Table 1.
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