Evidence map›Paper›PMID 32471999›Full record

Trial reportNature communications2020

Homologous recombination DNA repair deficiency and PARP inhibition activity in primary triple negative breast cancer.

Neha Chopra, Holly Tovey, Alex Pearson, Ros Cutts, Christy Toms, Paula Proszek, Michael Hubank, Mitch Dowsett, Andrew Dodson, Frances Daley and 12 more

Open access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 160 papers.

0numbers the graph read from it
0cells of the map it votes in
160citing papers in PubMed
15.0field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

160 citing papers in PubMed, 255 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Genome stability disrupted by the circRBM39(4,5,6)-RPA2 axis represses breast tumorigenesis.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  5. Review
  6. HRDetect in Tubo-ovarian Carcinoma: Stratification and Therapeutic Implications.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. The Prognostic and Predictive Impact of ctDNA Levels in Patients with Advanced Breast Cancer Enrolled on the plasmaMATCH Trial.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  17. Mutational signatures in hematological malignancies.Einstein (Sao Paulo, Brazil) · 2026
    Review
  18. Review
  19. Review
  20. Article

100 more citing papers are in PubMed but not listed here.

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

22 authors at 9 institutions in 1 country.

Neha ChopraBreast Cancer Now Toby Robins Research Centre, The Institute of Cancer Research, London, CB2 0XZ, United Kingdom.
Holly ToveyClinical Trials and Statistics Unit, The Institute of Cancer Research, London, United Kingdom.
Alex PearsonBreast Cancer Now Toby Robins Research Centre, The Institute of Cancer Research, London, CB2 0XZ, United Kingdom.ORCID http://orcid.org/0000-0002-5854-193X
Ros CuttsBreast Cancer Now Toby Robins Research Centre, The Institute of Cancer Research, London, CB2 0XZ, United Kingdom.
Christy TomsClinical Trials and Statistics Unit, The Institute of Cancer Research, London, United Kingdom.
Paula ProszekThe Centre for Molecular Pathology, The Royal Marsden Hospital, 15 Cotswold Road, Sutton, SM2 5NG, Surrey, United Kingdom.
Michael HubankThe Centre for Molecular Pathology, The Royal Marsden Hospital, 15 Cotswold Road, Sutton, SM2 5NG, Surrey, United Kingdom.
Mitch DowsettBreast Cancer Now Toby Robins Research Centre, The Institute of Cancer Research, London, CB2 0XZ, United Kingdom.
Andrew DodsonRalph Lauren Centre for Breast Cancer Research, Royal Marsden Hospital, London, United Kingdom.
Frances DaleyBreast Cancer Now Toby Robins Research Centre, The Institute of Cancer Research, London, CB2 0XZ, United Kingdom.
Divya KriplaniBreast Cancer Now Toby Robins Research Centre, The Institute of Cancer Research, London, CB2 0XZ, United Kingdom.
Heidi GevenslebenBreast Cancer Now Toby Robins Research Centre, The Institute of Cancer Research, London, CB2 0XZ, United Kingdom.
Helen Ruth DaviesDepartment of Medical Genetics, The Clinical School, Box 238, Level 6 Addenbrooke's Treatment Centre, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, United Kingdom.
Andrea DegasperiDepartment of Medical Genetics, The Clinical School, Box 238, Level 6 Addenbrooke's Treatment Centre, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, United Kingdom.ORCID http://orcid.org/0000-0001-6879-0596
Rebecca RoylanceUniversity College London Hospitals NHS Foundation Trust, NIHR University College London Hospitals Biomedical Research Centre, London, United Kingdom.
Stephen ChanNottingham University Hospital Trust (City Campus), Nottingham, United Kingdom.
Andrew TuttBreast Cancer Now Toby Robins Research Centre, The Institute of Cancer Research, London, CB2 0XZ, United Kingdom.
Anthony SkeneRoyal Bournemouth Hospital, Bournemouth, United Kingdom.
Abigail EvansPoole Hospital NHS Foundation Trust, Poole, United Kingdom.
Judith M BlissClinical Trials and Statistics Unit, The Institute of Cancer Research, London, United Kingdom.
Serena Nik-ZainalDepartment of Medical Genetics, The Clinical School, Box 238, Level 6 Addenbrooke's Treatment Centre, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, United Kingdom.ORCID http://orcid.org/0000-0001-5054-1727
Nicholas C TurnerBreast Cancer Now Toby Robins Research Centre, The Institute of Cancer Research, London, CB2 0XZ, United Kingdom. nick.turner@icr.ac.uk.
Institute of Cancer Research · GBRoyal Marsden NHS Foundation Trust · GBUniversity of Cambridge · GBBreast Cancer Now · GBGuy's Hospital · GBNottingham University Hospitals NHS Trust · GBPoole Hospital NHS Foundation Trust · GBRoyal Bournemouth Hospital · GBUCL Biomedical Research Centre · GB

Funding

Cancer Research UK 22932Cancer Research UK 23433Cancer Research UK 23916Cancer Research UK 27815Cancer Research UK A15777Cancer Research UK A23433Cancer Research UK A23916Cancer Research UK C38317/A24043Wellcome Trust 100183
6 · The paper itself

Abstract

Triple negative breast cancer (TNBC) encompasses molecularly different subgroups, with a subgroup harboring evidence of defective homologous recombination (HR) DNA repair. Here, within a phase 2 window clinical trial, RIO trial (EudraCT 2014-003319-12), we investigate the activity of PARP inhibitors in 43 patients with untreated TNBC. The primary end point, decreased Ki67, occured in 12% of TNBC. In secondary end point analyses, HR deficiency was identified in 69% of TNBC with the mutational-signature-based HRDetect assay. Cancers with HRDetect mutational signatures of HR deficiency had a functional defect in HR, assessed by impaired RAD51 foci formation on end of treatment biopsy. Following rucaparib treatment there was no association of Ki67 change with HR deficiency. In contrast, early circulating tumor DNA dynamics identified activity of rucaparib, with end of treatment ctDNA levels suppressed by rucaparib in mutation-signature HR-deficient cancers. In ad hoc analysis, rucaparib induced expression of interferon response genes in HR-deficient cancers. The majority of TNBCs have a defect in DNA repair, identifiable by mutational signature analysis, that may be targetable with PARP inhibitors.

Indexed as

AdultAgedBRCA1 ProteinBRCA2 ProteinCirculating Tumor DNAFemaleHumansIndolesMiddle AgedPoly (ADP-Ribose) Polymerase-1Poly(ADP-ribose) Polymerase InhibitorsRad51 RecombinaseRecombinational DNA RepairTriple Negative Breast NeoplasmsWhole Genome SequencingBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humanCirculating Tumor DNAIndolesPARP1 protein, humanPoly (ADP-Ribose) Polymerase-1Poly(ADP-ribose) Polymerase InhibitorsRAD51 protein, humanRad51 Recombinaserucaparib

Identifiers

PMID32471999
PMCPMC7260192
OpenAlexW3030957531

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.