Clinical Trials /

Rucaparib in Nonmetastatic prOstAte With BRCAness

NCT03533946

Description:

This is a single arm, open label, phase II trial to assess efficacy of rucaparib.

Related Conditions:
  • Prostate Adenocarcinoma
Recruiting Status:

Recruiting

Phase:

Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Rucaparib in Nonmetastatic prOstAte With BRCAness
  • Official Title: A Phase II Study of Rucaparib Monotherapy in Nonmetastatic, Hormone-Sensitive Prostate Cancer Demonstrating "BRCAness" Genotype (ROAR)

Clinical Trial IDs

  • ORG STUDY ID: HCI111833
  • NCT ID: NCT03533946

Conditions

  • Prostate Cancer

Interventions

DrugSynonymsArms
RucaparibRubracaRucaparib, all patients

Purpose

This is a single arm, open label, phase II trial to assess efficacy of rucaparib.

Trial Arms

NameTypeDescriptionInterventions
Rucaparib, all patientsExperimentalSingle Arm study, all patients will get rucaparib
  • Rucaparib

Eligibility Criteria

        Inclusion Criteria:

          -  Hormone-sensitive, histologically proven adenocarcinoma of the prostate with BRCAness
             (defined as an alteration in one or more of the following genes: ATM, ATR, BARD1,
             BRCA1, BRCA2, BRIP1, CDK12, CHEK1, CHEK2, ERCC3, FAM175A, FANCA, FANCL, GEN1, HDAC2,
             MLH1, MRE11, NBN, PALB2, PPP2R2A, RAD51, RAD54L) from soft-tissue based genomic
             testing or liquid biopsy based genomic or genetic testing.

          -  ECOG/Zubrod score of 0-2.

          -  At a minimum, subjects must have received definitive local therapy with curative
             intent (i.e., prostatectomy, and/or radiation therapy) with or without systemic
             therapy.

          -  Testosterone level is > 50 ng/dL.

          -  Be at least 18 years old at the time the informed consent form is signed.

          -  Demonstrate adequate organ function as defined in the table in the protocol, all
             screening labs should be performed within 28 days of treatment initiation.

          -  Highly effective barrier methods must be used with all sexual activity and
             contraception methods must be practiced for all subjects throughout the study and for
             at least 6 months after last rucaparib treatment administration if the risk of
             conception exists (section 7.2).

          -  Recovery to baseline or Grade ≤ 1 CTCAE v5.0 from toxicities related to any prior
             treatments within the context of their definitive local therapy for their prostate
             cancer, unless AE(s) are clinically nonsignificant and/or stable on supportive
             therapy.

          -  Subject is able to provide informed consent and willing to sign an approved consent
             form that conforms to federal and institutional guidelines.

          -  Subject must have confirmed PSA progression based on at least two time points taken at
             least one week apart to confirm rising trend.

        Exclusion Criteria:

          -  Subjects with metastases defined by conventional scans (CT, MRI, NM Bone Scan).
             Disease identified on molecular imaging (e.g. fluciclovine-PET) is not exclusionary.

          -  Arterial or venous thrombi (including cerebrovascular accident), myocardial
             infarction, admission for unstable angina, cardiac angioplasty, or stenting within the
             last 90 days prior to screening.

          -  Pre-existing duodenal stent, recent (within < 3 months) or existing bowel obstruction,
             and/or any gastrointestinal disorder or defect that would, in the opinion of the
             Investigator, interfere with absorption of rucaparib.

          -  Inability to swallow tablets.

          -  Evidence or history of clinically significant bleeding disorder per the determination
             of the treating investigator.

          -  Prior systemic therapy within the past 30 days prior to Day 1 (or 5 half-lives of the
             drug, whichever is shorter).

          -  Diagnosis of another malignancy within 2 years before first dose of study treatment
             only if the cancer will either interfere with patient safety or interfere with the
             primary endpoint, per the judgement of the Principal Investigator. Patients, who have
             been diagnosed with, superficial skin cancers, or localized, low grade tumors deemed
             cured or with a prolonged natural history (e.g estimated overall survival > 5 years)
             may be included.

          -  Prior treatment with any PARP inhibitor, mitoxantrone, cyclophosphamide, or any
             platinum based chemotherapy.

          -  Clinically significant (i.e., active) cardiovascular disease at the time of
             enrollment: congestive heart failure (> New York Heart Association Classification
             Class II), or serious cardiac arrhythmia requiring medication.

          -  Other severe acute or chronic medical conditions including cardiovascular, endocrine,
             neurologic, pulmonary or psychiatric conditions including recent (within the past
             year) or active suicidal ideation or behavior; or laboratory abnormalities that may
             increase the risk associated with study participation or study treatment
             administration or may interfere with the interpretation of study results and, in the
             judgment of the investigator, would make the patient inappropriate for entry into this
             study.

          -  Major surgery (eg, GI surgery, removal or biopsy of brain metastasis) within 8 weeks
             before first dose of study treatment. Complete wound healing from major surgery must
             have occurred 1 month before first dose and from minor surgery (eg, simple excision,
             tooth extraction) at least 28 days before first dose. Subjects with clinically
             relevant ongoing complications from prior surgery are not eligible.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:Male
Healthy Volunteers:No

Primary Outcome Measures

Measure:50% Reduction in PSA levels
Time Frame:Monthly while on treatment; Most patients are expected to be on treatment for approximately 18 months
Safety Issue:
Description:To assess the proportion of patients with a 50% reduction in PSA levels (PSA50) compared to the baseline value at the time of study enrollment. Endpoint: the levels of PSA will be monitored monthly for comparison to baseline levels.

Secondary Outcome Measures

Measure:Adverse Events that Occur
Time Frame:Every visit while on treatment and 1 year of follow-up - Most patients are expected to be on treatment for approximately 18 months, and then one additional year
Safety Issue:
Description:To assess the safety of rucaparib in patients with biochemically recurrent hormone-sensitive prostate cancer. Endpoint: adverse events will be monitored regularly during patient enrollment and follow up to assess the toxicity of rucaparib using validated CTCAE v5.0 criteria.
Measure:PSA Progression Free Survival
Time Frame:Monthly while on treatment; Most patients are expected to be on treatment for approximately 18 months
Safety Issue:
Description:The levels of PSA will be monitored monthly for comparison to baseline levels until the time of PSA progression, as defined by Prostate Cancer Working Group 3 (PCWG3) criteria
Measure:Proportion of patients with an undetectable PSA after initiation at therapy
Time Frame:At 6 and 12 months
Safety Issue:
Description:To assess the proportion of patients with an undetectable PSA after initiation of PARP therapy at 6 and 12 months. Endpoint: the levels of PSA will be monitored monthly for comparison to baseline levels to determine when PSA becomes undetectable.
Measure:Overall Survival
Time Frame:Every 3 months for 2 years after study discontinuation
Safety Issue:
Description:To evaluate overall survival (OS) in nonmetastatic hormone-sensitive prostrate cancer patients treated with rucaparib.

Details

Phase:Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:University of Utah

Last Updated

June 21, 2021