Medical Uses
Rubraca (rucaparib) is a poly (ADP-ribose) polymerase (PARP) inhibitor indicated:
- Ovarian cancer: for the maintenance treatment of adult patients with a deleterious BRCA mutation (germline and/or somatic)-associated recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who are in a complete or partial response to platinum-based chemotherapy.
- Prostate cancer: for the treatment of adult patients with a deleterious BRCA mutation (germline and/or somatic)-associated metastatic castration-resistant prostate cancer (mCRPC) who have been treated with androgen receptor-directed therapy and a taxane-based chemotherapy.
Note: The indication of prostate cancer is approved under accelerated approval based on objective response rate (RR) and duration of response (DOR). Continued approval for this indication may be contingent upon verification and description of clinical benefit in confirmatory trials.
Recommended Dosage:
The recommended dosage 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 there is evidence of disease progression or unacceptable toxicity.
If a patient misses a dose of this therapeutic drug, instruct the patient to take the very next dose at its scheduled time. Vomited doses must not be replaced.
Patients receiving treatment with Rubraca for mCRPC should also receive a gonadotropin-releasing hormone (GnRH) analog concurrently or should have had bilateral orchiectomy.