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NIraparib and Quality Of LifE is a Longitudinal Study Evaluating in Real Life the Tolerability of Niraparib. (NiQoLe)

Primary Purpose

Ovarian Cancer

Status
Completed
Phase
Phase 4
Locations
France
Study Type
Interventional
Intervention
Niraparib
Sponsored by
ARCAGY/ GINECO GROUP
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ovarian Cancer focused on measuring Ovarian Cancer, Anti-PARP (poly-ADP ribose polymerase), Late Relapse

Eligibility Criteria

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

Inclusion Criteria:

I-1 Female patients must be ≥ 18 years of age. I-2 Signed informed consent and ability to comply with treatment and follow-up. I-3 Patients with histologically proved high grade epithelial ovarian cancer or fallopian tube or primary peritoneal adenocarcioma.

I-4 Platine sensitive and ovarian, fallopian or peritoneal cancer recurrent patients with a complete response or partial response after a line of platine based chemotherapy.

I-5 Participant must have adequate organ function, defined as follows:

  • Absolute neutrophil count ≥ 1,500/μL
  • Platelets ≥ 100,000/μL
  • Hemoglobin ≥ 9 g/dL
  • Serum creatinine ≤ 1.5 x upper limit of normal (ULN) or calculated creatinine clearance ≥ 30 mL/min using the Cockcroft-Gault equation
  • Total bilirubin ≤ 1.5 x ULN (≤2.0 in patients with known Gilberts syndrome) OR direct bilirubin ≤ 1 x ULN
  • Aspartate aminotransferase and alanine aminotransferase ≤ 2.5 x ULN unless liver metastases are present, in which case they must be ≤ 5 x ULN I-6 Patients with an indication of maintenance by Niraparib after platine based chemotherapy according to the labelling (see appendix 17).

I-7 As this study will include patients in France, a subject will be eligible in this study only if either affiliated to, or a beneficiary of, a social category.

I-8 Participant must have an Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2.

I-9 Participant receiving corticosteroids may continue as long as their dose is stable for least 4 weeks prior to initiating protocol therapy.

I-10 Participant must agree to not donate blood during the study or for 90 days after the last dose of Niraparib.

I-11 Female participant has a negative urine or serum pregnancy test within 7 days prior to taking study treatment if of childbearing potential and agrees to abstain from activities that could result in pregnancy from screening through 1 month after the last dose of study treatment, or is of nonchildbearing potential.

I-12 Participant must agree to not breastfeed during the study or for 1 month after the last dose of Niraparib.

I-13 Participant must have normal blood pressure or adequately treated and controlled hypertension

Exclusion Criteria:

E-1 Known hypersensitivity or allergy to active principle or to any components or excipients of the Niraparib formulation.

E-2 Participant must not be simultaneously enrolled in any interventional clinical trial.

E-3 Participant must not have had major surgery ≤ 3 weeks prior to initiating protocol therapy and participant must have recovered from any surgical effects.

E-4 Participant must not have received investigational therapy ≤ 4 weeks, or within a time interval less than at least 5 half-lives of the investigational agent, whichever is shorter, prior initiating protocol therapy.

E-5 Participant last treatment with platinum-based chemotherapy was ≥12 weeks from initiation of protocol therapy E-6 Participant has had radiation therapy encompassing >20% of the bone marrow within 2 weeks; or any radiation therapy within 1 week prior to Day 1 of protocol therapy.

E-7 Participant must not have received a transfusion (platelets or red blood cells) ≤ 4 weeks NiQoLe - Study protocol - v3.0 on 08/10/2020 Page 10 on 109 N° EudraCT: 2018-002274-44 prior to initiating protocol therapy. E-8 Participant must not have received colony stimulating factors (e.g., granulocyte colonystimulating factor, granulocyte macrophage colony stimulating factor, or recombinant erythropoietin) within 4 weeks prior initiating protocol therapy. E-9 Participant has had any known Grade 3 or 4 anemia, neutropenia or thrombocytopenia due to prior chemotherapy that persisted > 4 weeks and was related to the most recent treatment. E-10 Participant must not have any known history of myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML). E-11 Participant must not have a serious, uncontrolled medical disorder, nonmalignant systemic disease, or active, uncontrolled infection. Examples include, but are not limited to, uncontrolled ventricular arrhythmia, recent (within 90 days) myocardial infarction, uncontrolled major seizure disorder, unstable spinal cord compression, superior vena cava syndrome, or any psychiatric disorder that prohibits obtaining informed consent. E-12 Participant must not be deprived of liberty, under guardianship or under trusteeship.

