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NCT01286987

Study of Talazoparib, a PARP Inhibitor, in Patients With Advanced or Recurrent Solid Tumors

Completed Phase 1 Results posted Last updated 10 January 2019
What this trial tests

Phase 1 trial testing Talazoparib in Advanced or Recurrent Solid Tumors in 113 participants. Completed in 30 January 2017.

Timeline
3 January 2011
Primary endpoint
31 March 2015
30 January 2017

Quick facts

Lead sponsorPfizer
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Maskingnone
Primary purposetreatment
Enrollment113
Start date3 January 2011
Primary completion31 March 2015
Estimated completion30 January 2017
Sites15 locations across United Kingdom, United States

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

18 and older, any sex, with Advanced or Recurrent Solid Tumors or Breast Neoplasms. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Objective Response Primary · From Baseline until disease progression or death due to any cause (maximum duration: 1071 days for Part 1; 834 days for Part 2)

Objective response in participants was defined as the number of participants with complete response (CR) or partial response (PR) after treatment with talazoparib and maintained for at least 4 weeks (28 days) as assessed by response evaluation criteria in solid tumors (RECIST) version 1.1. CR defined as disappearance of all non-nodal target lesions (where all target lesions were recorded with a length of 0 millimeter \[mm\] on the case report form \[CRF\]) and the reduction of the shortest diameter of all nodal lesions to less than \[\<\] 10 mm. PR was defined by a 30% or more decrease in the

GroupValue95% CI
Part 1 and Part 2: Talazoparib (Breast Cancer)8
Part 1 and Part 2: Talazoparib (Ovarian/ Peritoneal Cancer)12
Part 1 and Part 2: Talazoparib (Pancreatic Cancer)2
Part 1 and Part 2: Talazoparib (Ewing Cancer)0
Part 2: Talazoparib (SCLC Cancer)2
Part 1 and Part 2: Talazoparib (Prostate Cancer)0
Part 1: Talazoparib (Colorectal Cancer)0
Number of Participants With Best Overall Response Primary · From Baseline until disease progression or death due to any cause (maximum duration: 1071 days for Part 1; 834 days for Part 2)

Best overall response: best response (in the order of confirmed CR, confirmed PR, stable disease \[SD\] and progressive disease \[PD\]) among all overall response as RECIST 1.1, recorded from date of first dose of talazoparib until participant withdrew from study/data cut-off date, whichever earlier. CR defined as disappearance of all non-nodal target lesions (where all target lesions recorded with a length of 0 mm on the CRF) and the reduction of the shortest diameter of all nodal lesions to \< 10 mm. PR defined as at least a 30% decrease in sum of the diameters of target lesions, reference t

Complete Response (CR)
GroupValue95% CI
Part 1 and Part 2: Talazoparib (Breast Cancer)1
Part 1 and Part 2: Talazoparib (Ovarian/ Peritoneal Cancer)1
Part 1 and Part 2: Talazoparib (Pancreatic Cancer)0
Part 1 and Part 2: Talazoparib (Ewing Cancer)0
Part 2: Talazoparib (SCLC Cancer)0
Part 1 and Part 2: Talazoparib (Prostate Cancer)0
Partial Response (PR)
GroupValue95% CI
Part 1 and Part 2: Talazoparib (Breast Cancer)7
Part 1 and Part 2: Talazoparib (Ovarian/ Peritoneal Cancer)11
Part 1 and Part 2: Talazoparib (Pancreatic Cancer)2
Part 1 and Part 2: Talazoparib (Ewing Cancer)0
Part 2: Talazoparib (SCLC Cancer)2
Part 1 and Part 2: Talazoparib (Prostate Cancer)0
Stable Disease (SD)
GroupValue95% CI
Part 1 and Part 2: Talazoparib (Breast Cancer)7
Part 1 and Part 2: Talazoparib (Ovarian/ Peritoneal Cancer)10
Part 1 and Part 2: Talazoparib (Pancreatic Cancer)2
Part 1 and Part 2: Talazoparib (Ewing Cancer)4
Part 2: Talazoparib (SCLC Cancer)4
Part 1 and Part 2: Talazoparib (Prostate Cancer)1
Progressive Disease (PD)
GroupValue95% CI
Part 1 and Part 2: Talazoparib (Breast Cancer)5
Part 1 and Part 2: Talazoparib (Ovarian/ Peritoneal Cancer)6
Part 1 and Part 2: Talazoparib (Pancreatic Cancer)6
Part 1 and Part 2: Talazoparib (Ewing Cancer)9
Part 2: Talazoparib (SCLC Cancer)14
Part 1 and Part 2: Talazoparib (Prostate Cancer)0
Progression-Free Survival (PFS) Primary · Baseline, until PD or death due to any cause (maximum duration:1071 days for Part 1; 834 days for Part 2)

PFS was defined as the time (in weeks) from the date of first dose of study drug to the earlier date of the documented PD or death due to any cause. PD as per RECIST 1.1 defined as at least a 20% increase in the sum of diameters of target lesions, reference to the smallest sum on study (this includes the baseline sum if that was the smallest on study).

