Brand Name

Rubraca

Generic Name
Rucaparib
View Brand Information
FDA approval date: December 19, 2016
Classification: Poly(ADP-Ribose) Polymerase Inhibitor
Form: Tablet

What is Rubraca (Rucaparib)?

RUBRACA is a poly polymerase inhibitor indicated: Ovarian cancer for the maintenance treatment of adult patients with a deleterious BRCA mutation - associated recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who are in a complete or partial response to platinum-based chemotherapy.
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Brand Information

Rubraca (rucaparib)
1DOSAGE FORMS AND STRENGTHS
  • Tablets (200 mg): blue, round, immediate-release, film-coated, debossed with “C2”.
  • Tablets (250 mg): white, diamond, immediate-release, film-coated, debossed with “C25”.
  • Tablets (300 mg): yellow, oval, immediate-release, film-coated, debossed with “C3”.
2CONTRAINDICATIONS
None.
3ADVERSE REACTIONS
The following serious adverse reactions are discussed elsewhere in the labeling:
  • Myelodysplastic Syndrome/Acute Myeloid Leukemia
3.1Clinical Trials Experience
Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.
The pooled safety population for patients with ovarian and prostate cancer in the WARNINGS AND PRECAUTIONS section reflect exposure to RUBRACA at 600 mg orally twice daily in 2141 patients treated on clinical trials including ARIEL3, TRITON2, and TRITON3. In ARIEL3 among the patients who received RUBRACA, 57% of patients were exposed for 6 months or longer and 33% were exposed for greater than one year. In TRITON3 among the patients with BRCA-mutated mCRPC who received RUBRACA, 66% were exposed for 6 months or longer and 34% were exposed for greater than one year.
In the pooled safety population for patients with ovarian cancer, the most common adverse reactions in ≥ 10% of patients were nausea (68%), asthenia/fatigue (65%), anemia/hemoglobin decreased (45%), AST/ALT increased (39%), vomiting (36%), diarrhea (29%), decreased appetite (27%), thrombocytopenia/platelet count decreased (25%), dysgeusia (24%), neutropenia/neutrophil count decreased (21%), blood creatinine increased (17%), dyspnea (16%), dizziness (14%), dyspepsia (11%), photosensitivity reaction (10%), and leukopenia/white blood cell count decreased (10%).
In the pooled safety population for patients with
4DESCRIPTION
Rucaparib is an inhibitor of the mammalian polyadenosine 5'-diphosphoribose polymerase (PARP) enzyme. The chemical name is 8-fluoro-2-{4-[(methylamino)methyl]phenyl}-1,3,4,5-tetrahydro-6H-azepino[5,4,3-cd]indol-6-one ((1S,4R)-7,7-dimethyl-2-oxobicyclo[2.2.1]hept-1-yl)methanesulfonic acid salt. The chemical formula of rucaparib camsylate is C
The chemical structure of rucaparib camsylate is shown below:
1
Rucaparib camsylate is a white to pale yellow powder; formulated into a tablet for oral use. Rucaparib shows pH-independent low solubility of approximately 1 mg/mL across the physiological pH range.
Rubraca (rucaparib) tablets contain rucaparib camsylate as the active ingredient. Each 200 mg tablet contains 344 mg rucaparib camsylate equivalent to 200 mg rucaparib free base. Each 250 mg tablet contains 430 mg rucaparib camsylate equivalent to 250 mg rucaparib free base. Each 300 mg tablet contains 516 mg rucaparib camsylate equivalent to 300 mg rucaparib free base.
The inactive ingredients in Rubraca tablets include: microcrystalline cellulose, sodium starch glycolate, colloidal silicon dioxide, and magnesium stearate. The cosmetic blue film coating for 200 mg tablets, cosmetic white film coating for 250 mg tablets, and cosmetic yellow film coating for 300 mg tablets is Opadry II containing polyvinyl alcohol, titanium dioxide, polyethylene glycol/macrogol, and talc. The coating is colorized as blue using brilliant blue aluminum lake and indigo carmine aluminum lake, or yellow using yellow iron oxide.
5PATIENT COUNSELING INFORMATION
Advise the patient to read the FDA-approved patient labeling (
MDS/AML: Advise patients to contact their healthcare provider if they experience weakness, feeling tired, fever, weight loss, frequent infections, bruising, bleeding easily, breathlessness, blood in urine or stool, and/or laboratory findings of low blood cell counts, or a need for blood transfusions. These may be signs of hematological toxicity or a more serious uncommon bone marrow problem called ‘myelodysplastic syndrome’ (MDS) or ‘acute myeloid leukemia’ (AML) which have been reported in patients treated with RUBRACA [see Warnings and Precautions (5.1)].
Embryo-Fetal Toxicity: Advise females to inform their healthcare provider if they are pregnant or become pregnant. Inform female patients of the risk to a fetus and potential loss of the pregnancy [see Use in Specific Populations (8.1)]. Advise females of reproductive potential to use effective contraception during treatment and for 6 months after receiving the last dose of RUBRACA. Advise male patients with female partners of reproductive potential or who are pregnant to use effective contraception during treatment and for 3 months after receiving the last dose of RUBRACA. Advise male patients not to donate sperm during therapy and for 3 months following the last dose of RUBRACA [see Warnings and Precautions (5.2) and Use in Specific Populations (8.1, 8.3)].
Photosensitivity: Advise patients to use appropriate sun protection due to the increased susceptibility to sunburn while taking RUBRACA [see Adverse Drug Reactions (6.1)].
Lactation: Advise females not to breastfeed during treatment and for 2 weeks after the last dose of RUBRACA [see Use in Specific Populations (8.2)].
Dosing Instructions: Instruct patients to take RUBRACA orally twice daily with or without food. Doses should be taken approximately 12 hours apart. Advise patients that if a dose of RUBRACA is missed or if the patient vomits after taking a dose of RUBRACA, patients should not take an extra dose, but take the next dose at the regular time [see Dosage and Administration (2.2)].
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RUBRACA is a registered trademark of pharma&.