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. 2018 Sep 28;9:3970. doi: 10.1038/s41467-018-05564-z

Table 1.

Responses observed in 12 HGSOC PDX to cisplatin and rucaparib treatment in vivo

PDX # Baseline tumor Patient response to platinum agents/PARP inhibitorsa HR gene defect TTH vehicle Cisplatin response in PDX Rucaparib (300 mg kg−1) response in PDX Explored mechanisms of resistance to rucaparib in vivo
Response Median TTH (days) Average TTP (days) p-value Response Median TTH (days) Average TTP (days) p-value
#54 Chemo-naive Platinum sensitivea
PARPi unknown
BRCA1:c.5095C>T 32 Resistant
SD
78 50 0.010 Refractory
PD
36 8 0.900 No secondary mutations; BRCA1 structural reversion predicted
#56 Chemo-naive Platinum sensitivea
PARPi 2 nd line single agent CR
BRCA1:c.894_895delTG 15 Sensitive
CR
>120 113 <0.001 Response
SD
95 53 <0.001 No secondary mutations
#13 Chemo-naive Platinum resistanta
No PARPi
BRCA2:c.5517_5518delA 43 Resistant
PR
>120 99 <0.001 Minimal response
SD
81 32 0.010 No secondary mutations
#19 Chemo-naive Platinum sensitivea
PARPi unknown
BRCA2:c.2323_2323delT 22 Sensitive
CR
>120 >120 <0.001 Response
CR
>120 >120 <0.001 No secondary mutations
#11 Chemo-naive Platinum sensitivea
PARPi 4 th line single agent PR for 11 months
BRCA1 methylation
homozygous
46 Sensitive
CR
>120 >120 <0.001 Not assessed  –  –  – No loss of methylation
#62 Chemo-naive Platinum sensitivea
No PARPi
BRCA1 methylation
homozygous
18 Resistant/Refractory
SD
60 46 <0.001 Response
SD
71 50 <0.001 No loss of methylation
#48 Pre-treated Platinum resistant
PARPi 3rd line single agent refractory
BRCA1 methylation
heterozygous
36 Resistant
SD
>120 43 <0.001 Refractory
PD
67 8 0.095 No further loss of methylation
#169 Pre-treated Platinum refractory
No PARPi
BRCA1 methylation
heterozygous
29 Refractory
PD
67 8 0.077 Refractoryb
PD
36 8 0.924 No further loss of methylation
#201 Chemo-naive Platinum sensitive
No PARPi
HR-DNA repair gene wild type 25 Resistant
PR
99 57 <0.001 Refractory
PD
46 8 <0.001c
#27 Chemo-naive Platinum sensitivea,d
No PARPi
HR-DNA repair gene wild type 22 Resistant
PR
109 57 0.001 Refractory
PD
36 8 0.887
#29 Chemo-naive Platinum refractorya
No PARPi
HR-DNA repair gene wild type 25 Refractory
PD
32 8 0.128 Refractory
PD
32 8 0.306
#80 Chemo-naive Platinum sensitive
No PARPi
HR-DNA repair gene wild type 53 Sensitive
CR
>120 >120 0.021 Refractory
PD
64 15 0.021c

PDX were derived from the chemo-naive baseline patient HGSOC samples apart from PDX #48, derived from a patient who had undergone three prior chemotherapeutic regimens, and PDX #169, generated from ascites fluid (the only PDX in this study not to be derived from solid tumor) from a young woman whose HGSOC progressed 1 month after completing first-line therapy and was refractory to second-line platinum treatment. Bold—patient PARPi response

TTH time to harvest, TTP time to progression, SD stable disease, CR complete response, PR partial response, PD progressive disease

aAs previously reported34

bRucaparib 450 mg kg−1

cNo tumor regressions or stabilization of disease was achieved despite significant p-value

dClinical trial involving standard chemotherapy with placebo/novel agent, followed by maintenance therapy with placebo/novel agent