Trial Outcomes & Findings for A Study of Rucaparib in Patients With Metastatic Castration-resistant Prostate Cancer and Homologous Recombination Gene Deficiency (NCT NCT02952534)

NCT ID: NCT02952534

Last Updated: 2023-06-09

Results Overview

The primary efficacy endpoint is confirmed radiographic ORR by central IRR. ORR is defined as the percentage of patients with a confirmed CR (complete response) or PR (partial response) by mRECIST (modified Response Evaluation Criteria in Solid Tumors) v1.1/PCWG3 (Prostate Cancer Working Group 3) criteria. The confirmed response is defined as a CR or PR on subsequent tumor assessment at least 28 days after first response documentation in the absence of confirmed progression in bone. CR is disappearance of all target and non-target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. PR is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

277 participants

Primary outcome timeframe

Assessments every 8 weeks from study day 1 for the first 24 weeks, and then every 12 weeks until disease progression, death, or initiation of subsequent treatment. Total follow-up was up to approximately 3 years.

Results posted on

2023-06-09

Participant Flow

A total of 277 patients were recruited from 102 sites across 12 countries.

Participant milestones

Participant milestones
Measure
BRCA Mutation
Patients with a deleterious BRCA (breast cancer susceptibility gene) mutation detected in their tumor.
ATM Mutation
Patients with a deleterious ATM (ataxia telangiectasia mutated serine/threonine kinase) mutation detected in their tumor.
CDK12 Mutation
Patients with a deleterious CDK12 (Cyclin-dependent kinase 12) mutation detected in their tumor.
CHEK2 Mutation
Patients with a deleterious CHEK2 (Checkpoint Kinase 2) mutation detected in their tumor.
Other Gene Mutation
Patients with other deleterious HRR (homologous recombination repair) gene mutation detected in their tumor.
Overall Study
STARTED
172
59
14
7
25
Overall Study
COMPLETED
172
59
14
7
25
Overall Study
NOT COMPLETED
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Study of Rucaparib in Patients With Metastatic Castration-resistant Prostate Cancer and Homologous Recombination Gene Deficiency

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
BRCA Mutation
n=172 Participants
Patients with a deleterious BRCA (breast cancer susceptibility gene) mutation detected in their tumor.
ATM Mutation
n=59 Participants
Patients with a deleterious ATM (ataxia telangiectasia mutated serine/threonine kinase) mutation detected in their tumor.
CDK12 Mutation
n=14 Participants
Patients with a deleterious CDK12 (Cyclin-dependent kinase 12) mutation detected in their tumor.
CHEK2 Mutation
n=7 Participants
Patients with a deleterious CHEK2 (Checkpoint Kinase 2) mutation detected in their tumor.
Other Gene Mutation
n=25 Participants
Patients with other deleterious HRR (homologous recombination repair) gene mutation detected in their tumor.
Total
n=277 Participants
Total of all reporting groups
Age, Continuous
72 years
n=5 Participants
73 years
n=7 Participants
64 years
n=5 Participants
65 years
n=4 Participants
70 years
n=21 Participants
71 years
n=8 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
Sex: Female, Male
Male
172 Participants
n=5 Participants
59 Participants
n=7 Participants
14 Participants
n=5 Participants
7 Participants
n=4 Participants
25 Participants
n=21 Participants
277 Participants
n=8 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
1 Participants
n=21 Participants
5 Participants
n=8 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
1 Participants
n=8 Participants
Race (NIH/OMB)
Black or African American
8 Participants
n=5 Participants
3 Participants
n=7 Participants
1 Participants
n=5 Participants
0 Participants
n=4 Participants
4 Participants
n=21 Participants
16 Participants
n=8 Participants
Race (NIH/OMB)
White
127 Participants
n=5 Participants
43 Participants
n=7 Participants
6 Participants
n=5 Participants
5 Participants
n=4 Participants
17 Participants
n=21 Participants
198 Participants
n=8 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
Race (NIH/OMB)
Unknown or Not Reported
33 Participants
n=5 Participants
13 Participants
n=7 Participants
7 Participants
n=5 Participants
1 Participants
n=4 Participants
3 Participants
n=21 Participants
57 Participants
n=8 Participants

PRIMARY outcome

Timeframe: Assessments every 8 weeks from study day 1 for the first 24 weeks, and then every 12 weeks until disease progression, death, or initiation of subsequent treatment. Total follow-up was up to approximately 3 years.

Population: IRR Efficacy Population - The IRR efficacy population is defined by measurable disease status at baseline using modified RECIST Version 1.1 criteria per independent radiology review.

