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A Study of Rucaparib in Patients With Platinum-Sensitive, Relapsed, High-Grade Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer (ARIEL2)

A Phase 2, Open-Label Study of Rucaparib in Patients With Platinum-Sensitive, Relapsed, High-Grade Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer (ARIEL2)

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01891344
Acronym
ARIEL2
Enrollment
491
Registered
2013-07-03
Start date
2013-10-30
Completion date
2021-09-28
Last updated
2023-06-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Epithelial Ovarian Cancer, Fallopian Tube Cancer, Ovarian Cancer, Peritoneal Cancer

Keywords

ovarian cancer, fallopian tube cancer, primary peritoneal cancer, peritoneal cancer, platinum sensitive, relapsed disease, PARP Inhibitor, rucaparib, homologous recombination, homologous recombination deficiency, genomic scarring, loss of heterozygosity, CO-338, PF 01367338, AG 14699, platinum sensitive ovarian cancer, platinum sensitive fallopian tube cancer, platinum sensitive primary peritoneal cancer, platinum sensitive peritoneal cancer, gynecological cancer, Clovis, Clovis Oncology, ARIEL2, ARIEL 2, ARIEL3, ARIEL 3

Brief summary

The purpose of this study is to determine which patients with ovarian, fallopian tube, and primary peritoneal cancer will best respond to treatment with rucaparib.

Detailed description

Rucaparib 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 breast cancer susceptibility gene 1 (BRCA1) or BRCA2 mutations. Clinical data with PARP inhibitors indicate there is an ovarian cancer patient population beyond just those with germline BRCA (gBRCA) mutations that may benefit from treatment with a PARP inhibitor. This study will define a molecular signature of HRD in ovarian cancer that correlates with response to rucaparib and enables selection of appropriate ovarian cancer patients for treatment with rucaparib. The HRD signature will be based on an association between the extent of genomic scarring (a downstream consequence of HRD) in a patient's tumor and observed clinical benefit from rucaparib treatment. Genomic scarring can be assessed by quantifying the extent of loss of heterozygosity across the tumor genome (tumor genomic LOH). One of the main advantages of detecting tumor genomic LOH is that it can identify HRD tumors regardless of the underlying mechanisms, which include both known (i.e., BRCA mutations) and unknown genetic and other mechanisms. Once determined, this signature will be prospectively applied to ARIEL2 PART 2 and ARIEL3. This Phase 2 study (ARIEL2) will also compare archival versus recently collected tumor tissue in order to validate the use of archival tumor tissue for assessment of HRD status in ARIEL3. This study will include 2 parts: PART 1 (completed enrollment): Evaluation of HRD status and rucaparib efficacy in patients who received ≥1 prior platinum-based regimen and had platinum-sensitive disease PART 2 (completed enrollment): Evaluation of HRD status and rucaparib efficacy in patients who received at least 3 prior chemotherapy regimens

Interventions

DRUGOral rucaparib

600 mg BID

Sponsors

Foundation Medicine
CollaboratorINDUSTRY
Myriad Genetics, Inc.
CollaboratorINDUSTRY
pharmaand GmbH
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

The following eligibility criteria pertain to patients enrolling into PART 2 of the study: Inclusion: * Have a histologically confirmed diagnosis of high grade serous or Grade 2 or Grade 3 endometrioid epithelial ovarian, fallopian tube, or primary peritoneal cancer * Received at least 3 prior chemotherapy regimens. Non-chemotherapy regimens and maintenance therapies administered as single agent treatment will not count as a chemotherapy regimen * Relapsed/progressive disease as confirmed by CT scan * Have biopsiable and measurable disease. Note: biopsy is optional for patients known to harbor a deleterious gBRCA mutation * Have sufficient archival formalin-fixed paraffin-embedded (FFPE) tumor tissue available for planned analyses Exclusion: * History of prior cancers except for those that have been curatively treated, with no evidence of cancer currently (provided all chemotherapy was completed \>6 months prior and/or bone marrow transplant \>2 years prior to first dose of rucaparib). * Prior treatment with any PARP inhibitor * Symptomatic and/or untreated central nervous system metastases * Pre-existing duodenal stent and/or any other gastrointestinal disorder or defect that would, in the opinion of the Investigator, interfere with absorption of rucaparib * Hospitalization for bowel obstruction within 3 months prior to enrollment

