Drug Detail:Rubraca (Rucaparib [ roo-kap-a-rib ])
Generic Name: rucaparib camsylate 200mg
Dosage Form: tablet, film coated
Drug Class: PARP inhibitors
Drug Detail:Rubraca (Rucaparib [ roo-kap-a-rib ])
Generic Name: rucaparib camsylate 200mg
Dosage Form: tablet, film coated
Drug Class: PARP inhibitors
Maintenance Treatment of BRCA-mutated Recurrent Ovarian Cancer
Select patients for the maintenance treatment of recurrent ovarian cancer with Rubraca based on the presence of a deleterious BRCA mutation (germline and/or somatic) [see Clinical Studies (14.1)].
An FDA-approved test for the detection of deleterious germline and/or somatic BRCA mutations is not currently available.
Treatment of BRCA-mutated mCRPC after Androgen Receptor-directed Therapy and Chemotherapy
Select patients for the treatment of mCRPC with Rubraca based on the presence of a deleterious BRCA mutation (germline and/or somatic) in plasma specimens [see Clinical Studies (14.2)]. A negative result from a plasma specimen does not mean that the patient's tumor is negative for BRCA mutations. Should the plasma specimen have a negative result, consider performing further genomic testing using tumor specimens as clinically indicated.
Information on the FDA-approved tests for the detection of a BRCA mutation in patients with ovarian cancer or with prostate cancer is available at: http://www.fda.gov/CompanionDiagnostics.
The recommended dose of Rubraca is 600 mg (two 300 mg tablets) taken orally twice daily with or without food, for a total daily dose of 1,200 mg.
Continue treatment until disease progression or unacceptable toxicity.
If a patient misses a dose of Rubraca, instruct the patient to take the next dose at its scheduled time. Vomited doses should not be replaced.
Patients receiving Rubraca for mCRPC should also receive a gonadotropin-releasing hormone (GnRH) analog concurrently or should have had bilateral orchiectomy.
To manage adverse reactions, consider interruption of treatment or dose reduction. Recommended Rubraca dose modifications for adverse reactions are indicated in Table 1.
Dose Reduction | Dose |
Starting Dose | 600 mg twice daily (two 300 mg tablets) |
First Dose Reduction | 500 mg twice daily (two 250 mg tablets) |
Second Dose Reduction | 400 mg twice daily (two 200 mg tablets) |
Third Dose Reduction | 300 mg twice daily (one 300 mg tablet) |