GroupValue95% CI
Part 1 and Part 2: Talazoparib (Breast Cancer)29.312.1 – 43.4
Part 1 and Part 2: Talazoparib (Ovarian/ Peritoneal Cancer)32.118.9 – 38.6
Part 1 and Part 2: Talazoparib (Pancreatic Cancer)5.32.4 – 21.3
Part 1 and Part 2: Talazoparib (Ewing Cancer)6.23.1 – 14.0
Part 2: Talazoparib (SCLC Cancer)11.14.3 – 13.0
Part 1 and Part 2: Talazoparib (Prostate Cancer)12.112.0 – NA
Duration of Response Primary · Baseline until PD or death due to any cause (maximum duration: 1071 days for Part 1; 834 days for Part 2)

Duration of response was defined as the time (in weeks) from the date of the first documented objective response confirmed at least 28 days later to the date of the first documented PD or date of death, whichever occurred first. PD as per RECIST version 1.1 defined as at least a 20% increase in the sum of diameters of target lesions, reference to the smallest sum on study (this includes the baseline sum if that was the smallest on study).

GroupValue95% CI
Part 1 and Part 2: Talazoparib (Breast Cancer)32.220.1 – 64.1
Part 1 and Part 2: Talazoparib (Ovarian/ Peritoneal Cancer)26.915.7 – 35.1
Part 1 and Part 2: Talazoparib (Pancreatic Cancer)NA21.6 – NA
Part 2: Talazoparib (SCLC Cancer)13.612.0 – 15.3
Number of Participants With Stable Disease Primary · Baseline, until PD or death due to any cause (maximum duration: 1071 days for Part 1; 834 days for Part 2)

SD defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. PD defined as at least a 20% increase in sum of diameters of target lesions, reference to the smallest sum on study (this includes the baseline sum if that was the smallest on study).

GroupValue95% CI
Part 1 and Part 2: Talazoparib (Breast Cancer)7
Part 1 and Part 2: Talazoparib (Ovarian/ Peritoneal Cancer)10
Part 1 and Part 2: Talazoparib (Pancreatic Cancer)2
Part 1 and Part 2: Talazoparib (Ewing Cancer)4
Part 2: Talazoparib (SCLC Cancer)4
Part 1 and Part 2: Talazoparib (Prostate Cancer)1
Part 1: Maximum Tolerated Dose (MTD) Primary · Cycle 1 (Day 1 up to Day 42)

The MTD was defined as the highest dose at which no more than 1 of 6 participants experienced a Dose Limiting Toxicity (DLT). DLT defined as any of the following occurring during cycle 1 of part 1 of study, Hematologic toxicity: Any grade 4 or higher hematologic adverse event, Grade 3 thrombocytopenia associated with grade 2 or higher haemorrhage, Grade 3 thrombocytopenia or neutropenia that led to interruption of dosing for 5 or more days. Nonhematologic toxicity: grade 3 or higher laboratory AE which was asymptomatic and rapidly reversible adverse events (returned to baseline or to grade 1 o

GroupValue95% CI
Part 1: Talazoparib: All Participants1000
Part 1: Recommended Part 2 Dose of Talazoparib Primary · Baseline up to Cycle 50 (each cycle 28 days)

The Recommended dose of talazoparib for use in Part 2 was determined in Part 1 (dose escalation) on the basis of the totality of safety, pharmacokinetics (PK), pharmacodynamic and preliminary efficacy data observed in Cycles 1 and 2 and beyond.