The primary efficacy endpoint is confirmed radiographic ORR by central IRR. ORR is defined as the percentage of patients with a confirmed CR (complete response) or PR (partial response) by mRECIST (modified Response Evaluation Criteria in Solid Tumors) v1.1/PCWG3 (Prostate Cancer Working Group 3) criteria. The confirmed response is defined as a CR or PR on subsequent tumor assessment at least 28 days after first response documentation in the absence of confirmed progression in bone. CR is disappearance of all target and non-target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. PR is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.

Outcome measures

Outcome measures
Measure
BRCA Mutation
n=81 Participants
Patients with a deleterious BRCA (breast cancer susceptibility gene) mutation detected in their tumor.
ATM Mutation
n=23 Participants
Patients with a deleterious ATM (ataxia telangiectasia mutated serine/threonine kinase) mutation detected in their tumor.
CDK12 Mutation
n=8 Participants
Patients with a deleterious CDK12 (Cyclin-dependent kinase 12) mutation detected in their tumor.
CHEK2 Mutation
n=4 Participants
Patients with a deleterious CHEK2 (Checkpoint Kinase 2) mutation detected in their tumor.
Other Gene Mutation
n=17 Participants
Patients with other deleterious HRR (homologous recombination repair) gene mutation detected in their tumor.
Confirmed Objective Response Rate (ORR) by Gene in Patients With Measurable Disease at Baseline Per Central Independent Radiology Review (IRR)
45.7 percentage of participants
Interval 34.6 to 57.1
0.0 percentage of participants
Interval 0.0 to 14.8
0.0 percentage of participants
Interval 0.0 to 36.9
0.0 percentage of participants
Interval 0.0 to 60.2
41.2 percentage of participants
Interval 18.4 to 67.1

SECONDARY outcome

Timeframe: Assessments every 8 weeks from study day 1 for the first 24 weeks, and then every 12 weeks until disease progression, death, or initiation of subsequent treatment. Total follow-up was up to approximately 3 years.

Population: Investigator Efficacy Population - The Investigator efficacy population is defined by measurable disease status at baseline using modified RECIST Version 1.1 criteria per the investigator (INV).

A supportive efficacy endpoint is confirmed radiographic ORR by INV. ORR is defined as the percentage of patients with a confirmed CR (complete response) or PR (partial response) by mRECIST (modified Response Evaluation Criteria in Solid Tumors) v1.1/PCWG3 (Prostate Cancer Working Group 3) criteria. The confirmed response is defined as a CR or PR on subsequent tumor assessment at least 28 days after first response documentation in the absence of confirmed progression in bone. CR is disappearance of all target and non-target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. PR is at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum of diameters.

Outcome measures

Outcome measures
Measure
BRCA Mutation
n=87 Participants
Patients with a deleterious BRCA (breast cancer susceptibility gene) mutation detected in their tumor.
ATM Mutation
n=21 Participants
Patients with a deleterious ATM (ataxia telangiectasia mutated serine/threonine kinase) mutation detected in their tumor.
CDK12 Mutation
n=9 Participants
Patients with a deleterious CDK12 (Cyclin-dependent kinase 12) mutation detected in their tumor.
CHEK2 Mutation
n=4 Participants
Patients with a deleterious CHEK2 (Checkpoint Kinase 2) mutation detected in their tumor.
Other Gene Mutation
n=17 Participants
Patients with other deleterious HRR (homologous recombination repair) gene mutation detected in their tumor.
Confirmed Objective Response Rate (ORR) by Gene in Patients With Measurable Disease at Baseline Per Investigator (INV)
48.3 percentage of participants
Interval 37.4 to 59.2
9.5 percentage of participants
Interval 1.2 to 30.4
0.0 percentage of participants
Interval 0.0 to 33.6
25.0 percentage of participants
Interval 0.6 to 80.6
41.2 percentage of participants
Interval 18.4 to 67.1

SECONDARY outcome

Timeframe: Assessments every 8 weeks from study day 1 for the first 24 weeks, and then every 12 weeks until disease progression, death, or initiation of subsequent treatment. Total follow-up was up to approximately 3 years.

Population: Patients with a confirmed response in the IRR Efficacy Population. The IRR efficacy population is defined by measurable disease status at baseline using modified RECIST Version 1.1 criteria per independent radiology review. Note, there were no patients with confirmed response by IRR in the ATM, CDK12 and CHEK2 arms.

A secondary efficacy endpoint is DOR by central IRR. The DOR is defined as the time from the date that a confirmed response per modified RECIST Version 1.1/PCWG3 is first reported to the time that progressive disease (PD) is first documented. Progressive disease is defined using RECIST v1.1, as at least a 20% increase in the sum of the diameters of target lesions, or an unequivocal increase in non-target lesions, or the appearance of new lesions. PCWG3 criteria is used to document evidence of disease progression in bone lesions.

