Skip to main content
Top
Published in: Drugs 5/2017

01-04-2017 | AdisInsight Report

Rucaparib: First Global Approval

Author: Yahiya Y. Syed

Published in: Drugs | Issue 5/2017

Login to get access

Abstract

Rucaparib (Rubraca™) is an oral, small molecule, poly (ADP-ribose) polymerase inhibitor being developed by Clovis Oncology, Inc. (Boulder, CO, USA) for the treatment of solid tumours. It has been approved in the USA as monotherapy for the treatment of patients with deleterious BRCA mutation (germline and/or somatic) associated advanced ovarian cancer who have been treated with two or more chemotherapies. A marketing authorization application for rucaparib for the same indication has been submitted to the European Medicines Agency. Rucaparib is also under phase II or III investigation in ovarian, breast and prostate cancer. This article summarizes the milestones in the development of rucaparib leading to this first approval for ovarian cancer.
Literature
2.
go back to reference Jenner ZB, Sood AK, Coleman RL. Evaluation of rucaparib and companion diagnostics in the PARP inhibitor landscape for recurrent ovarian cancer therapy. Future Oncol. 2016;12(12):1439–56.CrossRefPubMed Jenner ZB, Sood AK, Coleman RL. Evaluation of rucaparib and companion diagnostics in the PARP inhibitor landscape for recurrent ovarian cancer therapy. Future Oncol. 2016;12(12):1439–56.CrossRefPubMed
3.
go back to reference Swisher EM, Lin KK, Oza AM, et al. Rucaparib in relapsed, platinum-sensitive high-grade ovarian carcinoma (ARIEL2 Part 1): an international, multicentre, open-label, phase 2 trial. Lancet Oncol. 2017;18(1):75–87.CrossRefPubMed Swisher EM, Lin KK, Oza AM, et al. Rucaparib in relapsed, platinum-sensitive high-grade ovarian carcinoma (ARIEL2 Part 1): an international, multicentre, open-label, phase 2 trial. Lancet Oncol. 2017;18(1):75–87.CrossRefPubMed
4.
go back to reference Plummer R, Lorigan P, Steven N, et al. A phase II study of the potent PARP inhibitor, rucaparib (PF-01367338, AG014699), with temozolomide in patients with metastatic melanoma demonstrating evidence of chemopotentiation. Cancer Chemother Pharmacol. 2013;71(5):1191–9.CrossRefPubMed Plummer R, Lorigan P, Steven N, et al. A phase II study of the potent PARP inhibitor, rucaparib (PF-01367338, AG014699), with temozolomide in patients with metastatic melanoma demonstrating evidence of chemopotentiation. Cancer Chemother Pharmacol. 2013;71(5):1191–9.CrossRefPubMed
5.
go back to reference Clovis Oncology Inc. Clovis Oncology, Inc. receives license for worldwide development and commercialization rights to Pfizer’s oral and IV PARP inhibitor PF-01367338 [media release]. 2011. http://www.clovisoncology.com. Clovis Oncology Inc. Clovis Oncology, Inc. receives license for worldwide development and commercialization rights to Pfizer’s oral and IV PARP inhibitor PF-01367338 [media release]. 2011. http://​www.​clovisoncology.​com.
7.
8.
go back to reference Murai J, Huang SY, Renaud A, et al. Stereospecific PARP trapping by BMN 673 and comparison with olaparib and rucaparib. Mol Cancer Ther. 2014;13(2):433–43.CrossRefPubMed Murai J, Huang SY, Renaud A, et al. Stereospecific PARP trapping by BMN 673 and comparison with olaparib and rucaparib. Mol Cancer Ther. 2014;13(2):433–43.CrossRefPubMed
10.
