Phase 3 Study of Rucaparib as Switch Maintenance After Platinum in Relapsed High Grade Serous or Endometrioid Ovarian Cancer (ARIEL3)

Last updated: June 7, 2023
Sponsor: zr Pharma & GmbH
Overall Status: Completed

Phase

3

Condition

Fallopian Tube Cancer

Vaginal Cancer

Malignant Ascites

Treatment

Rucaparib

Placebo

Clinical Study ID

NCT01968213
CO-338-014
2013-000518-39
  • Ages > 18
  • Female

Study Summary

Patients enrolled into this study will be stratified into 3 groups based on gene mutations identified in their tumor tissue. The purpose of this study is to evaluate patient response to maintenance treatment with rucaparib versus placebo. Response to treatment will be analyzed based on homologous recombination (HR) status of tumor samples.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Confirmed diagnosis of high-grade serous or endometrioid epithelial ovarian, primaryperitoneal, or fallopian tube cancer.
  • Received ≥2 prior platinum-based treatment regimens including platinum based regimenthat must have been administered immediately prior to maintenance therapy in thistrial.
  • Received no more than 1 non-platinum chemotherapy regimen. Prior hormonal therapy willnot be counted as a non-platinum regimen.
  • Must have had at least a 6-month disease-free period following prior treatment withthe penultimate platinum-based chemotherapy and achieved a response.
  • For the last chemotherapy course prior to study entry, patients must have received aplatinum-based doublet chemotherapy regimen and have achieved a CR or PR (as definedby RECIST) and/or a GCIG CA-125 response.
  • Have sufficient archival tumor tissue for analysis.

Exclusion

Exclusion Criteria:

  • History of prior cancer except for non-melanoma skin cancer, breast cancer curatively > 3 years ago, curatively treated solid tumor (>5 years ago without evidence ofrecurrence), and synchronous endometrial cancer (Stage 1A) with ovarian cancer.
  • Prior treatment with any PARP inhibitor, including rucaparib. Patients who receivedprior iniparib are eligible.
  • Untreated or symptomatic central nervous system metastases.
  • Pre-existing duodenal stent and/or any gastrointestinal disorder or defect that would,in the opinion of the Investigator, interfere with absorption of study drug.
  • Required drainage of ascites during the final 2 cycles of their last platinum-basedregimen and/or during the period between the last dose of chemotherapy of that regimenand randomization to maintenance treatment in this study.

Study Design

Total Participants: 564
Treatment Group(s): 2
Primary Treatment: Rucaparib
Phase: 3
Study Start date:
April 07, 2014
Estimated Completion Date:
July 07, 2022

Study 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). Clinical data have shown that ovarian cancer patients with and without evidence of a gBRCA mutation benefit from treatment with a PARP and that maintenance treatment with a PARP inhibitor following a response to platinum-based treatment increases PFS in patients with ovarian cancer. While patients with a BRCA mutation derived the most benefit, patients without evidence of a BRCA mutation also derived significant benefit.

Patients enrolled into this study will be stratified into 3 groups based on tumor HRD status. The purpose of this study is to identify which of these groups of patients will most likely benefit from treatment with rucaparib. It is anticipated that rucaparib will provide therapeutic benefit and increase PFS in patients with HRD associated with a BRCA gene mutation or other HR gene alteration.

