Advanced Solid Tumor With Evidence of Germline or Somatic BRCA, Fallopian Tube Cancer, Ovarian Cancer, Peritoneal Cancer
Conditions
Keywords
gBRCA ovarian cancer, platinum sensitive, PARP Inhibitor, Rucaparib, CO-338, PF 01367338, AG 14699, BRCA1, BRCA2, platinum sensitive ovarian cancer, platinum sensitive gBRCA ovarian cancer, gynecological cancer, relapsed disease, homologous recombination deficiency, HRD
Brief summary
Part 1 (Completed Enrollment) - The purpose of the first part of the study was to evaluate the safety of different doses and dosing regimens of oral rucaparib administered daily to patients with solid tumors. Part 2A (Completed Enrollment) and Part 2B (Completed Enrollment) - The purpose of the second part of the study is to determine the safety and clinical activity of the RP2D of oral rucaparib administered daily to patients with a known deleterious BRCA mutation (germline or somatic). Part 3 (Completed Enrollment) - The purpose of the third part of the study is to further evaluate PK of higher dose strength tablets at the RP2D in patients with any advanced solid tumor, inclusive of lymphoma, with evidence of a BRCA mutation (germline or somatic).
Detailed description
Rucaparib (CO-338; formerly known as PF 01367338 and AG 14699) is an orally available, small molecule inhibitor of poly-adenosine diphosphate \[ADP\] ribose polymerase (PARP) being developed for treatment of ovarian cancer associated with homologous recombination \[HR\] DNA repair deficiency (HRD). The safety and efficacy of rucaparib has been evaluated in several Phase 1 and Phase 2 studies. An oral formulation is the focus of current development efforts. Rucaparib is currently being investigated as monotherapy in patients with cancer associated with BRCA1 or BRCA2 mutations. For this study, it is anticipated that rucaparib will promote cell death in the BRCA-deficient tumor cells of ovarian cancer patients with evidence of a germline mutation, thereby limiting tumor progression and providing therapeutic benefit.
Interventions
Oral tablets administered daily with 8 oz (240 mL) of water on an empty stomach or with food; 21-day cycles of treatment. In Part 1, the initial dose level is 40 mg/day (once a day); doses and dosing frequency(e.g. twice a day or three times a day) will be adjusted until Maximum Tolerated Dose (MTD) and the Recommended Phase 2 Dose (RP2D) are established. Patients enrolled in Part 2 and Part 3 will receive the RP2D for continuous 21-day treatment cycles until disease progression.
Sponsors
Study design
Eligibility
Inclusion criteria
The following eligibility criteria below pertain to patients enrolling into Part 2B of the study. Inclusion Criteria: * Have a known deleterious BRCA mutation (gBRCA or sBRCA) (as determined by a local laboratory that has received an international or country-specific, quality standards certification) * Have evidence of measurable disease as defined by RECIST Version 1.1 * Have sufficient archival FFPE tumor tissue available for planned analyses. Archival tissue from the most recently collected biopsy or debulking surgery should be provided, if available. * Have a histologically confirmed diagnosis of high-grade epithelial ovarian, fallopian tube, or primary peritoneal cancer * Have received at least three prior chemotherapy regimens and have relapsed disease confirmed by radiologic assessment
Exclusion criteria
* Active second malignancy, i.e., patient known to have potentially fatal cancer present for which she may be (but not necessarily) currently receiving treatment a. Patients with a history of malignancy that has been completely treated, with no evidence of that cancer currently, are permitted to enroll in the trial provided all chemotherapy was completed \>6 months prior and/or bone marrow transplant (BMT) \>2 years prior to first dose of rucaparib * Prior treatment with any PARP inhibitor. * Untreated or symptomatic central nervous system (CNS) metastases. Patients with asymptomatic CNS metastases are eligible provided they have been clinically stable for at least 4 weeks. * Received treatment with chemotherapy, radiation, antibody therapy or other immunotherapy, gene therapy, vaccine therapy, angiogenesis inhibitors, or experimental drugs 14 days prior to first dose of rucaparib and/or ongoing adverse effects from such treatment \> NCI CTCAE Grade 1 (Grade 2 non-hematologic toxicity to most recent treatment may be permitted with prior advanced approval from Sponsor). * Hospitalization for bowel obstruction within 3 months prior to enrollment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall Response Rate Per RECIST Version 1.1 (Part 2) | Time from first dose to date of progression, up to approximately 8 months | The confirmed response rate by RECIST v1.1 is defined as the proportion of patients with a confirmed Complete Response (CR) or Partial Response (PR) on subsequent tumor assessment at least 28 days after first response documentation. |