go back to reference Murray J, Thomas H, Berry P, et al. Tumour cell retention of rucaparib, sustained PARP inhibition and efficacy of weekly as well as daily schedules. Br J Cancer. 2014;110(8):1977–84.CrossRefPubMedPubMedCentral Murray J, Thomas H, Berry P, et al. Tumour cell retention of rucaparib, sustained PARP inhibition and efficacy of weekly as well as daily schedules. Br J Cancer. 2014;110(8):1977–84.CrossRefPubMedPubMedCentral
11.
go back to reference Plummer R, Jones C, Middleton M, et al. Phase I study of the poly(ADP-ribose) polymerase inhibitor, AG014699, in combination with temozolomide in patients with advanced solid tumors. Clin Cancer Res. 2008;14(23):7917–23.CrossRefPubMedPubMedCentral Plummer R, Jones C, Middleton M, et al. Phase I study of the poly(ADP-ribose) polymerase inhibitor, AG014699, in combination with temozolomide in patients with advanced solid tumors. Clin Cancer Res. 2008;14(23):7917–23.CrossRefPubMedPubMedCentral
12.
go back to reference Drew Y, Ledermann J, Hall G, et al. Phase 2 multicentre trial investigating intermittent and continuous dosing schedules of the poly(ADP-ribose) polymerase inhibitor rucaparib in germline BRCA mutation carriers with advanced ovarian and breast cancer. Br J Cancer. 2016;114(12):723–30.CrossRefPubMedPubMedCentral Drew Y, Ledermann J, Hall G, et al. Phase 2 multicentre trial investigating intermittent and continuous dosing schedules of the poly(ADP-ribose) polymerase inhibitor rucaparib in germline BRCA mutation carriers with advanced ovarian and breast cancer. Br J Cancer. 2016;114(12):723–30.CrossRefPubMedPubMedCentral
13.
go back to reference Ihnen M, Zu Eulenburg C, Kolarova T, et al. Therapeutic potential of the poly(ADP-ribose) polymerase inhibitor rucaparib for the treatment of sporadic human ovarian cancer. Mol Cancer Ther. 2013;12(6):1002–15. Ihnen M, Zu Eulenburg C, Kolarova T, et al. Therapeutic potential of the poly(ADP-ribose) polymerase inhibitor rucaparib for the treatment of sporadic human ovarian cancer. Mol Cancer Ther. 2013;12(6):1002–15.
14.
go back to reference Chuang HC, Kapuriya N, Kulp SK, et al. Differential anti-proliferative activities of poly(ADP-ribose) polymerase (PARP) inhibitors in triple-negative breast cancer cells. Breast Cancer Res Treat. 2012;134(2):649–59.CrossRefPubMedPubMedCentral Chuang HC, Kapuriya N, Kulp SK, et al. Differential anti-proliferative activities of poly(ADP-ribose) polymerase (PARP) inhibitors in triple-negative breast cancer cells. Breast Cancer Res Treat. 2012;134(2):649–59.CrossRefPubMedPubMedCentral
15.
go back to reference Robillard L, Lin K, Lopez-Casas PP, et al. Preclinical efficacy of the PARP inhibitor rucaparib (CO-338/AG014699/PF-01367338) in pancreatic cancer models with homologous recombination deficiencies (HRD) [abstract no. 249]. Eur J Cancer. 2014;50(Suppl 6):83.CrossRef Robillard L, Lin K, Lopez-Casas PP, et al. Preclinical efficacy of the PARP inhibitor rucaparib (CO-338/AG014699/PF-01367338) in pancreatic cancer models with homologous recombination deficiencies (HRD) [abstract no. 249]. Eur J Cancer. 2014;50(Suppl 6):83.CrossRef
16.
go back to reference Drew Y, Mulligan EA, Vong W-T, et al. Therapeutic potential of poly(ADP-ribose) polymerase inhibitor AG014699 in human cancers with mutated or methylated BRCA1 or BRCA2. J Natl Cancer Inst. 2011;103(4):334–46.CrossRefPubMed Drew Y, Mulligan EA, Vong W-T, et al. Therapeutic potential of poly(ADP-ribose) polymerase inhibitor AG014699 in human cancers with mutated or methylated BRCA1 or BRCA2. J Natl Cancer Inst. 2011;103(4):334–46.CrossRefPubMed
17.
