Difference between revisions of "Rucaparib (Rubraca)"
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==History of changes in FDA indication== | ==History of changes in FDA indication== | ||
===[[Ovarian cancer]]=== | ===[[Ovarian cancer]]=== | ||
| − | *12/19/2016: [http://www.fda.gov/Drugs/InformationOnDrugs/ApprovedDrugs/ucm533891.htm Granted accelerated approval] for treatment of patients with deleterious [[Biomarkers#BRCA|BRCA]] [[Biomarkers#Mutation|mutation]] ([[Biomarkers#germline|germline]] and/or [[Biomarkers#Somatic|somatic]]) associated advanced [[ovarian cancer]] who have been treated with two or more chemotherapies. | + | *12/19/2016: [http://www.fda.gov/Drugs/InformationOnDrugs/ApprovedDrugs/ucm533891.htm Granted accelerated approval] for treatment of patients with deleterious [[Biomarkers#BRCA|BRCA]] [[Biomarkers#Mutation|mutation]] ([[Biomarkers#germline|germline]] and/or [[Biomarkers#Somatic|somatic]]) associated advanced [[ovarian cancer]] who have been treated with two or more chemotherapies. ''(Based on Study 10 and ARIEL2)'' |
| − | *4/6/2018: FDA approved for the maintenance treatment of recurrent [[Ovarian cancer|epithelial ovarian, fallopian tube, or primary peritoneal cancer]] who are in a complete or partial response to [[Regimen_classes#Platinum-based_regimen|platinum-based chemotherapy]]. ''(Indication expanded to maintenance therapy)'' | + | *4/6/2018: FDA approved for the maintenance treatment of recurrent [[Ovarian cancer|epithelial ovarian, fallopian tube, or primary peritoneal cancer]] who are in a complete or partial response to [[Regimen_classes#Platinum-based_regimen|platinum-based chemotherapy]]. ''(Indication expanded to maintenance therapy; based on ARIEL3)'' |
===[[Prostate cancer]]=== | ===[[Prostate cancer]]=== | ||
| − | *5/15/2020: Granted accelerated approval for patients with [[Biomarkers#BRCA|BRCA]] [[Biomarkers#Mutation|mutation]] ([[Biomarkers#germline|germline]] and/or [[Biomarkers#Somatic|somatic]])-associated metastatic castration-resistant [[prostate cancer]] (mCRPC) who have been treated with [[Regimen_classes#Androgen_receptor-directed_therapy|androgen receptor-directed therapy]] and a [[Regimen_classes#Taxane-based_regimen|taxane-based chemotherapy]]. ''(New disease entity)'' | + | *5/15/2020: Granted accelerated approval for patients with [[Biomarkers#BRCA|BRCA]] [[Biomarkers#Mutation|mutation]] ([[Biomarkers#germline|germline]] and/or [[Biomarkers#Somatic|somatic]])-associated metastatic castration-resistant [[prostate cancer]] (mCRPC) who have been treated with [[Regimen_classes#Androgen_receptor-directed_therapy|androgen receptor-directed therapy]] and a [[Regimen_classes#Taxane-based_regimen|taxane-based chemotherapy]]. ''(New disease entity; based on TRITON2)'' |
==Also known as== | ==Also known as== | ||
Revision as of 12:58, 2 May 2021
General information
Class/mechanism: PARP inhibitor. Rucaparib inhibits activity of the poly (ADP-ribose) polymerase (PARP) enzymes--including PARP-1, PARP-2, and PARP-3--and interferes with PARP-mediated DNA repair. PARP inhibitor cytotoxicity is believed to involve formation of PARP-DNA complexes, DNA damage, apotosis, and cell death. This cytotoxicity was observed to have increased cytotoxicity in cells with mutations in BRCA1, BRCA2, and other DNA repair genes.[1][2][3][4]
Route: PO
Extravasation: n/a
For conciseness and simplicity, HemOnc.org currently will focus on treatment regimens and not list information such as: renal/hepatic dose adjustments, metabolism (including CYP450), excretion, monitoring parameters (although this will be considered for checklists), or manufacturer. Instead, for the most current information, please refer to your preferred pharmacopeias such as Micromedex, Lexicomp, UpToDate (courtesy of Lexicomp), or the prescribing information.[1]
Diseases for which it is used
Patient drug information
History of changes in FDA indication
Ovarian cancer
- 12/19/2016: Granted accelerated approval for treatment of patients with deleterious BRCA mutation (germline and/or somatic) associated advanced ovarian cancer who have been treated with two or more chemotherapies. (Based on Study 10 and ARIEL2)
- 4/6/2018: FDA approved for the maintenance treatment of recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who are in a complete or partial response to platinum-based chemotherapy. (Indication expanded to maintenance therapy; based on ARIEL3)
Prostate cancer
- 5/15/2020: Granted accelerated approval for patients with BRCA mutation (germline and/or somatic)-associated metastatic castration-resistant prostate cancer (mCRPC) who have been treated with androgen receptor-directed therapy and a taxane-based chemotherapy. (New disease entity; based on TRITON2)
Also known as
- Code names: CO-338, AG-014699, PF-0136738
- Brand name: Rubraca