Last updated: 08/21/2022 21:10:43
A study of Niraparib in Patients with Ovarian Cancer who have received three or four previous chemotherapy regimensQUADRA
EudraCT ID
Not applicable
EU CT Number
Not applicable
Trial status
Study complete
Study complete
Trial overview
Official title: A Phase 2, Open-Label, Single-Arm Study to Evaluate the Safety and Efficacy of Niraparib in Patients with Advanced, Relapsed, High-Grade Serous Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer Who Have Received Three or Four Previous Chemotherapy Regimens
Trial description: This is a Phase 2, open-label, single arm study to evaluate the safety and efficacy of niraparib in ovarian cancer patients who have received three or four previous chemotherapy regimens. Niraparib is an orally active PARP inhibitor. Niraparib will be administered once daily continuously during a 28-day cycle. Health-related quality of life will be measured by Eastern Cooperative Oncology Group performance status (ECOG). Safety and tolerability will be assessed by clinical review of adverse events (AEs), physical examinations, electrocardiograms (ECGs), RECIST tumor assessments and safety laboratory values.
Primary purpose:
Treatment
Trial design:
Single Group Assignment
Masking:
None (Open Label)
Allocation:
Not applicable
Primary outcomes:
Objective response rate (ORR)
Timeframe: Up to 3 years
Secondary outcomes:
Duration of response (DoR)
Timeframe: Up to 3 years
ORR by HRD status and breast cancer gene (BRCA) status
Timeframe: Up to 3 years
Disease Control Rate (DCR)
Timeframe: Up to 3 years
Progression Free Survival
Timeframe: Up to 3 years
Overall Survival
Timeframe: Up to 3 years
Time to First Subsequent Therapy (TFST)
Timeframe: Up to 3 years
Interventions:
Enrollment:
463
Primary completion date:
2018-28-02
Observational study model:
Not applicable
Time perspective:
Not applicable
Clinical publications:
Moore KN, Secord AA, Geller MA, Miller DS, Cloven NG, Fleming GF, Wahner-Hendrickson AE, Azodi M, DiSilvestro P, Oza AM, Cristea MC, Berek JS, Chan JK, Rimel BJ, Li Y, Matei D, Sun K, Luptakova K, Matolunis UA, Monk BJ. Niraparib monotherapy for the treatment of heavily pretreated advanced, recurrent high-grade serous ovarian cancer: results from the single-arm phase 2 QUADRA trial. Lancet Oncol. 2019;20(5):636-648
- Patients must agree to undergo tumor HRD testing and blood gBRCAmut status testing.
- Patients of childbearing potential must have negative pregnancy serum test within 72 hours of being dosed
- Patients must not have any known, persistent (> 4 weeks), ≥Grade 3 hematologic toxicity during the last cancer therapy. Patients must not have any known, persistent (>4 weeks), ≥ Grade 3 fatigue during the last cancer therapy.
- Patients must not have received pelvic radiotherapy as treatment for primary or recurrent disease within 1 year of the first dose of study treatment.
Inclusion and exclusion criteria
Inclusion criteria:
- Patients must agree to undergo tumor HRD testing and blood gBRCAmut status testing.
- Patients of childbearing potential must have negative pregnancy serum test within 72 hours of being dosed
- Patients must have histologically diagnosed high-grade (Grade 2 or 3) serous epithelial ovarian, fallopian tube, or primary peritoneal cancer with recurrent disease and must have been previously treated with chemotherapy and experienced a response lasting at least 6 months to first-line platinum based therapy.
- Patients Must have completed 3 or 4 previous chemotherapy regimens.
- Patients must have completed their last chemotherapy regimen > 4 weeks prior to treatment initiation.
- Patients must have measurable disease according to RECIST (v.1.1).
- Patients must have formalin-fixed, paraffin-embedded tumor samples available from the primary or recurrent cancer or agree to undergo fresh biopsy prior to study treatment initiation.
- Patients must agree to blood samples during screening and at the end of treatment for cytogenetic analysis.
Exclusion criteria:
- Patients must not have any known, persistent (> 4 weeks), ≥Grade 3 hematologic toxicity during the last cancer therapy. Patients must not have any known, persistent (>4 weeks), ≥ Grade 3 fatigue during the last cancer therapy.
- Patients must not have received pelvic radiotherapy as treatment for primary or recurrent disease within 1 year of the first dose of study treatment.
- Patients must not have symptomatic uncontrolled brain or leptomeningeal metastases.
- Patients must not be considered a poor medical risk due to a serious, uncontrolled medical disorder, nonmalignant systemic disease or active, uncontrolled infection.
- Patients must not have received a transfusion (platelets or red blood cells) within 4 weeks of the first dose of study treatment.
- Patients must not have known history or current diagnosis of myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML).
Trial location(s)
Location
GSK Investigational Site
Atlanta, Georgia, United States, 30342
Status
Study Complete
Location
GSK Investigational Site
Baltimore, Maryland, United States, 21202
Status
Study Complete
Location
GSK Investigational Site
Boston, Massachusetts, United States, 02115
Status
Study Complete
Location
GSK Investigational Site
Boston, Massachusetts, United States, 02215
Status
Study Complete
Location
GSK Investigational Site
Burbank, California, United States, 91505
Status
Study Complete
Showing 1 - 6 of 55 Results
Study documents
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
2018-28-02
Actual study completion date
2021-23-08
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
Additional information
Not applicable
Participate in clinical trial
Access to clinical trial data by researchers
Visit website