This phase I trial tests the side effects and best dose of abemaciclib and niraparib in treating patients with breast cancer that is positive for estrogen or progesterone receptors (hormone receptor positive \[HR+\]) and HER2 negative. Abemaciclib may stop the growth of tumor cells by blocking certain proteins called cyclin-dependent kinases, which are needed for cell growth. PARPs are proteins that help repair DNA mutations. PARP inhibitors, such as niraparib, can keep PARP from working so tumor cells can't repair themselves and grow. Giving abemaciclib and niraparib together before surgery may make the tumor smaller.
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Incidence of dose limiting toxicities (DLTs) for the proposed combination
Timeframe: First dose of study agents to end of cycle 1 for dose-determining phase (each cycle is 28 days)
Incidence of adverse events (AEs) and serious AEs for the proposed combination
Timeframe: Up to 90 days from last dose of study agent (up to 7 months)