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A Study of Niraparib in Patients With Relapsed Ovarian Cancer

Primary Purpose

Ovarian Cancer

Status

Completed

Phase

Phase 2

Locations

China

Study Type

Interventional

Intervention

ZL-2306(Niraparib）

About this trial

This is an interventional treatment trial for Ovarian Cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

1. Patients must be female and at least 18 years of age
2. Patients must provide written informed consent
3. Patients must be gBRCA mutation or HRD positive
4. Patients must have histologically diagnosed high-grade (Grade 2 or 3)serous epithelial ovarian, fallopian tube, or primary peritoneal cancer with recurrent disease.
5. Patients Must have completed 3 or 4 previous chemotherapy regimens.
6. Patients must have measurable disease according to RECIST (v.1.1).
7. Patients must have an Eastern Cooperative Oncology Group(ECOG) performance status of 0 or1
8. Patients must have adequate organ function, defined as follows: a. Absolute neutrophil count≥1500/ul b. Platelets ≥150000/ul c. Hemoglobin≥10g/dL d. Serum creatinine≤1.5X upper limit of normal (ULN)or calculated creatinine clearance≥60ml/min using the Cockcroft-Gault equation e. Total bilirubin≤1.5X ULN OR direct bilirubin≤1X ULN f. Aspartate aminotransferase and alanine aminotransferase≤2.5X ULN unless liver metastases are present, in which case they must be ≤5X ULN
9. Patients must be either postmenopausal, free from menses for>12 months, surgically sterilized, or willing to use adequate contraception to prevent pregnancy or must agree to abstain from heterosexual activity throughout the study, starting with enrollment through 90 days after the last dose of study treatment
10. Patients must have formalin-fixed, paraffin-embedded tumor samples available form primary or recurrent cancer.
11. Patients must be able to take oral medications and capable of complying with treatment and follow up visit

Exclusion Criteria:

1. Patients who have received other investigational drugs within 4 weeks or 5X t1/2 before first dose of study treatment.
2. Patients have had palliative radiotherapy encompassing>20% of the bone marrow within 3 weeks of the first dose of study treatment.
3. Patients have any known, persistent(>4 weeks)，≥Grade 3 anemia, neutrophil count decrease or platelet count decrease during the last chemotherapy.
4. Patients have any known, persistent (>4 weeks), ≥ Grade 3 fatigue during the last chemotherapy.
5. Patients have received pelvic radiotherapy as treatment for primary or recurrent disease within 1 year of the first dose of study treatment.
6. Patients have symptomatic uncontrolled brain or leptomeningeal metastases. The patient have new or progressive signs or symptoms related to the CNS disease and not taking a stable dose of steroids or no steroids. A scan to confirm the absence of brain metastases is not required.
7. Patients have known hypersensitivity to the components of niraparib
8. Patient have had major surgery within 3 weeks of fist dose treatment and patient must have recovered form any effects of any major surgery
9. Patients have had diagnosis, detection, or treatment of invasive cancer other than ovarian cancer ≤2 years prior to enrollment(except basal or squamous cell carcinoma of the skin that has been definitively treated)
10. Patients are considered a poor medical risk due to a serious, uncontrolled medical disorder, nonmalignant systemic disease or active, uncontrolled infection. Examples include, but are not limited to: 1. uncontrolled ventricular arrhythmia, recent (within 90 days) myocardial infarction 2. uncontrolled major seizure disorder, unstable spinal cord compression, superior vena cava syndrome or any psychiatric disorder that prohibits obtaining informed consent 3. immune deficiency (not including splenectomy) 4. HIV infection or active hepatitis(i.e. hepatitis B with HBV-DNA>500IU/ml or hepatitis C with positive HCV-RNA).
11. Patients have received a transfusion (platelets or red blood cells) within 4 weeks of the first dose of study treatment.
12. Patients have known history or current diagnosis of myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML).
13. Patients have current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study or interfere with patient's participation for the full duration of the study treatment or that makes it not in the best interest of the patient to participate