| Number of Participants With a Dose Limiting Toxicity (DLT) | Cycle 1 Day 1 to Cycle 1 Day 21 | The number of Part 1 (Phase 1) patients who experienced dose limiting toxicities after one cycle (21 days) of study drug. |
| PK Profile of Rucaparib - Cmax (Part 1) | Cycle 1 Day 1 to Cycle 1 Day 15, or approximately 15 days | Cmax = maximum concentration following administration of rucaparib |
| PK Profile of Rucaparib - Tmax (Part 1) | Cycle 1 Day 1 to Cycle 1 Day 15, or approximately 15 days | Tmax = time to maximum concentration following administration of rucaparib |
| PK Profile of Rucaparib - AUC Last (Part 1) | Cycle 1 Day 1 to Cycle 1 Day 15, or approximately 15 days | AUC last = Area under the plasma concentration-time curve from time 0 to the last recorded observation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Food Effect on PK of Rucaparib - AUC Last (Part 1 and Part 3) | Day -7 to Cycle 1 Day 1, or approximately 7 days | AUC last = Area under the plasma concentration-time curve from time 0 to the last recorded observation. The effect of food on rucaparib PK parameters was assessed over a 24-hour period in blood samples from a subset of patients. Patients were given a single dose of 40 mg or 300 mg rucaparib (Part 1), or 600 mg rucaparib (Part 3) and were randomized to one of two sequences where they were either Fed (with a high-fat meal) or Fasted (without a high-fat meal) on Day -7 or Cycle 1 Day 1. On each day, patients underwent blood sampling for PK at the specified time points. The median Fed and Fasted AUC last values were calculated for each arm. |
| Progression-free Survival (PFS) According to RECIST v1.1, as Assessed by the Investigator (Part 2) | Cycle 1 Day 1 to End of Treatment, up to approximately 51 months | PFS is calculated as 1+ the number of days from the first dose of study drug to disease progression by RECIST, as determined by the investigator or death due to any cause, whichever occurs first. |
| QTcF Value Change From Baseline (Part 1) | Screening to End of Treatment, up to approximately 15 months | QTcF value change from baseline by daily dose corrected using Fridericia's method (QTcF). To evaluate the effects of rucaparib on the QT (interval from Q wave to T wave)/QTc (interval corrected for heart rate) interval, all patients underwent serial ECG monitoring at Screening, on Cycle 1 Day -1, Cycle 1 Day 1, Cycle 1 Day 15, Cycle 1 Day 22, on Day 1 of all subsequent cycles, at the EOT Visit, and as clinically indicated. Worst post-baseline QTcF value was used to categorize each patient. |
| Duration of Response Per RECIST Version 1.1 (Part 2) | Cycle 1 Day 1 to End of Treatment, up to approximately 48 months | Duration of response (DOR) for any confirmed RECIST CR or PR measured from the date of the first occurrence of a response until the first occurrence of PD per RECIST. For patients who continued treatment post-progression, the first date of progression was used for the analysis. Any patients with an ongoing response were censored at the date of the last post-baseline scan. |
| Overall Survival (Part 2B) | Cycle 1 Day 1 to date of death, assessed up to 38 months | Overall survival (OS) is defined as the number of days from the date of first dose of study drug to the date of death, due to any cause. Patients without a documented event of death will be censored on the date of their last visit. |
| Food Effect on PK of Rucaparib - Cmax (Part 1 and Part 3) | Day -7 to Cycle 1 Day 1, or approximately 7 days | Cmax = maximum concentration following administration of rucaparib. The effect of food on rucaparib PK parameters was assessed over a 24-hour period in blood samples from a subset of patients. Patients were given a single dose of 40 mg or 300 mg rucaparib (Part 1), or 600 mg rucaparib (Part 3) and were randomized to one of two sequences where they were either Fed (with a high-fat meal) or Fasted (without a high-fat meal) on Day -7 or Cycle 1 Day 1. On each day, patients underwent blood sampling for PK at the specified time points. The median Fed and Fasted Cmax values were calculated for each arm. |
| Food Effect on PK of Rucaparib - Tmax (Part 1 and Part 3) | Day -7 to Cycle 1 Day 1, or approximately 7 days | Tmax = time to maximum concentration following administration of rucaparib. The effect of food on rucaparib PK parameters was assessed over a 24-hour period in blood samples from a subset of patients. Patients were given a single dose of 40 mg or 300 mg rucaparib (Part 1), or 600 mg rucaparib (Part 3) and were randomized to one of two sequences where they were either Fed (with a high-fat meal) or Fasted (without a high-fat meal) on Day -7 or Cycle 1 Day 1. On each day, patients underwent blood sampling for PK at the specified time points. The median Fed and Fasted Tmax values were calculated for each arm. |
Countries
Canada, Israel, Spain, United Kingdom, United States
Participant flow
Recruitment details
The study was conducted at 15 investigative sites in the United States (6 sites), United Kingdom (5 sites), Spain (1 site), Israel (2 sites), and Canada (1 site).
