Last updated: 05/05/2025 09:50:47

A Maintenance Study with Niraparib versus placebo in patients with Platinum sensitive ovarian cancer

GSK study ID
213356
Clinicaltrials.gov ID
EudraCT ID
Not applicable
EU CT Number
Not applicable
Trial status
Completed
Completed
Overview
Eligibility
Locations
Study documents
Results summary
Plain language summaries
Additional information

Trial overview

Official title: A Phase 3 randomized double-blind Trial of Maintenance with Niraparib versus placebo in patients with Platinum sensitive ovarian cancer.
Trial description: This is a Phase 3, multicenter, randomized, double-blind, placebo-controlled study of niraparib as maintenance in platinum sensitive ovarian cancer patients who have either gBRCAmut or a tumor with high-grade serous histology and who have responded to their most recent chemotherapy containing a platinum agent. Niraparib is an orally active PARP inhibitor. Niraparib or placebo (in a 2:1 ratio) will be administered once daily continuously during a 28-day cycle. Health-related quality of life will be measured by the Functional Assessment of Cancer Therapy - Ovarian Symptom Index (FOSI), European Quality of Life scale, 5-Dimensions (EQ-5D), and a neuropathy questionnaire. Safety and tolerability will be assessed by clinical review of adverse events (AEs), physical examinations, electrocardiograms (ECGs), and safety laboratory values.
The primary objective of this study is to evaluate efficacy of niraparib as maintenance therapy in patients who have platinum sensitive ovarian cancer as assessed by the prolongation of progression free survival (PFS).
Primary purpose:
Treatment
Trial design:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Allocation:
Randomized
Primary outcomes:

Progression-Free Survival (PFS) in Cohort With Germline BReast CAncer gene (BRCA) Mutation (gBRCA)

Timeframe: From date of randomization to the earliest date of disease progression or death from any cause, up to 7 years 7 months and 4 days

Progression-Free Survival (PFS) in Cohort with No Germline BCRA with homologous recombination deficiency-positive (HRD+) tumors (non-gBRCAmut HRD+)

Timeframe: From date of randomization to the earliest date of disease progression or death from any cause, up to 7 years, 7 months and 4 days

Progression-Free Survival (PFS) in Cohort with No Germline BRCA Mutation

Timeframe: From date of randomization to the earliest date of disease progression or death from any cause, up to 7 years, 7 months and 4 days

Secondary outcomes:

Time to First Subsequent Therapy in Cohort With Germline BRCA Mutation (gBRCA)

Timeframe: From date of randomization to the earliest date of first subsequent therapy or death, up to 7 years, 7 months and 4 days

Time to First Subsequent Therapy in Cohort With No Germline BRCA Mutation

Timeframe: From date of randomization to the earliest date of first subsequent therapy or death, up to 7 years, 7 months and 4 days

Chemotherapy-Free Interval in Cohort With Germline BRCA Mutation (gBRCA)

Timeframe: From date of last platinum therapy prior to randomization to the initiation of the next anti-cancer therapy after maintenance treatment, up to 7 years, 7 months and 4 days

Chemotherapy-Free Interval in Cohort With No Germline BRCA Mutation

Timeframe: From date of last platinum therapy prior to randomization to the initiation of the next anti-cancer therapy after maintenance treatment, up to 7 years, 7 months and 4 days

Progression-Free Survival 2 in Cohort With Germline BRCA Mutation (gBRCA)

Timeframe: From treatment randomization to the earlier of the date of disease progression on the next anti-cancer therapy following study treatment or death due to any cause, up to 7 years, 7 months and 4 days

Progression-Free Survival 2 in Cohort With No Germline BRCA Mutation

Timeframe: From treatment randomization to the earlier of the date of disease progression on the next anti-cancer therapy following study treatment or death due to any cause, up to 7 years, 7 months and 4 days

Overall Survival in Cohort With Germline BRCA Mutation (gBRCA)

Timeframe: From treatment randomization to date of death by any cause, up to 7 years, 7 months and 4 days