Outcome measures

Outcome measures
Measure
BRCA Mutation
n=37 Participants
Patients with a deleterious BRCA (breast cancer susceptibility gene) mutation detected in their tumor.
ATM Mutation
n=7 Participants
Patients with a deleterious ATM (ataxia telangiectasia mutated serine/threonine kinase) mutation detected in their tumor.
CDK12 Mutation
Patients with a deleterious CDK12 (Cyclin-dependent kinase 12) mutation detected in their tumor.
CHEK2 Mutation
Patients with a deleterious CHEK2 (Checkpoint Kinase 2) mutation detected in their tumor.
Other Gene Mutation
Patients with other deleterious HRR (homologous recombination repair) gene mutation detected in their tumor.
Duration of Response (DOR) by Gene in Patients With Confirmed Response Per Central Independent Radiology Review (IRR)
15.5 months
Interval 6.4 to
The upper confidence interval was not assessable due to insufficient number of participants with events.
22.1 months
Interval 10.1 to
The upper confidence interval was not assessable due to insufficient number of participants with events.

SECONDARY outcome

Timeframe: Assessments every 8 weeks from study day 1 for the first 24 weeks, and then every 12 weeks until disease progression, death, or initiation of subsequent treatment. Total follow-up was up to approximately 3 years.

Population: Patients with a confirmed response in the Investigator Efficacy Population. The Investigator efficacy population is defined by measurable disease status at baseline using modified RECIST Version 1.1 criteria per the investigator. Note, there were no patients with confirmed response by investigator in the CDK12 arm.

A secondary efficacy endpoint is DOR as assessed by the investigator. The DOR is defined as the time from the date that a confirmed response per modified RECIST Version 1.1/PCWG3 is first reported to the time that progressive disease (PD) is first documented. Progressive disease is defined using RECIST v1.1, as at least a 20% increase in the sum of the diameters of target lesions, or an unequivocal increase in non-target lesions, or the appearance of new lesions. PCWG3 criteria is used to document evidence of disease progression in bone lesions.

Outcome measures

Outcome measures
Measure
BRCA Mutation
n=42 Participants
Patients with a deleterious BRCA (breast cancer susceptibility gene) mutation detected in their tumor.
ATM Mutation
n=2 Participants
Patients with a deleterious ATM (ataxia telangiectasia mutated serine/threonine kinase) mutation detected in their tumor.
CDK12 Mutation
n=1 Participants
Patients with a deleterious CDK12 (Cyclin-dependent kinase 12) mutation detected in their tumor.
CHEK2 Mutation
n=7 Participants
Patients with a deleterious CHEK2 (Checkpoint Kinase 2) mutation detected in their tumor.
Other Gene Mutation
Patients with other deleterious HRR (homologous recombination repair) gene mutation detected in their tumor.
Duration of Response (DOR) by Gene in Patients With Confirmed Response Per Investigator
6.6 months
Interval 5.6 to 11.6
7.5 months
Interval 4.6 to 10.4
16.6 months
The median is the actual observed value for this participant. The confidence interval was not assessable due to insufficient number of participants with events.
18.4 months
Interval 10.1 to
The upper confidence interval was not assessable due to insufficient number of participants with events.

SECONDARY outcome

Timeframe: PSA assessments were done at baseline, Week 5, Week 9, every 4 weeks thereafter, and at Treatment Discontinuation. Total follow-up was up to approximately 39 months.

Population: All patients who had a PSA value at baseline.

A secondary endpoint is confirmed PSA (prostate-specific antigen) response (≥ 50% reduction) as assessed by local laboratory. Confirmed PSA response is analyzed for all patients who had PSA value at baseline and is defined as the percentage of patients having 2 consecutive PSA values (at least 3 weeks apart) that are at least 50% lower than baseline and that occur prior to PSA progression. PSA progression is defined as a ≥ 25% increase and absolute increase of ≥ 2 ng/mL above the nadir in PSA.

Outcome measures

Outcome measures
Measure
BRCA Mutation
n=172 Participants
Patients with a deleterious BRCA (breast cancer susceptibility gene) mutation detected in their tumor.
ATM Mutation
n=59 Participants
Patients with a deleterious ATM (ataxia telangiectasia mutated serine/threonine kinase) mutation detected in their tumor.
CDK12 Mutation
n=14 Participants
Patients with a deleterious CDK12 (Cyclin-dependent kinase 12) mutation detected in their tumor.
CHEK2 Mutation
n=7 Participants
Patients with a deleterious CHEK2 (Checkpoint Kinase 2) mutation detected in their tumor.
Other Gene Mutation
n=25 Participants
Patients with other deleterious HRR (homologous recombination repair) gene mutation detected in their tumor.
Confirmed PSA Response (≥ 50% Decrease) by Gene as Assessed by Local Laboratory
53.5 percentage of participants
Interval 45.7 to 61.1
3.4 percentage of participants
Interval 0.4 to 11.7
7.1 percentage of participants
Interval 0.2 to 33.9
14.3 percentage of participants
Interval 0.4 to 57.9
36.0 percentage of participants
Interval 18.0 to 57.5

SECONDARY outcome

Timeframe: PSA assessments were done at baseline, Week 5, Week 9, every 4 weeks thereafter, and at Treatment Discontinuation. Total follow-up was up to approximately 39 months.