Connect with a study center

  • Prince of Wales Hospital

    Sydney, New South Wales 2031
    Australia

    Site Not Available

  • Westmead Hospital

    Westmead, New South Wales 2145
    Australia

    Site Not Available

  • Royal Brisbane & Women's Hospital

    Herston, Queensland 4029
    Australia

    Site Not Available

  • Flinders Medical Centre

    Bedford Park, South Australia 5042
    Australia

    Site Not Available

  • Royal Melbourne Hospital

    Parkville, Victoria 3052
    Australia

    Site Not Available

  • Sir Charles Gairdner Hospital

    Nedlands, Western Australia 6009
    Australia

    Site Not Available

  • St John of God Hospital Subiaco

    Subiaco, Western Australia 608
    Australia

    Site Not Available

  • AZ St Augustinus

    Antwerpen, 2610
    Belgium

    Site Not Available

  • UZ Gent

    Gent, B-9000
    Belgium

    Site Not Available

  • UZ Leuven

    Leuven, 3000
    Belgium

    Site Not Available

  • Clinique Sainte-Elisabeth

    Namur, 5000
    Belgium

    Site Not Available

  • Tom Baker Cancer Centre

    Calgary, Alberta T2N4N2
    Canada

    Site Not Available

  • Cross Cancer Institute

    Edmonton, Alberta T6G1Z2
    Canada

    Site Not Available

  • Juravinski Cancer Centre

    Hamilton, Ontario L8V5C2
    Canada

    Site Not Available

  • London Regional Cancer Centre

    London, Ontario N6A4L6
    Canada

    Site Not Available

  • Ottawa Hospital Cancer Centre

    Ottawa, Ontario K1H8L6
    Canada

    Site Not Available

  • Princess Margaret Cancer Centre

    Toronto, Ontario M5G2M9
    Canada

    Site Not Available

  • CHUM Centre Hospitalier de l'Université de Montréal

    Montreal, Quebec H2L4M1
    Canada

    Site Not Available

  • Centre Hospitalier Universitaire de Québec

    Quebec, G1R2J6
    Canada

    Site Not Available

  • Centre Francois Baclesse

    Caen Cedex 05, Basse-Normandie 14076
    France

    Site Not Available

  • Institut Gustave Roussy

    Villejuif, Ile De France 94805
    France

    Site Not Available

  • Hôpital Européen Georges-Pompidou

    Paris, Ile-de-France 75908
    France

    Site Not Available

  • Institut Claudius Regaud

    Toulouse, Midi-Pyrenees 31052
    France

    Site Not Available

  • Centre Catherine de Sienne

    Nantes Cedex, Pays De La Loire 44202
    France

    Site Not Available

  • Centre Leon Berard

    Lyon, Rhone-Alpes 69373
    France

    Site Not Available

  • Centre Hospitalier Lyon Sud

    Pierre Benite, Rhone-Alpes 69495
    France

    Site Not Available

  • Institute Bergonie

    Bordeaux, 33076
    France

    Site Not Available

  • Hospital Tenon

    Paris, 75020
    France

    Site Not Available

  • Klinikum Stuttgart

    Stuttgart, Baden-Wuerttemberg 70174
    Germany

    Site Not Available

  • Klinikum Ludwigsburg-Bietigheim gGmbH

    Ludwigsburg, Baden-Wuerttembert 71640
    Germany

    Site Not Available

  • Rotkreuzklinikum Muenchen gGmbH

    Munich, Bavaria 80637
    Germany

    Site Not Available

  • Universitätsklinikum Frankfurt

    Frankfurt am Main, Hessen 60596
    Germany

    Site Not Available

  • Dr. Horst Schmidt Klinik, Klinik fuer Gynaekologie und Gyn. Onkologie

    Wiesbaden, Hessen 65199
    Germany

    Site Not Available

  • Klinikum Chemnitz gGmbH

    Chemnitz, Sachsen 09116
    Germany

    Site Not Available

  • Technische Universität Dresden

    Dresden, Sachsen 01307
    Germany

    Site Not Available

  • Lady Davis Carmel Medical Center

    Haifa,
    Israel

    Site Not Available

  • Rambam Health Care Campus

    Haifa, 31096
    Israel

    Site Not Available

  • Edith Wolfson Medical Center

    Holon, 58100
    Israel

    Site Not Available

  • Hadassah Ein Kerem MC

    Jerusalem, 91120
    Israel

    Site Not Available

  • Rabin Medical Center

    Petach-Tikva, 49100
    Israel

    Site Not Available

  • Oncology Institute, Sheba Medical Center

    Ramat Gan, 52621
    Israel

    Site Not Available

  • Sourasky Medical Center

    Tel-Aviv, 64239
    Israel

    Site Not Available

  • Assaf Harofeh M.C.

