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Clinical Use of PARP Inhibitors in BRCA Mutant and Non-BRCA Mutant Breast Cancer
Abstract
The use of poly(ADP-ribose) polymerase (PARP) inhibitors for the treatment of patients with germline BRCA mutations (gBRCAm) and breast cancer, both in the early and advanced settings, is a success of genomically-directed treatment. These agents have been shown to be associated with longer progression-free survival when compared to standard chemotherapy, with an acceptable toxicity profile. A recent randomized trial demonstrated improved survival with the use of olaparib for 2 years compared to placebo in patients with early-stage high risk gBRCAm associated breast cancer. Ongoing research efforts are focused on identifying patients beyond those with BRCA1/2 or PALB2 mutations who may benefit from PARP inhibitors, exploring the overlapping mechanisms of resistance between platinum and PARP inhibitors and developing agents with less toxicity that will allow combinational strategies.
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Adjuvant Olaparib for Patients with BRCA1 - or BRCA2 -Mutated Breast Cancer
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Abdel-Razeq, H., & Mansour, R. (2026) · World Journal of Oncology · doi:10.14740/wjon2692
Metadata
- Authors
- Lynce, F., & Robson, M.
- Affiliations
- Harvard University (US)
- Memorial Sloan Kettering Cancer Center (US)
- Corresponding author
- Lynce, Filipa
- Venue
- Cancer Treatment and Research
- Publisher
- Springer International Publishing
- Published
- 2023
- Volume
- 186
- Pages
- 91-102
- ISSN
- 0927-3042 (ISSN-L)
- 2509-8497
- OpenAlex
- W4388778438
- Cited by
- 4
- References
- 1
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2
- FWCI
- 2.80
- Type
- book chapter
- Language
- en
- Open access
- closed
- Licence
- Locations
- Cancer treatment and research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › PARP inhibition in cancer therapy
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › BRCA gene mutations in cancer
- Health Sciences › Medicine › Oncology › Advanced Breast Cancer Therapies
- Keywords
- PARP inhibitors, germline BRCA mutation, breast cancer, olaparib, progression-free survival, PALB2, platinum resistance, PARP inhibitor resistance, targeted therapy, combination therapy
- MeSH terms
- Poly(ADP-ribose) Polymerase Inhibitors, Breast Neoplasms, Female, Humans, Ovarian Neoplasms, Poly(ADP-ribose) Polymerases, BRCA1 Protein, BRCA2 Protein
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