Sites / Locations

  • Sainte-Catherine Institut du Cancer Avignon-Provence
  • Centre Hospitalier de la Côte Basque
  • CHRU Jean Minjoz
  • Clinique Tivoli
  • Institut Bergonié
  • Hôpital Fleyriat
  • Centre François Baclesse
  • Medipole de Savoie
  • SASU Centre d'Oncologie et Radiothérapie 37
  • Centre Jean Perrin
  • Centre Georges François Leclerc
  • Groupe Hospitalier Mutualiste de Grenoble - Institut Daniel Hollard
  • Les Hôpitaux de Chartres - Hôpital Louis Pasteur
  • Hôpital Privé Jean Mermoz
  • ICM Val d'Aurelle
  • ORACLE - Centre d'Oncologie de Gentilly
  • Centre Antoine Lacassagne
  • Centre ONCOGARD - Institut de Cancérologie du Gard
  • Centre Hospitalier Régional d'Orléans
  • Hôpital Cochin
  • Groupe Hospitalier Diaconesses-Croix Saint Simon
  • Centre CARIO - HPCA
  • Centre Hospitalier Universitaire de Poitiers
  • Institut du Cancer Courlancy
  • Centre Hospitalier Saint-Malo
  • Clinique Mutualiste de l'Estuaire
  • CHU de Saint-Etienne - Pôle de Cancérologie
  • Hôpitaux Universitaires de Strasbourg - Institut de Cancérologie Strasbourg Europe
  • Clinique Pasteur
  • Institut de Cancérologie de Lorraine

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

NIRAPARIB

Arm Description

Oral Niraparib Daily

Outcomes

Primary Outcome Measures

Toxicities inducing dose modifications of Niraparib between the start to the cycle 3 (interruption, discontinuation and dose reduction).
Evaluate treatment toxicities

Secondary Outcome Measures

Self-reported fatigue by patient by FACT-F questionnaire (Functional Assessment of Cancer Therapy General - Fatigue)
Functional Assessment of Cancer Therapy General Fatigue questionnaire (score range from 0 to 52 - Higher scores represent better quality of life)
Self-reported symptoms and side effects with the NCI PRO-CTCAE
Self-reported symptoms and side effects
Reasons of the dose modification of Niraparib
Reasons of the dose modification of Niraparib
General health-related quality of life by FACT-G questionnaire (Functional Assessment of Cancer Therapy General)
Functional Assessment of Cancer Therapy General questionnaire (score range from 0 [worse outcome] to 108 [better outcome])
Pain related to the treatment by Visual Analogic Scale (VAS)
Score range from 0 [worse outcome] to 10 [better outcome])
Side effects of interest (HTA, anemia, thrombocytopenia)
Side effects of interest (HTA, anemia, thrombocytopenia)
Duration of Niraparib treatment
From the start of Niraparib until progression or unacceptable toxicity.
Time to first subsequent line of anti-cancer therapy
From the stop of Niraparib to the first subsequent line of anti-cancer therapy.
Overall response rate
Overall response rate
Initial cognitive functions by FACT-cog (Functional Assessment of Cancer Therapy - Cognitive Function) questionnaire
FACT-cog questionnaire (score range from 0 to 132 - Higher scores represent better functioning)
Plasma level of Niraparib before Niraparib administration
residual dosage of Niraparib
Plasma level of Niraparib before Niraparib administration
residual dosage of Niraparib
Geriatric Depression Scale (score range from 0 [better outcome] to 30 [worse outcome])
Geriatric Depression Scale (score range from 0 [better outcome] to 30 [worse outcome])