Participants by arm
| Arm | Count |
|---|---|
| Rucaparib 40 mg QD (Part 1) Rucaparib 40 mg QD for continuous 21-day cycles | 6 |
| Rucaparib 80 mg QD (Part 1) Rucaparib 80 mg QD for continuous 21-day cycles | 3 |
| Rucaparib 160 mg QD (Part 1) Rucaparib 160 mg QD for continuous 21-day cycles | 4 |
| Rucaparib 300 mg QD (Part 1) Rucaparib 300 mg QD for continuous 21-day cycles | 9 |
| Rucaparib 500 mg QD (Part 1) Rucaparib 500 mg QD for continuous 21-day cycles | 4 |
| Rucaparib 240 mg BID (Part 1) Rucaparib 240 mg BID for continuous 21-day cycles | 3 |
| Rucaparib 360 mg BID (Part 1) Rucaparib 360 mg BID for continuous 21-day cycles | 8 |
| Rucaparib 480 mg BID (Part 1) Rucaparib 480 mg BID for continuous 21-day cycles | 9 |
| Rucaparib 600 mg BID (Part 1) Rucaparib 600 mg BID for continuous 21-day cycles | 7 |
| Rucaparib 840 mg BID (Part 1) Rucaparib 840 mg BID for continuous 21-day cycles | 3 |
| Rucaparib 600 mg BID (Part 2A) Rucaparib 600 mg BID for continuous 21-day cycles | 42 |
| Rucaparib 600 mg BID (Part 2B) Rucaparib 600 mg BID for continuous 21-day cycles | 12 |
| Rucaparib 600 mg BID (Part 3) Rucaparib 600 mg BID for continuous 21-day cycles | 26 |
| Total | 136 |
Baseline characteristics
| Characteristic | Total | Rucaparib 600 mg BID (Part 2B) | Rucaparib 600 mg BID (Part 2A) | Rucaparib 840 mg BID (Part 1) | Rucaparib 600 mg BID (Part 1) | Rucaparib 480 mg BID (Part 1) | Rucaparib 360 mg BID (Part 1) | Rucaparib 240 mg BID (Part 1) | Rucaparib 500 mg QD (Part 1) | Rucaparib 300 mg QD (Part 1) | Rucaparib 160 mg QD (Part 1) | Rucaparib 80 mg QD (Part 1) | Rucaparib 40 mg QD (Part 1) | Rucaparib 600 mg BID (Part 3) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | 57.0 years | 57.5 years | 56.5 years | 55.0 years | 52.0 years | 46.0 years | 49.5 years | 64.0 years | 29.5 years | 48.0 years | 52.0 years | 46.0 years | 63.5 years | 59.5 years |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 7 Participants | 0 Participants | 3 Participants | 1 Participants | 0 Participants | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) Black or African American | 9 Participants | 0 Participants | 3 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants | 2 Participants | 0 Participants | 0 Participants | 0 Participants | 2 Participants |
| Race (NIH/OMB) More than one race | 2 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 1 Participants | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 117 Participants | 11 Participants | 35 Participants | 2 Participants | 7 Participants | 8 Participants | 6 Participants | 3 Participants | 3 Participants | 7 Participants | 4 Participants | 3 Participants | 6 Participants | 22 Participants |
| Sex: Female, Male Female | 126 Participants | 12 Participants | 42 Participants | 2 Participants | 7 Participants | 9 Participants | 7 Participants | 2 Participants | 2 Participants | 9 Participants | 4 Participants | 3 Participants | 6 Participants | 21 Participants |
| Sex: Female, Male Male | 10 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants | 1 Participants | 1 Participants | 2 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 5 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk | EG006 affected / at risk | EG007 affected / at risk | EG008 affected / at risk | EG009 affected / at risk | EG010 affected / at risk | EG011 affected / at risk | EG012 affected / at risk |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 6 | 0 / 3 | 1 / 4 | 1 / 9 | 0 / 4 | 1 / 3 | 0 / 8 | 1 / 9 | 0 / 7 | 0 / 3 | 4 / 42 | 1 / 12 | 4 / 26 |
| other Total, other adverse events | 6 / 6 | 3 / 3 | 4 / 4 | 9 / 9 | 4 / 4 | 3 / 3 | 8 / 8 | 8 / 9 | 7 / 7 | 3 / 3 | 41 / 42 | 12 / 12 | 26 / 26 |
| serious Total, serious adverse events | 2 / 6 | 1 / 3 | 3 / 4 | 4 / 9 | 0 / 4 | 2 / 3 | 3 / 8 | 4 / 9 | 1 / 7 | 1 / 3 | 19 / 42 | 3 / 12 | 9 / 26 |
Outcome results
Number of Participants With a Dose Limiting Toxicity (DLT)
The number of Part 1 (Phase 1) patients who experienced dose limiting toxicities after one cycle (21 days) of study drug.