Population: All patients who had a PSA value at baseline.

A secondary endpoint is confirmed PSA (prostate-specific antigen) response (≥ 90% reduction) as assessed by local laboratory. Confirmed PSA response is analyzed for all patients who had PSA value at baseline and is defined as the percentage of patients having 2 consecutive PSA values (at least 3 weeks apart) that are at least 90% lower than baseline and that occur prior to PSA progression. PSA progression is defined as a ≥ 25% increase and absolute increase of ≥ 2 ng/mL above the nadir in PSA.

Outcome measures

Outcome measures
Measure
BRCA Mutation
n=172 Participants
Patients with a deleterious BRCA (breast cancer susceptibility gene) mutation detected in their tumor.
ATM Mutation
n=59 Participants
Patients with a deleterious ATM (ataxia telangiectasia mutated serine/threonine kinase) mutation detected in their tumor.
CDK12 Mutation
n=14 Participants
Patients with a deleterious CDK12 (Cyclin-dependent kinase 12) mutation detected in their tumor.
CHEK2 Mutation
n=7 Participants
Patients with a deleterious CHEK2 (Checkpoint Kinase 2) mutation detected in their tumor.
Other Gene Mutation
n=25 Participants
Patients with other deleterious HRR (homologous recombination repair) gene mutation detected in their tumor.
Confirmed PSA Response (≥ 90% Decrease) by Gene as Assessed by Local Laboratory
19.8 percentage of participants
Interval 14.1 to 26.5
0 percentage of participants
Interval 0.0 to 0.0
0 percentage of participants
Interval 0.0 to 0.0
14.3 percentage of participants
Interval 0.4 to 57.9
16.0 percentage of participants
Interval 4.5 to 36.1

SECONDARY outcome

Timeframe: Assessments every 8 weeks from study day 1 for the first 24 weeks, and then every 12 weeks until disease progression, death, or initiation of subsequent treatment. Total follow-up was up to approximately 3 years.

Population: All patients

A secondary efficacy endpoint is Radiologic Progression-free Survival (rPFS) assessed by IRR. rPFS is defined as the time from first dose of rucaparib to the date of first objective evidence of radiographic progression (soft tissue or bone lesion) or death due to any cause, whichever occurs first, plus 1 day. Radiographic disease progression includes confirmed bone disease progression and soft tissue disease progression adjudicated by IRR using the PCWG3 guidelines for bone disease and modified RECIST Version 1.1 for soft tissue disease.

Outcome measures

Outcome measures
Measure
BRCA Mutation
n=172 Participants
Patients with a deleterious BRCA (breast cancer susceptibility gene) mutation detected in their tumor.
ATM Mutation
n=59 Participants
Patients with a deleterious ATM (ataxia telangiectasia mutated serine/threonine kinase) mutation detected in their tumor.
CDK12 Mutation
n=14 Participants
Patients with a deleterious CDK12 (Cyclin-dependent kinase 12) mutation detected in their tumor.
CHEK2 Mutation
n=7 Participants
Patients with a deleterious CHEK2 (Checkpoint Kinase 2) mutation detected in their tumor.
Other Gene Mutation
n=25 Participants
Patients with other deleterious HRR (homologous recombination repair) gene mutation detected in their tumor.
Radiologic Progression-free Survival (rPFS) by Gene in All Patients Per Central Independent Radiology Review (IRR)
10.7 months
Interval 8.7 to 13.2
5.3 months
Interval 3.7 to 8.9
3.7 months
Interval 1.9 to 8.3
9.4 months
Interval 2.1 to
The upper confidence interval was not assessable due to insufficient number of participants with events.
11.6 months
Interval 5.1 to 25.3

SECONDARY outcome

Timeframe: Assessments every 8 weeks from study day 1 for the first 24 weeks, and then every 12 weeks until disease progression, death, or initiation of subsequent treatment. Total follow-up was up to approximately 3 years.

Population: All patients

A secondary efficacy endpoint is Radiologic Progression-free Survival (rPFS) assessed by Investigator. rPFS is defined as the time from first dose of rucaparib to the date of first objective evidence of radiographic progression (soft tissue or bone lesion) or death due to any cause, whichever occurs first, plus 1 day. Radiographic disease progression includes confirmed bone disease progression and soft tissue disease progression using the PCWG3 guidelines for bone disease and modified RECIST Version 1.1 for soft tissue disease.

