Rubraca (rucaparib)

Β£1,801.00

What is Rubraca (rucaparib) for?

Rubraca (rucaparib) is indicated as monotherapy for:

 

the treatment of patients with deleterious BRCA mutation (germline and/or somatic) associated advanced ovarian cancer, who have been treated with two or more chemotherapies[1]. Patients should be selected for therapy based on the FDA-approved FoundationFocus CDxBRCA test (Foundation Medicine Inc.)[2,1]. Approximately 15 to 20% of patients with ovarian cancer have a BRCA gene mutation[3].

 

 

for the maintenance treatment of adult patients with recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who are in a complete or partial response to platinum-based chemotherapy[1].

 

How does Rubraca (rucaparib) work?

BRCA genes are involved with repairing damaged DNA and normally work to prevent tumour development.

 

However, mutations of these genes may lead to certain cancers, including ovarian cancers. Rubraca (rucaparib) is a poly ADP-ribose polymerase (PARP) inhibitor that blocks an enzyme involved in repairing damaged DNA. By blocking this enzyme, DNA inside the cancerous cells with damaged BRCA genes may be less likely to be repaired, leading to cell death and possibly a slowdown or stoppage of tumour growth[3].

 

Where has Rubraca (rucaparib) been approved?

Rubraca (rucaparib) was approved by:

 

Food and Drug Administration (FDA), USA: 

on December 19, 2016, for the treatment of patients with deleterious BRCA mutation (germline and/or somatic) associated advanced ovarian cancer who have been treated with two or more chemotherapies[1]

on April 6, 2018, for the for the maintenance treatment of adult patients with recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who are in a complete or partial response to platinum-based chemotherapy[1]

European Medicines Agency (EMA), EU, on May 23, 2018, for the treatment of patients with: 

platinum sensitive, relapsed or progressive, BRCA mutated (germline and/or somatic), high-grade epithelial ovarian, fallopian tube, or primary peritoneal cancer[7]

 

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Rubraca (rucaparib)

 

This medicine requires a prescription. See “Prescription Guide”.

 

 

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Rubraca (rucaparib) is a medication used for the treatment of ovarian, fallopian tube and primary peritoneal cancer.

 

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Rubraca

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Disease Indications

Gynaecological Cancer

 

Manufacturer

Clovis Oncology, Inc.

 

Usage

Oral

 

Medicine approved by

 

European Medical Agency (EMA)

 

Food and Drug Administration (FDA)

Patients helped

 

Over 1.2 million patients reached

 

More than 11,000 patients helped

 

100% successful deliveries to 88 countries

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Rubraca (rucaparib)

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FAQ

What is Rubraca (rucaparib) for?

Rubraca (rucaparib) is indicated as monotherapy for:

 

the treatment of patients with deleterious BRCA mutation (germline and/or somatic) associated advanced ovarian cancer, who have been treated with two or more chemotherapies[1]. Patients should be selected for therapy based on the FDA-approved FoundationFocus CDxBRCA test (Foundation Medicine Inc.)[2,1]. Approximately 15 to 20% of patients with ovarian cancer have a BRCA gene mutation[3].

 

 

for the maintenance treatment of adult patients with recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who are in a complete or partial response to platinum-based chemotherapy[1].

 

How does Rubraca (rucaparib) work?

BRCA genes are involved with repairing damaged DNA and normally work to prevent tumour development.

 

However, mutations of these genes may lead to certain cancers, including ovarian cancers. Rubraca (rucaparib) is a poly ADP-ribose polymerase (PARP) inhibitor that blocks an enzyme involved in repairing damaged DNA. By blocking this enzyme, DNA inside the cancerous cells with damaged BRCA genes may be less likely to be repaired, leading to cell death and possibly a slowdown or stoppage of tumour growth[3].

 

Where has Rubraca (rucaparib) been approved?

Rubraca (rucaparib) was approved by:

 

Food and Drug Administration (FDA), USA: 

on December 19, 2016, for the treatment of patients with deleterious BRCA mutation (germline and/or somatic) associated advanced ovarian cancer who have been treated with two or more chemotherapies[1]

on April 6, 2018, for the for the maintenance treatment of adult patients with recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who are in a complete or partial response to platinum-based chemotherapy[1]

European Medicines Agency (EMA), EU, on May 23, 2018, for the treatment of patients with: 

platinum sensitive, relapsed or progressive, BRCA mutated (germline and/or somatic), high-grade epithelial ovarian, fallopian tube, or primary peritoneal cancer[7]

How is Rubraca (rucaparib) taken?

The standard dosage is:

 

600 mg orally twice daily.

Patients should be monitored for hematologic toxicity at baseline and monthly thereafter, and use of Rubraca (rucaparib) should be discontinued if myelodysplastic syndrome (MDS) / acute myeloid leukemia (AML) is confirmed[1].

 

Complete information about Rubraca (rucaparib) dosage and administration can be found in the references section. 

 

Note: Consult your treating doctor for personalised dosing.

 

Are there any known side effects or adverse reactions of Rubraca (rucaparib)?

Common adverse reactions

The most common adverse reactions listed in the prescribing information include:

 

nausea

fatigue

vomiting

anemia

abdominal pain

dysgeusia (distortion of the sense of taste)

constipation

decreased appetite

diarrhoea

thrombocytopenia (deficiency of platelets in the blood)

dyspnea (difficult breathing)[1].

Serious adverse reactions

The serious adverse reactions listed in the prescribing information include:

 

myelodysplastic syndrome/acute myeloid leukemia (MDS/AML).

Use in specific populations

Rubraca (rucaparib) can be fatal for a fetus, it is advised to avoid pregnancies and breast feeding.

 

For a comprehensive list of side effects and adverse reactions please refer to the official prescribing information[1].

 

References

1. Summary of Product Characteristics [FDA]: Rubraca (rucaparib) [PDF]

    Clovis Oncology Inc., Dec. 2016

 

2. Foundation Focus CDXBRCA

    Foundation Medicine, cited Jan 2017

 

3. FDA grants accelerated approval to new treatment for advanced ovarian cancer

    FDA, Dec 2016

 

4. Approved Drugs: Rucaparib

    FDA, Dec 2016

 

5. Rare disease designations: EU/3/12/1049 EMA, cited Jan 2017

 

6. Pending EC decisions: Rubraca EMA, 22/03/2018

 

7. Summary of Product Characteristics [EMA]: Rubraca (rucaparib) [PDF]

    Clovis Oncology Inc., May 2019