TAPUR Study Analysis Plan and Current Status

The TAPUR Study is a phase II, non-randomized, open-label clinical trial that aims to define signals of drug activity. Participants are enrolled in cohorts defined by tumor type, genomic alteration, and study drug. Initially, up to 10 participants are enrolled in a cohort and assessed for treatment response or lack of tumor growth for at least 16 weeks. If fewer than 2 participants have a successful outcome, the cohort is permanently closed to further enrollment. If two or more participants have successful outcomes, the cohort is expanded to enroll an additional 18 participants. Once complete data from a cohort become available, the TAPUR Study Data and Safety Monitoring Board (DSMB) will review the cohort results. A signal of drug activity will be declared if at least 7 of the 28 participants experience a treatment response or a lack of tumor growth for at least 16 weeks. ASCO will then publish these study findings in peer-reviewed journals to inform clinical practice and future research.

Rationale and Design of the TAPUR Study (published in JCO Precision Oncology, 2018).

Click on the image below to watch the Live Virtual Grand Rounds (May 2023)

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Summary of Cohort Activity in the TAPUR Study

The tables below display cohorts that have been closed or expanded to Stage II as of March 22, 2024.

Closed Cohorts

Treatment Cancer Variant Findings Publications/Presentations
Abemaciclib Esophagus CDKN2A loss or mutation Negative Poster Presentation - 2024 ASCO GI Cancers Symposium - January 18, 2024
Bronchus and Lung CDKN2A loss or mutation Pending Pending
Atezolizumab + Talazoparib Various Cancers (Collapsed)

Non-BRCA DNA repair deficiency genes (Germline or somatic mutation:

PALB2, ATM, ATR, CHEK2, FANCA, RAD51C, NBN, MLH1, MRE11A, CDK12)

Pending Pending
Cetuximab Breast KRAS, NRAS, BRAF wild type Negative

Published Manuscript - Targeted Oncology - October 22, 2020
Poster Presentation - 2019 AACR Annual Meeting - April 2, 2019

Non-small cell lung (NSCLC) KRAS, NRAS, BRAF wild type Negative
Ovarian KRAS, NRAS, BRAF wild type Negative
Crizotinib Various Cancers (Collapsed)   MET amplification or mutation Negative Poster Presentation - 2023 AACR Annual Meeting - April 18, 2023
Nivolumab + Ipilimumab Breast BRCA1/BRCA2 mutation Pending Pending
Colorectal ATM mutation Pending Pending
Colorectal High tumor mutational burden Negative Poster Presentation - 2022 ASCO GI Cancers Symposium - January 20, 2022
Ovarian  BRCA1/BRCA2 mutation Negative Poster Presentation - 2023 ASCO Annual Meeting - June 5, 2023
Pancreatic BRCA1/BRCA2 mutation Pending Pending
Various Cancers (Collapsed) ATM mutation Negative Published Manuscript JCO Precision Oncology - December 1, 2023
Olaparib Breast Germline or somatic BRCA1/BRCA2 inactivating mutations Pending Pending
Colorectal ATM mutation or deletion Negative Poster Presentation - 2023 ASCO GI Cancers Symposium - January 19, 2023
Various Cancers (Collapsed) ATM mutation or deletion Positive Poster Presentation - 2022 AACR Annual Meeting - April 11, 2022
Prostate BRCA1/BRCA2 mutation Positive