go back to reference Al Rubaish SS, Xiong Y, Marchion D, et al. Development of a rucaparib response signature that shows in vitro predictive value to the PARP inhibitors, ABT-888 and olaparib in ovarian cancer cells [abstract no. 54]. Gynecol Oncol. 2014;133(Suppl 1):22.CrossRef Al Rubaish SS, Xiong Y, Marchion D, et al. Development of a rucaparib response signature that shows in vitro predictive value to the PARP inhibitors, ABT-888 and olaparib in ovarian cancer cells [abstract no. 54]. Gynecol Oncol. 2014;133(Suppl 1):22.CrossRef
18.
go back to reference Audrey LC, Vanessa C, Marie K. The PARP inhibitor, Rucaparib enhance the sensitivity to Trabectedin in soft tissue sarcomas cell lines and in patient xenograft model [abstract no. 3002]. Cancer Res. 2016;76(Suppl 14). doi:10.1158/1538-7445.AM2016-3002 Audrey LC, Vanessa C, Marie K. The PARP inhibitor, Rucaparib enhance the sensitivity to Trabectedin in soft tissue sarcomas cell lines and in patient xenograft model [abstract no. 3002]. Cancer Res. 2016;76(Suppl 14). doi:10.​1158/​1538-7445.​AM2016-3002
19.
go back to reference Falzacappa MV, Ronchini C, Faretta M, et al. The combination of the PARP inhibitor rucaparib and 5FU is an effective strategy for treating acute leukemias. Mol Cancer Ther. 2015;14(4):889–98.CrossRefPubMed Falzacappa MV, Ronchini C, Faretta M, et al. The combination of the PARP inhibitor rucaparib and 5FU is an effective strategy for treating acute leukemias. Mol Cancer Ther. 2015;14(4):889–98.CrossRefPubMed
20.
go back to reference Daniel RA, Rozanska AL, Mulligan EA, et al. Central nervous system penetration and enhancement of temozolomide activity in childhood medulloblastoma models by poly(ADP-ribose) polymerase inhibitor AG-014699. Br J Cancer. 2010;103(10):1588–96.CrossRefPubMedPubMedCentral Daniel RA, Rozanska AL, Mulligan EA, et al. Central nervous system penetration and enhancement of temozolomide activity in childhood medulloblastoma models by poly(ADP-ribose) polymerase inhibitor AG-014699. Br J Cancer. 2010;103(10):1588–96.CrossRefPubMedPubMedCentral
21.
go back to reference Hoch U, Charych D. Combining the long-acting topoisomerase 1-inhibitor etirinotecan pegol with the PARP inhibitor rucaparib to provide anti-tumor synergy without increased toxicity [abstract no. 33]. Eur J Cancer. 2014;50(Suppl 6):16–7.CrossRef Hoch U, Charych D. Combining the long-acting topoisomerase 1-inhibitor etirinotecan pegol with the PARP inhibitor rucaparib to provide anti-tumor synergy without increased toxicity [abstract no. 33]. Eur J Cancer. 2014;50(Suppl 6):16–7.CrossRef
22.
go back to reference Kotsopoulos IC, Begbie JA, Mukhopadhyay A, et al. In vitro single agent rucaparib cytotoxicity and cisplatin chemo-potentiation in cervical cancer cell lines [abstract no. IGCS-0702]. Int J Gynecol Cancer. 2016;26(Suppl 3):374. Kotsopoulos IC, Begbie JA, Mukhopadhyay A, et al. In vitro single agent rucaparib cytotoxicity and cisplatin chemo-potentiation in cervical cancer cell lines [abstract no. IGCS-0702]. Int J Gynecol Cancer. 2016;26(Suppl 3):374.
