The Denver Post

Drug OK’d in ovarian cancer fight

- By Matthew Perrone

U.S. health officials have approved a new option for some women battling ovarian cancer: a drug that targets a genetic mutation seen in a subset of hardto-treat tumors.

The Food and Drug Administra­tion cleared the drug, Rubraca, from Boulder-based Clovis Oncology Inc. for women in advanced stages of the disease who have already tried at least two chemothera­py drugs.

The Clovis medication targets a mutation found in 15 to 20 percent of patients with ovarian cancer. Women with the variation, known as BRCA, face much higher risks of breast cancer and ovarian cancer compared with other women.

The FDA also approved a companion test that screens for the mutation.

About 1 percent of women will be diagnosed with ovarian cancer in their lifetime, according to the National Cancer Institute.

This year an estimated 14,240 women will die of the disease in the U.S. Currently, standard treatment includes surgery to try to remove tumors or chemothera­py.

Rubraca is part of an emerging class of drugs that blocks an enzyme that helps cells — including those affected by cancer — repair themselves. Blocking this

mechanism is thought to slow tumor growth. Biotech drugmaker Tesaro Inc. is expecting an FDA decision on a similar drug next year.

“This approval gives Clovis the chance to build a market in this space before the approval of Tesaro’s niraparib,” Stifel analyst Thomas Shrader stated in a note to investors. He has a “Buy” rating on Clovis.

Shares of Clovis rose $3.28, or 8.8 percent, to $40.48 in trading Monday. Shares of competitor Tesaro fell $4.19, or 3.2 percent, to $127.24.

The FDA cleared the new drug under its accelerate­d approval pathway, reserved for medicines with promising results that must be confirmed by additional research.

If the drug’s benefits do not pan out, the FDA has the option of removing it from the market.

The agency said it cleared Rubraca based on studies of more than 100 women in which 54 percent of patients saw complete or partial shrinkage of their tumors.

Typically that benefit lasted about nine months, the agency said in an online posting.

Rubraca will carry a warning label about serious risks, including bone marrow problems and a form of blood cancer known as acute myeloid leukemia.

Common side effects of the drug include nausea, fatigue, vomiting and low levels of red blood cells.

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