Sites / Locations

Beijing Cancer Hospital
Cancer Hospital Chinese Academy of Medical Sciences
Sun Yat-sen Memorial Hospital,Sun Yat-sen University
Harbin Medical University
Fudan University Shanghai Cancer Center
West China Second Iniversity Hospital
Sir Run Shaw Hospital, school of medicine, Zhejiang University

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

ZL-2306(Niraparib)

Arm Description

The starting dose is 300mg or 200mg QD based on the subject's baseline body weight or baseline platelet count

Outcomes

Primary Outcome Measures

Objective Response Rate（ORR）

The ORR was defined as the percentage of participants achieving complete response (CR) or partial response (PR) as assessed by the Investigator per Response Evaluation Criteria in Solid Tumors (RECIST) (version1.1).

Secondary Outcome Measures

Duration of Response (DoR)

DoR was defined as the time from first documentation of CR or PR until the time of first documentation of disease progression (PD) as assessed by the Investigator per RECIST (version1.1).

Disease Control Rate (DCR)

Disease control rate was defined as the percentage of participants achieving CR, PR, or stable disease (SD) as assessed by the Investigator per RECIST (version1.1). The exact method was used to calculate 95% confidence interval.

Progression Free Survival (PFS)

Progression-free survival was defined as the time from the date of first dose to the earlier date of assessment of progression or death by any cause in the absence of progression as assessed by the Investigator per RECIST (version 1.1).

Overall Survival (OS)

Overall Survival was defined as the time from the date of the first dose to the date of death by any cause.

Number of Participants With Any Non-serious Adverse Event (Non-SAE) or Any SAE To evaluate the safety and tolerability of niraparib

An adverse event is any untoward medical occurrence that occurs in a participant or clinical investigation participant administered a pharmaceutical product, and which does not necessarily have to have a causal relationship with study treatment. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly or birth defect or any other situation according to medical or scientific judgment was categorized as SAE.

Full Information

NCT ID

NCT04392102

First Posted

May 13, 2020

Last Updated

August 26, 2022

Sponsor

Zai Lab (Shanghai) Co., Ltd.

1. Study Identification

Unique Protocol Identification Number

NCT04392102

Brief Title

A Study of Niraparib in Patients With Relapsed Ovarian Cancer

Official Title

A Phase 2, Open-Label, Single-Arm Study to Evaluate the Safety and Efficacy of Niraparib in Patients With Advanced and Relapsed Ovarian Cancer After 3 or 4 Previous Chemotherapies

Study Type

Interventional

2. Study Status

Record Verification Date

August 2022

Overall Recruitment Status

Completed

Study Start Date

August 4, 2020 (Actual)

Primary Completion Date

April 8, 2021 (Actual)

Study Completion Date

August 11, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Sponsor

Name of the Sponsor

Zai Lab (Shanghai) Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product

Studies a U.S. FDA-regulated Device Product

5. Study Description

Brief Summary

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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Ovarian Cancer

7. Study Design

Primary Purpose

Treatment

Study Phase

Phase 2

Interventional Study Model

Single Group Assignment

Masking

None (Open Label)

Allocation

N/A

Enrollment

15 (Actual)

8. Arms, Groups, and Interventions

Arm Title

ZL-2306(Niraparib)

Arm Type

Experimental

Arm Description

The starting dose is 300mg or 200mg QD based on the subject's baseline body weight or baseline platelet count

Intervention Type

Drug

Intervention Name(s)

ZL-2306(Niraparib）

Other Intervention Name(s)

Zejula

Intervention Description

The starting dose is 300mg or 200mg QD based on the subject's baseline body weight or baseline platelet count

Primary Outcome Measure Information:

Title

Objective Response Rate（ORR）

Description

Time Frame

Up to 3 years

Secondary Outcome Measure Information:

Title

Duration of Response (DoR)

Description

DoR was defined as the time from first documentation of CR or PR until the time of first documentation of disease progression (PD) as assessed by the Investigator per RECIST (version1.1).

Time Frame

Up to 3 years

Title

Disease Control Rate (DCR)

Description

Time Frame

Up to 3 years

Title

Progression Free Survival (PFS)

Description

Time Frame

Up to 3 years

Title

Overall Survival (OS)

Description

Overall Survival was defined as the time from the date of the first dose to the date of death by any cause.

