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10.1038/bjc.2017.36

http://scihub22266oqcxt.onion/10.1038/bjc.2017.36
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C5379148!5379148!28222073
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suck abstract from ncbi


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pmid28222073      Br+J+Cancer 2017 ; 116 (7): 884-92
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  • A phase I study of intravenous and oral rucaparib in combination with chemotherapy in patients with advanced solid tumours #MMPMID28222073
  • Wilson RH; Evans TJ; Middleton MR; Molife LR; Spicer J; Dieras V; Roxburgh P; Giordano H; Jaw-Tsai S; Goble S; Plummer R
  • Br J Cancer 2017[Mar]; 116 (7): 884-92 PMID28222073show ga
  • Background:: This study evaluated safety, pharmacokinetics, and clinical activity of intravenous and oral rucaparib, a poly(ADP-ribose) polymerase inhibitor, combined with chemotherapy in patients with advanced solid tumours. Methods:: Initially, patients received escalating doses of intravenous rucaparib combined with carboplatin, carboplatin/paclitaxel, cisplatin/pemetrexed, or epirubicin/cyclophosphamide. Subsequently, the study was amended to focus on oral rucaparib (once daily, days 1?14) combined with carboplatin (day 1) in 21-day cycles. Dose-limiting toxicities (DLTs) were assessed in cycle 1 and safety in all cycles. Results:: Eighty-five patients were enrolled (22 breast, 15 ovarian/peritoneal, and 48 other primary cancers), with a median of three prior therapies (range, 1?7). Neutropenia (27.1%) and thrombocytopenia (18.8%) were the most common grade ?3 toxicities across combinations and were DLTs with the oral rucaparib/carboplatin combination. Maximum tolerated dose for the combination was 240?mg per day oral rucaparib and carboplatin area under the curve 5?mg?ml?1?min?1. Oral rucaparib demonstrated dose-proportional kinetics, a long half-life (?17?h), and good bioavailability (36%). Pharmacokinetics were unchanged by carboplatin coadministration. The rucaparib/carboplatin combination had radiologic antitumour activity, primarily in BRCA1- or BRCA2-mutated breast and ovarian/peritoneal cancers. Conclusions:: Oral rucaparib can be safely combined with a clinically relevant dose of carboplatin in patients with advanced solid tumours (Trial registration ID: NCT01009190).
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