New Reference: Rucaparib in Metastatic Prostate Cancer


  • Study

    Randomized, controlled, phase 3 trial (TRITON-3)
    Metastatic, castration-resistant prostate cancer with a BRCA1, BRCA2, or ATM alteration and who had disease progression after treatment with a second-generation androgen-receptor pathway inhibitor (ARPI)
    Rucaparib (n=270) vs. SOC (n=135)



  • Efficacy

    BRCA1/2 mutant subgroup
    mrPFS: 11.2 vs. 6.4 mos, p<0.001

    İTT group
    mrPFS: 10.2 vs. 6.4 mos, p=<0.001



  • Safety

    Any grade: fatigue (61.% vs. 63%), nausea (50% vs 19%), anemia (47% vs 18%), diarrhea (31% vs. 28%)

    Grade≥3 AEs: anemia (24% vs. 1%), fatigue (7% vs. 9%).




  • N Engl J Med 2023; 388:719-732

    Rucaparib or Physician’s Choice in Metastatic Prostate Cancer

    http://doi.org/10.1056/NEJMoa2214676

    Reviewed by Elvin Chalabiyev, MD on Apr 14, 2023