Time Frame

Up to 3 years

Title

Number of Participants With Any Non-serious Adverse Event (Non-SAE) or Any SAE To evaluate the safety and tolerability of niraparib

Description

Time Frame

Up to 3 years

10. Eligibility

Sex

Female

Gender Based

Yes

Gender Eligibility Description

Patients must be female and at least 18 years of age

Minimum Age & Unit of Time

18 Years

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: 1. Patients must be female and at least 18 years of age 2. Patients must provide written informed consent 3. Patients must be gBRCA mutation or HRD positive 4. Patients must have histologically diagnosed high-grade (Grade 2 or 3)serous epithelial ovarian, fallopian tube, or primary peritoneal cancer with recurrent disease. 5. Patients Must have completed 3 or 4 previous chemotherapy regimens. 6. Patients must have measurable disease according to RECIST (v.1.1). 7. Patients must have an Eastern Cooperative Oncology Group(ECOG) performance status of 0 or1 8. Patients must have adequate organ function, defined as follows: a. Absolute neutrophil count≥1500/ul b. Platelets ≥150000/ul c. Hemoglobin≥10g/dL d. Serum creatinine≤1.5X upper limit of normal (ULN)or calculated creatinine clearance≥60ml/min using the Cockcroft-Gault equation e. Total bilirubin≤1.5X ULN OR direct bilirubin≤1X ULN f. Aspartate aminotransferase and alanine aminotransferase≤2.5X ULN unless liver metastases are present, in which case they must be ≤5X ULN 9. Patients must be either postmenopausal, free from menses for>12 months, surgically sterilized, or willing to use adequate contraception to prevent pregnancy or must agree to abstain from heterosexual activity throughout the study, starting with enrollment through 90 days after the last dose of study treatment 10. Patients must have formalin-fixed, paraffin-embedded tumor samples available form primary or recurrent cancer. 11. Patients must be able to take oral medications and capable of complying with treatment and follow up visit Exclusion Criteria: 1. Patients who have received other investigational drugs within 4 weeks or 5X t1/2 before first dose of study treatment. 2. Patients have had palliative radiotherapy encompassing>20% of the bone marrow within 3 weeks of the first dose of study treatment. 3. Patients have any known, persistent(>4 weeks)，≥Grade 3 anemia, neutrophil count decrease or platelet count decrease during the last chemotherapy. 4. Patients have any known, persistent (>4 weeks), ≥ Grade 3 fatigue during the last chemotherapy. 5. Patients have received pelvic radiotherapy as treatment for primary or recurrent disease within 1 year of the first dose of study treatment. 6. Patients have symptomatic uncontrolled brain or leptomeningeal metastases. The patient have new or progressive signs or symptoms related to the CNS disease and not taking a stable dose of steroids or no steroids. A scan to confirm the absence of brain metastases is not required. 7. Patients have known hypersensitivity to the components of niraparib 8. Patient have had major surgery within 3 weeks of fist dose treatment and patient must have recovered form any effects of any major surgery 9. Patients have had diagnosis, detection, or treatment of invasive cancer other than ovarian cancer ≤2 years prior to enrollment(except basal or squamous cell carcinoma of the skin that has been definitively treated) 10. Patients are considered a poor medical risk due to a serious, uncontrolled medical disorder, nonmalignant systemic disease or active, uncontrolled infection. Examples include, but are not limited to: 1. uncontrolled ventricular arrhythmia, recent (within 90 days) myocardial infarction 2. uncontrolled major seizure disorder, unstable spinal cord compression, superior vena cava syndrome or any psychiatric disorder that prohibits obtaining informed consent 3. immune deficiency (not including splenectomy) 4. HIV infection or active hepatitis(i.e. hepatitis B with HBV-DNA>500IU/ml or hepatitis C with positive HCV-RNA). 11. Patients have received a transfusion (platelets or red blood cells) within 4 weeks of the first dose of study treatment. 12. Patients have known history or current diagnosis of myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML). 13. Patients have current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study or interfere with patient's participation for the full duration of the study treatment or that makes it not in the best interest of the patient to participate

Overall Study Officials: