NCT03397394 · REGISTRY CONDITION SEARCH
Rucaparib in Patients With Locally Advanced or Metastatic Urothelial Carcinoma
Found through the registry condition index, not selected as a treatment recommendation. This discovery collection was restricted to studies with posted results.
- Phase
- PHASE2
- Status at capture
- TERMINATED
- Registry last update
- 2023-06-09
The purpose of the ATLAS study is to determine how patients with locally advanced unresectable or metastatic urothelial carcinoma respond to treatment with rucaparib.
Open the original ClinicalTrials.gov record → · Download preserved record
What did the study report?
Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.
Participant flow
Baseline characteristics
Objective Response Rate (ORR) Per RECIST Version 1.1
Progression-free Survival (PFS) According to RECIST v1.1, as Assessed by the Investigator
Overall Survival
Pharmacokinetics - Trough (Cmin) Level Rucaparib Concentrations
Adverse events
Limitations, agreements, and source contact
Who could take part
- eligibility Criteria
- Inclusion Criteria: * Have histologically or cytologically confirmed locally advanced unresectable or metastatic transitional cell carcinoma of the urothelium (renal pelvis, ureter, urinary bladder or urethra) * Received 1 or 2 prior treatment regimens for advanced or metastatic disease * Confirmed radiologic disease progression during or following recent treatment * Mandatory biopsy is required during screening * Measurable disease per RECIST v1.1 * Adequate organ function * ECOG 0 or 1 Exclusion Criteria: * Prior treatment with a PARP inhibitor * Symptomatic and/or untreated CNS metastases * Duodenal stent and/or any gastrointestinal disorder that may interfere with absorption of rucaparib
- healthy Volunteers
- false
- minimum Age
- 18 Years
- sex
- ALL
- std Ages
- ADULT
- OLDER_ADULT
Treatment arms and interventions
- arm Groups
- description
- Oral rucaparib (monotherapy)
- intervention Names
- Drug: Rucaparib
- label
- Rucaparib
- type
- EXPERIMENTAL
- interventions
- arm Group Labels
- Rucaparib
- description
- Rucaparib will be administered daily.
- name
- Rucaparib
- other Names
- CO-338
- type
- DRUG
Study design
- allocation
- NA
- intervention Model
- SINGLE_GROUP
- masking Info
- masking
- NONE
- primary Purpose
- TREATMENT
Enrollment
- count
- 97
- type
- ACTUAL
Registered outcome plans (not posted results)
- primary Outcomes
- description
- ORR is defined as the proportion of patients with a confirmed response of complete response (CR) or partial response (PR) by RECIST v1.1 as assessed by the investigator. Complete Response (CR) is disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Partial Response (PR), is at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter.
- measure
- Objective Response Rate (ORR) Per RECIST Version 1.1
- time Frame
- Time from first dose to date of progression, up to approximately 19 months
- secondary Outcomes
- description
- PFS is calculated as 1+ the number of days from the first dose of study drug to disease progression by RECIST, as determined by the investigator or death due to any cause, whichever occurs first.
- measure
- Progression-free Survival (PFS) According to RECIST v1.1, as Assessed by the Investigator
- time Frame
- Cycle 1 Day 1 to End of Treatment, up to approximately 10 months
- description
- Overall survival (OS) was defined as time from the date of first dose of rucaparib to the date of death due to any cause. Patients without a known date of death were to be censored on the date the patient was last known to be alive. A Kaplan-Meier analysis of OS was planned, however, due to early study termination and limited duration of OS follow-up, a descriptive summary of total deaths are presented. This includes deaths recorded on study (from first dose of study drug until 28 days after last dose of study drug), and deaths recorded in long-term follow-up (from last dose +28 days until death, loss to follow-up, withdrawal of consent, or study closure).
- measure
- Overall Survival
- time Frame
- The total study time for reporting of deaths was approximately 19 months.
- description
- Plasma were collected for trough level PK analysis of rucaparib 1 hour before the morning dose on Cycle 2 Day 1, Cycle 3 Day 1, and Cycle 4 Day 1.
- measure
- Pharmacokinetics - Trough (Cmin) Level Rucaparib Concentrations
- time Frame
- From Cycle 2 Day 1 to Cycle 4 Day 1, or approximately 2 months
Full study description
- brief Summary
- The purpose of the ATLAS study is to determine how patients with locally advanced unresectable or metastatic urothelial carcinoma respond to treatment with rucaparib.
Source references
- references
- citation
- Grivas P, Loriot Y, Morales-Barrera R, Teo MY, Zakharia Y, Feyerabend S, Vogelzang NJ, Grande E, Adra N, Alva A, Necchi A, Rodriguez-Vida A, Gupta S, Josephs DH, Srinivas S, Wride K, Thomas D, Simmons A, Loehr A, Dusek RL, Nepert D, Chowdhury S. Efficacy and safety of rucaparib in previously treated, locally advanced or metastatic urothelial carcinoma from a phase 2, open-label trial (ATLAS). BMC Cancer. 2021 May 24;21(1):593. doi: 10.1186/s12885-021-08085-z.
- pmid
- 34030643
- type
- DERIVED
Source notices and limitations
Discovery and provenance
- release id
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- query cond
- Urethral Cancer
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- source file
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Preserved source evidence · Not medical advice
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