Breast NeoplasmsPhase 3EMBRACANCT01945775
A Study Evaluating Talazoparib (BMN 673), a PARP Inhibitor, in Advanced and/or Metastatic Breast Cancer Patients With BRCA Mutation (EMBRACA Study)
A Phase 3 study testing talazoparib and Physician's-Choice in people with Breast Neoplasms and BRCA 1 Gene Mutation, run by Pfizer at 362 sites in 16 countries.
Trial summary
The purpose of this open-label, 2:1 randomized phase III trial is to compare the safety and efficacy of talazoparib (also known as BMN 673) versus protocol-specific physician's choice in patients who have locally advanced and/or metastatic breast cancer with germline BRCA mutations. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Breast Neoplasms, BRCA 1 Gene Mutation, BRCA 2 Gene Mutation
- What is being tested?
- talazoparib and Physician's-Choice
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 431 participants
- Where
- 362 sitesin 16 countries
- Study dates
- 14 Oct 2013to 5 Mar 2021
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically or cytologically confirmed carcinoma of the breast
- Locally advanced breast cancer that is not amenable to curative radiation or surgical cure and/or metastatic disease appropriate for systemic single cytotoxic chemotherapy
- Documentation of a deleterious, suspected deleterious, or pathogenic germline BRCA1 or BRCA2 mutation from Myriad Genetics or other laboratory approved by the Sponsor
- No more than 3 prior chemotherapy-inclusive regimens for locally advanced and/or metastatic disease (no limit on prior hormonal therapies or targeted anticancer therapies such as mechanistic target of rapamycin (mTOR) or CDK4/6 inhibitors, immune-oncology agents, tyrosine kinase inhibitors, or monoclonal antibodies against CTL4 or VEGF)
- Prior treatment with a taxane and/or anthracycline in the neoadjuvant, adjuvant, locally advanced, or metastatic setting unless medically contraindicated
- Have measurable or non-measurable, evaluable disease by the revised response evaluation criteria in solid tumors (RECIST) v.1.1
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
Who cannot join
- First-line locally advanced and/or metastatic breast cancer with no prior adjuvant chemotherapy unless the Investigator determines that one of the 4 cytotoxic chemotherapy agents in the control arm would otherwise be offered to the subject
- Prior treatment with a PARP inhibitor (not including iniparib)
- Not a candidate for treatment with at least 1 of the treatments of protocol-specific physician's choice (ie, capecitabine, eribulin, gemcitabine, vinorelbine)
- Subjects who had objective disease progression while receiving platinum chemotherapy administered for locally advanced or metastatic disease; subjects who received low-dose platinum therapy administered in combination with radiation therapy are not excluded
- Subjects who have received platinum in the adjuvant or neoadjuvant setting are eligible; however, subjects may not have relapsed within 6 months of the last dose of prior platinum therapy
- Cytotoxic chemotherapy within 14 days before randomization
Show all 19Show fewer
- Radiation or anti-hormonal therapy or other targeted anticancer therapy within 14 days before randomization
- HER2 positive breast cancer
- Active inflammatory breast cancer
- CNS metastases
- Exception: Adequately treated brain metastases documented by baseline CT or MRI scan that has not progressed since previous scans and that does not require corticosteroids (except prednisone ≤ 5 mg/day or equivalent) for management of CNS symptoms. A repeat CT or MRI following the identification of CNS metastases (obtained at least 2 weeks after definitive therapy) must document adequately treated brain metastases.
- Subjects with leptomeningeal carcinomatosis are not permitted
- Prior malignancy except for any of the following:
- Prior BRCA-associated cancer as long as there is no current evidence of the cancer
- Carcinoma in situ or non-melanoma skin cancer
- A cancer diagnosed and definitively treated ≥ 5 years before randomization with no subsequent evidence of recurrence
- Known to be human immunodeficiency virus positive
- Known active hepatitis C virus, or known active hepatitis B virus
- Known hypersensitivity to any of the components of talazoparib
Trial locations and contacts
362 sites in 16 countries.
362 sites in 16 countries
United States207 sites
New York Oncology Hematology, P.C.
Albany, New York, 12208
Virginia Cancer Specialists, PC
Alexandria, Virginia, 22304
Florida Cancer Specialists
Altamonte Springs, Florida, 32701
University of Michigan Health System
Ann Arbor, Michigan, 48109
Kaiser Permanente Medical Center Lab Drawing Station
Antioch, California, 94509
Kaiser Permanente Medical Center Lab Drawing Station
Antioch, California, 94531
The Center for Cancer and Blood Disorders
Arlington, Texas, 76014
Hope Women's Cancer Centers
Asheville, North Carolina, 28806
MH Mission Hospital, LLLP
Asheville, North Carolina, 28806
Rocky Mountain Cancer Centers
Aurora, Colorado, 80012
University of Colorado Cancer Center - Anschutz Cancer Pavilion (ACP)
Aurora, Colorado, 80045
Texas Oncology-South Austin
Austin, Texas, 78745
CBCC Global Research, Inc. at Comprehensive Blood and Cancer Center
Bakersfield, California, 93309
University of Maryland, Greenebaum Comprehensive Cancer Center
Baltimore, Maryland, 21201
Rocky Mountain Cancer Centers
Boulder, Colorado, 80303
Florida Cancer Specialists
Brandon, Florida, 33511
The Center for Cancer and Blood Disorders (Huguley)
Burleson, Texas, 76028
Texas Oncology - Cedar Park
Cedar Park, Texas, 78613
Novant Health Cancer Specialists
Charlotte, North Carolina, 28204
Novant Health Presbyterian Medical Center
Charlotte, North Carolina, 28204
Southern Oncology Specialists
Charlotte, North Carolina, 28262
Florida Cancer Specialists
Clearwater, Florida, 33761
New York Oncology Hematology, P.C.
Clifton Park, New York, 12065
Rocky Mountain Cancer Centers
Colorado Springs, Colorado, 80907
Minnesota Oncology Hematology, P.A.
Coon Rapids, Minnesota, 55433
The West Clinic, P.C.
Corinth, Mississippi, 38834
Texas Oncology-Baylor Charles A. Sammons Cancer Center
Dallas, Texas, 75246
Sylvester Comprehensive Cancer Center Deerfield Beach
Deerfield Beach, Florida, 33442
Rocky Mountain Cancer Centers
Denver, Colorado, 80218
Rocky Mountain Cancer Centers
Denver, Colorado, 80220
Tennessee Oncology, PLLC
Dickson, Tennessee, 37055
Minnesota Oncology Hematology, P.A.
Edina, Minnesota, 55435-2150
Texas Oncology-El Paso Cancer Treatment Center Grandview
El Paso, Texas, 79902
Texas Oncology-El Paso Cancer Treatment Center Gateway
El Paso, Texas, 79915
Texas Oncology - El Paso Cancer Treatment Center Joe Battle
El Paso, Texas, 79938
UPMC Hillman Cancer Center Erie
Erie, Pennsylvania, 16505
Virginia Cancer Specialists, PC
Fairfax, Virginia, 22031
Kaiser Permanente Medical Center Lab Drawing Station
Fairfield, California, 94533-6901
The University of Kansas Cancer Center (Regulatory Office)
Fairway, Kansas, 66205
Arizona Oncology Associates P.C. - NAHOA
Flagstaff, Arizona, 86001
The Center for Cancer and Blood Disorders
Fort Worth, Texas, 76104
Investigational Products Center (IPC)
Fort Worth, Texas, 76177
Tennessee Oncology, PLLC
Franklin, Tennessee, 37067
Minnesota Oncology Hematology, P.A.
Fridley, Minnesota, 55432
St. Jude Hospital Yorba Linda DBA St. Joseph Heritage Healthcare
Fullerton, California, 92835
Florida Cancer Specialists
Gainesville, Florida, 32605
Tennessee Oncology PLLC
Gallatin, Tennessee, 37066
The West Clinic, P.C. d/b/a West Cancer Center
Germantown, Tennessee, 38138
Kaiser Permanente Medical Center Lab Drawing Station
Gilroy, California, 95020
Los Angeles Hematology Oncology Medical Group
Glendale, California, 91204
Los Angeles Hematology Oncology Medical Group
Glendale, California, 91206
Cancer And Hematology Centers Of Western Michigan
Grand Rapids, Michigan, 49506
Marin Specialty Care
Greenbrae, California, 94904
Comprehensive Cancer Centers Of Nevada
Henderson, Nevada, 89052
Tennessee Oncology, PLLC
Hermitage, Tennessee, 37076
Memorial Healthcare System
Hollywood, Florida, 33021
Memorial Regional Hospital
Hollywood, Florida, 33021
Texas Oncology-Memorial City
Houston, Texas, 77024
MD Anderson Cancer Center
Houston, Texas, 77030
University Of Texas, Md Anderson Cancer Center
Houston, Texas, 77030
UT MD Anderson Cancer Center
Houston, Texas, 77030
Florida Cancer Specialists
Hudson, Florida, 34667
Lake Norman Hematology Oncology Specialists
Huntersville, North Carolina, 28078
Novant Health Huntersville Medical Center
Huntersville, North Carolina, 28078
Southern Oncology Specialists
Huntersville, North Carolina, 28078
Indiana University- Melvin and Bren Simon Cancer Center (IUSCC)
Indianapolis, Indiana, 46202
IU Health University Hospital
Indianapolis, Indiana, 46202
Sidney and Lois Eskenazi Hospital
Indianapolis, Indiana, 46202
Springmill Medical Clinic
Indianapolis, Indiana, 46290
US Oncology Investigational Product Center (IPC)
Irving, Texas, 75063
US Oncology Investigational Products Center (IPC)
Irving, Texas, 75063
US Oncology Investigational Products Center(IPC)
Irving, Texas, 75063
Cancer Specialists of North Florida
Jacksonville, Florida, 32003
Cancer Specialists of North Florida
Jacksonville, Florida, 32204
Cancer Specialists of North Florida
Jacksonville, Florida, 32207
Cancer Specialists of North Florida
Jacksonville, Florida, 32256
Cancer Specialists of North Florida
Jacksonville, Florida, 32258
Cancer Specialists of North Florida
Jacksonville Beach, Florida, 32250
The University of Kansas Cancer Center
Kansas City, Kansas, 66112
The University of Kansas Cancer Center
Kansas City, Missouri, 64131
The University of Kansas Cancer Center
Kansas City, Missouri, 64154
University of Tennessee Medical Center
Knoxville, Tennessee, 37920
Florida Cancer Specialists
Lady Lake, Florida, 32159
Rocky Mountain Cancer Centers
Lakewood, Colorado, 80228
Florida Cancer Specialists
Largo, Florida, 33770
Tennessee Oncology, PLLC
Lebanon, Tennessee, 37090
Florida Cancer Specialists
Lecanto, Florida, 34461
The University of Kansas Cancer Center
Lee's Summit, Missouri, 64064
Rocky Mountain Cancer Centers
Littleton, Colorado, 80120-4413
Rocky Mountain Cancer Centers
Lone Tree, Colorado, 80124
Rocky Mountain Cancer Centers
Longmont, Colorado, 80501
Los Angeles Hematology Oncolgy Medical Group
Los Angeles, California, 90017
Los Angeles Hematology Oncology Medical Group
Los Angeles, California, 90057
Drug Management Only: UCLA West Medical Pharmacy, Attn:Steven L. Wong, Pharm.D.
Los Angeles, California, 90095-7349
Drug Management only: UCLA West Medical Pharmacy
Los Angeles, California, 90095-7349
UCLA West Medical Pharmacy, Attn: Steven L. Wong, Pharm. D.
Los Angeles, California, 90095-7349
UCLA West Medical Pharmacy, Attn: Steven L. Wong, Pharm.D.
Los Angeles, California, 90095-7349
UCLA West Medical Pharmacy, Attn: Steven L. Wong
Los Angeles, California, 90095-7349
UCLA West Medical Pharmacy, Attn:Steven L. Wong, Pharm.D.
Los Angeles, California, 90095-7349
Regulatory Managment Only: TRIO-US Central Administration
Los Angeles, California, 90095
Ronald Reagan UCLA Medical Center
Los Angeles, California, 90095
TRIO-US Central Administration
Los Angeles, California, 90095
UCLA West Medical Pharmacy, Attn: Steven L. Wong, Pharm.D.
Los Angeles, California, 90095
University of California Los Angeles
Los Angeles, California, 90095
Central Georgia Cancer Care, PC
Macon, Georgia, 31201
Minnesota Oncology Hematology, P.A.
Maplewood, Minnesota, 55109
Kaiser Permanente Medical Center Lab Drawing Station
Martinez, California, 94553
Novant Health Cancer Specialists
Matthews, North Carolina, 28105
Novant Health Matthews Medical Center
Matthews, North Carolina, 28105
The West Clinic, P.C. d/b/a West Cancer Center
Memphis, Tennessee, 38104
"University of Miami Hospital & Clinics,Sylvester Comprehensive Cancer Center/UMHC"
Miami, Florida, 33136
Sylvester Comprehensive Cancer Center Kendall
Miami, Florida, 33176
Kaiser Permanente Medical Center Lab Drawing Station
Milpitas, California, 95035-5491
Minnesota Oncology Hematology, P.A.
Minneapolis, Minnesota, 55404
Kaiser Permanente Medical Center Lab Drawing Station
Modesto, California, 95356
Lake Norman Hematology Oncology Specialists
Mooresville, North Carolina, 28117
Kaiser Permanente Medical Center Lab Drawing Station
Mountain View, California, 94041
Tennessee Oncology PLLC
Murfreesboro, Tennessee, 37129
Kaiser Permanente Medical Center Lab Drawing Station
Napa, California, 94558-3313
Sarah Cannon Research Institute
Nashville, Tennessee, 37203
Tennessee Oncology PLLC
Nashville, Tennessee, 37203
Tennessee Oncology, PLLC
Nashville, Tennessee, 37203
Tennessee Oncology PLLC
Nashville, Tennessee, 37205
Tennessee Oncology PLLC
Nashville, Tennessee, 37207
Tennessee Oncology PLLC
Nashville, Tennessee, 37211
Florida Cancer Specialists
New Port Richey, Florida, 34655
New York University Langone Medical Center
New York, New York, 10016
Perlmutter Cancer Center
New York, New York, 10016
Weill Cornell Medical College - New York Presbyterian Hospital
New York, New York, 10021
Weill Cornell Medical College - New York-Presbyterian Hospital
New York, New York, 10021
New York-Presbyterian Hospital/Weill Cornell Medical Center
New York, New York, 10065
Weill Cornell Breast Center
New York, New York, 10065
Weill Cornell Medical Center
New York, New York, 10065
Weill Cornell Medical College - New York Presbyterian Hospital
New York, New York, 10065
Virginia Oncology Associates
Newport News, Virginia, 23606
Virginia Oncology Associates
Norfolk, Virginia, 23502
Kaiser Permanente Medical Center (clinic+DSL)
Oakland, California, 94611
Kaiser Permanente Medical Center (Radiology)
Oakland, California, 94611
Florida Cancer Specialists
Orange City, Florida, 32763
Florida Cancer Specialists
Orlando, Florida, 32806
Orlando Health, Inc
Orlando, Florida, 32806
The University of Kansas Cancer Center
Overland Park, Kansas, 66210
Rocky Mountain Cancer Centers
Parker, Colorado, 80138
Magee-Womens Hospital of UPMC
Pittsburgh, Pennsylvania, 15213
University of Pittsburgh Medical Center, William M. Cooper Pavilion, Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232
Cancer Center of Central Connecticut
Plainville, Connecticut, 06062
Texas Oncology-Plano East
Plano, Texas, 75075-7787
Sylvester Comprehensive Cancer Center Plantation
Plantation, Florida, 33324
Kaiser Permanente Medical Center Lab Drawing Station
Pleasanton, California, 94558
Northwest Cancer Specialists, P.C.
Portland, Oregon, 97213
Northwest Cancer Specialists, P.C.
Portland, Oregon, 97227
Rocky Mountain Cancer Centers
Pueblo, Colorado, 81008
Torrance Health Association, DBA Torrance Memorial Physician Network/Cancer care Associates
Redondo Beach, California, 90277
Kaiser Permanente Medical Center Lab Drawing Station
Redwood City, California, 94063
Kaiser Permanente Medical Center (clinic+DSL)
Roseville, California, 95661
Texas Oncology-Seton Williamson
Round Rock, Texas, 78665
Cancer Specialists of North Florida
Saint Augustine, Florida, 32086
Minnesota Oncology Hematology, P.A.
Saint Paul, Minnesota, 55102-2389
Southern California Permanente Medical Group
San Diego, California, 92120
UCSF - Helen Diller Family Comprehensive Cancer Center
San Francisco, California, 94115
UCSF Helen Diller Comprehensive Cancer Centre - Precision Cancer Medicine Building
San Francisco, California, 94158
Kaiser Permanente Mission Bay Medical Center Lab Drawing Station
San Francisco, California, 94518
Kaiser Permanente Medical Center Lab Drawing Station
San Jose, California, 95110
Kaiser Permanente Medical Center (clinic+DSL)
San Leandro, California, 94577
Pacific Central Coast Health Centers - San Luis Obispo Oncology and Hematology Health Center
San Luis Obispo, California, 93401
Ridley Tree Cancer Center
Santa Barbara, California, 93105
Santa Barbara Cottage Hospital
Santa Barbara, California, 93105
Kaiser Permanente Medical Center (clinic+DSL)
Santa Clara, California, 95051
Central Coast Medical Oncology Corporation
Santa Maria, California, 93454
UCLA Hematology Oncology
Santa Monica, California, 90404
UCLA Hematology/Oncology - Parkside
Santa Monica, California, 90404
UCLA Santa Monica Medical Center & Orthopaedic Hospital
Santa Monica, California, 90404
Sutter North Bay Health Plaza
Santa Rosa, California, 95403
Sutter Pacific Medical Foundation
Santa Rosa, California, 95403
Sutter Santa Rosa Regional Hospital
Santa Rosa, California, 95403
HonorHealth
Scottsdale, Arizona, 85258
Virginia G. Piper Cancer Pharmacy
Scottsdale, Arizona, 85258
Swedish Cancer Institute
Seattle, Washington, 98104
Swedish Medical Center
Seattle, Washington, 98122
Tennessee Oncology, PLLC
Shelbyville, Tennessee, 37160
Tennessee Oncology PLLC
Smyrna, Tennessee, 37167
Ridley Tree Cancer Center
Solvang, California, 93463
Kaiser Permanente Medical Center (clinic+DSL)
South San Francisco, California, 94080
The West Clinic, P.C. d/b/a West Cancer Center
Southaven, Mississippi, 38671
Florida Cancer Specialists
Spring Hill, Florida, 34608
Florida Cancer Specialists
St. Petersburg, Florida, 33705
Stanford Cancer Institute
Stanford, California, 94305
Stanford Women's Cancer Center
Stanford, California, 94305
Florida Cancer Specialists
Tampa, Florida, 33607
Florida Cancer Specialists
Tavares, Florida, 32778
Eastchester Center for Cancer Care
The Bronx, New York, 10469
Rocky Mountain Cancer Centers
Thornton, Colorado, 80260
Northwest Cancer Specialists, P.C.
Tigard, Oregon, 97223
Oklahoma Cancer Specialists and Research Institute, LLC
Tulsa, Oklahoma, 74146
UCLA Hematology/Oncology - Santa Clarita
Valencia, California, 91355
Kaiser Permanente Medical Center (clinic+DSL)
Vallejo, California, 94589
Northwest Cancer Specialists, P.C.(Admin Only)
Vancouver, Washington, 98683
Northwest Cancer Specialists, P.C.
Vancouver, Washington, 98684
Virginia Oncology Associates
Virginia Beach, Virginia, 23456
Texas Oncology - Waco
Waco, Texas, 76712
Texas Oncology-Waco
Waco, Texas, 76712
Kaiser Permanente Medical Center (clinic+DSL)
Walnut Creek, California, 94596
Central Georgia Cancer Care, PC
Warner Robins, Georgia, 31088-2259
The Center for Cancer and Blood Disorders
Weatherford, Texas, 76086
The University of Kansas Cancer Center - Investigational Drug Services
Westwood, Kansas, 66205
Minnesota Oncology Hematology, P.A.
Woodbury, Minnesota, 55125
Southern California Permanente Medical Group
Woodland Hills, California, 91367
Australia26 sites
River City Pharmacy
Auchenflower, 4066
Flinders Medical Centre
Bedford Park, South Australia, 5042
Concord Repatriation General Hospital
Concord, New South Wales, 2139
Victoria Breast and Oncology Care
East Melbourne, Victoria, 3002
Peninsula & South Eastern Haematology and Oncology Group
Frankston, Victoria, 3199
Barwon Health, University Hospital Geelong
Geelong, Victoria, 3220
Austin Health, Heidelberg Repatriation Hospital (radiology (MUGA)scans only)
Heidelberg West, Victoria, 3081
Adelaide Cancer Centre
Kurralta Park, South Australia, 5037
Ashford Cancer Centre Research
Kurralta Park, South Australia, 5037
Cancer Care SA PTY Ltd
Kurralta Park, South Australia, 5037
Cancer Care SA trading as Icon Pharmacy Adelaide
Kurralta Park, South Australia, 5037
Austin Health, The Austin Hospital
Melbourne, Victoria, 3084
ICON Cancer Care (Haematology And Oncology Clinics Of Australasia (Hoca))-Milton
Milton, Queensland, 4064
Icon Cancer Care
Milton, 4066
Slade Pharmacy Mount Waverley
Mount Waverley, Victoria, 3149
Fiona Stanley Hospital
Murdoch, Western Australia, 6150
Sir Charles Gairdner Hospital Lung Institute Of Western Australia
Nedlands, Western Australia, 6009
Icon Cancer Care, Corporate Office
South Brisbane, Queensland, 4101
ICON Cancer Care
South Brisbane, Queensland, 4101
ICON Cancer Foundation
South Brisbane, Queensland, 4101
Mater Adult Hospital
South Brisbane, Queensland, 4101
Icon Cancer Care South Brisbane
South Brisbane, Queensland, 4104
Nova Pharmacy
Wendouree, Victoria, 3353
Ballarat Oncology & Haematology Services Clinical Trials Unit
Wendouree, Victoria, 3355
Ballarat Oncology & Haematology Services
Wendouree, Victoria, 3355
Princess Alexandra Hospital
Woolloongabba, Queensland, 4102
Poland20 sites
NZOZ Innowacyjna Medycyna
Dobra, 72-003
Uniwersyteckie Centrum Kliniczne, Zaklad Medycyny Nuklearnej
Gdansk, 80-211
Uniwersyteckie Centrum Kliniczne Klinika Onkologii i Radioterapii
Gdansk, 80-952
Uniwersyteckie Centrum Kliniczne, Klinika Onkologii i Radioterapii
Gdansk, 80-952
Uniwersyteckie Centrum Kliniczne, Zaklad Radiologii
Gdansk, 80-952
Centrum Onkologii Instytut im. Marii Sklodowskiej-Curie, Oddzial w Gliwicach
Gliwice, 44-101
NU-MED Centrum Diagnostyki i Terapii Onkologicznej Katowice
Katowice, 40-514
Uniwersyteckie Centrum Kliniczne im. Prof. K. Gibinskiego Slaskiego Uniwersytetu
Katowice, 40-514
Centrum Terapii Wspolczesnej J.M. Jasnorzewska Spolka Komandytowo-Akcyjna
Lodz, LODZ Province, 90-242
Europejskie Centrum Zdrowia Otwock Szpital im.F.Chopina
Otwock, 05-400
Szpital Kliniczny im. Heliodora Swiecickiego Uniwersytetu Medycznego im. Karola Marcinkowskiego
Poznan, 60-355
Szpital Kliniczny Przemienienia Panskiego Uniwersytetu Medycznego im. Karola Marcinkowskiego w Pozna
Poznan, 60-569
Szpital Kliniczny Przemienienia Panskiego Uniwersytetu Medycznego im. Karola
Poznan, 60-569
Szpital Kliniczny Przemienienia Panskiego Uniwersytetu Medycznego im. Karola Marcinkowskiego w Pozna
Poznan, 61-848
Wielkopolskie Centrum Onkologii im. Marii Sklodowskiej-Curie
Poznan, 61-866
Oddzial Onkologii Klinicznej, Samodzielny Publiczny Szpital Kliniczny Nr 2 PUM w Szczecinie
Szczecin, 70-111
Pracownia Tomografii Komputerowej , Samodzielny Publiczny Szpital Kliniczny Nr 2 PUM w Szczecinie
Szczecin, 70-111
Pracownia Medycyny Nuklearnej, 109 Szpital Wojskowy z Przychodnia SP ZOZ
Szczecin, 70-965
Centrum Onkologii - Instytut im. Marii Sklodowskiej-Curie Klinika Nowotworow Piersi i
Warsaw, 02-781
Klinika Onkologii, Wojskowy lnstytut Medyczny
Warsaw, 04-141
Spain17 sites
Centro Oncologico de Galicia
A Coruña, 15009
Hospital Nuestra Senora de Sonsoles(Complejo Asistencial de Avila)
Ávila, 05004
Hospital Universitari Germans Trias i Pujol
Badalona Barcelona, 08916
Hospital del Mar
Barcelona, 08003
Hospital Universitari Vall d'Hebron
Barcelona, 08035
Hospital Clinic I Provincial
Barcelona, 08036
Consorcio Hospitalario Provincial de Castellon
Castellon, 12002
Complejo Hospitalario de Jaen
Jaén, 23007
Hospital Universitario de Canarias
La Laguna Santa Cruz de Tenerife, 38320
Hospital Universitari Arnau de Vilanova de Lleida
Lleida, 25198
Hospital Universitario de La Princesa
Madrid, 28006
Hospital General Universitario Gregorio Maranon
Madrid, 28007
Hospital Universitario Ramon Y Cajal
Madrid, 28034
Hospital Clinico San Carlos
Madrid, 28040
Hospital Universitario Quiron Madrid
Pozuelo de Alarcon (Madrid), 28223
Corporacio Sanitaria Parc Tauli
Sabadell Barcelona, 08208
Hospital Universitario Virgen Macarena
Seville, 41009
Germany16 sites
HELIOS Klinikum Berlin-Buch
Berlin, 13125
Praxisklinik Krebsheilkunde fuer Frauen/Brustzentrum
Berlin, 13595
Universitaetsklinikum Carl Gustav Carus an der Technischen Universitaet Dresden
Dresden, Saxony, 01307
University Hospital Duesseldorf
Düsseldorf, 40225
Universitaetsklinikum Erlangen
Erlangen, 91054
Kliniken Essen-Mitte, Klinik für Senologie / Brustzentrum
Essen, 45136
Universitaetsklinikum Freiburg, Klinik fuer Frauenheilunde
Freiburg im Breisgau, 79106
Oncologie Unter Ems
Leer, 26789
Medizinisches Zentrum fur Hamatologie und Onkologie Munchen MVZ
Munich, Bavaria, 80639
Radiologicum
Munich, Bavaria, 81331
IOZ Muenchen
Munich, Bavaria, 81377
University of Munich (LMU), Grosshadern Hospital
Munich, Bavaria, 81377
Radiologicum
Munich, Bavaria, 81539
Klinikum rechts der Isar, TUM, Frauenklinik und Poliklinik
Munich, 81675
Unifrauenklinik am Klinikum Suedstadt
Rostock, 18059
Universitaetsfrauenklinik
Ulm, 89075
Brazil13 sites
Hospital do Cancer de Barretos - Fundacao Pio XII
Barretos, São Paulo, 14784-400
Fundacao Hospital Amaral Carvalho
Jaú, São Paulo, 17210-120
Hopital da Cidade de Passo Fundo
Passo Fundo, Rio Grande do Sul, 99010-260
Hospital da Cidade de Passo Fundo - HCPF
Passo Fundo, Rio Grande do Sul, 99010-260
Instituto de Oncologia de Piracicaba S/S Ltda.