Time frame: Cycle 1 Day 1 to Cycle 1 Day 21
Population: DLT-evaluable population - all patients enrolled into Part 1 of the study who received at least 17 complete days of rucaparib and completed Cycle 1 of treatment, or who experienced a DLT in Cycle 1.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Rucaparib 600 mg BID (Part 2A) | Number of Participants With a Dose Limiting Toxicity (DLT) | 0 Participants |
| Rucaparib 600 mg BID (Part 2B) | Number of Participants With a Dose Limiting Toxicity (DLT) | 0 Participants |
| Rucaparib 160 mg QD (Part 1) | Number of Participants With a Dose Limiting Toxicity (DLT) | 0 Participants |
| Rucaparib 300 mg QD (Part 1) | Number of Participants With a Dose Limiting Toxicity (DLT) | 0 Participants |
| Rucaparib 500 mg QD (Part 1) | Number of Participants With a Dose Limiting Toxicity (DLT) | 0 Participants |
| Rucaparib 240 mg BID (Part 1) | Number of Participants With a Dose Limiting Toxicity (DLT) | 0 Participants |
| Rucaparib 360 mg BID (Part 1) | Number of Participants With a Dose Limiting Toxicity (DLT) | 1 Participants |
| Rucaparib 480 mg BID (Part 1) | Number of Participants With a Dose Limiting Toxicity (DLT) | 0 Participants |
| Rucaparib 600 mg BID (Part 1) | Number of Participants With a Dose Limiting Toxicity (DLT) | 0 Participants |
| Rucaparib 840 mg BID (Part 1) | Number of Participants With a Dose Limiting Toxicity (DLT) | 0 Participants |
Overall Response Rate Per RECIST Version 1.1 (Part 2)
The confirmed response rate by RECIST v1.1 is defined as the proportion of patients with a confirmed Complete Response (CR) or Partial Response (PR) on subsequent tumor assessment at least 28 days after first response documentation.
Time frame: Time from first dose to date of progression, up to approximately 8 months
Population: Efficacy-Evaluable Population - all Part 2 patients who met eligibility criteria, received at least 1 dose of rucaparib, had measurable tumor lesions at baseline, and had at least 1 post-baseline disease assessment. 2 patients in Part 2A discontinued treatment due to an AE and did not have a post-baseline disease assessment.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Rucaparib 600 mg BID (Part 2A) | Overall Response Rate Per RECIST Version 1.1 (Part 2) | 25 Participants |
| Rucaparib 600 mg BID (Part 2B) | Overall Response Rate Per RECIST Version 1.1 (Part 2) | 7 Participants |
PK Profile of Rucaparib - AUC Last (Part 1)
AUC last = Area under the plasma concentration-time curve from time 0 to the last recorded observation
Time frame: Cycle 1 Day 1 to Cycle 1 Day 15, or approximately 15 days
Population: PK-evaluable population - all patients enrolled into Part 1 of the study who received at least one dose of rucaparib and had adequate PK assessments drawn for determination of the PK profile. For some arms, the number analyzed at Day 1 and Day 15 differs from the overall number based on number of evaluable samples collected at each time point.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Rucaparib 600 mg BID (Part 2A) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 15 AUC last | 2270 hr*ng/mL |
| Rucaparib 600 mg BID (Part 2A) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 1 AUC last | 915 hr*ng/mL |
| Rucaparib 600 mg BID (Part 2B) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 1 AUC last | 916 hr*ng/mL |
| Rucaparib 600 mg BID (Part 2B) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 15 AUC last | 1870 hr*ng/mL |
| Rucaparib 160 mg QD (Part 1) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 15 AUC last | 3510 hr*ng/mL |
| Rucaparib 160 mg QD (Part 1) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 1 AUC last | 2730 hr*ng/mL |
| Rucaparib 300 mg QD (Part 1) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 1 AUC last | 5820 hr*ng/mL |
| Rucaparib 300 mg QD (Part 1) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 15 AUC last | 6090 hr*ng/mL |
| Rucaparib 500 mg QD (Part 1) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 15 AUC last | 16500 hr*ng/mL |
| Rucaparib 500 mg QD (Part 1) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 1 AUC last | 7670 hr*ng/mL |
