Evidence map›Paper›PMID 32379297›Full record

ReviewBiochemical Society transactions2020

Systems approach to rational combination therapy: PARP inhibitors.

Chaoyang Sun, Yong Fang, Marilyne Labrie, Xi Li, Gordon B Mills

8 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in Biochemical Society transactions, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 8 registered trials, which are not on this map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.3field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02208375 phase1active not recruitingnot on this map

A Phase Ib Study of the Oral PARP Inhibitor Olaparib With the Oral mTORC1/2 Inhibitor AZD2014 or the Oral AKT Inhibitor AZD5363 for Recurrent Endometrial, Triple Negative Breast, and Ovarian, Primary Peritoneal, or Fallopian Tube Cancer

TypeinterventionalSponsorM.D. Anderson Cancer CenterRan2014 to 2028Enrolled159ConditionsBRCA1 Mutation Carrier, BRCA2 Mutation Carrier, Endometrial Adenocarcinoma, Estrogen Receptor NegativeArmsCapivasertib, Laboratory Biomarker Analysis, Olaparib, Pharmacological Study, Vistusertib
NCT02316834 early_phase1completednot on this map

POSITION: A Pilot Study of Induction PARP Inhibition in Ovarian Cancer

TypeinterventionalSponsorM.D. Anderson Cancer CenterRan2015 to 2022Enrolled4ConditionsFallopian Tube Serous Adenocarcinoma, High Grade Ovarian Serous Adenocarcinoma, Ovarian Mass, Primary Peritoneal Serous AdenocarcinomaArmsLaboratory Biomarker Analysis, BMN 673
NCT02659241 early_phase1active not recruitingnot on this map

A Pilot Study of Wee1 Inhibition Induction Prior to Tumor Reductive Surgery in Ovarian Cancer

TypeinterventionalSponsorM.D. Anderson Cancer CenterRan2016 to 2026Enrolled38ConditionsAdvanced Fallopian Tube Carcinoma, Advanced Ovarian Carcinoma, Advanced Primary Peritoneal Carcinoma, CarcinomatosisArmsAdavosertib, Laboratory Biomarker Analysis
NCT03162627 phase1active not recruitingnot on this map

Evaluation of the Combination of Selumetinib and Olaparib in Endometrial, Ovarian and Other Solid Tumors With Ras Pathway Alterations, and Ovarian Tumors With PARP Resistance

TypeinterventionalSponsorM.D. Anderson Cancer CenterRan2017 to 2026Enrolled90ConditionsMalignant Neoplasm of Breast, Malignant Neoplasms of Digestive Organs, Malignant Neoplasms of Female Genital Organs, Malignant Neoplasms of Male Genital OrgansArmsSelumetinib, Olaparib
NCT03544125 phase1completednot on this map

A Pilot Study of Olaparib and Durvalumab in Patients With Metastatic Triple Negative Breast Cancer

TypeinterventionalSponsorOHSU Knight Cancer InstituteRan2018 to 2020Enrolled3ConditionsAnatomic Stage IV Breast Cancer AJCC v8, Estrogen Receptor Negative, HER2/Neu Negative, Progesterone Receptor NegativeArmsDurvalumab, Olaparib
NCT03586661 phase1completednot on this map

A Phase Ib Study of the Oral PARP Inhibitor Niraparib With the Intravenous PI3K Inhibitor Copanlisib for Recurrent Endometrial and Recurrent Ovarian, Primary Peritoneal, or Fallopian Tube Cancer

TypeinterventionalSponsorM.D. Anderson Cancer CenterRan2019 to 2026Enrolled31ConditionsDeleterious BRCA1 Gene Mutation, Deleterious BRCA2 Gene Mutation, Endometrial Adenocarcinoma, High Grade Ovarian Serous AdenocarcinomaArmsCopanlisib, Niraparib
NCT03637491 phase1 / phase2terminatednot on this map

A phase 1b/2 study to evaluate safety and clinical activity of combinations of avelumab, binimetinib and talazoparib in patients with locally advanced or metastatic ras-mutant solid tumors

TypeinterventionalSponsorPfizerRan2018 to 2021Enrolled36ConditionsPancreatic CancerArmsAvelumab, Binimetinib, Talazoparib
NCT03801369 phase2terminatednot on this map

A Phase II, Open-Label, Study of Olaparib in Combination With Either Durvalumab (MEDI4736), Selumetinib or Capivasertib, or Ceralasertib Monotherapy in Patients With Metastatic Triple-Negative Breast Cancer