    Zerifin, 70300
    Israel

    Site Not Available

  • Oncology Unit City Hospital degli Infermi

    Faenza, Ravenna 48018
    Italy

    Site Not Available

  • Arcispedale Santa Maria Nuova IRCCS

    Reggio Emilia, Reggio Nella Emilia 42100
    Italy

    Site Not Available

  • Azienda Ospedaliero-Universitaria di Bologna - Policlinico S.Orsola-Malpighi

    Bologna, 40138
    Italy

    Site Not Available

  • Fondazione IRCCS National Cancer Institute

    Milan, 20133
    Italy

    Site Not Available

  • Instituto Europeo di Oncologia

    Milan, 20141
    Italy

    Site Not Available

  • Azienda Ospedaliero Universitaria Policlinico di Modena

    Modena, 41124
    Italy

    Site Not Available

  • National Cancer Institute of Naples

    Naples, 80131
    Italy

    Site Not Available

  • Istituto Nazionale Tumori IRCCS Fondazione Pascale

    Napoli, 80131
    Italy

    Site Not Available

  • Policlinico Universitario Agostino Gemelli

    Roma, 00158
    Italy

    Site Not Available

  • Auckland City Hospital

    Auckland, Grafton 1023
    New Zealand

    Site Not Available

  • Palmsteron North Hospital

    Palmerston North, Manawatu 4442
    New Zealand

    Site Not Available

  • Wellington Hospital

    Newtown, Wellington 6021
    New Zealand

    Site Not Available

  • Hospital Central de Asturias

    Oviedo, Asturias 33011
    Spain

    Site Not Available

  • Centro Oncologico de Galica

    A Coruna, 15009
    Spain

    Site Not Available

  • Hospital Vall D'Hebron

    Barcelona, 8035
    Spain

    Site Not Available

  • Centro Integral Oncológico Clara Campal, Hospital de Madrid Norte-San Chinarro

    Madrid, 28050
    Spain

    Site Not Available

  • Hospital Ramón y Cajal

    Madrid, 28034
    Spain

    Site Not Available

  • Hospital Universitario San Carlos

    Madrid, 28040
    Spain

    Site Not Available

  • Hospital Regional Universitario Carlos Haya de Malaga

    Malaga, 29011
    Spain

    Site Not Available

  • Hospital Universitario Virgen del Rocío

    Sevilla, 41013
    Spain

    Site Not Available

  • Hospital Clinico Universitario de Valencia

    Valencia, 46010
    Spain

    Site Not Available

  • Instituto Valencia de Oncologia-Fundacion

    Valencia, 46009
    Spain

    Site Not Available

  • Royal Marsden Hospital

    London, England SW3 6JJ
    United Kingdom

    Site Not Available

  • Belfast City Hospital

    Belfast, Northern Ireland BT9 7AB
    United Kingdom

    Site Not Available

  • Beatson West of Scotland Cancer Centre

    Glasgow, Scotland G120YN
    United Kingdom

    Site Not Available

  • The Royal Marsden NHS Foundation Trust

    Sutton, Surrey SM2 5PT
    United Kingdom

    Site Not Available

  • St. James University Hospital

    Leeds, West Yorkshire LS97TF
    United Kingdom

    Site Not Available

  • Addenbrookes Hospital

    Cambridge, CB20QQ
    United Kingdom

    Site Not Available

  • Barts Health NHS Trust

    London, EC1M6BQ
    United Kingdom

    Site Not Available

  • Imperial College Healthcare NHS Trust

    London, W120HS
    United Kingdom

    Site Not Available

  • Sarah Cannon Reserach Institute UK

    London, W1G6AD
    United Kingdom

    Site Not Available

  • University College London

    London, W1T4TJ
    United Kingdom

    Site Not Available

  • The Christie NHS Foundation Trust

    Manchester, M204BX
    United Kingdom

    Site Not Available

  • Sir Bobby Robson Cancer trials research Centre, Northern Centre For Cancer Care

    Newcastle Upon Tyne, NE77DN
    United Kingdom

    Site Not Available

  • University of Arizona Cancer Center

    Tucson, Arizona 85704
    United States

    Site Not Available

  • Saint Jude Heritage Medical Center

    Fullerton, California 92835
    United States

    Site Not Available

  • UC Davis Comprehensive Cancer Center

    Sacramento, California 95817
    United States

    Site Not Available

  • University of California San Francisco (UCSF)

    San Francisco, California 94158
    United States

    Site Not Available

  • Coastal Integrative Cancer Care

    San Luis Obispo, California 93422
    United States

    Site Not Available

  • Central Coast Medical Oncology

    Santa Maria, California 93454
    United States

    Site Not Available

  • University of California Los Angeles (UCLA)

    Santa Monica, California 90404
    United States

    Site Not Available

  • Stanford University Hospital and Clinics

    Stanford, California 94305
    United States

    Site Not Available

  • Rocky Mountain Cancer Centers

    Lakewood, Colorado 80228
    United States

    Site Not Available

  • Memorial Healthcare System

    Hollywood, Florida 33021
    United States

    Site Not Available

  • Sylvester Comprehensive Cancer Center

    Miami, Florida 33136
    United States

    Site Not Available

  • Florida Hospital

    Orlando, Florida 32804
    United States

    Site Not Available

  • Horizon Oncology Research, Inc.

    Lafayette, Indiana 47905
    United States

    Site Not Available

  • Johns Hopkins Universty

    Baltimore, Maryland 21287
    United States

    Site Not Available

  • Beth Israel Deaconess Medical Center

    Boston, Massachusetts 02215
    United States

    Site Not Available

  • Massachusetts General Hospital

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • Karmanos Cancer Institute - Wayne State University

    Detroit, Michigan 48201
    United States

    Site Not Available

  • Mayo Clinic

    Rochester, Minnesota 55905
    United States

    Site Not Available

  • Washington University School of Medicine - Division of Gynaecological Oncology

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Washington University School of Medicine - Division of Gynaecological Oncology

    St. Louis, Missouri 63110
    United States

    Site Not Available

  • Memorial Sloan-Kettering Cancer Center

    New York, New York 10065
    United States

    Site Not Available

  • Hope Women's Cancer Centers

    Asheville, North Carolina 28806
    United States

    Site Not Available

  • The Ohio State University Wexner Medical Center

    Columbus, Ohio 43210
    United States

    Site Not Available

  • University of Oklahoma Medical Center

    Oklahoma City, Oklahoma 73104
    United States

    Site Not Available

  • University of Pennsylvania

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • University of Texas MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

  • University of Washington at Seattle

    Seattle, Washington 98109
    United States

    Site Not Available

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