Full Information

First Posted
November 12, 2018
Last Updated
September 5, 2023
Sponsor
ARCAGY/ GINECO GROUP
Collaborators
Tesaro, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03752216
Brief Title
NIraparib and Quality Of LifE is a Longitudinal Study Evaluating in Real Life the Tolerability of Niraparib.
Acronym
NiQoLe
Official Title
Longitudinal Study Evaluating in Real Life the Tolerability of Niraparib in Maintenance After Platine-based Chemotherapy for Patients With Ovarian Cancer Late Relapse : the French GINECO - NiQoLe Study
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
April 3, 2019 (Actual)
Primary Completion Date
August 18, 2021 (Actual)
Study Completion Date
December 13, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ARCAGY/ GINECO GROUP
Collaborators
Tesaro, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a longitudinal, national, open, multi-centre phase IV study which will recruit up to 141 patients with ovarian cancer in late relapse treated with niraparib according to the labelling In France.
Detailed Description
The aim of NiQoLe, phase IV study is to evaluate tolerability of Niraparib and the management by the physicians of the side-effects in real life in France. The study will also generate complementary data of NOVA trial on longitudinal follow up of closed symptoms and side effects reported by the patients especially with the NCI PRO (Patient-Reported Outcome)-CTCAE system. Specific oncogeriatric data will be collected among on a subgroup of elderly patients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ovarian Cancer
Keywords
Ovarian Cancer, Anti-PARP (poly-ADP ribose polymerase), Late Relapse

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Masking Description
Open
Allocation
N/A
Enrollment
141 (Actual)

8. Arms, Groups, and Interventions

Arm Title
NIRAPARIB
Arm Type
Experimental
Arm Description
Oral Niraparib Daily
Intervention Type
Drug
Intervention Name(s)
Niraparib
Intervention Description
Two different doses of Niraparib can be administrated: For patient who had at baseline (T0) a body weight ≥ 77 kg and a platelet count ≥ 150 000/µL, Niraparib will be administrated at a dose of 300 mg daily. The planned dose of 300 mg daily will be made up of three 100 mg capsules. For patient who had at baseline (T0) a body weight < 77 kg or a platelet count <150 000/µL, Niraparib will be administrated at a dose of 200 mg daily. The planned dose of 200 mg daily will be made up of two 100 mg capsules. Patient should continue to receive study treatment until disease progression as per RECIST as assessed by the investigator or they do not meet any other discontinuation criteria.
Primary Outcome Measure Information:
Title
Toxicities inducing dose modifications of Niraparib between the start to the cycle 3 (interruption, discontinuation and dose reduction).
Description
Evaluate treatment toxicities
Time Frame
3 months
Secondary Outcome Measure Information:
Title
Self-reported fatigue by patient by FACT-F questionnaire (Functional Assessment of Cancer Therapy General - Fatigue)
Description
Functional Assessment of Cancer Therapy General Fatigue questionnaire (score range from 0 to 52 - Higher scores represent better quality of life)
Time Frame
Up to 18 months.
Title
Self-reported symptoms and side effects with the NCI PRO-CTCAE
Description
Self-reported symptoms and side effects
Time Frame
Up to 18 months.
Title
Reasons of the dose modification of Niraparib
Description
Reasons of the dose modification of Niraparib
Time Frame
Up to 18 months.
Title
General health-related quality of life by FACT-G questionnaire (Functional Assessment of Cancer Therapy General)
Description
Functional Assessment of Cancer Therapy General questionnaire (score range from 0 [worse outcome] to 108 [better outcome])
Time Frame
Up to 18 months.
Title
Pain related to the treatment by Visual Analogic Scale (VAS)
Description
Score range from 0 [worse outcome] to 10 [better outcome])
Time Frame
Up to 18 months.
Title
Side effects of interest (HTA, anemia, thrombocytopenia)
Description
Side effects of interest (HTA, anemia, thrombocytopenia)
Time Frame
Up to 18 months.
Title
Duration of Niraparib treatment
Description
From the start of Niraparib until progression or unacceptable toxicity.
Time Frame
Up to 18 months.
Title
Time to first subsequent line of anti-cancer therapy
Description
From the stop of Niraparib to the first subsequent line of anti-cancer therapy.
Time Frame
Up to 18 months.
Title
Overall response rate
Description
Overall response rate
Time Frame
Up to 18 months.
Title
Initial cognitive functions by FACT-cog (Functional Assessment of Cancer Therapy - Cognitive Function) questionnaire
Description
FACT-cog questionnaire (score range from 0 to 132 - Higher scores represent better functioning)
Time Frame
At the inclusion visit
Title
Plasma level of Niraparib before Niraparib administration
Description
residual dosage of Niraparib
Time Frame
Day 8
Title
Plasma level of Niraparib before Niraparib administration
Description
residual dosage of Niraparib
Time Frame
3 months
Title
Geriatric Depression Scale (score range from 0 [better outcome] to 30 [worse outcome])
Description
Geriatric Depression Scale (score range from 0 [better outcome] to 30 [worse outcome])
Time Frame
Up to 6 months.