GroupValue95% CI
Part 1: Talazoparib: All Participants1000
Part 1 and 2: Number of Participants With Treatment-Emergent Adverse Events and Serious Adverse Events Secondary · Part 1: Baseline up to 1071 days; Part 2: Baseline up to 834 days

An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An 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 were events between first dose of study drug and up to end of study (up to 1071 days for Part 1 and up to 834 days for Part 2) that were absent before treatment

AEs
GroupValue95% CI
Part 1: Talazoparib 25 mcg/Day2
Part 1: Talazoparib 50 mcg/Day3
Part 1: Talazoparib 100 mcg/Day2
Part 1: Talazoparib 200 mcg/Day3
Part 1: Talazoparib 400 mcg/Day3
Part 1: Talazoparib 600 mcg/Day6
Part 1: Talazoparib 900 mcg/Day6
Part 1: Talazoparib 1000 mcg/Day6
Part 1: Talazoparib 1100 mcg/Day6
Part 2: Talazoparib (Breast Cancer)12
Part 2: Talazoparib (Ovarian/ Peritoneal Cancer)11
Part 2: Talazoparib (Pancreatic Cancer)10
SAEs
GroupValue95% CI
Part 1: Talazoparib 25 mcg/Day1
Part 1: Talazoparib 50 mcg/Day2
Part 1: Talazoparib 100 mcg/Day2
Part 1: Talazoparib 200 mcg/Day3
Part 1: Talazoparib 400 mcg/Day0
Part 1: Talazoparib 600 mcg/Day2
Part 1: Talazoparib 900 mcg/Day3
Part 1: Talazoparib 1000 mcg/Day1
Part 1: Talazoparib 1100 mcg/Day3
Part 2: Talazoparib (Breast Cancer)2
Part 2: Talazoparib (Ovarian/ Peritoneal Cancer)5
Part 2: Talazoparib (Pancreatic Cancer)6
Part 1: Maximum Observed Plasma Concentration (Cmax) of Talazoparib Secondary · Cycle 1: 0.25, 0.5, 0.75, 1, 2, 3, 4, 5, 6, 8, 10, 24, 48, 72 and 96 hours postdose on Day 1 and Day 35
Cycle 1 Day 1
GroupValue95% CI
Part 1: Talazoparib 25 mcg/Day60.0± 15.9
Part 1: Talazoparib 50 mcg/Day79.7± 7.50
Part 1: Talazoparib 100 mcg/Day214± 50.9
Part 1: Talazoparib 200 mcg/Day788± 369
Part 1: Talazoparib 400 mcg/Day1830± 699
Part 1: Talazoparib 600 mcg/Day4100± 1400
Part 1: Talazoparib 900 mcg/Day6100± 3060
Part 1: Talazoparib 1000 mcg/Day10600± 4220
Part 1: Talazoparib 1100 mcg/Day13200± 3220
Cycle 1 Day 35
GroupValue95% CI
Part 1: Talazoparib 25 mcg/Day300± 78.8
Part 1: Talazoparib 50 mcg/Day615± 74.2
Part 1: Talazoparib 100 mcg/Day1880± 332
Part 1: Talazoparib 200 mcg/Day5620± 3530
Part 1: Talazoparib 400 mcg/Day6560± 1500
Part 1: Talazoparib 600 mcg/Day11300± 3230
Part 1: Talazoparib 900 mcg/Day15400± 1540
Part 1: Talazoparib 1000 mcg/Day21000± 7990
Part 1: Talazoparib 1100 mcg/Day23400± 4810
Part 2: Maximum Observed Plasma Concentration (Cmax) of Talazoparib Secondary · Cycle 1 and 2: Predose, 0.5, 1, 2, 3 and 4 hours postdose on Day 1
Cycle 1 Day 1
GroupValue95% CI
Part 2: Talazoparib 1000 mcg8480± 3890
Cycle 2 Day 1
GroupValue95% CI
Part 2: Talazoparib 1000 mcg17700± 5790
Part 1: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Talazoparib Secondary · Cycle 1: 0.25, 0.5, 0.75, 1, 2, 3, 4, 5, 6, 8, 10, 24, 48, 72 and 96 hours postdose on Day 1 and Day 35
Cycle 1 Day 1
GroupValue95% CI
Part 1: Talazoparib 25 mcg/Day7.921.95 – 9.95
Part 1: Talazoparib 50 mcg/Day1.000.800 – 1.02
Part 1: Talazoparib 100 mcg/Day1.021.00 – 3.98
Part 1: Talazoparib 200 mcg/Day1.031.00 – 2.32
Part 1: Talazoparib 400 mcg/Day2.030.750 – 2.95
Part 1: Talazoparib 600 mcg/Day0.8350.750 – 1.95
Part 1: Talazoparib 900 mcg/Day2.001.02 – 9.98
Part 1: Talazoparib 1000 mcg/Day1.030.730 – 2.07
Part 1: Talazoparib 1100 mcg/Day1.000.730 – 2.05
Cycle 1 Day 35
GroupValue95% CI
Part 1: Talazoparib 25 mcg/Day1.020.580 – 3.98
Part 1: Talazoparib 50 mcg/Day5.430.770 – 10.1
Part 1: Talazoparib 100 mcg/Day0.7850.750 – 0.820
Part 1: Talazoparib 200 mcg/Day1.971.00 – 3.02
Part 1: Talazoparib 400 mcg/Day0.9800.750 – 2.00
Part 1: Talazoparib 600 mcg/Day1.040.730 – 5.98
Part 1: Talazoparib 900 mcg/Day1.020.970 – 2.07
Part 1: Talazoparib 1000 mcg/Day1.020.750 – 2.00
Part 1: Talazoparib 1100 mcg/Day1.480.980 – 2.00
Part 2: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Talazoparib Secondary · Cycle 1 and 2: Predose, 0.5, 1, 2, 3 and 4 hours postdose on Day 1
Cycle 1 Day 1
GroupValue95% CI
Part 2: Talazoparib 1000 mcg1.000.500 – 4.07
Cycle 2 Day 1
GroupValue95% CI
Part 2: Talazoparib 1000 mcg1.070.500 – 6.05

