Imperial College London

ProfessorIainMcNeish

Faculty of MedicineDepartment of Surgery & Cancer

Chair in Oncology
 
 
 
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Contact

 

+44 (0)20 7594 2185i.mcneish Website

 
 
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Assistant

 

Ms Sophie Lions +44 (0)20 7594 2792

 
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Location

 

G036Institute of Reproductive and Developmental BiologyHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Kristeleit:2019:10.1136/ijgc-2019-000623,
author = {Kristeleit, RS and Oaknin, A and Ray-Coquard, I and Leary, A and Balmaña, J and Drew, Y and Oza, AM and Shapira-Frommer, R and Domchek, SM and Cameron, T and Maloney, L and Goble, S and Lorusso, D and Ledermann, JA and McNeish, IA},
doi = {10.1136/ijgc-2019-000623},
journal = {International Journal of Gynecologic Cancer},
pages = {1396--1404},
title = {Antitumor activity of the poly(ADP-ribose) polymerase inhibitor rucaparib as monotherapy in patients with platinum-sensitive, relapsed, BRCA-mutated, high-grade ovarian cancer, and an update on safety},
url = {http://dx.doi.org/10.1136/ijgc-2019-000623},
volume = {29},
year = {2019}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - Objective To report results from an integrated efficacy and safety analysis supporting the European Commission's approval of the poly(ADP-ribose) polymerase inhibitor rucaparib as monotherapy treatment for relapsed, platinum-sensitive, BRCA-mutated ovarian cancer.Methods Efficacy was analyzed in platinum-sensitive patients from Study 10 (NCT01482715) and ARIEL2 (NCT01891344) who had high-grade serous or endometrioid epithelial ovarian, fallopian tube, or primary peritoneal cancer and a deleterious BRCA1 or BRCA2 mutation and received two or more prior chemotherapies (including two or more platinum-based therapies). The primary end point was investigator-assessed, confirmed objective response rate (visit cut-off: April 10, 2017). Safety was analyzed in patients with ovarian cancer, regardless of BRCA mutation status or lines of prior chemotherapies, who received at least one dose of rucaparib 600 mg in either study (visit cut-off: December 31, 2017).Results In the integrated platinum-sensitive efficacy population (n=79), objective response rate was 64.6% (95% CI, 53.0 to 75.0); 10.1% (8/79) of patients had a complete response and 54.4% (43/79) had a partial response. Median duration of response was 294 days (95% CI, 224 to 393). In the integrated safety population (n=565), the most common any-grade treatment-emergent adverse events were nausea (77.7%, 439/565), asthenia/fatigue (74.7%, 422/565), vomiting (45.8%, 259/565), and hemoglobin decreased (44.2%, 250/565). Treatment-emergent adverse events led to treatment interruption, dose reduction, or discontinuation in 60.2% (340/565), 46.0% (260/565), and 16.8% (95/565) of patients.Conclusions In patients with platinum-sensitive, BRCA-mutated ovarian cancer, rucaparib demonstrated antitumor activity and is the first and currently the only poly(ADP-ribose) polymerase inhibitor approved by the European Commission as treatment for this population. The safety analysis used a more recent visit cut-off date and
AU - Kristeleit,RS
AU - Oaknin,A
AU - Ray-Coquard,I
AU - Leary,A
AU - Balmaña,J
AU - Drew,Y
AU - Oza,AM
AU - Shapira-Frommer,R
AU - Domchek,SM
AU - Cameron,T
AU - Maloney,L
AU - Goble,S
AU - Lorusso,D
AU - Ledermann,JA
AU - McNeish,IA
DO - 10.1136/ijgc-2019-000623
EP - 1404
PY - 2019///
SN - 1048-891X
SP - 1396
TI - Antitumor activity of the poly(ADP-ribose) polymerase inhibitor rucaparib as monotherapy in patients with platinum-sensitive, relapsed, BRCA-mutated, high-grade ovarian cancer, and an update on safety
T2 - International Journal of Gynecologic Cancer
UR - http://dx.doi.org/10.1136/ijgc-2019-000623
UR - https://ijgc.bmj.com/content/29/9/1396
UR - http://hdl.handle.net/10044/1/74597
VL - 29
ER -