Outcome measures

Outcome measures
Measure
BRCA Mutation
n=172 Participants
Patients with a deleterious BRCA (breast cancer susceptibility gene) mutation detected in their tumor.
ATM Mutation
n=59 Participants
Patients with a deleterious ATM (ataxia telangiectasia mutated serine/threonine kinase) mutation detected in their tumor.
CDK12 Mutation
n=14 Participants
Patients with a deleterious CDK12 (Cyclin-dependent kinase 12) mutation detected in their tumor.
CHEK2 Mutation
n=7 Participants
Patients with a deleterious CHEK2 (Checkpoint Kinase 2) mutation detected in their tumor.
Other Gene Mutation
n=25 Participants
Patients with other deleterious HRR (homologous recombination repair) gene mutation detected in their tumor.
Radiologic Progression-free Survival (rPFS) by Gene in All Patients Per Investigator
9.6 months
Interval 8.2 to 11.2
7.8 months
Interval 4.2 to 10.6
3.7 months
Interval 1.9 to 8.1
3.5 months
Interval 2.1 to 11.2
11.6 months
Interval 5.8 to 22.3

SECONDARY outcome

Timeframe: From date of first dose until event, loss to follow-up, withdrawal of consent, or study closure: an overall median of approximately 33.1 months

Population: Safety Population - The safety population consists of all patients who received at least 1 dose of protocol-specified treatment.

A secondary efficacy endpoint is Overall Survival (OS). OS is defined as the date from first dose of rucaparib to the date of death due to any cause, +1 day.

Outcome measures

Outcome measures
Measure
BRCA Mutation
n=172 Participants
Patients with a deleterious BRCA (breast cancer susceptibility gene) mutation detected in their tumor.
ATM Mutation
n=59 Participants
Patients with a deleterious ATM (ataxia telangiectasia mutated serine/threonine kinase) mutation detected in their tumor.
CDK12 Mutation
n=14 Participants
Patients with a deleterious CDK12 (Cyclin-dependent kinase 12) mutation detected in their tumor.
CHEK2 Mutation
n=7 Participants
Patients with a deleterious CHEK2 (Checkpoint Kinase 2) mutation detected in their tumor.
Other Gene Mutation
n=25 Participants
Patients with other deleterious HRR (homologous recombination repair) gene mutation detected in their tumor.
Overall Survival (OS) by Gene
17.2 months
Interval 14.8 to 20.0
14.6 months
Interval 12.0 to 19.0
13.9 months
Interval 6.8 to 18.6
11.1 months
Interval 3.5 to 26.7
11.6 months
Interval 8.9 to
The upper confidence interval was not assessable due to insufficient number of participants with events.

SECONDARY outcome

Timeframe: Assessments every 8 weeks from study day 1 for the first 24 weeks, and then every 12 weeks until disease progression, death, or initiation of subsequent treatment. Total follow-up was up to approximately 3 years.

Population: All patients

A secondary efficacy endpoint is Clinical Benefit Rate (CBR) assessed by IRR. CBR is defined as the number of patients without radiographic progression (defined by modified RECIST Version 1.1/ PCWG3 criteria) who were continuing with study drug treatment through the given time interval divided by the number of patients who had the given amount of follow-up. Clinical benefit rates are summarized at 6 and 12 months.

Outcome measures

Outcome measures
Measure
BRCA Mutation
n=172 Participants
Patients with a deleterious BRCA (breast cancer susceptibility gene) mutation detected in their tumor.
ATM Mutation
n=59 Participants
Patients with a deleterious ATM (ataxia telangiectasia mutated serine/threonine kinase) mutation detected in their tumor.
CDK12 Mutation
n=14 Participants
Patients with a deleterious CDK12 (Cyclin-dependent kinase 12) mutation detected in their tumor.
CHEK2 Mutation
n=7 Participants
Patients with a deleterious CHEK2 (Checkpoint Kinase 2) mutation detected in their tumor.
Other Gene Mutation
n=25 Participants
Patients with other deleterious HRR (homologous recombination repair) gene mutation detected in their tumor.
Clinical Benefit Rate (CBR) by Gene Per Central Independent Radiology Review (IRR)
6 months
100 Participants
10 Participants
2 Participants
2 Participants
13 Participants
Clinical Benefit Rate (CBR) by Gene Per Central Independent Radiology Review (IRR)
12 months
36 Participants
3 Participants
0 Participants
1 Participants
6 Participants

SECONDARY outcome

Timeframe: Assessments every 8 weeks from study day 1 for the first 24 weeks, and then every 12 weeks until disease progression, death, or initiation of subsequent treatment. Total follow-up was up to approximately 3 years.

Population: All patients

A secondary efficacy endpoint is Clinical Benefit Rate (CBR) assessed by Investigator. CBR is defined as the number of patients without radiographic progression (defined by modified RECIST Version 1.1/ PCWG3 criteria) who were continuing with study drug treatment through the given time interval divided by the number of patients who had the given amount of follow-up. Clinical benefit rates are summarized at 6 and 12 months.