Piracicaba, São Paulo, 13419-155
Associacao Hospitalar Moinhos de Vento
Porto Alegre, Rio Grande do Sul, 90035-001
Hospital de Clinicas de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90035-903
Uniao Brasileira de Educacao E Assistencia
Porto Alegre, Rio Grande do Sul, 90610-000
Instituto Nacional do Cancer Jose de Alencar Gomes da Silva
Rio de Janeiro, Rio de Janeiro, 20230-130
Central de Quimioterapia Hospital do Cancer-INCA-HCIII
Rio de Janeiro, Rio de Janeiro, 20560-120
Hospital do Cancer III - INCA / Instituto Nacional do Cancer / MS INCA HCIII
Rio de Janeiro, Rio de Janeiro, 20560-120
Centro de Referencia da Saude da Mulher - Hospital Perola Byington
São Paulo, São Paulo, 01317-000
Clinica de Pesquisas e Centro de Estudos em Oncologia Ginecologica e Mamária Ltda.
São Paulo, São Paulo, 01317-001
South Korea13 sites
Seoul National University Bundang Hospital
Bundang-gu, Gyeonggi-do, 13620
Kyungpook National University Chilgok Hospital
Daegu, 41404
National Cancer Centre
Goyang-si, Gyeonggi-do, 10408
Gachon University Gil Medical Center
Incheon, 21565
Korea University Anam Hospital
Seoul, 02841
Severance Hospital, Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
The Catholic University of Korea, Seoul St. Mary's Hospital
Seoul, 06591
Ewha Womans University Mokdong Hospital
Seoul, 07985
Seoul National University Hospital
Seoul, 110-744
Samsung Medical Center
Seoul, 135-710
Ajou University Hospital
Suwon, Gyeonggi-do, 16499
Ulsan University Hospital
Ulsan, 44033
France11 sites
CHRU Jean Minjoz
Besançon, 25030
Centre Leon Berard
Lyon, 69373
Institut Paoli Calmettes
Marseille, 13273 Cedex 9
Hopital Prive du Confluent
Nantes BP 20215, 44202 Cedex 2
Hopital Saint Louis
Paris, 75010
Hopital Tenon
Paris, 75020
Institut de Cancerologie de l'Ouest - Site Rene Gauducheau
Saint-Herblain, 44805 Cedex
Hopitaux Universitaires de Strasbourg - Hopital Civil
Strasbourg, 67200
Institut Universitaire du Cancer Toulouse - Oncopole
Toulouse, 31059 Cedex 9
CHU Bretonneau Centre Henry Kaplan
Tours, 37044
Institut Gustave Roussy
Villejuif, 94805
Italy11 sites
A.O.S.G. Moscati - Contrada Amoretta
Avellino, AV, 83100
S.S.D. Oncologia Medica Addarii - A.O.U. di Bologna - Policlinico Sant'Orsola-Malpighi
Bologna, 1-40138
Ospedale Mater Salutis
Legnago, VR, 37045
Ospedale S. Raffaelle di Milano
Milan, MI, 20132
Senologia Medica, IRCCS-Instituto Oncologico Europeo (IEO)
Milan, I-20141
A.S.S.T. Monza
Monza, Monza and Brianza, I-20900
A.S.S.T. Monza, Oncologia Medica, Ospedale San Gerardo
Monza, Monza Brianza, I-20900
La Maddalena Clinic For Cancer University Of Palermo
Palermo, PA, 90146
A.O.U. Pisana, DAI Oncologia, U.O. Oncologia Med. 2 Univ.
Pisa, PI, I-56126
Ospendale Sant'Andrea
Roma, RM, 00189
Universita Campus Bio-Medico di Roma, Dipartimento Oncologia Medica
Roma, I-00128
Israel8 sites
Soroka University Medical Center
Beersheba, 84101
Oncology Institute, Rambam Health Care Campus
Haifa, 31096
Oncology Institute, Davidoff Center, Rabin Medical Center, Beilinson Campus
Petah Tikva, 49100
Division of Oncology Tel Aviv Sourasky Medical Center
Tel Aviv, 64239
Assuta Medical Center
Tel Aviv, 69710
Oncology Institute, Assuta Medical Center
Tel Aviv, 69710
The Chaim sheba Medical Center
Tel HaShomer, 5265601
Assaf Harofeh Medical Center
Tsrifin, 70300
United Kingdom6 sites
Royal Sussex County Hospital, Royal Alexandra Children's Hospital L10
Brighton, BN2 2BE
St James University Hospital
Leeds, LS9 7TF
Sarah Cannon Research Institute UK
London, England, W1G 6AD
Impretial College Healthcare NHS Trust
London, W6 8RF
Cancer Research UK, Department of Medical Oncology - The Christie NHS Foundation Trust
Manchester, M20 4BX
Nottingham University Hospital NHS Trust
Nottingham, Nottinghamshire, NG5 1PB
Taiwan4 sites
Changhua Christian Hospital
Changhua, 500
National Taiwan University Hospital
Taipei, 10002
Taipei Veterans General Hospital
Taipei, 11217
Koo Foundation Sun Yat-Sen Cancer Center
Taipei, 112
Ireland3 sites
Mater Misericordiae University Hospital
Dublin
St. Vincent's University Hospital
Dublin
University Hospital Galway
Galway
Russia3 sites
Gbuz Lood
Leningrad, Leningradskaya Oblast', 188663
State Budgetary Institution of Healthcare "Republican Oncology dispensary"'
Petrozavodsk, 185002/185007
City Clinical Oncology Dispensary
Saint Petersburg, 197022
Belgium2 sites
Universitair Ziekenhuis Gent
Ghent, 9000
CHU Sart Tilman Liege
Liège, B-4000
Ukraine2 sites
Communal Institution "Krivorizhskiy Oncology Dispensary" of Dnipropetrovsk Regional Council
Kryvyi Rih, 50048
Regional Municipal Institution "Sumy Regional Clinical Oncology Dispensary", Thoracic Department
Sumy, 40005
About this study
Official title: A PHASE 3, OPEN-LABEL, RANDOMIZED PARALLEL,2-ARM,MULTI-CENTER STUDY OF TALAZOPARIB(BMN 673) VERSUS PHYSICIAN'S CHOICE IN GERMLINE BRCA MUTATION SUBJECTS WITH LOCALLY ADVANCED AND/OR METASTATIC BREAST CANCER, WHO HAVE RECEIVED PRIOR CHEMOTHERAPY REGIMENS FOR METASTATIC DISEASE
The purpose of this open-label, 2:1 randomized phase III trial is to compare the safety and efficacy of talazoparib (also known as BMN 673) versus protocol-specific physician's choice in patients who have locally advanced and/or metastatic breast cancer with germline BRCA mutations.