Overall Survival in Cohort With No Germline BRCA Mutation

Timeframe: From treatment randomization to date of death by any cause, up to 7 years, 7 months and 4 days

Time to Second Subsequent Therapy in Cohort With Germline BRCA Mutation (gBRCA)

Timeframe: From the date of randomization to the start date of the second subsequent anti-cancer therapy, up to 7 years, 7 months and 4 days

Time to Second Subsequent Therapy in Cohort With No Germline BRCA Mutation

Timeframe: From the date of randomization to the start date of the second subsequent anti-cancer therapy, up to 7 years, 7 months and 4 days

Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With Germline BRCA at Cycle 2

Timeframe: Baseline (pre-dose on Day 1) and at Cycle 2 (Each cycle was of 28 days)

Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With Germline BRCA at Cycle 4

Timeframe: Baseline (Pre-dose on Day 1) and at Cycle 4 (Each cycle was of 28 days)

Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With Germline BRCA at Cycle 6

Timeframe: Baseline (pre-dose on Day 1) and at Cycle 6 (Each cycle was of 28 days)

Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With Germline BRCA at post-progression

Timeframe: Baseline (Pre-dose on Cycle 1 Day 1, Each cycle was of 28 days) and up to 7 years, 7 months and 4 days

Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With no Germline BRCA at Cycle 2

Timeframe: Baseline (Pre-dose on Day 1) and at Cycle 2 (Each cycle was of 28 days)

Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With no Germline BRCA at Cycle 4

Timeframe: Baseline (Pre-dose on Day 1) and at Cycle 4 (Each cycle was of 28 days)

Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With no Germline BRCA at Cycle 6

Timeframe: Baseline (Pre-dose on Day 1) and at Cycle 6 (Each cycle was of 28 days)

Change From Baseline in Functional Assessment of Cancer Therapy-Ovarian Symptom Index in Cohort With no Germline BRCA at post-progression

Timeframe: Baseline (Pre-dose on Day 1) and up to 7 years, 7 months and 4 days

Change From Baseline in European Quality of Life Scale, 5-Dimensions (EQ-5D-5L) in Cohort With Germline BRCA at Cycle 2

Timeframe: Baseline (Pre-dose on Day 1) and at Cycle 2 (Each cycle was of 28 days)

Change From Baseline in EQ-5D-5L in Cohort With Germline BRCA at Cycle 4

Timeframe: Baseline (Pre-dose on Day 1) and at Cycle 4 (Each cycle was of 28 days)

Change From Baseline in EQ-5D-5L in Cohort With Germline BRCA at Cycle 6

Timeframe: Baseline (Pre-dose on Day 1) and at Cycle 6 (Each cycle was of 28 days)

Change From Baseline in EQ-5D-5L in Cohort With Germline BRCA at post-progression

Timeframe: Baseline (Pre-dose on Day 1) and up to 7 years, 7 months and 4 days

Change From Baseline in EQ-5D-5L in Cohort With no Germline BRCA at Cycle 2

Timeframe: Baseline (Pre-dose on Day 1) and at Cycle 2 (Each cycle was of 28 days)

Change From Baseline in EQ-5D-5L in Cohort With no Germline BRCA at Cycle 4

Timeframe: Baseline (Pre-dose on Day 1) and at Cycle 4 (Each cycle was of 28 days)

Change From Baseline in EQ-5D-5L in Cohort With no Germline BRCA at Cycle 6

Timeframe: Baseline (Pre-dose on Day 1) and at Cycle 6 (Each cycle was of 28 days)

Change From Baseline in EQ-5D-5L in Cohort With no Germline BRCA at post-progression

Timeframe: Baseline (Pre-dose on Day 1) and up to 7 years, 7 months and 4 days

Number of participants with response to Neuropathy questionnaire in Cohort With Germline BRCA at Baseline

Timeframe: At Baseline

Number of participants with response to Neuropathy questionnaire in Cohort With Germline BRCA at Cycle 2

Timeframe: At Cycle 2 (Each cycle was of 28 days)

Number of participants with response to Neuropathy questionnaire in Cohort With Germline BRCA at Cycle 4