| Rucaparib 240 mg BID (Part 1) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 1 AUC last | 875 hr*ng/mL |
| Rucaparib 240 mg BID (Part 1) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 15 AUC last | 6340 hr*ng/mL |
| Rucaparib 360 mg BID (Part 1) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 15 AUC last | 9110 hr*ng/mL |
| Rucaparib 360 mg BID (Part 1) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 1 AUC last | 4160 hr*ng/mL |
| Rucaparib 480 mg BID (Part 1) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 1 AUC last | 6190 hr*ng/mL |
| Rucaparib 480 mg BID (Part 1) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 15 AUC last | 19400 hr*ng/mL |
| Rucaparib 600 mg BID (Part 1) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 1 AUC last | 6700 hr*ng/mL |
| Rucaparib 600 mg BID (Part 1) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 15 AUC last | 19700 hr*ng/mL |
| Rucaparib 840 mg BID (Part 1) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 1 AUC last | 5930 hr*ng/mL |
| Rucaparib 840 mg BID (Part 1) | PK Profile of Rucaparib - AUC Last (Part 1) | Day 15 AUC last | 24900 hr*ng/mL |
PK Profile of Rucaparib - Cmax (Part 1)
Cmax = maximum concentration following administration of rucaparib
Time frame: Cycle 1 Day 1 to Cycle 1 Day 15, or approximately 15 days
Population: PK-evaluable population - all patients enrolled into Part 1 of the study who received at least one dose of rucaparib and had adequate PK assessments drawn for determination of the PK profile. For some arms, the number analyzed at Day 1 and Day 15 differs from the overall number based on number of evaluable samples collected at each time point.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Rucaparib 600 mg BID (Part 2A) | PK Profile of Rucaparib - Cmax (Part 1) | Day 1 Cmax | 120 ng/mL |
| Rucaparib 600 mg BID (Part 2A) | PK Profile of Rucaparib - Cmax (Part 1) | Day 15 Cmax | 159 ng/mL |
| Rucaparib 600 mg BID (Part 2B) | PK Profile of Rucaparib - Cmax (Part 1) | Day 15 Cmax | 180 ng/mL |
| Rucaparib 600 mg BID (Part 2B) | PK Profile of Rucaparib - Cmax (Part 1) | Day 1 Cmax | 119 ng/mL |
| Rucaparib 160 mg QD (Part 1) | PK Profile of Rucaparib - Cmax (Part 1) | Day 1 Cmax | 255 ng/mL |
| Rucaparib 160 mg QD (Part 1) | PK Profile of Rucaparib - Cmax (Part 1) | Day 15 Cmax | 267 ng/mL |
| Rucaparib 300 mg QD (Part 1) | PK Profile of Rucaparib - Cmax (Part 1) | Day 15 Cmax | 439 ng/mL |
| Rucaparib 300 mg QD (Part 1) | PK Profile of Rucaparib - Cmax (Part 1) | Day 1 Cmax | 700 ng/mL |
| Rucaparib 500 mg QD (Part 1) | PK Profile of Rucaparib - Cmax (Part 1) | Day 15 Cmax | 1250 ng/mL |
| Rucaparib 500 mg QD (Part 1) | PK Profile of Rucaparib - Cmax (Part 1) | Day 1 Cmax | 699 ng/mL |
| Rucaparib 240 mg BID (Part 1) | PK Profile of Rucaparib - Cmax (Part 1) | Day 15 Cmax | 783 ng/mL |
| Rucaparib 240 mg BID (Part 1) | PK Profile of Rucaparib - Cmax (Part 1) | Day 1 Cmax | 132 ng/mL |
| Rucaparib 360 mg BID (Part 1) | PK Profile of Rucaparib - Cmax (Part 1) | Day 15 Cmax | 1220 ng/mL |
| Rucaparib 360 mg BID (Part 1) | PK Profile of Rucaparib - Cmax (Part 1) | Day 1 Cmax | 603 ng/mL |
| Rucaparib 480 mg BID (Part 1) | PK Profile of Rucaparib - Cmax (Part 1) | Day 1 Cmax | 1090 ng/mL |
| Rucaparib 480 mg BID (Part 1) | PK Profile of Rucaparib - Cmax (Part 1) | Day 15 Cmax | 2480 ng/mL |
| Rucaparib 600 mg BID (Part 1) | PK Profile of Rucaparib - Cmax (Part 1) | Day 1 Cmax | 972 ng/mL |
| Rucaparib 600 mg BID (Part 1) | PK Profile of Rucaparib - Cmax (Part 1) | Day 15 Cmax | 2330 ng/mL |
| Rucaparib 840 mg BID (Part 1) | PK Profile of Rucaparib - Cmax (Part 1) | Day 1 Cmax | 954 ng/mL |
| Rucaparib 840 mg BID (Part 1) | PK Profile of Rucaparib - Cmax (Part 1) | Day 15 Cmax | 3030 ng/mL |
PK Profile of Rucaparib - Tmax (Part 1)
Tmax = time to maximum concentration following administration of rucaparib
Time frame: Cycle 1 Day 1 to Cycle 1 Day 15, or approximately 15 days