Design outcomes

Primary

MeasureTime frameDescription
Progression-free Survival (PFS) According to RECIST v1.1 in Molecularly-defined HRD (Homologous Recombination Deficiency) Subgroups (Part 1 of Study)Assessments every 8 weeks from C1D1 until disease progression, death or withdrawal of consent. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3 years.The primary efficacy endpoint of PFS is calculated as 1+ the number of days from the first dose of study drug to disease progression by RECIST (Response Evaluation Criteria in Solid Tumors), as determined by the investigator or death due to any cause, whichever occurs first. Progression is defined using RECIST v1.1, as at least a 20% increase in the sum of the longest diameter of target lesions, or a measureable increase in a non-target lesion, or the appearance of new lesions.
Objective Response Rate (ORR) by RECIST v1.1 in Molecularly-defined HRD Subgroups (Part 2 of Study)Assessments every 8 weeks from C1D1 until disease progression, death or withdrawal of consent. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3 years.The confirmed response rate by RECIST v1.1 is defined as the percentage of patients with a confirmed complete response (CR) or partial response (PR) on subsequent tumor assessment at least 28 days after first response documentation. Complete response (CR) is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Partial response (PR) is at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter.

Secondary

MeasureTime frameDescription
Duration of Response Per RECIST v1.1Assessments every 8 weeks from C1D1 until disease progression, death or withdrawal of consent. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3 years.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 progressive disease (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. Complete response (CR) is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Partial response (PR) is at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter.
Progression-free Survival (PFS) According to RECIST v1.1 in Molecularly-defined HRD Subgroups (Part 2 of Study)Assessments every 8 weeks from C1D1 until disease progression, death or withdrawal of consent. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3 years.Progression-Free Survival (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. Progression is defined using RECIST v1.1, as at least a 20% increase in the sum of the longest diameter of target lesions, or a measureable increase in a non-target lesion, or the appearance of new lesions.
Objective Response Rate (ORR) by RECIST v1.1 (Part 1 of Study)Assessments every 8 weeks from C1D1 until disease progression, death or withdrawal of consent. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3 years.The confirmed response rate by RECIST v1.1 is defined as the percentage of patients with a confirmed CR or PR on subsequent tumor assessment at least 28 days after first response documentation. Complete response (CR) is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Partial response (PR) is at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter.
Steady State Trough (Cmin) Level Rucaparib ConcentrationsCycle 1 Day 15 to Cycle 4 Day 1, or approximately 10 weeksPer protocol, the secondary PK endpoint, trough (Cmin) concentrations of rucaparib were summarized with descriptive statistics overall and by cycle in all patients with at least one PK sample collected. Blood samples for trough level PK analysis of rucaparib were drawn at the following timepoints only: on Day 15 of Cycle 1 and on Day 1 of Cycles 2, 3, and 4. Data for other timepoints is not available.
Overall Survival (Part 2 of Study)All patients in Part 2 were followed for survival, subsequent therapy, and secondary malignancy every 12 weeks until death, loss to follow-up, withdrawal of consent from study or study closure, whichever happened first, up to 7 years.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 known date of death will be censored on the date the patient was last known to be alive.
Objective Response Rate (ORR) by RECIST v1.1 and GCIG CA-125 CriteriaAssessments every 8 weeks from C1D1 until disease progression, death or withdrawal of consent. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3 years.The endpoint of ORR defined as the percentage of patients with a best response of CR or PR using RECIST v 1.1 or a response per Gynecologic Cancer InterGroup cancer antigen 125 (GCIG CA-125) criteria. Complete response (CR) is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Partial response (PR) is at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter. A response to CA-125 has occurred if there is at least a 50% decrease from baseline: 1. in a sample collected after initiation of study treatment AND 2. that is confirmed in a subsequent sample collected ≥21 days after the prior sample. The absolute value of this confirmatory sample must be ≤110% of the prior sample. The date when the first sample with a 50% decrease from baseline is observed is the date of the CA-125 response.