23.
go back to reference Porcelli L, Quatrale AE, Mantuano P, et al. Optimize radiochemotherapy in pancreatic cancer: PARP inhibitors a new therapeutic opportunity. Mol Oncol. 2013;7(3):308–22.CrossRefPubMed Porcelli L, Quatrale AE, Mantuano P, et al. Optimize radiochemotherapy in pancreatic cancer: PARP inhibitors a new therapeutic opportunity. Mol Oncol. 2013;7(3):308–22.CrossRefPubMed
24.
go back to reference Hunter JE, Willmore E, Irving JA, et al. NF-kappaB mediates radio-sensitization by the PARP-1 inhibitor, AG-014699. Oncogene. 2012;31(2):251–64.CrossRefPubMed Hunter JE, Willmore E, Irving JA, et al. NF-kappaB mediates radio-sensitization by the PARP-1 inhibitor, AG-014699. Oncogene. 2012;31(2):251–64.CrossRefPubMed
25.
go back to reference Nile DL, Rae C, Hyndman IJ, et al. An evaluation in vitro of PARP-1 inhibitors, rucaparib and olaparib, as radiosensitisers for the treatment of neuroblastoma. BMC Cancer. 2016;16(1):621.CrossRefPubMedPubMedCentral Nile DL, Rae C, Hyndman IJ, et al. An evaluation in vitro of PARP-1 inhibitors, rucaparib and olaparib, as radiosensitisers for the treatment of neuroblastoma. BMC Cancer. 2016;16(1):621.CrossRefPubMedPubMedCentral
26.
go back to reference Cullinane C, Waldeck K, Eu P, et al. The PARP inhibitor, rucaparib enhances the antitumor activity of 177Lu-DOTA-octreotate radionuclide therapy in preclinical models of neuroendocrine tumor [abstract no. 1800]. Cancer Res. 2015;75(Suppl 15). doi:10.1158/1538-7445.AM2015-1800 Cullinane C, Waldeck K, Eu P, et al. The PARP inhibitor, rucaparib enhances the antitumor activity of 177Lu-DOTA-octreotate radionuclide therapy in preclinical models of neuroendocrine tumor [abstract no. 1800]. Cancer Res. 2015;75(Suppl 15). doi:10.​1158/​1538-7445.​AM2015-1800
27.
go back to reference McCrudden CM, O’Rourke MG, Cherry KE, et al. Vasoactivity of rucaparib, a PARP-1 inhibitor, is a complex process that involves myosin light chain kinase, P2 receptors, and PARP itself. PLoS One. 2015;10(2):e0118187.CrossRefPubMedPubMedCentral McCrudden CM, O’Rourke MG, Cherry KE, et al. Vasoactivity of rucaparib, a PARP-1 inhibitor, is a complex process that involves myosin light chain kinase, P2 receptors, and PARP itself. PLoS One. 2015;10(2):e0118187.CrossRefPubMedPubMedCentral
28.
go back to reference Ali M, Kamjoo M, Thomas HD, et al. The clinically active PARP inhibitor AG014699 ameliorates cardiotoxicity but does not enhance the efficacy of doxorubicin, despite improving tumor perfusion and radiation response in mice. Mol Cancer Ther. 2011;10(12):2320–9.CrossRefPubMedPubMedCentral Ali M, Kamjoo M, Thomas HD, et al. The clinically active PARP inhibitor AG014699 ameliorates cardiotoxicity but does not enhance the efficacy of doxorubicin, despite improving tumor perfusion and radiation response in mice. Mol Cancer Ther. 2011;10(12):2320–9.CrossRefPubMedPubMedCentral
29.
