Evidence map›Paper›PMID 33941784›Full record

Trial reportNature communications2021

Molecular and clinical determinants of response and resistance to rucaparib for recurrent ovarian cancer treatment in ARIEL2 (Parts 1 and 2).

Elizabeth M Swisher, Tanya T Kwan, Amit M Oza, Anna V Tinker, Isabelle Ray-Coquard, Ana Oaknin, Robert L Coleman, Carol Aghajanian, Gottfried E Konecny, David M O'Malley and 24 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01891344 (A Phase 2, Open-Label Study of Rucaparib in Patients With Platinum-Sensitive, Relapsed, High-Grade Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer), which is not on this map. Cited by 136 papers.

0numbers the graph read from it
0cells of the map it votes in
136citing papers in PubMed
13.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01891344 phase2completednot on this map

A Phase 2, Open-Label Study of Rucaparib in Patients With Platinum-Sensitive, Relapsed, High-Grade Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer (ARIEL2)

TypeinterventionalSponsorpharmaand GmbHRan2013 to 2021Enrolled491ConditionsOvarian Cancer, Epithelial Ovarian Cancer, Fallopian Tube Cancer, Peritoneal CancerArmsOral rucaparib
3 · Its place in the literature

Who cites it

136 citing papers in PubMed, 195 citations in OpenAlex.

  1. Trial
  2. A Phase II Trial of Niraparib in Patients with Advanced Pancreatic Cancer Harboring Pathogenic Variants in ATM, BRCA1, BRCA2, PALB2, and CHEK2.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
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  14. BCLXSignal transduction and targeted therapy · 2026
    Article
  15. HRDetect in Tubo-ovarian Carcinoma: Stratification and Therapeutic Implications.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  16. bioRxiv : the preprint server for biology · 2026
    Article
  17. Review
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  19. Review
  20. Article

76 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

34 authors at 20 institutions in 6 countries.

Elizabeth M Swisher *University of Washington, Seattle, WA, USA. swishere@uw.edu.ORCID 0000-0003-2331-0434
Tanya T Kwan *Clovis Oncology, Inc., Boulder, CO, USA.ORCID 0000-0002-8109-4023
Amit M OzaPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Anna V TinkerBC Cancer-Vancouver, Vancouver, BC, Canada.
Isabelle Ray-CoquardGINECO, Centre Léon Bérard and University Claude Bernard, Lyon, France.ORCID 0000-0003-2472-8306
Ana OakninVall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.
Robert L ColemanThe University of Texas, MD Anderson Cancer Center, Houston, TX, USA.
Carol AghajanianMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Gottfried E KonecnyUniversity of California Los Angeles, Los Angeles, CA, USA.
David M O'MalleyThe Ohio State University, James Cancer Center, Columbus, OH, USA.
Alexandra LearyGustave Roussy Cancer Center and INSERM U981, Villejuif, France.
Diane Provencherl'Université de Montréal (CHUM), Montréal, QC, Canada.ORCID 0000-0003-1902-3256
Stephen WelchLawson Health Research Institute, London, ON, Canada.
Lee-May ChenUniversity of California San Francisco Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA.
Andrea E Wahner HendricksonMayo Clinic, Rochester, MN, USA.
Ling MaRocky Mountain Cancer Centers, Lakewood, CO, USA.
Prafull GhatageTom Baker Cancer Center, Calgary, AB, Canada.ORCID 0000-0002-2371-0844
Rebecca S KristeleitGuy's and St. Thomas NHS Foundation Trust, London, UK.ORCID 0000-0003-3825-1326
Oliver DorigoStanford University Cancer Center and Stanford Cancer Institute, Palo Alto, CA, USA.ORCID 0000-0002-1976-5201
Ashan MusaferUniversity of Melbourne Department of Surgery, Austin Hospital, Heidelberg, VIC, Australia.
Scott H KaufmannMayo Clinic, Rochester, MN, USA.ORCID 0000-0002-4900-7145
Julia A ElvinFoundation Medicine, Inc., Cambridge, MA, USA.
Douglas I LinFoundation Medicine, Inc., Cambridge, MA, USA.ORCID 0000-0003-0105-9760
Setsuko K ChambersUniversity of Arizona Cancer Center, Tucson, AZ, USA.
Erin DominyClovis Oncology, Inc., Boulder, CO, USA.
Lan-Thanh VoClovis Oncology, Inc., Boulder, CO, USA.
Sandra GobleClovis Oncology, Inc., Boulder, CO, USA.
Lara MaloneyClovis Oncology, Inc., Boulder, CO, USA.
Heidi GiordanoClovis Oncology, Inc., Boulder, CO, USA.
Thomas HardingClovis Oncology, Inc., Boulder, CO, USA.
Alexander DobrovicUniversity of Melbourne Department of Surgery, Austin Hospital, Heidelberg, VIC, Australia.
Clare L ScottRoyal Melbourne Hospital and Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, Australia.ORCID 0000-0002-3689-5956
Kevin K LinClovis Oncology, Inc., Boulder, CO, USA.
Iain A McNeishImperial College London, London, UK.ORCID 0000-0002-9387-7586
Clovis Oncology (United States) · USFoundation Medicine (United States)Mayo Clinic in Arizona · USThe University of Melbourne · AUGuy's and St Thomas' NHS Foundation Trust · GBImperial College London · GBInserm · FRLawson Health Research Institute · CAMemorial Sloan Kettering Cancer Center · USRocky Mountain Cancer Centers · USStanford Cancer InstituteThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · USThe Royal Melbourne Hospital · AUThe University of Texas MD Anderson Cancer Center · USUniversité Claude Bernard Lyon 1 · FRUniversité de Montréal · CAUniversity Health Network · CAUniversity of Arizona · USUniversity of California, Los Angeles · USUniversity of California, San Francisco · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Use of microfluidic tumor cultures to enable clinical trials of therapies for ovarian cancerP50CA136393 · NCI · MAYO CLINIC ROCHESTER · PI ELLEN L. GOODE · 2009 to 2026
$37.0M
NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA136393
6 · The paper itself

Abstract

ARIEL2 (NCT01891344) is a single-arm, open-label phase 2 study of the PARP inhibitor (PARPi) rucaparib in relapsed high-grade ovarian carcinoma. In this post hoc exploratory biomarker analysis of pre- and post-platinum ARIEL2 samples, RAD51C and RAD51D mutations and high-level BRCA1 promoter methylation predict response to rucaparib, similar to BRCA1/BRCA2 mutations. BRCA1 methylation loss may be a major cross-resistance mechanism to platinum and PARPi. Genomic scars associated with homologous recombination deficiency are irreversible, persisting even as platinum resistance develops, and therefore are predictive of rucaparib response only in platinum-sensitive disease. The RAS, AKT, and cell cycle pathways may be additional modulators of PARPi sensitivity.

Indexed as

AdultAgedAged, 80 and overAntineoplastic AgentsBRCA1 ProteinBRCA2 ProteinCarcinoma, Ovarian EpithelialDNA-Binding ProteinsDNA MethylationFemaleHumansIndolesMiddle AgedNeoplasm Recurrence, LocalOvarian NeoplasmsPlatinumAntineoplastic AgentsBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humanDNA-Binding ProteinsIndolesPlatinumPoly(ADP-ribose) Polymerase InhibitorsRAD51C protein, humanRAD51D protein, humanrucaparib

Identifiers

PMID33941784
PMCPMC8093258
OpenAlexW3159728738

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.