutics.
- PARP inhibitors exploit DNA repair defects for cancer treatment.
Purpose of the Study:
- To review the clinical development of PARP inhibitors in breast cancer.
- To highlight ongoing clinical trials involving PARP inhibitors.
- To discuss critical outstanding questions for optimizing PARP inhibitor strategies.
Main Methods:
- Review of existing clinical data and ongoing trials of PARP inhibitors in breast cancer.
- Analysis of preliminary clinical activity of PARP inhibitors as single agents and in combination therapy.
- Commentary on unresolved issues in the field of PARP inhibition for breast cancer.
Main Results:
- PARP inhibitors demonstrate preliminary clinical activity in BRCA mutation-associated breast cancer.
- Combination of PARP inhibitors with chemotherapy shows promise in triple-negative breast cancer.
- Widespread enthusiasm exists for rapid clinical development of these novel agents.
Conclusions:
- PARP inhibitors are a rapidly developing therapeutic class for breast cancer.
- Optimal use of PARP inhibitors requires further understanding and investigation.
- Addressing key questions is critical for successful PARP inhibitor-based strategies in all stages of breast cancer.
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