Evidence map›Paper›PMID 40906325›Full record

Trial reportInvestigational new drugs2025

A phase 1b/2 study of intermittent talazoparib plus temozolomide in patients with metastatic castration-resistant prostate cancer and no mutations in DNA damage response genes.

Karen A Autio, Christos E Kyriakopoulos, Paul Palyca, Han Xiao, Hamid Emamekhoo, Daniel Danila, Mehrin Jan, Victoria Catharine, Elyn Riedel, Michael Devitt and 2 more

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Investigational new drugs, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04019327 (A Phase Ib/II Study of Intermittent Talazoparib Plus Temozolomide in Patients With Metastatic Castration Resistant Prostate Cancer and No Mutations in DNA Damage Repair), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT04019327 phase1 / phase2terminatednot on this map

A Phase Ib/II Study of Intermittent Talazoparib Plus Temozolomide in Patients With Metastatic Castration Resistant Prostate Cancer and No Mutations in DNA Damage Repair

TypeinterventionalSponsorMemorial Sloan Kettering Cancer CenterRan2019 to 2025Enrolled16ConditionsProstate Cancer, Prostate Adenocarcinoma, Prostate Neoplasm, Prostate Cancer MetastaticArmsTalazoparib, Temozolomide
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Genitourinary cancers updates: highlights from ASCO 2023.Journal of hematology & oncology · 2023
    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

12 authors.

Karen A AutioDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA. autiok@mskcc.org.ORCID 0000-0003-0720-0390
Christos E KyriakopoulosDepartment of Medicine, University of Wisconsin Carbone Cancer Center, Madison, WI, USA.
Paul PalycaLehigh Valley Health Network, Allentown, PA, USA.
Han XiaoMemorial Sloan Kettering Cancer Center, Basking Ridge, NJ, USA.
Hamid EmamekhooDepartment of Medicine, University of Wisconsin Carbone Cancer Center, Madison, WI, USA.
Daniel DanilaDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Mehrin JanDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Victoria CatharineProstate Cancer Clinical Trials Consortium, New York, NY, USA.
Elyn RiedelDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Michael DevittUniversity of Virginia Cancer Center, Charlottesville, VA, USA.
A Douglas LairdPfizer, San Francisco, CA, USA.
Howard I ScherDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

As monotherapy, PARP inhibitors have little cytotoxic effect in tumors without homologous recombinant repair (HRR) alterations. Supported by preclinical models, we hypothesized that the PARP inhibitor talazoparib in combination with temozolomide chemotherapy could induce DNA damage leading to cell death and tumor response in patients with metastatic castration-resistant prostate cancer (mCRPC) without HRR alterations. In this phase 1b/2 trial (NCT04019327; registration date July 11, 2019), patients with progressive mCRPC without HRR mutations who failed at least one androgen receptor signaling inhibitor were enrolled in escalating doses of intermittent talazoparib plus temozolomide to determine the maximum tolerated dose and recommended phase 2 dose (RP2D) in Phase 1b. Phase 2 used a composite endpoint of overall response per RECIST v1.1, 50% decline in prostate-specific antigen (PSA), and/or circulating tumor cells (CTC) conversion from ≥ 1 cell/7.5 mL to 0. Sixteen patients were enrolled across 4 dose levels. The most common adverse events were thrombocytopenia, neutropenia, anemia, fatigue, and nausea. In phase 1b, one patient receiving talazoparib 1 mg and temozolomide 75 mg/m

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsPhthalazinesPoly(ADP-ribose) Polymerase InhibitorsProstatic Neoplasms, Castration-ResistantTemozolomideAgedDNA DamageHumansMaleMaximum Tolerated DoseMiddle AgedMutationPhthalazinesPoly(ADP-ribose) Polymerase InhibitorstalazoparibTemozolomideChemotherapyPARP inhibitorProstate cancerTalazoparib

Identifiers

PMID40906325
PMCPMC12515242

What OpenQuestion holds

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Registered trials

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.