Countries

Australia, Canada, France, Spain, United Kingdom, United States

Participant flow

Recruitment details

491 subjects were recruited from 64 sites across 6 countries.

Participants by arm

ArmCount
tBRCA
Patients with a deleterious BRCA mutation detected in their tumor.
124
Non-tBRCA LOH+
Patients without a BRCA mutation in their tumor, but have high LOH.
155
Non-tBRCA LOH-
Patients without a BRCA mutation in their tumor, but have low LOH.
177
Non-tBRCA LOH Unknown
Patients without a BRCA mutation in their tumor, and have unknown LOH due to missing results and/or failed test result(s).
35
Total491

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007
Overall StudyOngoing62014100

Baseline characteristics

CharacteristicNon-tBRCA LOH-tBRCATotalNon-tBRCA LOH UnknownNon-tBRCA LOH+
Age, Continuous
Part 1
65 years58.5 years64.5 years69.5 years65 years
Age, Continuous
Part 2
64 years60.5 years63 years62 years61 years
Number of Prior Chemotherapy Regimens
Part 1
0
0 Participants0 Participants0 Participants0 Participants0 Participants
Number of Prior Chemotherapy Regimens
Part 1
1
47 Participants17 Participants119 Participants10 Participants45 Participants
Number of Prior Chemotherapy Regimens
Part 1
2
16 Participants14 Participants52 Participants1 Participants21 Participants
Number of Prior Chemotherapy Regimens
Part 1
3
6 Participants4 Participants24 Participants1 Participants13 Participants
Number of Prior Chemotherapy Regimens
Part 1
4
0 Participants4 Participants5 Participants0 Participants1 Participants
Number of Prior Chemotherapy Regimens
Part 1
5
1 Participants1 Participants3 Participants0 Participants1 Participants
Number of Prior Chemotherapy Regimens
Part 1
>5
0 Participants0 Participants1 Participants0 Participants1 Participants
Number of Prior Chemotherapy Regimens
Part 2
0
0 Participants0 Participants0 Participants0 Participants0 Participants
Number of Prior Chemotherapy Regimens
Part 2
1
0 Participants0 Participants0 Participants0 Participants0 Participants
Number of Prior Chemotherapy Regimens
Part 2
2
1 Participants0 Participants2 Participants0 Participants1 Participants
Number of Prior Chemotherapy Regimens
Part 2
3
73 Participants52 Participants186 Participants17 Participants44 Participants
Number of Prior Chemotherapy Regimens
Part 2
4
31 Participants32 Participants97 Participants6 Participants28 Participants
Number of Prior Chemotherapy Regimens
Part 2
5
2 Participants0 Participants2 Participants0 Participants0 Participants
Number of Prior Chemotherapy Regimens
Part 2
>5
0 Participants0 Participants0 Participants0 Participants0 Participants
Number of Prior Platinum Regimens
Part 1
0
0 Participants0 Participants0 Participants0 Participants0 Participants
Number of Prior Platinum Regimens
Part 1
1
47 Participants17 Participants119 Participants10 Participants45 Participants
Number of Prior Platinum Regimens
Part 1
2
16 Participants15 Participants57 Participants1 Participants25 Participants
Number of Prior Platinum Regimens
Part 1
3
6 Participants6 Participants23 Participants1 Participants10 Participants
Number of Prior Platinum Regimens
Part 1
>3
1 Participants2 Participants5 Participants0 Participants2 Participants
Number of Prior Platinum Regimens
Part 2
0
0 Participants0 Participants0 Participants0 Participants0 Participants
Number of Prior Platinum Regimens
Part 2
1
7 Participants2 Participants16 Participants3 Participants4 Participants
Number of Prior Platinum Regimens
Part 2
2
55 Participants34 Participants127 Participants7 Participants31 Participants
Number of Prior Platinum Regimens
Part 2
3
44 Participants40 Participants132 Participants12 Participants36 Participants
