Japan Phase 2 Study of Niraparib in Participants With Advanced, Relapsed Ovarian Cancer
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ClinicalTrials.gov Identifier: NCT03759600 |
Recruitment Status :
Completed
First Posted : November 30, 2018
Results First Posted : August 11, 2020
Last Update Posted : January 17, 2024
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Sponsor:
Takeda
Information provided by (Responsible Party):
Takeda
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Study Type | Interventional |
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Study Design | Allocation: N/A; Intervention Model: Single Group Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Conditions |
Ovarian Cancer Fallopian Tube Cancer Primary Peritoneal Cancer |
Intervention |
Drug: Niraparib |
Enrollment | 20 |
Participant Flow
Recruitment Details | Participants took part in the study at 17 investigative sites in Japan from 26 December 2018 to 28 December 2022. |
Pre-assignment Details | Female participants with a diagnosis of advanced, relapsed, high-grade serious epithelial ovarian, fallopian tube, or primary peritoneal cancer who have received 3 or 4 prior lines of anti-cancer therapy and are platinum-sensitive to the last platinum-based therapy were enrolled to receive niraparib 300 mg in this study. |
Arm/Group Title | Niraparib 300 mg |
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Arm/Group Description | Niraparib 300 milligrams (mg), capsules, orally, once daily on Days 1 to 28 of each 28-day treatment cycle for up to 50 cycles. |
Period Title: Overall Study | |
Started | 20 |
Completed | 0 |
Not Completed | 20 |
Reason Not Completed | |
Adverse Event | 2 |
Progressive Disease | 15 |
Site Terminated by Sponsor | 3 |
Baseline Characteristics
Arm/Group Title | Niraparib 300 mg | |
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Arm/Group Description | Niraparib 300 mg, capsules, orally, once daily on Days 1 to 28 of each 28-day treatment cycle for up to 50 cycles. | |
Overall Number of Baseline Participants | 20 | |
Baseline Analysis Population Description |
Full Analysis Set (FAS) included all participants who received at least 1 dose of study drug and have measurable disease at Baseline.
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 20 participants | |
62.4 (10.69) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
Female |
20 100.0%
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Male |
0 0.0%
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
American Indian or Alaska Native |
0 0.0%
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Asian |
20 100.0%
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Native Hawaiian or Other Pacific Islander |
0 0.0%
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Black or African American |
0 0.0%
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White |
0 0.0%
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More than one race |
0 0.0%
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Unknown or Not Reported |
0 0.0%
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Region of Enrollment
Measure Type: Count of Participants Unit of measure: Participants |
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Japan | Number Analyzed | 20 participants |
20 100.0%
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Time from First Diagnosis to First Dose
[1] Median (Full Range) Unit of measure: Years |
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Number Analyzed | 20 participants | |
4.71
(2.5 to 16.2)
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[1]
Measure Description: Duration in years from the date of first diagnosis to the date of start of study drug.
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Primary Tumor Site
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
Ovarian |
13 65.0%
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Primary Peritoneal |
5 25.0%
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Fallopian Tube |
2 10.0%
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[1]
Measure Description: Participant were categorized based on site of tumor are reported.
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Cancer Stage (FIGO) at Time of Initial Diagnosis
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
IA |
1 5.0%
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IC |
1 5.0%
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IIB |
1 5.0%
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IIC |
1 5.0%
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IIIA |
1 5.0%
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IIIC |
12 60.0%
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IV |
3 15.0%
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[1]
Measure Description: Cancer stage was based on federation of obstetrics and gynecology (FIGO) staging. Stages as I; Only in ovaries (IA: Only in endometrium, IC: Only in one or both ovaries or fallopian tubes); II: Has grown outside ovaries and is growing within pelvis (IIA: Limited to upper two-thirds of vagina, IIC: With positive peritoneal washings or ascites); III: Has spread outside pelvis into abdominal cavity or lymph nodes (IIIA: In lower third of vagina, has not grown into pelvic wall, IIIC: Larger than 2 cm on lining of abdomen and might also be in lymph nodes); IV: Has spread to other body organs.