Population: PK-evaluable population - all patients enrolled into Part 1 of the study who received at least one dose of rucaparib and had adequate PK assessments drawn for determination of the PK profile. For some arms, the number analyzed at Day 1 and Day 15 differs from the overall number based on number of evaluable samples collected at each time point.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Rucaparib 600 mg BID (Part 2A) | PK Profile of Rucaparib - Tmax (Part 1) | Day 15 Tmax | 4 hr |
| Rucaparib 600 mg BID (Part 2A) | PK Profile of Rucaparib - Tmax (Part 1) | Day 1 Tmax | 2.5 hr |
| Rucaparib 600 mg BID (Part 2B) | PK Profile of Rucaparib - Tmax (Part 1) | Day 1 Tmax | 1.5 hr |
| Rucaparib 600 mg BID (Part 2B) | PK Profile of Rucaparib - Tmax (Part 1) | Day 15 Tmax | 2.5 hr |
| Rucaparib 160 mg QD (Part 1) | PK Profile of Rucaparib - Tmax (Part 1) | Day 1 Tmax | 4 hr |
| Rucaparib 160 mg QD (Part 1) | PK Profile of Rucaparib - Tmax (Part 1) | Day 15 Tmax | 3.75 hr |
| Rucaparib 300 mg QD (Part 1) | PK Profile of Rucaparib - Tmax (Part 1) | Day 15 Tmax | 2.53 hr |
| Rucaparib 300 mg QD (Part 1) | PK Profile of Rucaparib - Tmax (Part 1) | Day 1 Tmax | 2.5 hr |
| Rucaparib 500 mg QD (Part 1) | PK Profile of Rucaparib - Tmax (Part 1) | Day 1 Tmax | 4 hr |
| Rucaparib 500 mg QD (Part 1) | PK Profile of Rucaparib - Tmax (Part 1) | Day 15 Tmax | 4 hr |
| Rucaparib 240 mg BID (Part 1) | PK Profile of Rucaparib - Tmax (Part 1) | Day 15 Tmax | 1.5 hr |
| Rucaparib 240 mg BID (Part 1) | PK Profile of Rucaparib - Tmax (Part 1) | Day 1 Tmax | 6 hr |
| Rucaparib 360 mg BID (Part 1) | PK Profile of Rucaparib - Tmax (Part 1) | Day 1 Tmax | 3.23 hr |
| Rucaparib 360 mg BID (Part 1) | PK Profile of Rucaparib - Tmax (Part 1) | Day 15 Tmax | 3.3 hr |
| Rucaparib 480 mg BID (Part 1) | PK Profile of Rucaparib - Tmax (Part 1) | Day 15 Tmax | 1.51 hr |
| Rucaparib 480 mg BID (Part 1) | PK Profile of Rucaparib - Tmax (Part 1) | Day 1 Tmax | 2.5 hr |
| Rucaparib 600 mg BID (Part 1) | PK Profile of Rucaparib - Tmax (Part 1) | Day 15 Tmax | 4 hr |
| Rucaparib 600 mg BID (Part 1) | PK Profile of Rucaparib - Tmax (Part 1) | Day 1 Tmax | 4 hr |
| Rucaparib 840 mg BID (Part 1) | PK Profile of Rucaparib - Tmax (Part 1) | Day 15 Tmax | 4.04 hr |
| Rucaparib 840 mg BID (Part 1) | PK Profile of Rucaparib - Tmax (Part 1) | Day 1 Tmax | 4 hr |
Duration of Response Per RECIST Version 1.1 (Part 2)
Duration of response (DOR) for any confirmed RECIST CR or PR measured from the date of the first occurrence of a response until the first occurrence of PD per RECIST. For patients who continued treatment post-progression, the first date of progression was used for the analysis. Any patients with an ongoing response were censored at the date of the last post-baseline scan.
Time frame: Cycle 1 Day 1 to End of Treatment, up to approximately 48 months
Population: Safety population - all Part 2 patients with confirmed response per investigator.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Rucaparib 600 mg BID (Part 2A) | Duration of Response Per RECIST Version 1.1 (Part 2) | 270 Days |
| Rucaparib 600 mg BID (Part 2B) | Duration of Response Per RECIST Version 1.1 (Part 2) | 318 Days |
Food Effect on PK of Rucaparib - AUC Last (Part 1 and Part 3)
AUC last = Area under the plasma concentration-time curve from time 0 to the last recorded observation. The effect of food on rucaparib PK parameters was assessed over a 24-hour period in blood samples from a subset of patients. Patients were given a single dose of 40 mg or 300 mg rucaparib (Part 1), or 600 mg rucaparib (Part 3) and were randomized to one of two sequences where they were either Fed (with a high-fat meal) or Fasted (without a high-fat meal) on Day -7 or Cycle 1 Day 1. On each day, patients underwent blood sampling for PK at the specified time points. The median Fed and Fasted AUC last values were calculated for each arm.
Time frame: Day -7 to Cycle 1 Day 1, or approximately 7 days
Population: A subset of patients treated with either 40 mg, 300 mg, or 600 mg rucaparib. For the 40 mg and 300 mg arms, the number analyzed at Day 1 and Day 15 differs from the overall number based on number of evaluable samples collected at each time point.