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline up to end of study (maximum duration: 1071 days for Part 1; 834 days for Part 2). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part 1: Talazoparib 25 mcg/Day
Serious: 1/3 (33%)
Deaths:
Part 1: Talazoparib 50 mcg/Day
Serious: 2/3 (67%)
Deaths:
Part 1: Talazoparib 100 mcg/Day
Serious: 2/3 (67%)
Deaths:
Part 1: Talazoparib 200 mcg/Day
Serious: 3/3 (100%)
Deaths:
Part 1: Talazoparib 400 mcg/Day
Serious: 0/3 (0%)
Deaths:
Part 1: Talazoparib 600 mcg/Day
Serious: 2/6 (33%)
Deaths:
Part 1: Talazoparib 900 mcg/Day
Serious: 3/6 (50%)
Deaths:
Part 1: Talazoparib 1000 mcg/Day
Serious: 2/6 (33%)
Deaths:
Part 1: Talazoparib 1100 mcg/Day
Serious: 3/6 (50%)
Deaths:
Part 2: Talazoparib (Breast Cancer)
Serious: 2/12 (17%)
Deaths:
Part 2: Talazoparib (Ovarian/ Peritoneal Cancer)
Serious: 5/11 (45%)
Deaths:
Part 2: Talazoparib (Pancreatic Cancer)
Serious: 6/10 (60%)
Deaths:
Part 2: Talazoparib (Ewing Cancer)
Serious: 4/12 (33%)
Deaths:
Part 2: Talazoparib (SCLC Cancer)
Serious: 8/23 (35%)
Deaths:
Part 2: Talazoparib (Prostate Cancer)
Serious: 0/3 (0%)
Deaths:

Serious adverse events (48 terms)

ReactionSystemPart 1: Talazoparib 25 mcg…Part 1: Talazoparib 50 mcg…Part 1: Talazoparib 100 mc…Part 1: Talazoparib 200 mc…Part 1: Talazoparib 400 mc…Part 1: Talazoparib 600 mc…Part 1: Talazoparib 900 mc…Part 1: Talazoparib 1000 m…Part 1: Talazoparib 1100 m…Part 2: Talazoparib (Breas…Part 2: Talazoparib (Ovari…Part 2: Talazoparib (Pancr…Part 2: Talazoparib (Ewing…Part 2: Talazoparib (SCLC …Part 2: Talazoparib (Prost…
Intestinal obstructionGastrointestinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Device related infectionInfections and infestations
HyponatraemiaMetabolism and nutrition disorders
Small intestinal obstructionGastrointestinal disorders
AscitesGastrointestinal disorders
Abdominal painGastrointestinal disorders
DyspepsiaGastrointestinal disorders
NauseaGastrointestinal disorders
Rectal haemorrhageGastrointestinal disorders
BacteraemiaInfections and infestations
Community acquired infectionInfections and infestations
SepsisInfections and infestations
Invasive ductal breast carcinomaNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to central nervous systemNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute kidney injuryRenal and urinary disorders
HaematuriaRenal and urinary disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Pulmonary embolismRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
PyrexiaGeneral disorders
Bile duct obstructionHepatobiliary disorders
Anastomotic stenosisInjury, poisoning and procedural complications
Bone painMusculoskeletal and connective tissue disorders
NeuralgiaNervous system disorders
Other adverse events (305 terms — click to expand)