Timeframe: At Cycle 4 (Each cycle was of 28 days)

Number of participants with response to Neuropathy questionnaire in Cohort With Germline BRCA at Cycle 6

Timeframe: At Cycle 6 (Each cycle was of 28 days)

Number of participants with response to Neuropathy questionnaire in Cohort With Germline BRCA at post-progression

Timeframe: Up to 7 years, 7 months and 4 days

Number of participants with response to Neuropathy questionnaire in Cohort With no Germline BRCA at Baseline

Timeframe: At Baseline

Number of participants with response to Neuropathy questionnaire in Cohort With no Germline BRCA at Cycle 2

Timeframe: At Cycle 2 (Each cycle was of 28 days)

Number of participants with response to Neuropathy questionnaire in Cohort With no Germline BRCA at Cycle 4

Timeframe: At Cycle 4 (Each cycle was of 28 days)

Number of participants with response to Neuropathy questionnaire in Cohort With no Germline BRCA at Cycle 6

Timeframe: At Cycle 6 (Each cycle was of 28 days)

Number of participants with response to Neuropathy questionnaire in Cohort With no Germline BRCA at post-progression

Timeframe: Up to 7 years, 7 months and 4 days

Number of participants with concordance of a candidate companion BRAC analysis diagnostic test compared to the centralized BRCA mutation test used in this study

Timeframe: Up to 7 years, 7 months and 4 days

Number of participants with concordance of a candidate companion HRD diagnostic test compared to the HRD test used in this study

Timeframe: Up to 7 years, 7 months and 4 days

Number of participants with non-serious adverse events (AEs) and serious AEs (SAEs)

Timeframe: Up to 7 years, 7 months and 6 days

Number of participants with non-serious AEs and SAEs in FE sub-study

Timeframe: Up to 2 years, 3 months and 11 days

Number of participants with non-serious AEs and SAEs in QTc sub-study

Timeframe: Up to 5 years 10 months and 22 days

Area under the plasma concentration-time curve from time 0 extrapolated to infinity (AUC[0-infinity]) following administration of Niraparib (FE sub-study)

Timeframe: Pre-dose and at 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours post dose

Area under the plasma concentration-time curve from time 0 to the last quantifiable concentration (AUC[0-last]) following administration of Niraparib (FE sub-study)

Timeframe: Pre-dose (Day -1) and at 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours post dose

Maximum observed plasma concentration (Cmax) following administration of Niraparib (FE sub-study)

Timeframe: Pre-dose (Day -1) and at 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours post dose

Time to reach maximum (tmax) following administration of Niraparib (FE sub-study)

Timeframe: Pre-dose (Day -1) and at 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours post dose

Terminal elimination half-life (t1/2) following administration of Niraparib (FE sub-study)

Timeframe: Pre-dose (Day -1) and at 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96, 120 hours post dose

Number of participants with maximum post-Baseline QT Interval Corrected by Fridericia's Formula (QTcF) greater than pre-specified thresholds

Timeframe: At Baseline (Cycle 1 Day 1, each cycle was of 28 days)

Interventions:
Drug: Active comparator: Niraparib
Drug: placebo
Enrollment:
596
Observational study model:
Not applicable
Primary completion date:
2016-22-04
Time perspective:
Not applicable
Clinical publications:
Ursula A Matulonis, Jørn Herrstedt, Amit Oza, Sven Mahner, Andrés Redondo, Dominique Berton, Jonathan S Berek, Charlotte A Haslund, Frederik Marmé, Antonio González-Martín, Stéphanie Bécourt, Anna V Tinker, Jonathan A Ledermann, Benedict Benigno, Gabriel Lindahl, Nicoletta Colombo, Izabela A Malinowska, Wenlei Liu, Manjinder Bains, Bradley J Monk, Mansoor R Mirza. ENGOT-OV16/NOVA trial of niraparib in recurrent ovarian cancer: Survival and long-term safety. Gynecologic oncology. 2025-Mar-25;195: 192-199. doi:10.1016/j.ygyno.2025.03.018 http://dx.doi.org/10.1016/j.ygyno.2025.03.018S0090-8258(25)00087-3 PMID: 40139026 DOI: 10.1016/j.ygyno.2025.03.018
Medical condition
Ovarian Neoplasms, Platinum sensitive ovarian cancer
Product
Not applicable
Collaborators
European Network of Gynaecological Oncological Trial Groups - ENGOT, Myriad Genetics, US Oncology Research, Sarah Cannon, Cooperative Ovarian Cancer Group (COGI), Facing Our Risk of Cancer Empowered (FORCE)
Study date(s)
June 2013 to December 2021
Type
Interventional
Phase
3

Participation criteria

Sex
Female
Age
18+ years
Accepts healthy volunteers
No
  • 18 years of age or older, female, any race
  • Histologically diagnosed ovarian cancer, fallopian tube cancer or primary peritoneal cancer
  • Known hypersensitivity to the components of niraparib
  • Invasive cancer other than ovarian cancer within 2 years (except basal or squamous cell carcinoma of the skin that has been definitely treated)

Trial location(s)

Location
Status
Contact us
Contact us
Location
GSK Investigational Site
Aalborg, Denmark, 9100
Status
Study Complete
Location
GSK Investigational Site
Abington, Pennsylvania, United States, 19001-3788
Status
Study Complete
Location
GSK Investigational Site
Austin, Texas, United States, 78731
Status
Study Complete
Location
GSK Investigational Site
Barcelona, Spain, 08907
Status
Study Complete
Location
GSK Investigational Site
Barcelona, Spain, 8035
Status
Study Complete
Location
GSK Investigational Site
Wirral, United Kingdom, CH63 4JY
Status
Study Complete
Location
GSK Investigational Site
Bergen, Norway, 5021
Status
Study Complete
Location
GSK Investigational Site
Berlin, Germany, 13353
Status
Study Complete
Location
GSK Investigational Site
Besancon, France, 25030
Status
Study Complete
Location
GSK Investigational Site
Birmingham, United Kingdom, B18 7QH
Status
Study Complete
Location
GSK Investigational Site
Brescia, Italy, 25123
Status
Study Complete
Location
GSK Investigational Site
Calgary, Canada, T2N 4N2
Status
Study Complete
Location
GSK Investigational Site
Catania, Italy, 95126
Status
Study Complete
Location
GSK Investigational Site
Chicago, IL, United States, 60611
Status
Study Complete
Location
GSK Investigational Site
Koebenhavn, Denmark, DK-2100
Status
Study Complete
Location
GSK Investigational Site
Dresden, Germany, 01307
Status
Study Complete
Location
GSK Investigational Site
Duesseldorf, Germany, 40217
Status
Study Complete
Location
GSK Investigational Site
Durham, NC, United States, 27710
Status
Study Complete
Location
GSK Investigational Site
Edegem, Belgium, 2650
Status
Study Complete
Location
GSK Investigational Site
Essen, Germany, 45122
Status
Study Complete
Location
GSK Investigational Site
Essen, Germany, 45136
Status
Study Complete
Location
GSK Investigational Site
Farmington, New Mexico, United States, 87401
Status
Study Complete
Location
GSK Investigational Site
Fort Worth, TX, United States, 76104
Status
Study Complete
Location
GSK Investigational Site
Gdansk, Poland, 80-219
Status
Study Complete
Location
GSK Investigational Site
Goettingen, Germany, 37075
Status
Study Complete
Location
GSK Investigational Site
Graz, Austria, A-8036
Status
Study Complete
Location
GSK Investigational Site
Haifa, Israel, 3109601
Status
Study Complete
Location
GSK Investigational Site
Hamburg, Germany, 20246
Status
Study Complete
Location
GSK Investigational Site
Hannover, Germany, 30177
Status
Study Complete
Location
GSK Investigational Site
Heidelberg, Germany, 69120
Status
Study Complete
Location
GSK Investigational Site
Herlev, Denmark, DK-2730
Status
Study Complete
Location
GSK Investigational Site
Holon, Israel, 58100
Status
Study Complete
Location
GSK Investigational Site
Indianapolis, IN, United States, 46202
Status
Study Complete
Location
GSK Investigational Site
Indianapolis, Indiana, United States, 46260
Status
Study Complete
Location
GSK Investigational Site
Innsbruck, Austria, A-6020
Status
Study Complete
Location
GSK Investigational Site
Jerusalem, Israel, 91031
Status
Study Complete
Location
GSK Investigational Site
Kfar Saba, Israel, 44281
Status
Study Complete
Location
GSK Investigational Site
Kiel, Germany, 24105
Status
Study Complete
Location
GSK Investigational Site
Kortrijk, Belgium, 8500
Status
Study Complete
Location
GSK Investigational Site
LINKOPING, Sweden, SE-581 85
Status
Study Complete
Location
GSK Investigational Site
LOS ANGELES, CA, United States, 90048
Status
Study Complete
Location
GSK Investigational Site
LUND, Sweden, SE-221 85
Status
Study Complete
Location
GSK Investigational Site
Lake Success, NY, United States, 11042
Status
Study Complete
Location
GSK Investigational Site
Leuven, Belgium, 3000
Status
Study Complete
Location
GSK Investigational Site
LiEge, Belgium, 4000
Status
Study Complete
Location
GSK Investigational Site
Lodz, Poland, 94-029
Status
Study Complete
Location
GSK Investigational Site
London, United Kingdom, SE1 9RT
Status
Study Complete
Location
GSK Investigational Site
London, United Kingdom, SW36JJ
Status
Study Complete
Location
GSK Investigational Site
London, United Kingdom, NW1 2PG
Status
Study Complete
Location
GSK Investigational Site
Los Angeles, CA, United States, 90027
Status
Study Complete
Location
GSK Investigational Site
MIlano, Italy, 20133
Status
Study Complete
Location
GSK Investigational Site
Madrid, Spain, 28033
Status
Study Complete
Location
GSK Investigational Site
Madrid, Spain, 28040
Status
Study Complete
Location
GSK Investigational Site
Madrid, Spain, 28046
Status
Study Complete
Location
GSK Investigational Site
Maidstone, United Kingdom, ME16 9QQ
Status
Study Complete
Location
GSK Investigational Site
Milano, Italy, 20141
Status
Study Complete
Location
GSK Investigational Site
Minneapolis, Minnesota, United States, 55404
Status
Study Complete
Location
GSK Investigational Site
Minneapolis, MN, United States, 55455
Status
Study Complete
Location
GSK Investigational Site
Montpellier, France, 34298
Status
Study Complete
Location
GSK Investigational Site
Montreal, Canada, H2L 4M1
Status
Study Complete
Location
GSK Investigational Site
Montreal, Canada, H3T 1E2
Status
Study Complete
Location
GSK Investigational Site
Montreal, Canada, H4A 3J1
Status
Study Complete
Location
GSK Investigational Site
Morristown, New Jersey, United States, 07962-1956
Status
Study Complete
Location
GSK Investigational Site
Muenchen, Germany, 81377
Status
Study Complete
Location
GSK Investigational Site
Nashville, TN, United States, 37203
Status
Study Complete
Location
GSK Investigational Site
New Haven, Connecticut, United States, 06510
Status
Study Complete
Location
GSK Investigational Site
New York, NY, United States, 10016
Status
Study Complete
Location
GSK Investigational Site
New York, NY, United States, 10065
Status
Study Complete
Location
GSK Investigational Site
Nice, France, 06189
Status
Study Complete
Location
GSK Investigational Site
Nottingham, United Kingdom, NG5 1PB
Status
Study Complete
Location
GSK Investigational Site
Odense C, Denmark, 5000
Status
Study Complete
Location
GSK Investigational Site
Oklahoma City, OK, United States, 73104
Status
Study Complete
Location
GSK Investigational Site
Oslo, Norway, 0379
Status
Study Complete
Location
GSK Investigational Site
Oviedo, Spain, 33011
Status
Study Complete
Location
GSK Investigational Site
Palma de Mallorca, Spain, 07198
Status
Study Complete
Location
GSK Investigational Site
Philadelphia, PA, United States, 19111
Status
Study Complete
Location
GSK Investigational Site
Phoenix, AZ, United States, 85013
Status
Study Complete
Location
GSK Investigational Site
Poznan, Poland, 60-569
Status
Study Complete
Location
GSK Investigational Site
Providence, Rhode Island, United States, 02905
Status
Study Complete
Location
GSK Investigational Site
Rehovot, Israel, 76100
Status
Study Complete
Location
GSK Investigational Site
Bodelwyddan Rhyl, United Kingdom, LL18 5UJ
Status
Study Complete
Location
GSK Investigational Site
Rochester, MN, United States, 55905
Status
Study Complete
Location
GSK Investigational Site
Roma, Italy, 00168
Status
Study Complete
Location
GSK Investigational Site
STOCKHOLM, Sweden, SE-171 76
Status
Study Complete
Location
GSK Investigational Site
Saint Brieuc, France, 22015 cedex
Status
Study Complete
Location
GSK Investigational Site
Saint-Herblain cedex, France, 44805
Status
Study Complete
Location
GSK Investigational Site
San Francisco, CA, United States, 94109
Status
Study Complete
Location
GSK Investigational Site
Sarasota, Florida, United States, 34232
Status
Study Complete
Location
GSK Investigational Site
Sherbrooke, Canada, J1H 5N4
Status
Study Complete
Location
GSK Investigational Site
Stanford, California, United States, 94304
Status
Study Complete
Location
GSK Investigational Site
Sutton, United Kingdom, SW3 6JJ
Status
Study Complete
Location
GSK Investigational Site
Szolnok, Hungary, 5004
Status
Study Complete
Location
GSK Investigational Site
Tampa, Florida, United States, 33612
Status
Study Complete
Location
GSK Investigational Site
Somerset, United Kingdom, TA1 5DA
Status
Study Complete
Location
GSK Investigational Site
Tel Hashomer, Israel, 52621
Status
Study Complete
Location
GSK Investigational Site
Tel Aviv, Israel, 64239
Status
Study Complete
Location
GSK Investigational Site
Toronto, Canada, M5G 2M9
Status
Study Complete
Location
GSK Investigational Site
Tucson, AZ, United States, 85704
Status
Study Complete
Location
GSK Investigational Site
Vancouver, Canada, V5Z 4E6
Status
Study Complete
Location
GSK Investigational Site
Vancouver, Washington, United States, 98684
Status
Study Complete
Location
GSK Investigational Site
Wien, Austria, 1090
Status
Study Complete
Location
GSK Investigational Site
Yeovil, United Kingdom, BA21 4AT
Status
Study Complete
Location
GSK Investigational Site
Burlington, Massachusetts, United States, 01805
Status
Study Complete
Location
GSK Investigational Site
Dallas, Texas, United States, 75390
Status
Study Complete
Location
GSK Investigational Site
The Woodlands, TX, United States, 77380
Status
Study Complete
Location
GSK Investigational Site
Atlanta, GA, United States, 30342
Status
Study Complete
Location
GSK Investigational Site
Boston, MA, United States, 02215
Status
Study Complete
Location
GSK Investigational Site
Kelowna, Canada, V1Y 5L3
Status
Study Complete
Location
GSK Investigational Site
Bialystok, Poland, 15-207
Status
Study Complete
Location
GSK Investigational Site
Boston, Massachusetts, United States, 02115
Status
Study Complete
Location
GSK Investigational Site
Lille, France, 59000
Status
Study Complete

Study documents

Study report synopsis
Available language(s): English
Protocol
Available language(s): English
Statistical analysis plan
Available language(s): English

If you wish to request for full study report, please contact - [email protected]

Results overview

Results posted on ClinicalTrials.gov

Recruitment status
Completed
Actual primary completion date
2016-22-04
Actual study completion date
2021-26-12

Plain language summaries

Plain language summaries of clinical trial results for Phase 2-4 clinical trials that were initiated on or after January 2022 will be posted by GSK within one year following study completion.

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