Outcome measures

Outcome measures
Measure
BRCA Mutation
n=172 Participants
Patients with a deleterious BRCA (breast cancer susceptibility gene) mutation detected in their tumor.
ATM Mutation
n=59 Participants
Patients with a deleterious ATM (ataxia telangiectasia mutated serine/threonine kinase) mutation detected in their tumor.
CDK12 Mutation
n=14 Participants
Patients with a deleterious CDK12 (Cyclin-dependent kinase 12) mutation detected in their tumor.
CHEK2 Mutation
n=7 Participants
Patients with a deleterious CHEK2 (Checkpoint Kinase 2) mutation detected in their tumor.
Other Gene Mutation
n=25 Participants
Patients with other deleterious HRR (homologous recombination repair) gene mutation detected in their tumor.
Clinical Benefit Rate (CBR) by Gene Per Investigator
6 months
103 Participants
17 Participants
3 Participants
2 Participants
14 Participants
Clinical Benefit Rate (CBR) by Gene Per Investigator
12 months
39 Participants
6 Participants
1 Participants
1 Participants
6 Participants

SECONDARY outcome

Timeframe: PSA assessments were done at baseline, Week 5, Week 9, every 4 weeks thereafter, and at Treatment Discontinuation. Total follow-up was up to approximately 39 months.

Population: All patients who had a PSA value at baseline.

A secondary efficacy endpoint is time to PSA progession. Time to PSA progression is defined as the time from first dose of rucaparib to the date that a ≥ 25% increase and absolute increase of ≥ 2 ng/mL above the nadir (or baseline if there was no PSA decline after baseline) in PSA was measured, plus 1 day. The increase must be confirmed by a second consecutive assessment conducted at least 3 weeks later (unless the PSA progression occurred at the last recorded PSA assessment). If confirmed, the date used for time of PSA progression is the earlier of the 2 PSA dates.

Outcome measures

Outcome measures
Measure
BRCA Mutation
n=172 Participants
Patients with a deleterious BRCA (breast cancer susceptibility gene) mutation detected in their tumor.
ATM Mutation
n=59 Participants
Patients with a deleterious ATM (ataxia telangiectasia mutated serine/threonine kinase) mutation detected in their tumor.
CDK12 Mutation
n=14 Participants
Patients with a deleterious CDK12 (Cyclin-dependent kinase 12) mutation detected in their tumor.
CHEK2 Mutation
n=7 Participants
Patients with a deleterious CHEK2 (Checkpoint Kinase 2) mutation detected in their tumor.
Other Gene Mutation
n=25 Participants
Patients with other deleterious HRR (homologous recombination repair) gene mutation detected in their tumor.
Time to PSA Progression by Gene
6.5 months
Interval 5.7 to 7.5
3.1 months
Interval 2.8 to 3.7
3.5 months
Interval 2.8 to 4.6
5.6 months
Interval 2.8 to
The upper confidence interval was not assessable due to insufficient number of participants with events.
5.3 months
Interval 3.0 to 9.1

SECONDARY outcome

Timeframe: Participants were assessed at Study Day 29, Day 57, Day 85 and Day 113

Population: Safety population with at least one PK sample collected. The safety population consists of all patients who received at least 1 dose of protocol-specified treatment.

Trough (Cmin) concentrations of rucaparib are summarized for all patients with at least one PK sample collected. The absolute values of rucaparib plasma concentration at each time point are presented by gene.

Outcome measures

Outcome measures
Measure
BRCA Mutation
n=101 Participants
Patients with a deleterious BRCA (breast cancer susceptibility gene) mutation detected in their tumor.
ATM Mutation
n=51 Participants
Patients with a deleterious ATM (ataxia telangiectasia mutated serine/threonine kinase) mutation detected in their tumor.
CDK12 Mutation
n=14 Participants
Patients with a deleterious CDK12 (Cyclin-dependent kinase 12) mutation detected in their tumor.
CHEK2 Mutation
n=5 Participants
Patients with a deleterious CHEK2 (Checkpoint Kinase 2) mutation detected in their tumor.
Other Gene Mutation
n=13 Participants
Patients with other deleterious HRR (homologous recombination repair) gene mutation detected in their tumor.
Steady State Trough (Cmin) Level Rucaparib Concentrations
Day 29
1539.565 ng/mL
Standard Deviation 966.2604
1605.002 ng/mL
Standard Deviation 856.2478
1639.357 ng/mL
Standard Deviation 1428.5691
1286.998 ng/mL
Standard Deviation 1138.2119
1189.845 ng/mL
Standard Deviation 748.3045
Steady State Trough (Cmin) Level Rucaparib Concentrations
Day 57
1578.353 ng/mL
Standard Deviation 1057.8049
1600.380 ng/mL
Standard Deviation 1198.3899
1405.167 ng/mL
Standard Deviation 806.4642
1841.667 ng/mL
Standard Deviation 2106.3362
1792.499 ng/mL
Standard Deviation 1672.7732
Steady State Trough (Cmin) Level Rucaparib Concentrations
Day 85
1308.704 ng/mL
Standard Deviation 693.6717
1505.400 ng/mL
Standard Deviation 802.0812
1699.700 ng/mL
Standard Deviation 991.9922
815.500 ng/mL
Standard Deviation 557.9073
2255.889 ng/mL
Standard Deviation 1831.9626
Steady State Trough (Cmin) Level Rucaparib Concentrations
Day 113
1533.690 ng/mL
Standard Deviation 889.6130
1515.300 ng/mL
Standard Deviation 1291.8497
1520.700 ng/mL
Standard Deviation 884.1374
728.000 ng/mL
Standard Deviation 469.5189
1433.875 ng/mL
Standard Deviation 637.4535

