Combination therapies for treating cancer
The present invention provides methods of treatment for recurrent cancer(s) through combination therapy with an agent that inhibits programmed death-1 protein (PD-1) signaling and an agent that inhibits poly [ADP-ribose] polymerase (PARP) signaling.
1. A method of treating cancer in a human subject that is homologous recombination deficiency (HRD)-negative, the method comprising:
administering to the HRD-negative subject a therapeutically effective amount of niraparib or a salt thereof and pembrolizumab,
wherein the niraparib or salt thereof is administered to the subject in a dose that is equivalent to 100, 200, or 300 mg of niraparib daily; and the pembrolizumab is administered at a therapeutically dose.
2. The method of claim 1 , wherein the subject is gBRCA negative, tBRCA negative, or sBRCA negative.
3. The method of claim 1 , wherein the niraparib or salt thereof and the pembrolizumab are administered according to a regimen that includes at least one 2-12 week treatment cycle.
4. The method of claim 1 , wherein the niraparib or salt thereof and the pembrolizumab are administered in repeating cycles of 21 days.
5. The method of claim 3 , wherein the pembrolizumab is administered on day one of cycle one.
6. The method of claim 5 , wherein the pembrolizumab is administered on day one of a subsequent cycle.
7. The method of claim 5 , wherein the pembrolizumab is administered between one to three days before or after day one of a subsequent cycle.
8. The method of claim 1 , wherein the pembrolizumab is administered intravenously over about 60 minutes.
9. The method of claim 3 , wherein the regimen includes at least 3 treatment cycles.
10. The method of claim 1 , wherein the cancer is selected from the group consisting of: endometrial cancer, breast cancer, ovarian cancer, cervical cancer, fallopian tube cancer, primary peritoneal cancer, colon cancer, squamous cell carcinoma of the anogenital region, melanoma, renal cell carcinoma, lung cancer, non-small cell lung cancer, squamous cell carcinoma of the lung, stomach cancer, bladder cancer, gall bladder cancer, liver cancer, thyroid cancer, laryngeal cancer, salivary gland cancer, esophageal cancer, squamous cell carcinoma of the head and neck, prostate cancer, pancreatic cancer, mesothelioma, sarcoma, and a hematological cancer.
11. The method of claim 1 , wherein the cancer is selected from the group consisting of: ovarian cancer, cervical cancer, fallopian tube cancer, primary peritoneal cancer, and triple negative breast cancer (TNBC).
12. The method of claim 1 , wherein the cancer is recurrent cancer.
13. The method of claim 1 , wherein the cancer is platinum resistant.
14. The method of claim 1 , wherein the cancer is platinum refractory.
15. The method of claim 1 , wherein the pembrolizumab is administered at a dose that is equivalent to 200 mg of pembrolizumab.
16. The method of claim 1 , wherein the pembrolizumab is administered at a dose that is equivalent to 400 mg of pembrolizumab.
17. The method of claim 1 , wherein the pembrolizumab is administered at a dose that is equivalent to 200 mg of pembrolizumab every 3 weeks.
18. The method of claim 1 , wherein the pembrolizumab is administered at a dose that is equivalent to 400 mg of pembrolizumab every 6 weeks.
19. The method of claim 1 , wherein the pembrolizumab is administered at a dose that is equivalent to 2 mg/kg of pembrolizumab.
20. The method of claim 1 , wherein the pembrolizumab is administered at a dose that is equivalent to 5 mg/kg of pembrolizumab.
21. The method of claim 1 , wherein the niraparib or salt thereof is administered to the subject in a dose that is equivalent to 100 mg of niraparib daily.
22. The method of claim 1 , wherein the niraparib or salt thereof is administered to the subject in a dose that is equivalent to 200 mg of niraparib daily.
23. The method of claim 1 , wherein the niraparib or salt thereof is administered to the subject in a dose that is equivalent to 300 mg of niraparib daily.
24. The method of claim 1 , wherein the cancer is selected from the group consisting of: lung cancer, non-small cell lung cancer, and squamous cell carcinoma of the lung.