Scientists hunt for biomarkers of PARP inhibitor resistance in BRCA breast cancer
NCT ID NCT05378204
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study is collecting tumor and blood samples from 120 people with advanced, HER2-negative breast cancer who have a BRCA1/2 mutation. Researchers want to see if certain DNA repair proteins (POLQ, Shieldin complex, 53BP1) can predict whether a tumor will resist PARP inhibitor drugs like olaparib or talazoparib. The goal is to better understand resistance and potentially guide future treatment decisions.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could help doctors identify which patients are likely to resist PARP inhibitors, allowing more personalized treatment choices.
- What could go wrong
- This is an observational biomarker study, not a treatment trial. It may not lead to immediate clinical changes, and results may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2022
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
MAIN STUDY INCLUSION CRITERIA: 1. Women (or men) aged ≥ 18 years with histologically proven breast cancer 2. Metastatic relapse or locally advanced breast cancer 3. No-HER2 overexpression or amplification 4. Triple-negative (defines as ER\<1%, PR\<1% and HER2-negative as per ASCO CAP guidelines) or hormone receptor positive (defines as ER and/or PR ≥ 1%) breast cancer 5. Patients with metastases that can be biopsied except bone metastases. At baseline, if patients already have an archived biopsy from a secondary or a primary site (if stage IV) of their current disease, this material can be used for the study, provided that, it was collected within 3 months prior enrollment and a frozen and a FFPE sample are both available for research 6. ECOG Performance Status ≤ 2 7. Patients must have measurable or evaluable disease according to RECIST v1.1 8. Patient with deleterious germline BRCA 1 and/or 2 mutation, eligible for PARP inhibitor therapy (olaparib or talazoparib), according each investigator 9. Any number of prior lines therapy are allowed 10. Current treatment with PARP inhibitor not yet started 11. Women should be post-menopaused or willing to accept the use of an effective contraceptive regimen during the treatment period by PARP inhibitor 12. Patient able to participate and willing to give informed consent prior performance of any study-related procedures and to comply with the study protocol 13. Patient affiliated to a Social Health Insurance in France NON-INCLUSION CRITERIA: 1. Abnormal coagulation contraindicating biopsy 2. Bone metastases when this is the only site of biopsiable disease 3. Patients with all target in a previously irradiated region, except if clear progression has been observed prior to study in at least one of them 4. Patients with known additional malignancy that is progressing or requires active treatment. Exceptions include basal cell carcinoma of the skin or squamous cell carcinoma of the skin that has undergone potentially curative therapy or in situ cervical cancer 5. Patients with known untreated CNS metastases and/or carcinomatous meningitis 6. Patients with a known history of Human Immunodeficiency Virus (HIV) 7. Patients with known active Hepatitis B or C 8. Patients should not be on any other anti-cancer therapy (chemotherapy, endocrine therapy, immunotherapy, tailored therapy or alternative investigational therapy) 9. Patient pregnant, or breast-feeding 10. Any psychological, familial, geographic or social situation, according to the judgment of investigator, potentially preventing the provision of informed consent or compliance to study procedure 11. Patient who has forfeited his/her freedom by administrative or legal award or who is under legal protection (curatorship and guardianship, protection of justice) SUB-STUDY INCLUSION CRITERIA: 1. Women (or men) aged ≥ 18 years with histologically proven breast cancer 2. Metastatic relapse or locally advanced breast cancer 3. No-HER2 overexpression or amplification 4. Triple-negative (defines as ER\<1%, PR\<1% and HER2-negative as per ASCO CAP guidelines) or hormone receptor positive (defines as ER and or PR ≥ 1%) breast cancer 5. Patients with metastases that can be biopsied except bone metastases 6. ECOG Performance Status ≤ 2 7. Patients, with deleterious germline BRCA 1 and/or 2, in progression under PARPi alone (talazoparib or olaparib) 8. Patient able to participate and willing to give informed consent prior performance of any study-related procedures and to comply with the study protocol 9. Patient affiliated to a Social Health Insurance in France NON-INCLUSION CRITERIA: 1. Abnormal coagulation contraindicating biopsy 2. Bone metastases when this is the only site of biopsiable disease 3. Patient pregnant, or breast-feeding 4. Patients with a known history of Human Immunodeficiency Virus (HIV) 5. Patients with known active Hepatitis B or C 6. Any psychological, familial, geographic or social situation, according to the judgment of investigator, potentially preventing the provision of informed consent or compliance to study procedure 7. Patients already participating in the main REPARP study 8. Patient who has forfeited his/her freedom by administrative or legal award or who is under legal protection (curatorship and guardianship, protection of justice)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
22 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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CENTRE ARMORICAIN DE RADIOTHERAPIE, IMAGERIE MEDICALE ET ONCOLOGIE - Hôpital privé des Côtes d'Armor
NOT_YET_RECRUITINGPlérin, France
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CHU de LIMOGES
RECRUITINGLimoges, France
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CHU de Nimes
RECRUITINGNîmes, France
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Centre Eugene Marquis
WITHDRAWNRennes, France
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Centre Francois Baclesse
RECRUITINGCaen, France
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Centre Georges Francois Leclerc
WITHDRAWNDijon, France
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Centre Hospitalier Départemental Vendée
RECRUITINGLa Roche-sur-Yon, France
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Centre Jean Perrin
RECRUITINGClermont-Ferrand, France
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Centre Leon Berard
RECRUITINGLyon, France
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Centre Oscar Lambret
RECRUITINGLille, France
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Centre de Cancerologie Du Grand Montpellier
RECRUITINGMontpellier, France
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Chru de Tours
RECRUITINGTours, France
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Chu Saint Etienne
RECRUITINGSaint-Etienne, France
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Chu de Poitiers
RECRUITINGPoitiers, France
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Hopital Pitie Salpetriere
RECRUITINGParis, France
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Hopital Saint Louis
RECRUITINGParis, France
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Hopital Tenon
RECRUITINGParis, France
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INSTITUT CURIE - Site de Paris
WITHDRAWNParis, France
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INSTITUT DE CANCEROLOGIE DE L'OUEST St-Herblain
RECRUITINGSaint-Herblain, France
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IUCT-O
RECRUITINGToulouse, France
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Institut Bergonie
RECRUITINGBordeaux, France
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Institut Gustave Roussy
RECRUITINGVillejuif, France
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Institut Paoli Calmettes
RECRUITINGMarseille, France
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Institut Regional Du Cancer de Montpellier
RECRUITINGMontpellier, France
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Institut de Cancerologie de Lorraine
RECRUITINGVandœuvre-lès-Nancy, France
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