A Phase III Trial of Niraparib Versus Physician's Choice in HER2 Negative, Germline BRCA Mutation-positive Breast Cancer Patients (BRAVO)
Neoplasms, Breast, Carcinoma of Breast, Human Epidermal Growth Factor 2 Negative Carcinoma of Breast
About this trial
This is an interventional treatment trial for Neoplasms, Breast focused on measuring Human Epidermal Growth Factor 2 Negative Carcinoma of Breast, BRCA1 Gene Mutation, BRCA2 Gene Mutation, PARP Inhibitor, BRCA
Eligibility Criteria
Inclusion Criteria:
- Germline BRCA1 or BRCA2 mutation; patients with unknown BRCA status who meet NCCN BRCA screening criteria will be screened for BRCA mutation.
- Histologically or cytologically confirmed HER2-negative metastatic or locally advanced disease that is not amenable to resection or radiation with curative intent.
- Up to 2 prior cytotoxic regimens for advanced or metastatic breast cancer; patients with no prior cytotoxic regimens for advanced or metastatic disease will only be allowed if they relapsed during or within 12 months of (neo-) adjuvant cytotoxic therapy.
Prior therapy should have included a taxane and/or anthracycline (unless contraindication to those) in the neoadjuvant, adjuvant, or advanced/metastatic setting.
a. Hormone receptor positive patients must also have hormone resistant disease; either relapsed while on adjuvant endocrine treatment, or within one year of completing adjuvant endocrine treatment, or progression on at least one line of endocrine treatment for advanced cancer.
- ECOG performance status 0-2
- Adequate bone marrow, kidney and liver function
Exclusion Criteria:
- Patients with platinum resistant cancer
- Symptomatic uncontrolled brain metastases
- Prior diagnosis of Stage IV ovarian cancer; Stage III ovarian cancer must have a 5-year disease-free interval; Stage II ovarian cancer must have a 2-year disease-free interval
- Known hypersensitivity to the components of niraparib
- Invasive cancer other than breast cancer within 2 years (except basal or squamous cell carcinoma of the skin that has been definitely treated)
- Pregnant or breast feeding patients
- Immunocompromised patients
- Known active Hepatitis B or C
- Prior treatment with a PARP inhibitor
- Known history of myelodysplastic syndrome (MDS).
- known and persistent (>4 weeks) >/= grade 3 toxicity or fatigue from prior cancer treatment.
Sites / Locations
- GSK Investigational Site
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Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Physician's choice
niraparib
Physician may select from 4 active comparators
Patients will be randomized 2:1 to receive niraparib 300 mg (3x100 mg capsules) once daily for 21 continuous days