TypeinterventionalSponsorGordon Mills, MD, PhDRan2018 to 2024Enrolled24ConditionsAnatomic Stage IV Breast Cancer AJCC v8, Metastatic Triple-Negative Breast CarcinomaArmsBiopsy, Capivasertib, Ceralasertib, Durvalumab, Olaparib
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 36 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Advances in Systemic Therapy for Ovarian Cancer Over the Past Decade: A Clinical and Molecular Perspective.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. The Breast Cancer Proteome and Precision Oncology.Cold Spring Harbor perspectives in medicine · 2023
    Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Chaoyang SunDepartment of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Yong FangDepartment of Cell, Development and Cancer Biology, Knight Cancer Institute, Oregon Health and Sciences University, Portland, OR 97201, U.S.A.
Marilyne LabrieDepartment of Cell, Development and Cancer Biology, Knight Cancer Institute, Oregon Health and Sciences University, Portland, OR 97201, U.S.A.
Xi LiDepartment of Cell, Development and Cancer Biology, Knight Cancer Institute, Oregon Health and Sciences University, Portland, OR 97201, U.S.A.
Gordon B MillsDepartment of Cell, Development and Cancer Biology, Knight Cancer Institute, Oregon Health and Sciences University, Portland, OR 97201, U.S.A.
Oregon Health & Science University · USTongji Hospital · CN

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
U.T. M. D. Anderson Cancer Center SPORE in Ovarian CancerP50CA217685 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI SOOD, ANIL K · 2017 to 2021
$7.9M
Integrative bioinformatics and functional characterization of oncogenic driver aberrations in cancerU01CA217842 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DENEEN, BENJAMIN, MILLS, GORDON B. · 2017 to 2021
$3.6M
Functional Proteomics by Reverse Phase Protein Array in CancerR50CA221675 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI LU, YILING · 2017 to 2021
$726k
Tissue Lysate Arrays for Molecular Screening (RMI)R03NS050840 · NINDS · UNIVERSITY OF TEXAS MD ANDERSON CAN CTR · PI LU, YILING · 2004 to 2004
$76k
NCI NIH HHS P30 CA016672NCI NIH HHS P50 CA217685NCI NIH HHS R50 CA221675NCI NIH HHS U01 CA217842NINDS NIH HHS R03 NS050840
6 · The paper itself

Abstract

Poly (ADP-ribose) polymerase inhibitors (PARPi) have demonstrated activity across a broad spectrum of molecular backgrounds and tumor types, with the greatest activity observed in patients with aberrations in the homologous recombination DNA damage repair pathway. Despite remarkable responses in a subset of patients, the response is usually modest and transient due to the almost inevitable emergence of resistance. Tumors develop resistance through rapid adaptation to the effects of PARPi as well as by generation or selection of genomic aberration. Although adaptive responses results in drug resistance, it also induces therapeutic vulnerabilities that could be exploited with rational combination therapies. To fulfill this role, we established the combinatorial adaptive response therapy (CART) platform by performing reverse-phase protein arrays to characterize adaptive responses, and develop rational combination therapies. Our series of studies strongly support the efficacy of this strategy, wherein targeting the emerging adaptive responses to PARPi with MEK/ERK inhibitors, WEE1/ATR inhibition (inhibitors of S-phase and G2 DNA damage checkpoint), and PI3K/AKT/mTOR inhibition, and showed promising anti-tumor activity in various preclinical models. Importantly, this approach has been proven highly efficient, and several combinational therapies developed from the CART platform are being evaluated in ongoing clinical trials (NCT03801369, NCT03586661, NCT03162627, NCT03544125, NCT02659241, NCT02208375, NCT02316834, and NCT03637491).

Indexed as

AnimalsCell Cycle ProteinsCell Line, TumorClinical Trials as TopicDNA DamageDNA RepairDrug Resistance, NeoplasmEnzyme InhibitorsG2 PhaseHumansMiceNeoplasmsPhosphatidylinositol 3-KinasesPoly(ADP-ribose) Polymerase InhibitorsPoly(ADP-ribose) PolymerasesProtein-Tyrosine KinasesCell Cycle ProteinsEnzyme InhibitorsPhosphatidylinositol 3-KinasesPoly(ADP-ribose) Polymerase InhibitorsPoly(ADP-ribose) PolymerasesProtein-Tyrosine KinasesWEE1 protein, humanadaptive responsecombination therapyPARP inhibitorRPPA

Identifiers

PMID32379297
PMCPMC7329579
OpenAlexW3020926755

What OpenQuestion holds

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Registered trials

and 2 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.