Adverse Events

All Patients

Serious events: 96 serious events
Other events: 274 other events
Deaths: 8 deaths

Serious adverse events

Serious adverse events
Measure
All Patients
n=277 participants at risk
All patients received open-label oral rucaparib 600 mg BID (twice a day) in continuous 28-day cycles.
Blood and lymphatic system disorders
Anaemia
5.1%
14/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Blood and lymphatic system disorders
Anaemia of malignant disease
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Blood and lymphatic system disorders
Aplastic anaemia
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Blood and lymphatic system disorders
Leukopenia
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Blood and lymphatic system disorders
Neutropenia
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Blood and lymphatic system disorders
Pancytopenia
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Cardiac disorders
Acute coronary syndrome
1.1%
3/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Cardiac disorders
Acute myocardial infarction
1.1%
3/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Cardiac disorders
Atrial fibrillation
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Cardiac disorders
Cardiac failure
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Cardiac disorders
Coronary artery occlusion
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Cardiac disorders
Torsade de pointes
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Cardiac disorders
Ventricular tachycardia
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Gastrointestinal disorders
Abdominal pain
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Gastrointestinal disorders
Colitis
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Gastrointestinal disorders
Diarrhoea
1.1%
3/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Gastrointestinal disorders
Gastrooesophageal reflux disease
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Gastrointestinal disorders
Ileus
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Gastrointestinal disorders
Intestinal ischaemia
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Gastrointestinal disorders
Mechanical ileus
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Gastrointestinal disorders
Nausea
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Gastrointestinal disorders
Oesophagitis
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Gastrointestinal disorders
Rectal haemorrhage
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Gastrointestinal disorders
Small intestinal obstruction
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Gastrointestinal disorders
Vomiting
1.1%
3/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
General disorders
Asthenia
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
General disorders
Fatigue
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
General disorders
Non-cardiac chest pain
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
General disorders
Pain
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
General disorders
Pyrexia
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Abscess oral
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Bacteraemia
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Cellulitis
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Device related infection
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Fournier's gangrene
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Gastroenteritis
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Haemophilus infection
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Infective exacerbation of chronic obstructive airways disease
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Legionella infection
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Paraspinal abscess
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Pneumonia
2.2%
6/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Pneumonia legionella
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Pneumonia staphylococcal
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Pulmonary sepsis
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Sepsis
1.4%
4/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Upper respiratory tract infection
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Urinary tract infection
1.4%
4/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Urosepsis
1.4%
4/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Wound infection
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Injury, poisoning and procedural complications
Fall
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Injury, poisoning and procedural complications
Foot fracture
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Injury, poisoning and procedural complications
Postoperative respiratory failure
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Injury, poisoning and procedural complications
Spinal compression fracture
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Injury, poisoning and procedural complications
Urinary tract stoma complication
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Investigations
Blood creatinine increased
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Metabolism and nutrition disorders
Dehydration
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Metabolism and nutrition disorders
Electrolyte imbalance
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Metabolism and nutrition disorders
Failure to thrive
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Metabolism and nutrition disorders
Hypocalcaemia
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Metabolism and nutrition disorders
Hypoglycaemia
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Metabolism and nutrition disorders
Hypokalaemia
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Metabolism and nutrition disorders
Hyponatraemia
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Musculoskeletal and connective tissue disorders
Back pain
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Musculoskeletal and connective tissue disorders
Muscular weakness
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Musculoskeletal and connective tissue disorders
Pain in extremity
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Musculoskeletal and connective tissue disorders
Pathological fracture
1.8%
5/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Musculoskeletal and connective tissue disorders
Spinal pain
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adenocarcinoma pancreas
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bladder cancer
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Chronic lymphocytic leukaemia
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant neoplasm progression
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Nervous system disorders
Cerebellar infarction
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Nervous system disorders
Cerebral haemorrhage
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Nervous system disorders
Cerebrovascular accident
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Nervous system disorders
Dizziness
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Nervous system disorders
Dysarthria
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Nervous system disorders
Ischaemic stroke
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Nervous system disorders
Presyncope
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Nervous system disorders
Sacral radiculopathy
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Nervous system disorders
Sciatica
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Nervous system disorders
Seizure
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Nervous system disorders
Spinal cord compression
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Nervous system disorders
Syncope
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Psychiatric disorders
Confusional state
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Renal and urinary disorders
Acute kidney injury
2.5%
7/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Renal and urinary disorders
Haematuria
2.2%
6/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Renal and urinary disorders
Hydronephrosis
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Renal and urinary disorders
Urinary retention
1.1%
3/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Respiratory, thoracic and mediastinal disorders
Acute respiratory distress syndrome
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.72%
2/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Vascular disorders
Embolism
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Vascular disorders
Hypertension
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Vascular disorders
Peripheral ischaemia
0.36%
1/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.

