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NCT03413995: TRIUMPH

Trial of Rucaparib in Patients With Metastatic Hormone-Sensitive Prostate Cancer Harboring Germline DNA Repair Gene Mutations

Completed Phase 2 Results posted Last updated 16 October 2024
What this trial tests

Phase 2 trial testing Rucaparib in Prostate Cancer Metastatic in 12 participants. Completed in 12 September 2024.

Timeline
10 September 2018
Primary endpoint
8 November 2023
12 September 2024

Quick facts

Lead sponsorSidney Kimmel Comprehensive Cancer Center at Johns Hopkins
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment12
Start date10 September 2018
Primary completion8 November 2023
Estimated completion12 September 2024
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins — full company profile →

Who can join

18 and older, male only, with Prostate Cancer Metastatic. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Prostate Specific Antigen (PSA) >=50 Response Primary · 4 weeks

Response Rate(PSA) Prostate Specific Antigen to rucaparib for patients with metastatic hormone sensitive prostate cancer harboring germline mutation in homologous recombination DNA (Deoxyribonucleic acid) repair gene. Measured by decline in PSA to 50% of baseline, confirmed with second measurement at least 4 weeks apart.

GroupValue95% CI
Rucaparib 600 mg BID5
Number of Participants With Treatment-related Adverse Events Secondary · 4 years 8 months

As assessed by CTCAE v4.0

GroupValue95% CI
Rucaparib 600 mg BID12
PSA Progression-free Survival Secondary · 2 years

Defined as a time (months) from initiation of rucaparib therapy until PSA increase of 25 %, confirmed with another measurement at least 3 weeks later

GroupValue95% CI
Rucaparib 600 mg BID11.23.7 – NA
Progression-free Survival Secondary · 2 years

Defined as time (months) from initiation of rucaparib therapy to radiographic or clinical progression or death, whichever comes first.

GroupValue95% CI
Rucaparib 600 mg BID128.0 – NA
Objective Response Secondary · 2 years

Defined as patients achieving a complete or partial response in target lesions found on radiographic scans among patients who have measurable disease at baseline.

GroupValue95% CI
Rucaparib 600 mg BID3

Adverse events — posted to ClinicalTrials.gov

Time frame: Baseline to End of Treatment approximately 4 years 8 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Rucaparib 600 mg BID
Serious: 3/12 (25%)
Deaths: 0/12

Serious adverse events (3 terms)

ReactionSystemRucaparib 600 mg BID
Small Bowel ObstructionGastrointestinal disorders
Atrial FibrillationCardiac disorders
PneumoniaRespiratory, thoracic and mediastinal disorders
Other adverse events (12 terms — click to expand)

ReactionSystemRucaparib 600 mg BID
FatigueGeneral disorders
Aspartate Aminotransferase-increasedBlood and lymphatic system disorders
Alanine Aminotransferase-IncreasedBlood and lymphatic system disorders
Creatinine-IncreasedBlood and lymphatic system disorders
NauseaGastrointestinal disorders
DysguesiaNervous system disorders
DiarrheaGastrointestinal disorders
AnemiaBlood and lymphatic system disorders
Palmar-Plantar Erythrodyesia SyndromeSkin and subcutaneous tissue disorders
Skin RashSkin and subcutaneous tissue disorders
EdemaGeneral disorders
VomitingGastrointestinal disorders

Most-reported serious reactions: Small Bowel Obstruction, Atrial Fibrillation, Pneumonia.

Data from ClinicalTrials.gov NCT03413995 adverse events section.

Sponsor's own description

The aim of this research is to find out if the study drug rucaparib leads to lowering of PSA levels in men with metastatic prostate cancer that has not yet been treated with androgen deprivation therapy (also referred to as metastatic hormone sensitive prostate cancer) and who have an inherited mutation in a gene involved in repairing DNA damage. The research will also examine if rucaparib is safe in individuals with metastatic prostate cancer. Prior research studies have shown that drugs like rucaparib can be of benefit to patients with advanced metastatic prostate cancer who are resistant to androgen deprivation therapy AND who carry a mutation in a DNA repair gene. We are studying if rucaparib will be an effective treatment for these patients earlier in their treatment course (for example, prior to the start of medicines that lower testosterone level). It is unknown whether rucaparib will have the same benefit in men with metastatic prostate cancer carrying a mutation in a DNA repair gene, prior to the use of medicines that lower your testosterone level.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Prevalence of Germline Variants in Prostate Cancer and Implications for Current Genetic Testing Guidelines.
    Nicolosi P, Ledet E, Yang S, Michalski S, et al · · 2019 · cited 254× · PMID 30730552 · DOI 10.1001/jamaoncol.2018.6760
  2. Prostate cancer and PARP inhibitors: progress and challenges.
    Teyssonneau D, Margot H, Cabart M, Anonnay M, et al · · 2021 · cited 103× · PMID 33781305 · DOI 10.1186/s13045-021-01061-x
  3. DNA Damage Response in Cancer Therapy and Resistance: Challenges and Opportunities.
    Jurkovicova D, Neophytou CM, Gašparović AČ, Gonçalves AC. · · 2022 · cited 95× · PMID 36499000 · DOI 10.3390/ijms232314672
  4. Genetic aberrations in DNA repair pathways: a cornerstone of precision oncology in prostate cancer.
    Lozano R, Castro E, Aragón IM, Cendón Y, et al · · 2021 · cited 81× · PMID 33106584 · DOI 10.1038/s41416-020-01114-x
  5. PARP Inhibitors and Prostate Cancer: To Infinity and Beyond BRCA.
    Risdon EN, Chau CH, Price DK, Sartor O, et al · · 2021 · cited 77× · PMID 32790034 · DOI 10.1634/theoncologist.2020-0697
  6. BRCA2 and Other DDR Genes in Prostate Cancer.
    Nombela P, Lozano R, Aytes A, Mateo J, et al · · 2019 · cited 68× · PMID 30871108 · DOI 10.3390/cancers11030352
  7. A Randomized Phase II Study of Androgen Deprivation Therapy with or without Palbociclib in RB-positive Metastatic Hormone-Sensitive Prostate Cancer.
    Palmbos PL, Daignault-Newton S, Tomlins SA, Agarwal N, et al · · 2021 · cited 45× · PMID 33727260 · DOI 10.1158/1078-0432.ccr-21-0024
  8. PARP Inhibitors in Prostate Cancer—The Preclinical Rationale and Current Clinical Development.
    Virtanen V, Paunu K, Ahlskog JK, Varnai R, et al · · 2019 · cited 43× · PMID 31357527 · DOI 10.3390/genes10080565

Verify or expand the search:

Other trials of Rucaparib

Trials testing the same drug.

Other recruiting trials for Prostate Cancer Metastatic

Currently open trials in the same condition.

Other Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03413995.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing