Outcomes in Clinically Relevant Patient Subgroups From the EMBRACA Study: Talazoparib vs Physician's Choice Standard-of-Care Chemotherapy
October 2019
in “
JNCI Cancer Spectrum
”
TLDR Talazoparib is more effective than standard chemotherapy for advanced breast cancer with BRCA mutations.
The EMBRACA study was a phase III trial that compared talazoparib, a PARP inhibitor, with physician's choice chemotherapy (PCT) in 431 patients with advanced breast cancer and BRCA1/2 mutations. Talazoparib significantly improved progression-free survival and objective response rates across all patient subgroups compared to PCT, with hazard ratios of 0.47 for HR+/HER2− and 0.60 for TNBC subgroups. It also showed better patient-reported outcomes and delayed deterioration. Common adverse events included anemia and fatigue for talazoparib, and neutropenia and fatigue for PCT. Alopecia was observed in 2.4% of patients as grade II and 22.7% as grade I with talazoparib. Overall, talazoparib demonstrated clinically significant superiority in outcomes compared to PCT for patients with gBRCA-mutated advanced breast cancer.