Other adverse events

Other adverse events
Measure
All Patients
n=277 participants at risk
All patients received open-label oral rucaparib 600 mg BID (twice a day) in continuous 28-day cycles.
Blood and lymphatic system disorders
Anaemia
46.6%
129/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Blood and lymphatic system disorders
Neutropenia
7.2%
20/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Blood and lymphatic system disorders
Thrombocytopenia
11.9%
33/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Gastrointestinal disorders
Abdominal pain
5.8%
16/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Gastrointestinal disorders
Constipation
27.4%
76/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Gastrointestinal disorders
Diarrhoea
23.5%
65/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Gastrointestinal disorders
Dyspepsia
6.5%
18/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Gastrointestinal disorders
Nausea
50.2%
139/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Gastrointestinal disorders
Vomiting
24.2%
67/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
General disorders
Asthenia
18.1%
50/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
General disorders
Fatigue
47.3%
131/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
General disorders
Oedema peripheral
18.1%
50/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
General disorders
Pyrexia
5.4%
15/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Upper respiratory tract infection
6.9%
19/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Infections and infestations
Urinary tract infection
13.4%
37/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Injury, poisoning and procedural complications
Fall
6.5%
18/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Investigations
Alanine aminotransferase increased
26.0%
72/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Investigations
Aspartate aminotransferase increased
25.6%
71/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Investigations
Blood alkaline phosphatase increased
6.5%
18/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Investigations
Blood creatinine increased
18.1%
50/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Investigations
Platelet count decreased
11.6%
32/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Investigations
Weight decreased
16.2%
45/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Metabolism and nutrition disorders
Decreased appetite
34.7%
96/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Metabolism and nutrition disorders
Dehydration
5.1%
14/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Metabolism and nutrition disorders
Hypocalcaemia
7.6%
21/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Metabolism and nutrition disorders
Hypophosphataemia
9.7%
27/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Musculoskeletal and connective tissue disorders
Althralgia
15.9%
44/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Musculoskeletal and connective tissue disorders
Back pain
18.1%
50/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Musculoskeletal and connective tissue disorders
Bone pain
6.5%
18/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Musculoskeletal and connective tissue disorders
Muscular weakness
6.1%
17/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
5.1%
14/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
11.9%
33/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Musculoskeletal and connective tissue disorders
Myalgia
5.1%
14/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Musculoskeletal and connective tissue disorders
Pain in extremity
11.6%
32/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Nervous system disorders
Dizziness
19.1%
53/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Nervous system disorders
Dysgeusia
11.6%
32/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Nervous system disorders
Headache
10.1%
28/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Nervous system disorders
Neuropathy peripheral
5.1%
14/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Psychiatric disorders
Insomnia
6.5%
18/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Renal and urinary disorders
Haematuria
7.6%
21/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
14.4%
40/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Skin and subcutaneous tissue disorders
Dry skin
6.5%
18/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Skin and subcutaneous tissue disorders
Photosensitivity reaction
6.9%
19/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Skin and subcutaneous tissue disorders
Rash
7.9%
22/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Vascular disorders
Hypertension
7.2%
20/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.
Respiratory, thoracic and mediastinal disorders
Cough
11.9%
33/277 • Adverse events were reported from date of first dose of study drug until 28 days after last dose of study drug, approximately 4.5 years.

Additional Information

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Phone: +1 415 409 7220

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor's agreements with investigators require proposed public disclosures of trial results to be submitted to Sponsor for review prior to publication. Sponsor may request deletion of confidential information or a delay in publication to address intellectual property concerns, but Sponsor may not suppress publication of the trial results indefinitely. Sponsor may request delay of a single-center publication until after the release of a multi-site publication or an agreed upon period of time.
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Restriction type: OTHER