Ensayos clínicos

General Inclusion Criteria:

- Signed written informed consent

- Discontinued all previous treatments for cancer for at least 21 days or 5 half-lives,
whichever is shorter, and recovered from the acute effects of therapy. Palliative
radiotherapy must have completed 1 week prior to start of study treatment.

- At least 1 radiologically evaluable lesion (measurable and/or non-measurable) that can
be assessed at baseline and is suitable for repeated radiological evaluation by RECIST
v1.1 or Prostate Cancer Working Group-3 (PCWG-3)

- Acceptable hematologic, renal, hepatic, and coagulation functions independent of
transfusions and granulocyte colony-stimulating factor

- Female patients of childbearing potential and male patients with female partners of
childbearing potential are required to use highly effective contraception plus one
barrier method for up to 4 weeks for females and 16 weeks for males in Parts A1/B1/B2,
7 months for all patients in Parts A2/B3, or 6 months for all patients in Part A3
following the last dose of study treatment. Male patients are required to refrain from
donating sperm for up to 16 weeks (Part A1/B1/B2), 7 months (Part A2) or 6 months
(Part A3) following the last dose of study treatment.

- Estimated life expectancy of ≥12 weeks

Additional inclusion criteria for participants in dose escalation (Part A1):

- Advanced or metastatic cancer, which is refractory to standard therapies, or for which
no standard therapies exist, or for which the investigator feels no other active
therapy is required for the duration of the study

- Non-irradiated tumor tissue sample (archival or newly obtained core biopsy of a tumor
lesion) available for submission for analysis

Additional inclusion criteria for participants in dose escalation (Part A2):

- Advanced or metastatic cancer for which a PARP inhibitor is an appropriate treatment
option. Participants may have received prior treatment with PARP inhibitor

- Optional baseline biopsy for BRCA1/2 mutations and prior PARP inhibitor

Additional inclusion criteria for participants in dose expansion (Part B1):

- Advanced or metastatic solid tumors that have undergone disease progression during
treatment with a PARP inhibitor for an approved indication

- At least 1 measurable lesion assessable using standard techniques by RECIST v1.1 or
PCWG-3 guidelines

- Non-irradiated, biopsiable tumor lesion

Additional inclusion criteria for participants in dose expansion (Part B2):

- Advanced or metastatic cancer that is refractory to standard therapies, or for which
no standard therapies exist, or for which the investigator feels no other active
therapy is required for the duration of the study with characteristics indicative of
sensitivity to pol theta inhibition

- No prior treatment with a PARP inhibitor and must not have a disease for which there
is an approved PARP inhibitor

- At least 1 measurable lesion assessable using standard techniques by RECIST v1.1 or
PCWG-3 guidelines

Additional inclusion criteria for participants in dose expansion (Part B3):

- HER2-negative locally advanced or metastatic breast cancer

- Deleterious or suspected deleterious germline BRCA1 or BRCA2 mutation

- No more than 3 prior chemotherapy-inclusive regimens (including antibody conjugates)

- Prior treatment with a taxane or anthracycline unless contraindicated

- No prior treatment with a PARP inhibitor

- At least 1 measurable lesion assessable using standard techniques by RECIST v1.1

Additional inclusion criteria for participants in dose escalation (Part A3):

? Advanced or metastatic cancer for which a PARP inhibitor is an appropriate treatment
option. Prior treatment with PARP inhibitor

General Exclusion Criteria:

- Women who are pregnant, breast feeding, or who plan to become pregnant while in the
study or within 4 weeks after the last administration of ART4215; within 7 months
after the last administration of talazoparib or within 6 months after the last
administration of niraparib

- Men who plan to father a child while in the study or within 16 weeks after the last
administration of ART4215 (Part A1/B1/B2); within 7 month after the last
administration of study treatment with ART4215 in combination with talazoparib (Part
A2/B3) or within 6 months in combination with niraparib (Part A3)

- Serious concomitant systemic disorder that would compromise the participants ability
to adhere to the protocol including: opportunistic HIV/AIDs-related infection(s)
within the past 12 months, hepatitis B virus, or hepatitis C virus; known history of
clinical diagnosis of tuberculosis; malignancy prior to the one currently being
treated [including myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML)] that
is not in remission

- Have MDS/AML or features suggestive of MDS/AML

- Ongoing interstitial lung disease or pneumonitis

- Moderate or severe cardiovascular disease

- Symptomatic or uncontrolled brain metastases, spinal cord compression, or
leptomeningeal disease requiring concurrent treatment; stable brain metastases are
eligible

- Received a live vaccine within 30 days before the first dose of study treatment

- History or current evidence of any condition, therapy, or laboratory abnormality that
might confound the results of the study, interfere with the patient's participation
for the full duration of the study, or is not in the best interest of the patient to
participate

- Recent major surgery within 4 weeks prior to entry into the study or minor surgery
within 1 week of entry into the study

- Significant bleeding disorder or vasculitis or had a Grade ≥3 bleeding episode within
12 weeks prior to enrollment

- Currently enrolled in a clinical trial involving an investigational product or any
other type of medical research judged not to be scientifically or medically compatible
with this study

Additional exclusion criteria for participants in dose expansion (Part B3):

- First-line locally advanced and/or metastatic breast cancer with no prior adjuvant
chemotherapy

- Inflammatory breast cancer

Additional exclusion criteria for participants in dose escalation (Part A3):

? Hypersensitivity to any of the components of niraparib

Note: Other protocol defined Inclusion/Exclusion Criteria may apply.

Eligibility last updated 9/2/22. Questions regarding updates should be directed to the study team contact.