Number of Prior Platinum Regimens
Part 2
>3
1 Participants8 Participants12 Participants1 Participants2 Participants
Platinum Sensitivity Status
Part 1
Refractory
0 Participants0 Participants0 Participants0 Participants0 Participants
Platinum Sensitivity Status
Part 1
Resistant
0 Participants0 Participants2 Participants1 Participants1 Participants
Platinum Sensitivity Status
Part 1
Sensitive
70 Participants40 Participants202 Participants11 Participants81 Participants
Platinum Sensitivity Status
Part 2
Refractory
18 Participants12 Participants48 Participants4 Participants14 Participants
Platinum Sensitivity Status
Part 2
Resistant
56 Participants41 Participants158 Participants15 Participants46 Participants
Platinum Sensitivity Status
Part 2
Sensitive
33 Participants31 Participants81 Participants4 Participants13 Participants
Race (NIH/OMB)
Part 1
American Indian or Alaska Native
0 Participants1 Participants1 Participants0 Participants0 Participants
Race (NIH/OMB)
Part 1
Asian
5 Participants3 Participants13 Participants1 Participants4 Participants
Race (NIH/OMB)
Part 1
Black or African American
1 Participants1 Participants5 Participants1 Participants2 Participants
Race (NIH/OMB)
Part 1
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Part 1
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Part 1
Unknown or Not Reported
8 Participants2 Participants19 Participants0 Participants9 Participants
Race (NIH/OMB)
Part 1
White
56 Participants33 Participants166 Participants10 Participants67 Participants
Race (NIH/OMB)
Part 2
American Indian or Alaska Native
0 Participants1 Participants1 Participants0 Participants0 Participants
Race (NIH/OMB)
Part 2
Asian
5 Participants5 Participants14 Participants0 Participants4 Participants
Race (NIH/OMB)
Part 2
Black or African American
0 Participants0 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
Part 2
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Part 2
Native Hawaiian or Other Pacific Islander
1 Participants0 Participants1 Participants0 Participants0 Participants
Race (NIH/OMB)
Part 2
Unknown or Not Reported
19 Participants19 Participants65 Participants5 Participants22 Participants
Race (NIH/OMB)
Part 2
White
82 Participants59 Participants205 Participants18 Participants46 Participants
Sex: Female, Male
Part 1
Female
70 Participants40 Participants204 Participants12 Participants82 Participants
Sex: Female, Male
Part 1
Male
0 Participants0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Part 2
Female
107 Participants84 Participants287 Participants23 Participants73 Participants
Sex: Female, Male
Part 2
Male
0 Participants0 Participants0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
2 / 20418 / 287
other
Total, other adverse events
203 / 204285 / 287
serious
Total, serious adverse events
54 / 20492 / 287

Outcome results

Primary

Objective Response Rate (ORR) by RECIST v1.1 in Molecularly-defined HRD Subgroups (Part 2 of Study)

The confirmed response rate by RECIST v1.1 is defined as the percentage of patients with a confirmed complete response (CR) or partial response (PR) on subsequent tumor assessment at least 28 days after first response documentation. Complete response (CR) is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Partial response (PR) is at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter.

Time frame: Assessments every 8 weeks from C1D1 until disease progression, death or withdrawal of consent. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3 years.

Population: Safety population by HRD subgroups: Consist of all Part 2 patients who received at least one dose of rucaparib.