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Rucaparib 600 mg BID (Part 2A) | Food Effect on PK of Rucaparib - AUC Last (Part 1 and Part 3) | AUC last Fasted | 468 hr*ng/mL |
| Rucaparib 600 mg BID (Part 2A) | Food Effect on PK of Rucaparib - AUC Last (Part 1 and Part 3) | AUC last Fed | 794 hr*ng/mL |
| Rucaparib 600 mg BID (Part 2B) | Food Effect on PK of Rucaparib - AUC Last (Part 1 and Part 3) | AUC last Fasted | 5410 hr*ng/mL |
| Rucaparib 600 mg BID (Part 2B) | Food Effect on PK of Rucaparib - AUC Last (Part 1 and Part 3) | AUC last Fed | 6000 hr*ng/mL |
| Rucaparib 160 mg QD (Part 1) | Food Effect on PK of Rucaparib - AUC Last (Part 1 and Part 3) | AUC last Fasted | 7050 hr*ng/mL |
| Rucaparib 160 mg QD (Part 1) | Food Effect on PK of Rucaparib - AUC Last (Part 1 and Part 3) | AUC last Fed | 10900 hr*ng/mL |
Food Effect on PK of Rucaparib - Cmax (Part 1 and Part 3)
Cmax = maximum concentration following administration of rucaparib. The effect of food on rucaparib PK parameters was assessed over a 24-hour period in blood samples from a subset of patients. Patients were given a single dose of 40 mg or 300 mg rucaparib (Part 1), or 600 mg rucaparib (Part 3) and were randomized to one of two sequences where they were either Fed (with a high-fat meal) or Fasted (without a high-fat meal) on Day -7 or Cycle 1 Day 1. On each day, patients underwent blood sampling for PK at the specified time points. The median Fed and Fasted Cmax values were calculated for each arm.
Time frame: Day -7 to Cycle 1 Day 1, or approximately 7 days
Population: A subset of patients treated with either 40 mg, 300 mg, or 600 mg rucaparib
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Rucaparib 600 mg BID (Part 2A) | Food Effect on PK of Rucaparib - Cmax (Part 1 and Part 3) | Cmax Fasted | 57.6 ng/mL |
| Rucaparib 600 mg BID (Part 2A) | Food Effect on PK of Rucaparib - Cmax (Part 1 and Part 3) | Cmax Fed | 71.1 ng/mL |
| Rucaparib 600 mg BID (Part 2B) | Food Effect on PK of Rucaparib - Cmax (Part 1 and Part 3) | Cmax Fasted | 424 ng/mL |
| Rucaparib 600 mg BID (Part 2B) | Food Effect on PK of Rucaparib - Cmax (Part 1 and Part 3) | Cmax Fed | 393 ng/mL |
| Rucaparib 160 mg QD (Part 1) | Food Effect on PK of Rucaparib - Cmax (Part 1 and Part 3) | Cmax Fasted | 585 ng/mL |
| Rucaparib 160 mg QD (Part 1) | Food Effect on PK of Rucaparib - Cmax (Part 1 and Part 3) | Cmax Fed | 746 ng/mL |
Food Effect on PK of Rucaparib - Tmax (Part 1 and Part 3)
Tmax = time to maximum concentration following administration of rucaparib. The effect of food on rucaparib PK parameters was assessed over a 24-hour period in blood samples from a subset of patients. Patients were given a single dose of 40 mg or 300 mg rucaparib (Part 1), or 600 mg rucaparib (Part 3) and were randomized to one of two sequences where they were either Fed (with a high-fat meal) or Fasted (without a high-fat meal) on Day -7 or Cycle 1 Day 1. On each day, patients underwent blood sampling for PK at the specified time points. The median Fed and Fasted Tmax values were calculated for each arm.
Time frame: Day -7 to Cycle 1 Day 1, or approximately 7 days
Population: A subset of patients treated with either 40 mg, 300 mg, or 600 mg rucaparib
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Rucaparib 600 mg BID (Part 2A) | Food Effect on PK of Rucaparib - Tmax (Part 1 and Part 3) | Tmax Fasted | 4 hr |
| Rucaparib 600 mg BID (Part 2A) | Food Effect on PK of Rucaparib - Tmax (Part 1 and Part 3) | Tmax Fed | 2.55 hr |
| Rucaparib 600 mg BID (Part 2B) | Food Effect on PK of Rucaparib - Tmax (Part 1 and Part 3) | Tmax Fasted | 4.09 hr |
| Rucaparib 600 mg BID (Part 2B) | Food Effect on PK of Rucaparib - Tmax (Part 1 and Part 3) | Tmax Fed | 5.95 hr |
| Rucaparib 160 mg QD (Part 1) | Food Effect on PK of Rucaparib - Tmax (Part 1 and Part 3) | Tmax Fasted | 4.02 hr |
| Rucaparib 160 mg QD (Part 1) | Food Effect on PK of Rucaparib - Tmax (Part 1 and Part 3) | Tmax Fed | 7.83 hr |
Overall Survival (Part 2B)
Overall survival (OS) is defined as the number of days from the date of first dose of study drug to the date of death, due to any cause. Patients without a documented event of death will be censored on the date of their last visit.