go back to reference Ali M, Telfer BA, McCrudden C, et al. Vasoactivity of AG014699, a clinically active small molecule inhibitor of poly(ADP-ribose) polymerase: a contributory factor to chemopotentiation in vivo? Clin Cancer Res. 2009;15(19):6106–12.CrossRefPubMedPubMedCentral Ali M, Telfer BA, McCrudden C, et al. Vasoactivity of AG014699, a clinically active small molecule inhibitor of poly(ADP-ribose) polymerase: a contributory factor to chemopotentiation in vivo? Clin Cancer Res. 2009;15(19):6106–12.CrossRefPubMedPubMedCentral
30.
go back to reference McCormick A, Nakjang S, Donoghue P, et al. The role of homologous recombination recovery in cisplatin and rucaparib resistance in ovarian cancer [abstract no. ESGO-0857]. Int J Gynecol Cancer. 2015;25(Suppl 9):627. McCormick A, Nakjang S, Donoghue P, et al. The role of homologous recombination recovery in cisplatin and rucaparib resistance in ovarian cancer [abstract no. ESGO-0857]. Int J Gynecol Cancer. 2015;25(Suppl 9):627.
32.
go back to reference Durmus S, Sparidans RW, van Esch A, et al. Breast cancer resistance protein (BCRP/ABCG2) and P-glycoprotein (P-GP/ABCB1) restrict oral availability and brain accumulation of the PARP inhibitor rucaparib (AG-014699). Pharm Res. 2015;32(1):37–46.CrossRefPubMed Durmus S, Sparidans RW, van Esch A, et al. Breast cancer resistance protein (BCRP/ABCG2) and P-glycoprotein (P-GP/ABCB1) restrict oral availability and brain accumulation of the PARP inhibitor rucaparib (AG-014699). Pharm Res. 2015;32(1):37–46.CrossRefPubMed
33.
go back to reference Parrish KE, Cen L, Murray J, et al. Efficacy of PARP inhibitor rucaparib in orthotopic glioblastoma xenografts is limited by ineffective drug penetration into the central nervous system. Mol Cancer Ther. 2015;14(12):2735–43.CrossRefPubMedPubMedCentral Parrish KE, Cen L, Murray J, et al. Efficacy of PARP inhibitor rucaparib in orthotopic glioblastoma xenografts is limited by ineffective drug penetration into the central nervous system. Mol Cancer Ther. 2015;14(12):2735–43.CrossRefPubMedPubMedCentral
34.
go back to reference Sun Y, Ding H, Liu X, et al. INPP4B overexpression enhances the antitumor efficacy of PARP inhibitor AG014699 in MDA-MB-231 triple-negative breast cancer cells. Tumour Biol. 2014;35(5):4469–77.CrossRefPubMed Sun Y, Ding H, Liu X, et al. INPP4B overexpression enhances the antitumor efficacy of PARP inhibitor AG014699 in MDA-MB-231 triple-negative breast cancer cells. Tumour Biol. 2014;35(5):4469–77.CrossRefPubMed
35.
go back to reference Kristeleit RS, Shapira-Frommer R, Oaknin A, et al. Clinical activity of the poly(ADP-ribose) polymerase (PARP) inhibitor rucaparib in patients (pts) with high-grade ovarian carcinoma (HGOC) and a BRCA mutation (BRCAmut): analysis of pooled data from study 10 (parts 1, 2a, and 3) and ARIEL2 (parts 1 and 2) [abstract no. 856O]. In: European Society for Medical Oncology 2016 Congress. 2016. Kristeleit RS, Shapira-Frommer R, Oaknin A, et al. Clinical activity of the poly(ADP-ribose) polymerase (PARP) inhibitor rucaparib in patients (pts) with high-grade ovarian carcinoma (HGOC) and a BRCA mutation (BRCAmut): analysis of pooled data from study 10 (parts 1, 2a, and 3) and ARIEL2 (parts 1 and 2) [abstract no. 856O]. In: European Society for Medical Oncology 2016 Congress. 2016.
