This is a Phase Ib, open-label, non-randomized study in patients with previously treated advanced ovarian or endometrial cancer (Part 1) and platinum-sensitive ovarian cancer or triple-negative breast cancer (TNBC) (Part 2) to investigate the dose, safety, pharmacokinetics, and preliminary efficacy of rucaparib in combination with atezolizumab. The study is conducted in 2 parts: a Dose-Finding Phase (Part 1) and a Dose-Expansion Phase (Part 2)
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
29
Atezolizumab 1200 mg (equivalent to an average body weight-based dose of 15 milligrams per kilogram \[mg/kg\]) will be administered by IV infusion once every 3 weeks, corresponding to a 21-day treatment cycle. Participants will receive atezolizumab starting on Cycle 1, Day 1. Participants deriving clinical benefit will be allowed to continue on study treatment until the absence of unacceptable toxicity or compelling evidence of disease progression.
The starting dosage level of rucaparib for Part 1 is 400 mg PO BID during a 21-day treatment cycle. During Part 1, the rucaparib doses were increased up to a maximum of 600 mg PO BID using a standard 3 + 3 dose escalation. RP2D was identified as 600 mg BID. During Part 2 of the study, rucaparib will be dosed at the RP2D determined in Part 1. Participants in Part 1 of the study will receive rucaparib starting on Cycle 1, Day 1. During Part 2, participants will receive rucaparib monotherapy during a 21-day run-in period. After completion of the rucaparib run-in period and the first on-treatment biopsy between Days 15 and 21 of the run-in period, participants will begin Cycle 1, Day 1 of the rucaparib. Participants deriving clinical benefit will be allowed to continue on study treatment until the absence of unacceptable toxicity or compelling evidence of disease progression.
Peter Maccallum Cancer Centre
Melbourne, Victoria, Australia
Centre Leon Berard
Lyon, France
Centre Hospitalier Lyon Sud; Service d'Oncologie Médicale
Pierre-Bénite, France
Percentage of Participants With Adverse Events
Time frame: Baseline up to approximately 45 months
Percentage of Participants With Dose-Limiting Toxicities (DLTs) [Part 1]
Time frame: Cycle 1 (Day 1 up to Day 21)
Recommended Phase II Dose (RP2D) of Rucaparib for the Combination [Part 1]
Time frame: Cycle 1 (Day 1 up to Day 21)
Number of Dose Modifications due to Adverse Events [Part 2]
Time frame: Baseline up to approximately 45 months
Percentage of Participants With Objective Response of Complete Response (CR) or Partial Response (PR) as Determined by Investigator Assessment Using Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
Time frame: Baseline until disease progression or death from any cause, whichever occurs first (assessed every 12 weeks up to approximately 45 months)
Percentage of Participants With Objective Response of CR or PR as Determined by Investigator Assessment Using Immune-Modified RECIST Incorporating Immune-Response (Cancer Antigen 125 [CA125] Response) Considerations
Time frame: Baseline until disease progression or death from any cause, whichever occurs first (assessed every 12 weeks up to approximately 45 months)
Duration of Response (DOR) as Determined by Investigator Assessment Using RECIST v1.1
Time frame: Baseline until disease progression or death from any cause, whichever occurs first (assessed every 12 weeks up to approximately 45 months)
DOR as Determined by Investigator Assessment Using Immune-Modified RECIST Incorporating Immune-Response (CA125 Response) Considerations
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Gustave Roussy
Villejuif, France
Clínica Universidad de Navarra
Pamplona, Navarre, Spain
Hospital Universitario Vall d'Hebron
Barcelona, Spain
La Paz University Hospital
Madrid, Spain
Royal Marsden Hospital - London
London, United Kingdom
University College London Hospitals NHS Foundation Trust - University College Hospital
London, United Kingdom
Lancashire Teaching Hospitals NHS Foundation Trust
Preston, United Kingdom
...and 1 more locations
Time frame: Baseline until disease progression or death from any cause, whichever occurs first (assessed every 12 weeks up to approximately 45 months)
Progression-Free Survival (PFS) as Determined by Investigator Assessment Using RECIST v1.1
Time frame: Baseline until disease progression or death from any cause, whichever occurs first (assessed every 12 weeks up to approximately 45 months)
PFS as Determined by Investigator Assessment Using Immune-Modified RECIST Incorporating Immune-Response (CA125 Response) Considerations
Time frame: Baseline until disease progression or death from any cause, whichever occurs first (assessed every 12 weeks up to approximately 45 months)
Overall Survival
Time frame: Baseline until Death (up to 45 months)
Steady State Maximum Plasma Concentration Observed (Cmax) for Rucaparib [Part 1]
Time frame: Predose (0 hours [hrs]) on Day 1 of Cycles 1-4; 0, 0.5, 1, 1.5, 2.5, 4, 6, 8 hrs postdose on Day 15 of Cycle 1; at 30 days after the last dose of study treatment (up to 45 months; cycle length=21 days)
Time to Maximum Plasma Concentration (tmax) for Rucaparib [Part 1]
Time frame: Predose (0 hrs) on Day 1 of Cycles 1-4; 0, 0.5, 1, 1.5, 2.5, 4, 6, 8 hrs postdose on Day 15 of Cycle 1; at 30 days after the last dose of study treatment (up to 45 months; cycle length=21 days)
Area Under the Plasma Concentration-Time Curve (AUC) for Rucaparib [Part 1]
Time frame: Predose (0 hrs) on Day 1 of Cycles 1-4; 0, 0.5, 1, 1.5, 2.5, 4, 6, 8 hrs postdose on Day 15 of Cycle 1; at 30 days after the last dose of study treatment (up to 45 months; cycle length=21 days)
Apparent Clearance (CL/F) for Rucaparib [Part 1]
Time frame: Predose (0 hrs) on Day 1 of Cycles 1-4; 0, 0.5, 1, 1.5, 2.5, 4, 6, 8 hrs postdose on Day 15 of Cycle 1; at 30 days after the last dose of study treatment (up to 45 months; cycle length=21 days)
Minimum Plasma Concentration During the Dosing Interval (Cmin) for Rucaparib [Part 2]
Time frame: Predose (0 hrs) on Day 1 of Cycles 1-4; at 30 days after the last dose of study treatment (up to 45 months; cycle length=21 days)
Serum Concentration of Atezolizumab [Parts 1 and 2]
Time frame: Predose (0 hrs) on Day 1 of Cycles 1-4, 8 and every 8 cycles (up to 45 months); 0.5 hrs postdose (infusion duration=30-60 minutes) on Day 1 of Cycles 1 and 3; at 30 and 120 days after last dose of study treatment (up to 45 months; cycle length=21 days)
Number of Participants With Anti-Drug Antibodies (ADAs) to Atezolizumab
Time frame: Baseline up to approximately 45 months