ArmMeasureValue (NUMBER)
Part 1: tBRCAObjective Response Rate (ORR) by RECIST v1.1 in Molecularly-defined HRD Subgroups (Part 2 of Study)31.0 percentage of participants
Part 1: Non-tBRCA LOH+Objective Response Rate (ORR) by RECIST v1.1 in Molecularly-defined HRD Subgroups (Part 2 of Study)6.8 percentage of participants
Part 1: Non-tBRCA LOH-Objective Response Rate (ORR) by RECIST v1.1 in Molecularly-defined HRD Subgroups (Part 2 of Study)5.6 percentage of participants
Part 1: Non-tBRCA LOH UnknownObjective Response Rate (ORR) by RECIST v1.1 in Molecularly-defined HRD Subgroups (Part 2 of Study)13.0 percentage of participants
Primary

Progression-free Survival (PFS) According to RECIST v1.1 in Molecularly-defined HRD (Homologous Recombination Deficiency) Subgroups (Part 1 of Study)

The primary efficacy endpoint of PFS is calculated as 1+ the number of days from the first dose of study drug to disease progression by RECIST (Response Evaluation Criteria in Solid Tumors), as determined by the investigator or death due to any cause, whichever occurs first. Progression is defined using RECIST v1.1, as at least a 20% increase in the sum of the longest diameter of target lesions, or a measureable increase in a non-target lesion, or the appearance of new lesions.

Time frame: Assessments every 8 weeks from C1D1 until disease progression, death or withdrawal of consent. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3 years.

Population: Safety population by HRD subgroups: Consists of all Part 1 patients who received at least one dose of rucaparib.

ArmMeasureValue (MEDIAN)
Part 1: tBRCAProgression-free Survival (PFS) According to RECIST v1.1 in Molecularly-defined HRD (Homologous Recombination Deficiency) Subgroups (Part 1 of Study)388 Days
Part 1: Non-tBRCA LOH+Progression-free Survival (PFS) According to RECIST v1.1 in Molecularly-defined HRD (Homologous Recombination Deficiency) Subgroups (Part 1 of Study)174 Days
Part 1: Non-tBRCA LOH-Progression-free Survival (PFS) According to RECIST v1.1 in Molecularly-defined HRD (Homologous Recombination Deficiency) Subgroups (Part 1 of Study)160 Days
Part 1: Non-tBRCA LOH UnknownProgression-free Survival (PFS) According to RECIST v1.1 in Molecularly-defined HRD (Homologous Recombination Deficiency) Subgroups (Part 1 of Study)223 Days
95% CI: [0.17, 0.437]
95% CI: [0.428, 0.871]
Secondary

Duration of Response Per RECIST v1.1

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 progressive disease (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. Complete response (CR) is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Partial response (PR) is at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter.

Time frame: Assessments every 8 weeks from C1D1 until disease progression, death or withdrawal of consent. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3 years.

Population: Efficacy population by HRD subgroups. The overall number of patients analyzed includes only patients with confirmed RECIST CR or PR.

ArmMeasureValue (MEDIAN)
Part 1: tBRCADuration of Response Per RECIST v1.1281 Days
Part 1: Non-tBRCA LOH+Duration of Response Per RECIST v1.1329 Days
Part 1: Non-tBRCA LOH-Duration of Response Per RECIST v1.1169 Days
Part 1: Non-tBRCA LOH UnknownDuration of Response Per RECIST v1.1225 Days
Part 2: tBRCADuration of Response Per RECIST v1.1176 Days
Part 2: Non-tBRCA LOH+Duration of Response Per RECIST v1.1282 Days
Part 2: Non-tBRCA LOH-Duration of Response Per RECIST v1.1314 Days
Part 2: Non-tBRCA LOH UnknownDuration of Response Per RECIST v1.1181 Days
Secondary

Objective Response Rate (ORR) by RECIST v1.1 and GCIG CA-125 Criteria

The endpoint of ORR defined as the percentage of patients with a best response of CR or PR using RECIST v 1.1 or a response per Gynecologic Cancer InterGroup cancer antigen 125 (GCIG CA-125) criteria. Complete response (CR) is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Partial response (PR) is at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter. A response to CA-125 has occurred if there is at least a 50% decrease from baseline: 1. in a sample collected after initiation of study treatment AND 2. that is confirmed in a subsequent sample collected ≥21 days after the prior sample. The absolute value of this confirmatory sample must be ≤110% of the prior sample. The date when the first sample with a 50% decrease from baseline is observed is the date of the CA-125 response.