Poster Presentation -  2020 ASCO Virtual Meeting - May 29, 2020

Published Manuscript - JCO Precision Oncology - February 8, 2023

Pancreatic BRCA1/BRCA2 mutation Positive

Poster Presentation -  2020 ASCO Virtual Meeting - May 29, 2020

Published Manuscript - JCO Precision Oncology - February 21, 2024

Various Cancers (Collapsed) Germline or somatic BRCA1/BRCA2 inactivating mutations Positive Poster Presentation - 2022 European Society for Medical Oncology - September 10, 2022
Palbociclib Gallbladder and bile ducts CDKN2A loss or mutation Negative Published Manuscript - JCO Precision Oncology - August 14, 2019
Poster Presentation -  2018 ASCO Annual Meeting - June 4, 2018
Head and neck CDKN2A loss or mutation Positive Poster Presentation - 2021 ASCO Annual Meeting - June 4, 2021
Pancreatic CDKN2A loss or mutation Negative Published Manuscript - JCO Precision Oncology - August 14, 2019
Poster Presentation - 2018 ASCO Annual Meeting - June 4, 2018
Ovarian CDKN2A loss or mutation Pending Pending
Non-small cell lung (NSCLC) CDKN2A alterations Positive Published Manuscript - JCO Precision Oncology - June 25, 2020
Poster Presentation2019 ASCO Annual Meeting - June 2, 2019
Soft tissue sarcoma CDK4 amplification Positive Poster Presentation - 2021 ASCO Annual Meeting - June 4, 2021
Various Cancers (Collapsed) CCND1 amplification Negative Poster Presentation - 2024 AACR Annual Meeting - April 9, 2024
Various Cancers (Collapsed) CDKN2A loss or mutation Pending Pending
Various Cancers (Collapsed) CDK4 amplification Negative Poster Presentation - 2023 European Society for Medical Oncology Congress - October 23, 2023
Various Cancers (Collapsed) CDK6 amplification Negative Poster Presentation - 2023 European Society for Medical Oncology Congress - October 23, 2023
Pertuzumab + Trastuzumab Colorectal ERBB2/ERBB3 mutation Negative Published Manuscript - JCO Precision Oncology - October 31, 2022
Colorectal ERBB2 amplification or overexpression Positive

Poster Presentation2020 ASCO GI Cancers Symposium in San Francisco, CA - January 25, 2020

Published Manuscript - JCO Precision Oncology - October 31, 2022

Bronchus and lung ERBB2 amplification, mutation, or overexpression Positive

Published Manuscript - JCO Precision Oncology - June 14, 2023

Poster Presentation - 2022 European Society for Medical Oncology - September 12, 2022

Uterine ERBB2/ERBB3 amplification, mutation, or overexpression Positive

Oral Presentation - 2021 ASCO Annual Meeting - June 7, 2021

Published Manuscript - JCO Precision Oncology - April 7, 2023

Gallbladder and bile ducts ERBB2/ERBB3 amplification, mutation, or overexpression Positive Poster Presentation - 2023 ASCO GI Cancers Symposium in San Francisco, CA - January 19, 2023
Ovarian Cancer ERBB2/ERBB3 amplification, mutation, or overexpression Pending Pending
Various Cancers (Collapsed) ERBB2/ERBB3 amplification or overexpression Pending Pending
Pembrolizumab Metastatic breast High tumor mutational burden Positive Poster Presentation2019 ASCO Annual Meeting - June 2, 2019
Published Manuscript - Journal of Clinical Oncology - April 12, 2021
Colorectal

High tumor mutational burden

Positive

Poster Presentation2020 ASCO GI Cancers Symposium in San Francisco, CA - January 25, 2020

Published Manuscript - Journal of Clinical Oncology - August 10, 2023

Various Cancers (Collapsed) High tumor mutational burden Positive Published Manuscript - Journal of Clinical Oncology - August 10, 2023
Various Cancers (Collapsed) POLE mutation Pending Pending
Regorafenib Various Cancers (Collapsed) BRAF mutation or amplification Negative Published Manuscript - JCO Precision Oncology - February 21, 2024
Sunitinib Breast FGFR1 mutation or amplification Negative

Poster Presentation - 2021 AACR Annual Meeting - April 10, 2021*

Published Manuscript - JCO Precision Oncology - February 14, 2024

Breast FGFR2 mutation or amplification Negative Published Manuscript - JCO Precision Oncology - February 14, 2024
Colorectal FLT-3 mutation or amplification Negative

Published Manuscript - Targeted Oncology - October 17, 2020
Poster Presentation - 2019 AACR Annual Meeting - April 2, 2019

