NIH-funded research NIH-funded research

Combining DNA-repair targeting and blocking suppressive immune cells in BRCA1/2 breast cancer

Official title: Project 4: Combined targeting of DNA repair and macrophage-mediated immunosuppression in BRCA1/2-associated breast cancer

Funded at Dana-Farber Cancer Inst · NIH-11015469 · Data updated 2026-11-12

This project combines PARP inhibitor treatment with drugs that block tumor-associated macrophages to help people with BRCA1 or BRCA2 breast cancer generate a stronger immune attack against their tumors and improve cancer control.

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Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionDana-Farber Cancer Inst
NIH-funded
Lab location1 site (Boston, United States)
Project startSeptember 17, 2013
Project endJuly 31, 2030
Funding year2025
Award (this year)$346,781
NIH project number2P50CA168504-11
Project IDNIH-11015469 on NIH RePORTER

Who could benefit from this research

Could help

People with breast cancer who carry BRCA1 or BRCA2 mutations, especially those treated with or eligible for PARP inhibitor–based or related neoadjuvant trials.

Less likely to help

Patients without BRCA1/2 mutations, those not receiving PARP inhibitors, or those unable to provide tumor biopsies are unlikely to benefit directly from this project.

What this research studies

If I take part, doctors will analyze tumor biopsies taken before and during PARP inhibitor treatment to see how immune cells change over time. They will measure CD8+ T cells and CSF-1R+ tumor-associated macrophages and compare samples from patients who got PARP inhibitors alone versus those who later received combination treatments. The team links laboratory findings that CSF-1R blockade can boost PARP effects to real patient samples from trials such as TALAVE and a niraparib+dostarlimab neoadjuvant trial. The aim is to find whether reducing suppressive macrophages can make PARP therapy work better for people with BRCA1/2 breast cancer.

Why it matters

Potential benefit: Could improve the effectiveness of PARP inhibitors in BRCA1/2 breast cancer by lowering immune suppression and increasing anti-tumor T cell responses.

How similar studies have gone: PARP inhibitors already benefit many BRCA-mutant cancers and preclinical studies show CSF-1R blockade can enhance PARP effects, while adding PD-1/L1 drugs has not clearly improved outcomes in earlier work.

Where this research is happening

  • Dana-Farber Cancer Inst
    Boston, United States
    Active

Researchers

  • Principal investigator: Shapiro, Geoffrey I. — Dana-Farber Cancer Inst
  • Study coordinator: Shapiro, Geoffrey I.

Related research

Other NIH-funded projects on the same topics.

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.