Time frame: Assessments every 8 weeks from C1D1 until disease progression, death or withdrawal of consent. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3 years.

Population: Safety population by HRD subgroups: Consist of all Part 1 and Part 2 patients who received at least one dose of rucaparib.

ArmMeasureValue (NUMBER)
Part 1: tBRCAObjective Response Rate (ORR) by RECIST v1.1 and GCIG CA-125 Criteria87.5 percentage of patients
Part 1: Non-tBRCA LOH+Objective Response Rate (ORR) by RECIST v1.1 and GCIG CA-125 Criteria46.3 percentage of patients
Part 1: Non-tBRCA LOH-Objective Response Rate (ORR) by RECIST v1.1 and GCIG CA-125 Criteria21.4 percentage of patients
Part 1: Non-tBRCA LOH UnknownObjective Response Rate (ORR) by RECIST v1.1 and GCIG CA-125 Criteria50.0 percentage of patients
Part 2: tBRCAObjective Response Rate (ORR) by RECIST v1.1 and GCIG CA-125 Criteria54.8 percentage of patients
Part 2: Non-tBRCA LOH+Objective Response Rate (ORR) by RECIST v1.1 and GCIG CA-125 Criteria12.3 percentage of patients
Part 2: Non-tBRCA LOH-Objective Response Rate (ORR) by RECIST v1.1 and GCIG CA-125 Criteria13.1 percentage of patients
Part 2: Non-tBRCA LOH UnknownObjective Response Rate (ORR) by RECIST v1.1 and GCIG CA-125 Criteria30.4 percentage of patients
Secondary

Objective Response Rate (ORR) by RECIST v1.1 (Part 1 of Study)

The confirmed response rate by RECIST v1.1 is defined as the percentage of patients with a confirmed CR or PR on subsequent tumor assessment at least 28 days after first response documentation. Complete response (CR) is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Partial response (PR) is at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter.

Time frame: Assessments every 8 weeks from C1D1 until disease progression, death or withdrawal of consent. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3 years.

Population: Safety population by HRD subgroups: Consist of all Part 1 patients who received at least one dose of rucaparib

ArmMeasureValue (NUMBER)
Part 1: tBRCAObjective Response Rate (ORR) by RECIST v1.1 (Part 1 of Study)80.0 percentage of participants
Part 1: Non-tBRCA LOH+Objective Response Rate (ORR) by RECIST v1.1 (Part 1 of Study)28.0 percentage of participants
Part 1: Non-tBRCA LOH-Objective Response Rate (ORR) by RECIST v1.1 (Part 1 of Study)10.0 percentage of participants
Part 1: Non-tBRCA LOH UnknownObjective Response Rate (ORR) by RECIST v1.1 (Part 1 of Study)33.3 percentage of participants
Secondary

Overall Survival (Part 2 of Study)

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 known date of death will be censored on the date the patient was last known to be alive.

Time frame: All patients in Part 2 were followed for survival, subsequent therapy, and secondary malignancy every 12 weeks until death, loss to follow-up, withdrawal of consent from study or study closure, whichever happened first, up to 7 years.

Population: Safety population by HRD subgroups: Consist of all Part 2 patients who received at least one dose of rucaparib.