- Conditions
- Breast Neoplasms, BRCA 1 Gene Mutation, BRCA 2 Gene Mutation
- Being tested
- talazoparib, Physician's-Choice
- Keywords
- Breast cancer, BRCA mutation, PARP inhibitor, BRCA 1, BRCA 2
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
talazoparibDrug
Until progression or unacceptable toxicity develops
Physician's-ChoiceDrug
Capecitabine, Eribulin, Gemcitabine or Vinorelbine
| Study group | Role | What they receive |
|---|---|---|
| talazoparib | Experimental | Patient will be randomized 2:1 to receive talazoparib oral capsules (1.0 mg) once daily for 21 continuous days Receives: Drug: talazoparib |
| Physician's-Choice | Active comparator | Capecitabine, Eribulin, Gemcitabine or Vinorelbine Receives: Drug: Physician's-Choice |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival (PFS): Independent Radiological Facility (IRF) Assessment
IRF assessed PFS was defined as time (in months) from randomization until the date of first documented radiologic progressive disease per response evaluation criteria in solid tumors (RECIST) version 1.1 or death from any cause, whichever occurs first. As per RECIST v1.1, progression defined as 1) for target lesions: at least a 20% increase in the sum of target lesion measurements, compared to the smallest sum on study (including baseline), the absolute increase in the sum has to be at least 5 millimeter (mm); 2) for non-target lesions: unequivocal progression of non-target lesions, evaluated as a whole, such that it is clear that treatment has failed and disease is progressing, regardless of the status of the target lesions; 3) and/or appearance of one or more new lesions. The analysis was performed by Kaplan-Meier method.
Measured: Baseline until radiologic progressive disease or death due to any cause (up to maximum duration of 36.9 months)
Secondary outcomes (8)
Percentage of Participants With Objective Response: Investigator Assessment
Investigator assessed objective response was defined as the percentage of participants with a partial response (PR) or complete response (CR) as defined by RECIST v1.1. For target lesions: 1) CR: disappearance of all non-nodal target lesions. Target lymph nodes must reduce to less than 10 mm in short axis. 2) PR: At least a 30% decrease in the sum of diameters of target lesions, compared to the sum at baseline. For non-target lesions, CR: disappearance of all non-target lesions. Percentage of participants with objective response reported are based upon unconfirmed CR/PR.
Measured: Baseline until radiologic progressive disease or death due to any cause (up to a maximum duration of 36.9 months)
Overall Survival (OS)
OS was defined as the time (in months) from randomization to death due to any cause. If death was not observed at the time of study cut-off date or permanently lost to follow-up, OS was censored at the date the participant was last known to be alive on or before the study cut-off date, whichever was earlier. The analysis was performed by Kaplan-Meier method.
Measured: Baseline until death due to any cause or analysis cut-off, up to a maximum duration of 61.4 months
Trough Plasma Talazoparib Concentrations
A predose PK sample was considered dose-compliant based on the following criteria: A participant must have received 21 consecutive days of 1 mg talazoparib without dosing interruption prior to sample collection; and the predose PK sample must have been collected 24 hours +/- 10 percent (2 hours and 24 minutes) after the previous day's dose and no more than 5 minutes (0.083 hours) after the administration of the dose on the day of PK sample collection.
Measured: Predose on Day 1 of Cycle 2, 3 and 4
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
An adverse events (AE) was any untoward medical occurrence (e.g., sign, symptom, illness, disease or injury) in a participant administered study drug or other protocol-imposed intervention, regardless of attribution. SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Treatment-emergent are events between first dose of study drug or the day before initiation of a new antineoplastic therapy or 30 days after the date of the last dose date of study drug, whichever occurred first, that were absent before treatment or that worsened relative to pretreatment state. AEs included both SAEs and all non-SAEs.
Measured: Talazoparib: Baseline up to a maximum duration of 71.3 months; Physician's Choice Treatment: Baseline up to maximum duration of 46.1 months
Number of Participants With Grade 3 or 4 Post-baseline Toxicities in Laboratory Parameters: Hematology
Toxicity grades were evaluated based on as National Cancer Institute Common Toxicity Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03). NCI CTCAE v4.03 defined the severity grade as: grade 1 (mild), grade 2 (moderate), grade 3 (severe), grade 4 (potentially life threatening) and grade 5 (death related to AE) for each parameter. Key hematology parameters included hemoglobin (gram per liter [g/L]), leukocytes (10^6 cells per liter), lymphocytes (10^6 cells per liter), neutrophils (10^6 cells per liter), and platelets (10^9 cells per liter). Low value indicated lower values than the baseline values and high value indicated higher values than the baseline values. Only those categories in which at least 1 participant had data were reported.
Measured: Talazoparib: Baseline up to a maximum duration of 71.3 months; Physician's Choice Treatment: Baseline up to maximum duration of 46.1 months.
Number of Participants With Grade 3 or 4 Post-baseline Toxicities in Laboratory Parameters: Chemistry
Toxicity grades were evaluated based on as NCI CTCAE v4.03. NCI CTCAE v4.03 defined the severity grade as: grade 1 (mild), grade 2 (moderate), grade 3 (severe) and grade 4 (potentially life threatening) and grade 5 (death related to AE) for each parameter. Key chemistry parameters included alanine aminotransferase (units per liter), alkaline phosphatase (units per liter), aspartate aminotransferase (units per liter) and bilirubin (micromole per liter). High value indicated higher values than the baseline values and low value indicated lower values than the baseline values. Only those categories in which at least 1 participant had data were reported.
