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clinical / clinicalrucaparib ARIEL2, BRCA testing ovarian cancer, PARP inhibitor biomarkers, phase I gynecologicBispecific T-cell Engager Pioneer

Rebecca Kristeleit

丽贝卡·克里斯特莱特

MBBS, PhD, FRCP

🏢Guy's and St Thomas' NHS Foundation Trust; King's College London; formerly University College London Cancer Institute(英国盖伊与圣托马斯NHS基金信托;伦敦国王学院;前伦敦大学学院癌症研究所)🌐UK

Consultant Medical Oncologist and Honorary Senior Lecturer; Lead, Gynecological Oncology Phase I/II Drug Development Program顾问医学肿瘤科医生及荣誉高级讲师;妇科肿瘤I/II期药物开发项目负责人

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Key Contributions

👥Biography 个人简介

Rebecca Kristeleit, MBBS, PhD, FRCP is Consultant Medical Oncologist at Guy's and St Thomas' NHS Foundation Trust and Honorary Senior Lecturer at King's College London, where she leads a gynecologic oncology phase I/II drug development program. Previously based at the UCL Cancer Institute, she was a key investigator in the ARIEL2 study — the phase II rucaparib trial that established a three-segment model predicting rucaparib efficacy based on BRCA mutation and LOH-high genomic scar status, providing one of the most clinically influential biomarker analyses in ovarian cancer PARP inhibitor development. Dr. Kristeleit has been a principal investigator on numerous phase I/II trials of novel agents in gynecologic malignancies, including the first-in-human studies of several oral PARP inhibitors and cell cycle-targeting agents. Her translational research program focuses on mechanisms of PARP inhibitor resistance, the biology of platinum-resistant ovarian cancer, and the development of immune and targeted combination strategies to restore sensitivity. She is an active contributor to GCIG, NCRI, and ESGO trial networks and has authored over 100 peer-reviewed publications in ovarian and endometrial cancer. She is a respected educator and mentor in gynecologic oncology clinical trial medicine in the UK.

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🧪Research Fields 研究领域

PARP Inhibitor Clinical Development — Rucaparib ARIEL2 and Phase I/II StudiesPARP抑制剂临床开发——rucaparib ARIEL2与I/II期研究
BRCA1/2 Testing and Homologous Recombination Biomarkers in Ovarian Cancer卵巢癌BRCA1/2检测与同源重组生物标志物
Phase I Drug Development in Gynecologic Malignancies — UCL/Guy's Platform妇科恶性肿瘤I期药物开发——UCL/盖伊平台
Platinum-Sensitive Recurrent Ovarian Cancer — Maintenance and Salvage Strategies铂敏感复发卵巢癌——维持治疗与挽救策略
Ovarian Cancer Molecular Stratification — HRD, LOH, and BRCA Somatic Testing卵巢癌分子分层——HRD、LOH与BRCA体细胞检测

🎓Key Contributions 主要贡献

ARIEL2 — Three-Segment Biomarker Model for Rucaparib Sensitivity

Served as a key principal investigator on ARIEL2 Part 1, the phase II study in recurrent platinum-sensitive ovarian cancer that stratified patients into three molecular cohorts — BRCA-mutant, BRCA wild-type LOH-high (genomic scar-positive), and BRCA wild-type LOH-low — and demonstrated that rucaparib benefit was not limited to BRCA-mutant patients but extended to LOH-high patients. The ARIEL2 three-segment model became a paradigm for genomic scar-based PARP inhibitor patient selection, directly informing the ARIEL3 maintenance trial design and the regulatory biomarker discussion with FDA regarding companion diagnostic strategies.

BRCA Somatic Testing and Comprehensive Genomic Profiling in Ovarian Cancer

Contributed to the clinical implementation and analytical validation of somatic BRCA1/2 mutation testing in ovarian cancer tumor samples as complementary to germline testing, demonstrating that somatic BRCA mutations confer equivalent PARP inhibitor sensitivity to germline mutations. Advocated for comprehensive tumor genomic profiling as standard-of-care assessment in newly diagnosed and recurrent ovarian cancer, contributing to ESMO and NICE guideline recommendations for routine somatic BRCA testing.

Phase I/II Drug Development — UCL and Guy's Gynecologic Oncology Platform

Led the activation and conduct of multiple first-in-human and early expansion trials at UCL Cancer Institute and Guy's Hospital, encompassing novel PARP inhibitors, VEGFR inhibitors, ATR inhibitors (including ceralasertib and M6620), and immune combinations in gynecologic malignancies. Characterized dose-limiting toxicities, pharmacokinetic profiles, and early efficacy signals in recurrent ovarian, endometrial, and cervical cancer populations, contributing to advancement of several agents into pivotal trials.

Platinum-Resistant Ovarian Cancer — Biological Characterization and Novel Strategies

Conducted translational studies characterizing the molecular underpinnings of platinum resistance in high-grade serous ovarian cancer, including reversion mutations, non-homologous end-joining upregulation, and immune exclusion mechanisms. Contributed to early clinical investigation of strategies combining ATR inhibitors with gemcitabine and carboplatin, aiming to restore DNA damage sensitivity in platinum-resistant disease.

Representative Works 代表性著作

[1]

Rucaparib in Relapsed, Platinum-Sensitive High-Grade Ovarian Carcinoma (ARIEL2 Part 1)

The Lancet Oncology (2017)

ARIEL2 Part 1 demonstrating three-segment molecular stratification with BRCA mutation and LOH-high status predicting differential rucaparib benefit in platinum-sensitive recurrent ovarian cancer.

[2]

Rucaparib Maintenance Treatment for Recurrent Ovarian Carcinoma after Response to Platinum Therapy (ARIEL3)

The Lancet (2017)

ARIEL3 phase III maintenance trial demonstrating rucaparib PFS benefit in platinum-sensitive recurrent ovarian cancer across BRCA-mutant, HRD-positive, and all-comers populations.

[3]

A Phase I/II Study of Ceralasertib (AZD6738), an ATR Inhibitor, in Combination with Olaparib in Patients with Recurrent Ovarian Cancer

Clinical Cancer Research (2023)

Phase I/II study of ATR inhibitor ceralasertib plus olaparib in recurrent ovarian cancer, exploring ATR inhibition as a strategy to overcome PARP inhibitor resistance.

[4]

Combination Olaparib and Cediranib in Relapsed Ovarian Cancer

The Lancet Oncology (2014)

Phase II study demonstrating superiority of olaparib plus VEGFR inhibitor cediranib over olaparib monotherapy in recurrent platinum-sensitive ovarian cancer, generating rationale for PARP/anti-angiogenic combinations.

🏆Awards & Recognition 奖项与荣誉

🏆FRCP Fellowship, Royal College of Physicians of London
🏆CRUK Clinical Trial Award, Gynecologic Oncology
🏆NCRI Gynecological Cancer Trials Committee Recognition
🏆UCL Cancer Institute Distinguished Research Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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