Time frame: Cycle 1 Day 1 to date of death, assessed up to 38 months
Population: Safety population: Consist of all Part 2B patients who received at least one dose of rucaparib
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Rucaparib 600 mg BID (Part 2A) | Overall Survival (Part 2B) | 764 Days |
Progression-free Survival (PFS) According to RECIST v1.1, as Assessed by the Investigator (Part 2)
PFS is calculated as 1+ the number of days from the first dose of study drug to disease progression by RECIST, as determined by the investigator or death due to any cause, whichever occurs first.
Time frame: Cycle 1 Day 1 to End of Treatment, up to approximately 51 months
Population: Safety population: Consist of all Part 2 patients who received at least one dose of rucaparib
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Rucaparib 600 mg BID (Part 2A) | Progression-free Survival (PFS) According to RECIST v1.1, as Assessed by the Investigator (Part 2) | 260 Days |
| Rucaparib 600 mg BID (Part 2B) | Progression-free Survival (PFS) According to RECIST v1.1, as Assessed by the Investigator (Part 2) | 280 Days |
QTcF Value Change From Baseline (Part 1)
QTcF value change from baseline by daily dose corrected using Fridericia's method (QTcF). To evaluate the effects of rucaparib on the QT (interval from Q wave to T wave)/QTc (interval corrected for heart rate) interval, all patients underwent serial ECG monitoring at Screening, on Cycle 1 Day -1, Cycle 1 Day 1, Cycle 1 Day 15, Cycle 1 Day 22, on Day 1 of all subsequent cycles, at the EOT Visit, and as clinically indicated. Worst post-baseline QTcF value was used to categorize each patient.
Time frame: Screening to End of Treatment, up to approximately 15 months
Population: Safety population: Consist of all Part 1 patients who received at least one dose of rucaparib. One patient in the 40 mg dose group had no Baseline evaluation and was excluded from analyses of change from Baseline.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Rucaparib 600 mg BID (Part 2A) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline <30 msec | 5 Participants |
| Rucaparib 600 mg BID (Part 2A) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥60 msec | 0 Participants |
| Rucaparib 600 mg BID (Part 2A) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥30 to <60 msec | 0 Participants |
| Rucaparib 600 mg BID (Part 2B) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥60 msec | 0 Participants |
| Rucaparib 600 mg BID (Part 2B) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥30 to <60 msec | 0 Participants |
| Rucaparib 600 mg BID (Part 2B) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline <30 msec | 3 Participants |
| Rucaparib 160 mg QD (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥30 to <60 msec | 0 Participants |
| Rucaparib 160 mg QD (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline <30 msec | 4 Participants |
| Rucaparib 160 mg QD (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥60 msec | 0 Participants |
| Rucaparib 300 mg QD (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline <30 msec | 9 Participants |
| Rucaparib 300 mg QD (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥60 msec | 0 Participants |
| Rucaparib 300 mg QD (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥30 to <60 msec | 0 Participants |
| Rucaparib 500 mg QD (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline <30 msec | 3 Participants |
| Rucaparib 500 mg QD (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥60 msec | 0 Participants |
| Rucaparib 500 mg QD (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥30 to <60 msec | 1 Participants |
| Rucaparib 240 mg BID (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline <30 msec | 3 Participants |
| Rucaparib 240 mg BID (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥30 to <60 msec | 0 Participants |
| Rucaparib 240 mg BID (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥60 msec | 0 Participants |
| Rucaparib 360 mg BID (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥60 msec | 0 Participants |
| Rucaparib 360 mg BID (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline <30 msec | 8 Participants |
| Rucaparib 360 mg BID (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥30 to <60 msec | 0 Participants |
| Rucaparib 480 mg BID (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥30 to <60 msec | 0 Participants |
| Rucaparib 480 mg BID (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥60 msec | 0 Participants |
| Rucaparib 480 mg BID (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline <30 msec | 9 Participants |
| Rucaparib 600 mg BID (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥60 msec | 0 Participants |
| Rucaparib 600 mg BID (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline <30 msec | 7 Participants |
| Rucaparib 600 mg BID (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥30 to <60 msec | 0 Participants |
| Rucaparib 840 mg BID (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥30 to <60 msec | 0 Participants |
| Rucaparib 840 mg BID (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline <30 msec | 3 Participants |
| Rucaparib 840 mg BID (Part 1) | QTcF Value Change From Baseline (Part 1) | QTcF Change from Baseline ≥60 msec | 0 Participants |