Measured: Talazoparib: Baseline up to a maximum duration of 71.3 months; Physician's Choice Treatment: Baseline up to maximum duration of 46.1 months
Number of Participants With Potentially Clinically Significant Changes From Baseline in Vital Signs
Criteria for potentially clinically significant changes in vital signs included a) Systolic blood pressure: 1) absolute results (AB) greater than (>) 180 millimeter of mercury (mmHg) and increase from baseline (IFB) greater than or equal to (>=) 40 mmHg, 2) absolute results less than (<) 90 mmHg and decrease from baseline (DFB) >30 mmHg; b) Diastolic blood pressure: 1) absolute results >110 mmHg and >=30 mmHg increase from baseline, 2) absolute results <50 mmHg and >20 mmHg decrease from baseline 3) >=20 mmHg increase from baseline; c) Heart rate: 1) absolute results>120 beats per minute [bpm] and >30 bpm increase from baseline, 2) absolute results <50 bpm and >20 bpm decrease from baseline and d) Weight: >10 percent [%] decrease from baseline.
Measured: Talazoparib: Baseline up to a maximum duration of 71.3 months; Physician's Choice Treatment: Baseline up to maximum duration of 46.1 months
Number of Participants Taking At-least One Concomitant Medication
Any medication (other than study drug) which was administered to participants during study after first dose of study drug were considered as concomitant medications.
Measured: Talazoparib: Baseline up to a maximum duration of 71.3 months; Physician's Choice Treatment: Baseline up to maximum duration of 46.1 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Sep 2013 (estimated)
- Study start14 Oct 2013
- Primary completion15 Sep 2017
- Study completion5 Mar 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Breast NeoplasmsStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 431 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Medivation, Inc.
- Responsible party
- Sponsor
- Investigators
- Pfizer Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01945775
- Sponsor's protocol ID
- 673-301
- Other IDs
- C3441009, 2013-002716-28, U1111-1155-7579
- Acronym
- EMBRACA
- Status last verified
- Dec 2021
- First submitted
- 11 Sep 2013
- Last updated
- 20 Jan 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- Individual data sharing
- Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Publications
Blum JL, Laird AD, Litton JK, Rugo HS, Ettl J, Hurvitz SA, Martin M, Roche HH, Lee KH, Goodwin A, Chen Y, Lanzalone S, Chelliserry J, Czibere A, Hopkins JF, Albacker LA, Mina LA. Determinants of Response to Talazoparib in Patients with HER2-Negative, Germline BRCA1/2-Mutated Breast Cancer. Clin Cancer Res. 2022 Apr 1;28(7):1383-1390. doi: 10.1158/1078-0432.CCR-21-2080.
PubMed 35091441Ettl J, Quek RGW, Lee KH, Rugo HS, Hurvitz S, Goncalves A, Fehrenbacher L, Yerushalmi R, Mina LA, Martin M, Roche H, Im YH, Markova D, Bhattacharyya H, Hannah AL, Eiermann W, Blum JL, Litton JK. Quality of life with talazoparib versus physician's choice of chemotherapy in patients with advanced breast cancer and germline BRCA1/2 mutation: patient-reported outcomes from the EMBRACA phase III trial. Ann Oncol. 2018 Sep 1;29(9):1939-1947. doi: 10.1093/annonc/mdy257.
PubMed 30124753Litton JK, Rugo HS, Ettl J, Hurvitz SA, Goncalves A, Lee KH, Fehrenbacher L, Yerushalmi R, Mina LA, Martin M, Roche H, Im YH, Quek RGW, Markova D, Tudor IC, Hannah AL, Eiermann W, Blum JL. Talazoparib in Patients with Advanced Breast Cancer and a Germline BRCA Mutation. N Engl J Med. 2018 Aug 23;379(8):753-763. doi: 10.1056/NEJMoa1802905. Epub 2018 Aug 15.
PubMed 30110579
Study at a glance
From the registry record, last updated by the sponsor on 20 Jan 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A PHASE 3, OPEN-LABEL, RANDOMIZED PARALLEL,2-ARM,MULTI-CENTER STUDY OF TALAZOPARIB(BMN 673) VERSUS PHYSICIAN'S CHOICE IN GERMLINE BRCA MUTATION SUBJECTS WITH LOCALLY ADVANCED AND/OR METASTATIC BREAST CANCER, WHO HAVE RECEIVED PRIOR CHEMOTHERAPY REGIMENS FOR METASTATIC DISEASE
- ClinicalTrials.gov ID
- NCT01945775
- Acronym / sponsor ID
- EMBRACA / 673-301
- Conditions
- Breast Neoplasms, BRCA 1 Gene Mutation, BRCA 2 Gene Mutation
- Keywords
- Breast cancer, BRCA mutation, PARP inhibitor, BRCA 1, BRCA 2
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 431 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Collaborators
- Medivation, Inc.
