The goal of this study was to determine the effect on overall survival and progression free survival by adding iniparib (BSI-201/SAR240550) to the combination of gemcitabine/carboplatin in adult patients with triple negative breast cancer (estrogen receptor (ER)-negative, progesterone receptor (PR)-negative, and human epidermal growth factor receptor 2 (HER2)-negative). Based on data generated by BiPar/Sanofi, it is concluded that iniparib does not possess characteristics typical of the poly (ADP-ribose) polymerase (PARP) inhibitor class. The exact mechanism has not yet been fully elucidated, however based on experiments on tumor cells performed in the laboratory, iniparib is a novel investigational anti-cancer agent that induces gamma-H2AX (a marker of DNA damage) in tumor cell lines, induces cell cycle arrest in the G2/M phase in tumor cell lines, and potentiates the cell cycle effects of DNA damaging modalities in tumor cell lines. Investigations into potential targets of iniparib and its metabolites are ongoing.
Participants were treated for 21-day cycles until disease progression, unacceptable toxicity, or consent withdrawal. After treatment discontinuation, participants were followed until end of study or death or receipt of new anticancer therapy, whichever was first.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
519
Gemcitabine 1000 mg/m2 intravenous infusion (30 ± 10 minutes) Carboplatin AUC 2 intravenous infusion (30 ± 10 minutes or 60 ± 10 minutes)
Body weight adjusted dose intravenous infusion (60 ± 10 minutes)
Research Site
Birmingham, Alabama, United States
Research Site
Sedona, Arizona, United States
Research Site
Jonesboro, Arkansas, United States
Research Site
Alhambra, California, United States
Research Site
Bakersfield, California, United States
Research Site
progression free survival
Progression free survival was defined as the time interval from the date of randomization to the date of first disease progression (as assessed by Independent Radiologic Review (IRR) based on Response Evaluation Criteria in Solid Tumor (RECIST) criteria), or the date of death due to any cause, whichever occurred first. In the absence disease progression or death, the participant was censored at the date of the last valid tumor assessment performed before the cut-off date.
Time frame: until cut-off date established from deaths rate
Overall survival
Overall survival was defined as the time interval from the date of randomization to the date of death due to any cause. In the absence of confirmation of death, participant was censored at the last date he/she was known to be alive, or at the cut-off date, whichever was earlier.
Time frame: until cut-off date established from deaths rate
Best overall response
Best overall response was defined as the best evaluation observed through the entire treatment period as assessed by Independent Radiologic Review \[IRR\] based on Response Evaluation Criteria in Solid Tumor (RECIST) criteria.
Time frame: until treatment discontinuation (assessment at the end of cycle 2 then every other cycle)
Objective response rate
Objective response rate was defined as the percentage of patients with IRR confirmed partial response or complete response prior to disease progression or treatment discontinuation.
Time frame: until treatment discontinuation (assessment at the end of cycle 2 then every other cycle)
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Campbell, California, United States
Research Site
Fullerton, California, United States
Research Site
Lancaster, California, United States
Research Site
Long Beach, California, United States
Research Site
Los Angeles, California, United States
...and 92 more locations