Various Cancers (Collapsed) FGFR2 mutation or amplification Pending Pending
Talazoparib Colorectal Germline or somatic BRCA1/BRCA2 mutation Negative Poster Presentation - 2024 ASCO GI Cancers Symposium - January 20, 2024
Various Cancers (Collapsed) Germline or somatic BRCA1/BRCA2 mutation Positive Poster Presentation - 2023 ASCO Annual Meeting - June 3, 2023
Various Cancers (Collapsed) ATM mutation Pending Pending
Temsirolimus Colorectal PIK3CA mutation Negative Poster Presentation - 2022 ASCO GI Cancers Symposium - January 20, 2022
Breast PIK3CA mutation Negative Poster Presentation - 2023 ASCO Annual Meeting - June 3, 2023
Various Cancers (Collapsed) AKT1 mutation Negative Poster Presentation - 2024 AACR Annual Meeting - April 9, 2024
Various Cancers (Collapsed) mTOR mutation Positive Poster Presentation 2022 ASCO Annual Meeting - June 5, 2022
Various Cancers (Collapsed) PIK3CA mutation Positive Poster Presentation 2023 ASCO Annual Meeting - June 3, 2023
Various Cancers (Collapsed) PTEN mutation Positive Poster Presentation - 2023 AACR Annual Meeting - April 18, 2023
Vemurafenib + Cobimetinib   Colorectal BRAF_V600E/D/K/R mutation Positive

Poster Presentation - 2020 ASCO GI Cancers Symposium in San Francisco, CA - January 25, 2020

Published Manuscript - JCO Precision Oncology - November 21, 2022

Various Cancers (Collapsed) BRAF_V600E/D/K/R mutation Positive

Oral Presentation - 2022 ASCO Annual Meeting - June 7, 2022

Published Manuscript - JCO Precision Oncology - December 14, 2023

*During data validation and verification for the manuscript, one patient that was originally reported as having a response in the 2021 AACR Annual Meeting presentation of this cohort was found instead to have no response. Efficacy findings were updated as a result.

Expanded Cohorts

Treatment Cancer Variant
Abemaciclib Bone and Cartilage CDKN2A loss or mutation
Head and Neck CDKN2A loss or mutation
Retroperitoneum and peritoneum CDK4 amplification
Melanoma CDKN2A loss or mutation
Soft tissue sarcoma CDKN2A loss or mutation
Atezolizumab plus PHESGO Various Cancers (Collapsed) ERBB2 amplification or overexpression
Atezolizumab + Talazoparib    Various Cancers (Collapsed)  Germline or somatic BRCA1/BRCA2 mutation
Various Cancers (Collapsed) Positive GI score or genomic LOH score above threshold
Nivolumab + Ipilimumab Breast BRCA1/BRCA2 mutation
Breast High tumor mutational burden
Colorectal BRCA1/BRCA2 mutation
Prostate BRCA1/BRCA2 mutation
Pancreatic ATM mutation
Breast ATM mutation
Olaparib Bronchus and lung Somatic or germline inactivating mutations in BRCA1 or BRCA2
Bronchus and lung ATM mutation or deletion
Gallbladder and bile ducts Somatic or germline inactivating mutations in BRCA1 or BRCA2
Pancreatic ATM mutation or deletion
Uterine Somatic or germline inactivating mutations in BRCA1 or BRCA2
Palbociclib Bronchus and lung CCND1 amplification
Soft tissue sarcoma CDKN2A loss or mutation
Bone and Cartilage  CDKN2A loss or mutation
Pembrolizumab Esophagus High tumor mutational burden
Gallbladder and bile ducts High tumor mutational burden
Ovarian High tumor mutational burden
Pancreatic High tumor mutational burden
Uterine High tumor mutational burden
Pertuzumab + Trastuzumab Bladder ERBB2/ERBB3 amplification, mutation, or overexpression
Breast ERBB2/ERBB3 mutation or ERBB3 amplification
Head and Neck ERBB2/ERBB3 amplification, mutation, or overexpression
Ovarian  ERBB2/ERBB3 amplification, mutation, or overexpression
Pancreatic ERBB2/ERBB3 amplification, mutation, or overexpression
Regorafenib Bronchus and lung BRAF mutation or amplification
Sunitinib Colorectal FGFR1 mutation or amplification
Gallbladder and bile ducts FGFR2 mutation or amplification
Various Cancers (Collapsed) FGFR3 mutation or amplification
Talazoparib Various Cancers (Collapsed) CHEK2 mutation
Various Cancers (Collapsed) PALB2 mutation
Temsirolimus Uterine  PIK3CA mutation
Vemurafenib + Cobimetinib Gallbladder and Bile Ducts BRAF_V600E/D/K/R mutation
Tucatinib + Trastuzumab SC Bronchus and lung ERBB2 mutation, amplification, or overexpression
Uterine ERBB2 mutation, amplification, or overexpression