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: I-1 Female patients must be ≥ 18 years of age. I-2 Signed informed consent and ability to comply with treatment and follow-up. I-3 Patients with histologically proved high grade epithelial ovarian cancer or fallopian tube or primary peritoneal adenocarcioma. I-4 Platine sensitive and ovarian, fallopian or peritoneal cancer recurrent patients with a complete response or partial response after a line of platine based chemotherapy. I-5 Participant must have adequate organ function, defined as follows: Absolute neutrophil count ≥ 1,500/μL Platelets ≥ 100,000/μL Hemoglobin ≥ 9 g/dL Serum creatinine ≤ 1.5 x upper limit of normal (ULN) or calculated creatinine clearance ≥ 30 mL/min using the Cockcroft-Gault equation Total bilirubin ≤ 1.5 x ULN (≤2.0 in patients with known Gilberts syndrome) OR direct bilirubin ≤ 1 x ULN Aspartate aminotransferase and alanine aminotransferase ≤ 2.5 x ULN unless liver metastases are present, in which case they must be ≤ 5 x ULN I-6 Patients with an indication of maintenance by Niraparib after platine based chemotherapy according to the labelling (see appendix 17). I-7 As this study will include patients in France, a subject will be eligible in this study only if either affiliated to, or a beneficiary of, a social category. I-8 Participant must have an Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2. I-9 Participant receiving corticosteroids may continue as long as their dose is stable for least 4 weeks prior to initiating protocol therapy. I-10 Participant must agree to not donate blood during the study or for 90 days after the last dose of Niraparib. I-11 Female participant has a negative urine or serum pregnancy test within 7 days prior to taking study treatment if of childbearing potential and agrees to abstain from activities that could result in pregnancy from screening through 1 month after the last dose of study treatment, or is of nonchildbearing potential. I-12 Participant must agree to not breastfeed during the study or for 1 month after the last dose of Niraparib. I-13 Participant must have normal blood pressure or adequately treated and controlled hypertension Exclusion Criteria: E-1 Known hypersensitivity or allergy to active principle or to any components or excipients of the Niraparib formulation. E-2 Participant must not be simultaneously enrolled in any interventional clinical trial. E-3 Participant must not have had major surgery ≤ 3 weeks prior to initiating protocol therapy and participant must have recovered from any surgical effects. E-4 Participant must not have received investigational therapy ≤ 4 weeks, or within a time interval less than at least 5 half-lives of the investigational agent, whichever is shorter, prior initiating protocol therapy. E-5 Participant last treatment with platinum-based chemotherapy was ≥12 weeks from initiation of protocol therapy E-6 Participant has had radiation therapy encompassing >20% of the bone marrow within 2 weeks; or any radiation therapy within 1 week prior to Day 1 of protocol therapy. E-7 Participant must not have received a transfusion (platelets or red blood cells) ≤ 4 weeks NiQoLe - Study protocol - v3.0 on 08/10/2020 Page 10 on 109 N° EudraCT: 2018-002274-44 prior to initiating protocol therapy. E-8 Participant must not have received colony stimulating factors (e.g., granulocyte colonystimulating factor, granulocyte macrophage colony stimulating factor, or recombinant erythropoietin) within 4 weeks prior initiating protocol therapy. E-9 Participant has had any known Grade 3 or 4 anemia, neutropenia or thrombocytopenia due to prior chemotherapy that persisted > 4 weeks and was related to the most recent treatment. E-10 Participant must not have any known history of myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML). E-11 Participant must not have a serious, uncontrolled medical disorder, nonmalignant systemic disease, or active, uncontrolled infection. Examples include, but are not limited to, uncontrolled ventricular arrhythmia, recent (within 90 days) myocardial infarction, uncontrolled major seizure disorder, unstable spinal cord compression, superior vena cava syndrome, or any psychiatric disorder that prohibits obtaining informed consent. E-12 Participant must not be deprived of liberty, under guardianship or under trusteeship.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Florence JOLY, MD, PhD