ArmMeasureValue (MEDIAN)
Part 1: tBRCAOverall Survival (Part 2 of Study)22.7 Months
Part 1: Non-tBRCA LOH+Overall Survival (Part 2 of Study)14.7 Months
Part 1: Non-tBRCA LOH-Overall Survival (Part 2 of Study)13.3 Months
Part 1: Non-tBRCA LOH UnknownOverall Survival (Part 2 of Study)14.1 Months
Secondary

Progression-free Survival (PFS) According to RECIST v1.1 in Molecularly-defined HRD Subgroups (Part 2 of Study)

Progression-Free Survival (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. Progression is defined using RECIST v1.1, as at least a 20% increase in the sum of the longest diameter of target lesions, or a measureable increase in a non-target lesion, or the appearance of new lesions.

Time frame: Assessments every 8 weeks from C1D1 until disease progression, death or withdrawal of consent. After 18 months on study, assessments every 16 weeks. Total follow-up was up to approximately 3 years.

Population: Safety population by HRD subgroups: Consist of all Part 2 patients who received at least one dose of rucaparib.

ArmMeasureValue (MEDIAN)
Part 1: tBRCAProgression-free Survival (PFS) According to RECIST v1.1 in Molecularly-defined HRD Subgroups (Part 2 of Study)223 Days
Part 1: Non-tBRCA LOH+Progression-free Survival (PFS) According to RECIST v1.1 in Molecularly-defined HRD Subgroups (Part 2 of Study)57 Days
Part 1: Non-tBRCA LOH-Progression-free Survival (PFS) According to RECIST v1.1 in Molecularly-defined HRD Subgroups (Part 2 of Study)113 Days
Part 1: Non-tBRCA LOH UnknownProgression-free Survival (PFS) According to RECIST v1.1 in Molecularly-defined HRD Subgroups (Part 2 of Study)110 Days
Secondary

Steady State Trough (Cmin) Level Rucaparib Concentrations

Per protocol, the secondary PK endpoint, trough (Cmin) concentrations of rucaparib were summarized with descriptive statistics overall and by cycle in all patients with at least one PK sample collected. Blood samples for trough level PK analysis of rucaparib were drawn at the following timepoints only: on Day 15 of Cycle 1 and on Day 1 of Cycles 2, 3, and 4. Data for other timepoints is not available.

Time frame: Cycle 1 Day 15 to Cycle 4 Day 1, or approximately 10 weeks

Population: All Part 1 and Part 2 patients with at least one PK sample collected

ArmMeasureGroupValue (MEAN)Dispersion
Part 1: tBRCASteady State Trough (Cmin) Level Rucaparib ConcentrationsCycle 3 Day 11557.32 ng/mLStandard Deviation 952.903
Part 1: tBRCASteady State Trough (Cmin) Level Rucaparib ConcentrationsCycle 1 Day 152020.76 ng/mLStandard Deviation 1145.164
Part 1: tBRCASteady State Trough (Cmin) Level Rucaparib ConcentrationsCycle 4 Day 11530.41 ng/mLStandard Deviation 765.94
Part 1: tBRCASteady State Trough (Cmin) Level Rucaparib ConcentrationsCycle 2 Day 11652.27 ng/mLStandard Deviation 935.503
Part 1: Non-tBRCA LOH+Steady State Trough (Cmin) Level Rucaparib ConcentrationsCycle 4 Day 11629.14 ng/mLStandard Deviation 1026.999
Part 1: Non-tBRCA LOH+Steady State Trough (Cmin) Level Rucaparib ConcentrationsCycle 1 Day 152276.37 ng/mLStandard Deviation 1587.586
Part 1: Non-tBRCA LOH+Steady State Trough (Cmin) Level Rucaparib ConcentrationsCycle 3 Day 11552.09 ng/mLStandard Deviation 1054.346
Part 1: Non-tBRCA LOH+Steady State Trough (Cmin) Level Rucaparib ConcentrationsCycle 2 Day 11689.83 ng/mLStandard Deviation 1039.953

Source: ClinicalTrials.gov · Data processed: Mar 11, 2026