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
Study complete
Study complete
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
    Primary completion date:
    2016-22-04
    Observational study model:
    Not applicable
    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
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    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
    Study complete
    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.

    Additional information about the trial

    Participate in clinical trial
    Additional information
    Facing our risk of cancer empowered website
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    Access to clinical trial data by researchers
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