Organizational Affiliation
Centre François Baclesse 3, avenue du Général Harris 14076 CAEN
Official's Role
Principal Investigator
Facility Information:
Facility Name
Sainte-Catherine Institut du Cancer Avignon-Provence
City
Avignon
ZIP/Postal Code
84918
Country
France
Facility Name
Centre Hospitalier de la Côte Basque
City
Bayonne
ZIP/Postal Code
64109
Country
France
Facility Name
CHRU Jean Minjoz
City
Besançon
ZIP/Postal Code
25030
Country
France
Facility Name
Clinique Tivoli
City
Bordeaux
ZIP/Postal Code
33000
Country
France
Facility Name
Institut Bergonié
City
Bordeaux
ZIP/Postal Code
33076
Country
France
Facility Name
Hôpital Fleyriat
City
Bourg-en-bresse
ZIP/Postal Code
01012
Country
France
Facility Name
Centre François Baclesse
City
Caen
ZIP/Postal Code
14000
Country
France
Facility Name
Medipole de Savoie
City
Challes-les-Eaux
ZIP/Postal Code
73190
Country
France
Facility Name
SASU Centre d'Oncologie et Radiothérapie 37
City
Chambray-lès-Tours
ZIP/Postal Code
37170
Country
France
Facility Name
Centre Jean Perrin
City
Clermont-Ferrand
ZIP/Postal Code
63000
Country
France
Facility Name
Centre Georges François Leclerc
City
Dijon
ZIP/Postal Code
21079
Country
France
Facility Name
Groupe Hospitalier Mutualiste de Grenoble - Institut Daniel Hollard
City
Grenoble
ZIP/Postal Code
38028
Country
France
Facility Name
Les Hôpitaux de Chartres - Hôpital Louis Pasteur
City
Le Coudray
ZIP/Postal Code
28630
Country
France
Facility Name
Hôpital Privé Jean Mermoz
City
Lyon
ZIP/Postal Code
69373
Country
France
Facility Name
ICM Val d'Aurelle
City
Montpellier
ZIP/Postal Code
34298
Country
France
Facility Name
ORACLE - Centre d'Oncologie de Gentilly
City
Nancy
ZIP/Postal Code
54100
Country
France
Facility Name
Centre Antoine Lacassagne
City
Nice
ZIP/Postal Code
06189
Country
France
Facility Name
Centre ONCOGARD - Institut de Cancérologie du Gard
City
Nimes
ZIP/Postal Code
30029
Country
France
Facility Name
Centre Hospitalier Régional d'Orléans
City
Orléans
ZIP/Postal Code
45000
Country
France
Facility Name
Hôpital Cochin
City
Paris
ZIP/Postal Code
75014
Country
France
Facility Name
Groupe Hospitalier Diaconesses-Croix Saint Simon
City
Paris
ZIP/Postal Code
75020
Country
France
Facility Name
Centre CARIO - HPCA
City
Plérin
ZIP/Postal Code
22190
Country
France
Facility Name
Centre Hospitalier Universitaire de Poitiers
City
Poitiers
ZIP/Postal Code
86000
Country
France
Facility Name
Institut du Cancer Courlancy
City
Reims
ZIP/Postal Code
51100
Country
France
Facility Name
Centre Hospitalier Saint-Malo
City
Saint-Malo
ZIP/Postal Code
35400
Country
France
Facility Name
Clinique Mutualiste de l'Estuaire
City
Saint-nazaire
ZIP/Postal Code
44600
Country
France
Facility Name
CHU de Saint-Etienne - Pôle de Cancérologie
City
Saint-Priest-en-Jarez
ZIP/Postal Code
42271
Country
France
Facility Name
Hôpitaux Universitaires de Strasbourg - Institut de Cancérologie Strasbourg Europe
City
Strasbourg
ZIP/Postal Code
67200
Country
France
Facility Name
Clinique Pasteur
City
Toulouse
ZIP/Postal Code
31076
Country
France
Facility Name
Institut de Cancérologie de Lorraine
City
Vandœuvre-lès-Nancy
ZIP/Postal Code
54519
Country
France

12. IPD Sharing Statement

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NIraparib and Quality Of LifE is a Longitudinal Study Evaluating in Real Life the Tolerability of Niraparib.

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