- Study start
- 14 Oct 2013 (actual)
- Primary completion
- 15 Sep 2017 (actual)
- Study completion
- 5 Mar 2021 (actual)
- First posted
- 19 Sep 2013 (estimated)
- Results
- Posted 3 Oct 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this open-label, 2:1 randomized phase III trial is to compare the safety and efficacy of talazoparib (also known as BMN 673) versus protocol-specific physician's choice in patients who have locally advanced and/or metastatic breast cancer with germline BRCA mutations.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| talazoparib | Experimental | Drug: talazoparibPatient will be randomized 2:1 to receive talazoparib oral capsules (1.0 mg) once daily for 21 continuous days |
| Physician's-Choice | Active comparator | Drug: Physician's-ChoiceCapecitabine, Eribulin, Gemcitabine or Vinorelbine |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Histologically or cytologically confirmed carcinoma of the breast
- Locally advanced breast cancer that is not amenable to curative radiation or surgical cure and/or metastatic disease appropriate for systemic single cytotoxic chemotherapy
- Documentation of a deleterious, suspected deleterious, or pathogenic germline BRCA1 or BRCA2 mutation from Myriad Genetics or other laboratory approved by the Sponsor
- No more than 3 prior chemotherapy-inclusive regimens for locally advanced and/or metastatic disease (no limit on prior hormonal therapies or targeted anticancer therapies such as mechanistic target of rapamycin (mTOR) or CDK4/6 inhibitors, immune-oncology agents, tyrosine kinase inhibitors, or monoclonal antibodies against CTL4 or VEGF)
- Prior treatment with a taxane and/or anthracycline in the neoadjuvant, adjuvant, locally advanced, or metastatic setting unless medically contraindicated
Key exclusion criteria (19 listed)
- First-line locally advanced and/or metastatic breast cancer with no prior adjuvant chemotherapy unless the Investigator determines that one of the 4 cytotoxic chemotherapy agents in the control arm would otherwise be offered to the subject
- Prior treatment with a PARP inhibitor (not including iniparib)
- Not a candidate for treatment with at least 1 of the treatments of protocol-specific physician's choice (ie, capecitabine, eribulin, gemcitabine, vinorelbine)
- Subjects who had objective disease progression while receiving platinum chemotherapy administered for locally advanced or metastatic disease; subjects who received low-dose platinum therapy administered in combination with radiation therapy are not excluded
- Subjects who have received platinum in the adjuvant or neoadjuvant setting are eligible; however, subjects may not have relapsed within 6 months of the last dose of prior platinum therapy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| talazoparibUntil progression or unacceptable toxicity develops | Drug | talazoparib |
| Physician's-ChoiceCapecitabine, Eribulin, Gemcitabine or Vinorelbine | Drug | Physician's-Choice |
Primary outcome
Progression-Free Survival (PFS): Independent Radiological Facility (IRF) Assessment
Time frame: Baseline until radiologic progressive disease or death due to any cause (up to maximum duration of 36.9 months)
IRF assessed PFS was defined as time (in months) from randomization until the date of first documented radiologic progressive disease per response evaluation criteria in solid tumors (RECIST) version 1.1 or death from any cause, whichever occurs first. As per RECIST v1.1, progression defined as 1) for target lesions: at least a 20% increase in the sum of target lesion measurements, compared to the smallest sum on study (including baseline), the absolute increase in the sum has to be at least 5 millimeter (mm); 2) for non-target lesions: unequivocal progression of non-target lesions, evaluated as a whole, such that it is clear that treatment has failed and disease is progressing, regardless of the status of the target lesions; 3) and/or appearance of one or more new lesions. The analysis was performed by Kaplan-Meier method.
8 secondary outcomes
Percentage of Participants With Objective Response: Investigator Assessment
Time frame: Baseline until radiologic progressive disease or death due to any cause (up to a maximum duration of 36.9 months)
Overall Survival (OS)
Time frame: Baseline until death due to any cause or analysis cut-off, up to a maximum duration of 61.4 months
Trough Plasma Talazoparib Concentrations
Time frame: Predose on Day 1 of Cycle 2, 3 and 4
Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time frame: Talazoparib: Baseline up to a maximum duration of 71.3 months; Physician's Choice Treatment: Baseline up to maximum duration of 46.1 months
Number of Participants With Grade 3 or 4 Post-baseline Toxicities in Laboratory Parameters: Hematology
Time frame: Talazoparib: Baseline up to a maximum duration of 71.3 months; Physician's Choice Treatment: Baseline up to maximum duration of 46.1 months.
Number of Participants With Grade 3 or 4 Post-baseline Toxicities in Laboratory Parameters: Chemistry
Time frame: Talazoparib: Baseline up to a maximum duration of 71.3 months; Physician's Choice Treatment: Baseline up to maximum duration of 46.1 months
Number of Participants With Potentially Clinically Significant Changes From Baseline in Vital Signs
Time frame: Talazoparib: Baseline up to a maximum duration of 71.3 months; Physician's Choice Treatment: Baseline up to maximum duration of 46.1 months
Number of Participants Taking At-least One Concomitant Medication
Time frame: Talazoparib: Baseline up to a maximum duration of 71.3 months; Physician's Choice Treatment: Baseline up to maximum duration of 46.1 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Jan 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 35091441Blum JL, Laird AD, Litton JK, Rugo HS, Ettl J, Hurvitz SA, Martin M, Roche HH, Lee KH, Goodwin A, Chen Y, Lanzalone S, Chelliserry J, Czibere A, Hopkins JF, Albacker LA, Mina LA. Determinants of Response to Talazoparib in Patients with HER2-Negative, Germline BRCA1/2-Mutated Breast Cancer. Clin Cancer Res. 2022 Apr 1;28(7):1383-1390. doi: 10.1158/1078-0432.CCR-21-2080.
- Derived from this study: PubMed 30124753Ettl J, Quek RGW, Lee KH, Rugo HS, Hurvitz S, Goncalves A, Fehrenbacher L, Yerushalmi R, Mina LA, Martin M, Roche H, Im YH, Markova D, Bhattacharyya H, Hannah AL, Eiermann W, Blum JL, Litton JK. Quality of life with talazoparib versus physician's choice of chemotherapy in patients with advanced breast cancer and germline BRCA1/2 mutation: patient-reported outcomes from the EMBRACA phase III trial. Ann Oncol. 2018 Sep 1;29(9):1939-1947. doi: 10.1093/annonc/mdy257.
- Derived from this study: PubMed 30110579Litton JK, Rugo HS, Ettl J, Hurvitz SA, Goncalves A, Lee KH, Fehrenbacher L, Yerushalmi R, Mina LA, Martin M, Roche H, Im YH, Quek RGW, Markova D, Tudor IC, Hannah AL, Eiermann W, Blum JL. Talazoparib in Patients with Advanced Breast Cancer and a Germline BRCA Mutation. N Engl J Med. 2018 Aug 23;379(8):753-763. doi: 10.1056/NEJMoa1802905. Epub 2018 Aug 15.
- Individual participant dataSharing planned: Yes. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
Related trials for Breast Neoplasms
Not yet recruiting
Effect of a Health Belief Model Based Digital Nudge Intervention on Breast Cancer Screening
Breast Cancer Screening, Breast Cancer Awareness
Active, not recruitingPhase 1/2
A Beta-only IL-2 ImmunoTherapY Study
Advanced Solid Tumor, Unresectable Solid Tumor
Not yet recruitingPhase 2
Low-Dose Apatinib Plus Chemotherapy in ADC-Pretreated HER2-Positive and HER2-Low Advanced Breast Cancer
Breast Neoplasms, Advanced Breast Cancer
RecruitingPhase 3
ROSETTA Breast-01: The Effects and Safety of Pumitamig in Patients With Triple-Negative Breast Cancer
Breast Neoplasms
Active, not recruitingPhase 2
Phase II Study of Dato-DXd in Triple-negative Breast Cancer Patients With Newly Diagnosed or Progressing Brain Metastases
Breast Cancer Stage IV
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer Pfizer CT.gov Call Center study director
Pfizer
362 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing talazoparib and Physician's-Choice in people with Breast Neoplasms and BRCA 1 Gene Mutation, run by Pfizer at 362 sites in 16 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 20 Jan 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 362 sites in United States, Australia, Poland, Spain, Germany and 11 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 3 Oct 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-Free Survival (PFS): Independent Radiological Facility (IRF) Assessment (time frame: Baseline until radiologic progressive disease or death due to any cause (up to maximum duration of 36.9 months)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01945775, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Jan 2022.