ReactionSystemPart 1: Talazoparib 25 mcg…Part 1: Talazoparib 50 mcg…Part 1: Talazoparib 100 mc…Part 1: Talazoparib 200 mc…Part 1: Talazoparib 400 mc…Part 1: Talazoparib 600 mc…Part 1: Talazoparib 900 mc…Part 1: Talazoparib 1000 m…Part 1: Talazoparib 1100 m…Part 2: Talazoparib (Breas…Part 2: Talazoparib (Ovari…Part 2: Talazoparib (Pancr…Part 2: Talazoparib (Ewing…Part 2: Talazoparib (SCLC …Part 2: Talazoparib (Prost…
FatigueGeneral disorders
NauseaGastrointestinal disorders
ThrombocytopeniaBlood and lymphatic system disorders
AnaemiaBlood and lymphatic system disorders
AlopeciaSkin and subcutaneous tissue disorders
ConstipationGastrointestinal disorders
VomitingGastrointestinal disorders
HeadacheNervous system disorders
InsomniaPsychiatric disorders
Abdominal painGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Oedema peripheralGeneral disorders
Decreased appetiteMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
ArthralgiaMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
DysgeusiaNervous system disorders
AnxietyPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
Dyspnoea exertionalRespiratory, thoracic and mediastinal disorders
WheezingRespiratory, thoracic and mediastinal disorders
Abdominal pain upperGastrointestinal disorders
DyspepsiaGastrointestinal disorders
Abdominal discomfortGastrointestinal disorders
Mucosal inflammationGeneral disorders
PyrexiaGeneral disorders
Feeling hotGeneral disorders
Urinary tract infectionInfections and infestations
Viral upper respiratory tract infectionInfections and infestations
Muscle spasmsMusculoskeletal and connective tissue disorders
Neck painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
NeutropeniaBlood and lymphatic system disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
Dry skinSkin and subcutaneous tissue disorders
Vision blurredEye disorders
Abdominal distensionGastrointestinal disorders
FlatulenceGastrointestinal disorders
StomatitisGastrointestinal disorders

Most-reported serious reactions: Intestinal obstruction, Dyspnoea, Device related infection, Hyponatraemia, Small intestinal obstruction, Ascites, Abdominal pain, Dyspepsia.

Data from ClinicalTrials.gov NCT01286987 adverse events section.

Sponsor's own description

This is a single-arm, open-label study to assess the safety, pharmacokinetics, pharmacodynamics, and preliminary efficacy of talazoparib in patients with advanced tumors with DNA-repair pathway deficiencies. There will be 2 parts to the study: a dose escalation phase in which the maximum tolerated dose will be defined, and a dose expansion phase.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Talazoparib in Patients with Advanced Breast Cancer and a Germline BRCA Mutation.
    Litton JK, Rugo HS, Ettl J, Hurvitz SA, et al · · 2018 · cited 1572× · PMID 30110579 · DOI 10.1056/nejmoa1802905
  2. Regulated cell death (RCD) in cancer: key pathways and targeted therapies.
    Peng F, Liao M, Qin R, Zhu S, et al · · 2022 · cited 586× · PMID 35963853 · DOI 10.1038/s41392-022-01110-y
  3. Small cell lung cancer: where do we go from here?
    Byers LA, Rudin CM. · · 2015 · cited 486× · PMID 25336398 · DOI 10.1002/cncr.29098
  4. Advancements in clinical aspects of targeted therapy and immunotherapy in breast cancer.
    Ye F, Dewanjee S, Li Y, Jha NK, et al · · 2023 · cited 361× · PMID 37415164 · DOI 10.1186/s12943-023-01805-y
  5. Phase I, Dose-Escalation, Two-Part Trial of the PARP Inhibitor Talazoparib in Patients with Advanced Germline <i>BRCA1/2</i> Mutations and Selected Sporadic Cancers.
    de Bono J, Ramanathan RK, Mina L, Chugh R, et al · · 2017 · cited 333× · PMID 28242752 · DOI 10.1158/2159-8290.cd-16-1250
  6. DNA Repair Pathways in Cancer Therapy and Resistance.
    Li LY, Guan YD, Chen XS, Yang JM, et al · · 2020 · cited 254× · PMID 33628188 · DOI 10.3389/fphar.2020.629266
  7. Targeting DNA damage response in cancer therapy.
    Hosoya N, Miyagawa K. · · 2014 · cited 232× · PMID 24484288 · DOI 10.1111/cas.12366
  8. Mitochondria-associated programmed cell death as a therapeutic target for age-related disease.
    Nguyen TT, Wei S, Nguyen TH, Jo Y, et al · · 2023 · cited 221× · PMID 37612409 · DOI 10.1038/s12276-023-01046-5

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