36.
go back to reference Shapira-Frommer R, Oza A, Domchek SM, et al. A phase 2 open-label, multicenter study of single-agent rucaparib in the treatment of patients with relapsed ovarian cancer and a deleterious BRCA mutation [abstract no. 2746 plus poster]. Eur J Cancer. 2015;51(Suppl 3):S545.CrossRef Shapira-Frommer R, Oza A, Domchek SM, et al. A phase 2 open-label, multicenter study of single-agent rucaparib in the treatment of patients with relapsed ovarian cancer and a deleterious BRCA mutation [abstract no. 2746 plus poster]. Eur J Cancer. 2015;51(Suppl 3):S545.CrossRef
37.
go back to reference Coleman RL, Swisher EM, Oza AM, et al. Refinement of prespecified cutoff for genomic loss of heterozygosity (LOH) in ARIEL2 part 1: a phase II study of rucaparib in patients (pts) with high grade ovarian carcinoma (HGOC) [abstract no. 5540 plus poster]. J Clin Oncol. 2016;34(Suppl). Coleman RL, Swisher EM, Oza AM, et al. Refinement of prespecified cutoff for genomic loss of heterozygosity (LOH) in ARIEL2 part 1: a phase II study of rucaparib in patients (pts) with high grade ovarian carcinoma (HGOC) [abstract no. 5540 plus poster]. J Clin Oncol. 2016;34(Suppl).
38.
go back to reference Kristeleit RS, Burris HA, LoRusso P, et al. Phase 1/2 study of oral rucaparib: final phase 1 results [abstract no. 2573]. J Clin Oncol. 2014;32(Suppl 5). Kristeleit RS, Burris HA, LoRusso P, et al. Phase 1/2 study of oral rucaparib: final phase 1 results [abstract no. 2573]. J Clin Oncol. 2014;32(Suppl 5).
39.
go back to reference Miller K, Tong Y, Jones DR, et al. Cisplatin with or without rucaparib after preoperative chemotherapy in patients with triple negative breast cancer: final efficacy results of Hoosier Oncology Group BRE09-146 [abstract no. 1082]. J Clin Oncol. 2015;33(Suppl 15). Miller K, Tong Y, Jones DR, et al. Cisplatin with or without rucaparib after preoperative chemotherapy in patients with triple negative breast cancer: final efficacy results of Hoosier Oncology Group BRE09-146 [abstract no. 1082]. J Clin Oncol. 2015;33(Suppl 15).
40.
go back to reference Domchek SM, Hendifar AE, McWilliams RR, et al. RUCAPANC: an open-label, phase 2 trial of the PARP inhibitor rucaparib in patients (pts) with pancreatic cancer (PC) and a known deleterious germline or somatic BRCA mutation [abstract no. 4110 plus poster]. J Clin Oncol. 2016;34(Suppl). Domchek SM, Hendifar AE, McWilliams RR, et al. RUCAPANC: an open-label, phase 2 trial of the PARP inhibitor rucaparib in patients (pts) with pancreatic cancer (PC) and a known deleterious germline or somatic BRCA mutation [abstract no. 4110 plus poster]. J Clin Oncol. 2016;34(Suppl).
41.
43.
go back to reference Toms C, Chopra N, Houlton L, et al. Window study of the PARP inhibitor rucaparib in patients with primary triple negative or BRCA1/2 related breast cancer (RIO) [abstract no. 219TiP]. Ann Oncol. 2016;27(Suppl 6). Toms C, Chopra N, Houlton L, et al. Window study of the PARP inhibitor rucaparib in patients with primary triple negative or BRCA1/2 related breast cancer (RIO) [abstract no. 219TiP]. Ann Oncol. 2016;27(Suppl 6).
Metadata
Title
Rucaparib: First Global Approval
Author
Yahiya Y. Syed
Publication date
01-04-2017
Publisher
Springer International Publishing
Published in
Drugs / Issue 5/2017
Print ISSN: 0012-6667
Electronic ISSN: 1179-1950
DOI
https://doi.org/10.1007/s40265-017-0716-2

Other articles of this Issue 5/2017

Drugs 5/2017 Go to the issue