PARP Inhibitors for Breast Cancer: Germline BRCA1/2 and Beyond

Maria Clara Saad Menezes1, Farah Raheem2, Lida Mina2

  • 1Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA.

Cancers
|September 9, 2022
PubMed

Insights

Poly-adenosine diphosphate ribose polymerase (PARP) inhibitors are effective for BRCA1/2 carriers with breast cancer. Their use is expanding to other cancers and biomarkers, showing broader therapeutic potential.

Area of Science:

  • Oncology
  • Genetics
  • Pharmacology

Background:

  • Poly-adenosine diphosphate ribose polymerase (PARP) inhibitors (PARPi) are approved for HER2-negative breast cancer patients with BRCA1/2 mutations, particularly those at high risk of recurrence or with metastatic disease.
  • The therapeutic landscape for PARPi extends beyond breast cancer, encompassing other malignancies like prostate and ovarian cancers.

Purpose of the Study:

  • To summarize current data on PARPi efficacy in breast cancer.
  • To explore the expanding indications for PARPi in oncology, including other cancer types and biomarkers.

Main Methods:

  • Literature review of clinical trial data and research studies on PARPi in breast cancer and other malignancies.
  • Analysis of biomarker data (e.g., BRCA1/2, ATM, PALB2, CHEK) and genomic instability scores associated with PARPi response.

Main Results:

  • PARPi demonstrate significant benefit in BRCA1/2-mutated breast cancer across adjuvant and metastatic settings.
  • Emerging evidence supports PARPi utility in other cancers, linked to a wider range of biomarkers and genomic profiles.

Conclusions:

  • PARPi represent a crucial therapeutic class for BRCA1/2-mutated breast cancer.
  • The application of PARPi is broadening, offering potential benefits for a wider patient population based on diverse biomarkers and genomic characteristics.

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