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Height
Mean (Standard Deviation) Unit of measure: Centimeters (cm) |
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Number Analyzed | 20 participants | |
155.9 (5.78) | ||
Weight
Mean (Standard Deviation) Unit of measure: Kilograms (kg) |
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Number Analyzed | 20 participants | |
53.70 (9.701) | ||
Body Mass Index (BMI)
[1] Mean (Standard Deviation) Unit of measure: Kilograms per meter square (kg/m^2) |
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Number Analyzed | 20 participants | |
22.12 (4.074) | ||
[1]
Measure Description: Body Mass Index=weight (kg)/[height (m)^2]
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Eastern Cooperative Oncology Group (ECOG) Performance Status
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
0 |
15 75.0%
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1 |
5 25.0%
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[1]
Measure Description: The ECOG scale was as follows: Grade 0: Fully active, able to perform all pre-disease activities without restriction; Grade 1: Restricted in physically strenuous activity, ambulatory, able to carry out light work; Grade 2: Ambulatory and capable of all self-care but unable to work. Up and about more than 50% of waking hours; Grade 3: Capable of only limited self-care, confined to bed or chair > 50% of waking hours; Grade 4: Completely disabled. Cannot carry on any self-care. Only categories with participants are reported.
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Number of Prior Lines of Chemotherapy
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
3 |
12 60.0%
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4 |
8 40.0%
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[1]
Measure Description: Participants were categorized based on number of prior lines of chemotherapy as 3 and 4. Only categories with participants are reported.
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Prior Taxane
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
Participants Who Received Taxane |
20 100.0%
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Prior Bevacizumab
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
Participants Who Received Bevacizumab |
10 50.0%
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Participants Who Did Not Receive Bevacizumab |
10 50.0%
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Prior Doxorubicin
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
Participants Who Received Doxorubicin |
9 45.0%
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Participants Who Did Not Receive Doxorubicin |
11 55.0%
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Prior Liposomal Doxorubicin
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
Participants Who Did Not Receive Liposomal Doxorubicin |
20 100.0%
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Prior Gemcitabine
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
Participants Who Received Gemcitabine |
11 55.0%
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Participants Who Did Not Receive Gemcitabine |
9 45.0%
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Duration between the End Date of the Last Chemotherapy Regimen and the First Dose of Study Treatment
Median (Full Range) Unit of measure: Months |
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Number Analyzed | 20 participants | |
2.1
(1 to 27)
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Duration between End Date of the Last Platinum-based Therapy and the First Dose of Study Treatment
Median (Full Range) Unit of measure: Months |
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Number Analyzed | 20 participants | |
16.3
(1 to 36)
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Prior Surgery/Procedure for Study Indication
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
Participants Who Had Prior Surgery |
20 100.0%
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Number of Prior Surgery/Procedure for Study Indication
Mean (Standard Deviation) Unit of measure: Surgery |
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Number Analyzed | 20 participants | |
2.3 (1.34) | ||
Prior Radiation Therapy Related to the Study Indication
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
Had Radiation Therapy |
2 10.0%
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Had No Radiation Therapy |
18 90.0%
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Response to Last Platinum-based Therapy
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
Complete Response (CR) |
9 45.0%
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Partial Response (PR) |
8 40.0%
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Stable Disease (SD) |
2 10.0%
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Unknown |
1 5.0%
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[1]
Measure Description: Response to last platinum-based therapy achieving complete response(CR), partial response(PR), progressive disease(PD) or Stable Disease(SD) per response evaluation criteria in solid tumors version 1.1(RECIST v.1.1) CR=disappearance of all target lesions and PR=atleast a 30% decrease in sum of diameters (SoD) of target lesions, taking as reference baseline SoD. PD=at least a 20% increase in SoD of target lesions, taking as reference smallest (nadir) SoD since (and including) baseline. SD=neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD.
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Time to Progression after the Last Platinum Therapy
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
6-12 Month |
12 60.0%
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More Than 12 Month |
8 40.0%
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[1]
Measure Description: Participants with time to progression were categorized as 6-12 months and more than 12 months. Time to progression is defined as the time from the date of last administration of platinum therapy to the first documentation of disease progression.
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Ovarian Cancer Pathology Histological: Histologic Subtype
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
Serous |
20 100.0%
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Endometrioid |
0 0.0%
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Mucinous |
0 0.0%
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Other |
0 0.0%
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[1]
Measure Description: Participants were categorized as serous, endometrioid, mucinous and other for histological subtype of ovarian cancer pathology.
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Ovarian Cancer Pathology Histological: Tumor Grade
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
Grade 2 |
1 5.0%
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Grade 3 |
6 30.0%
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High Grade |
13 65.0%
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[1]
Measure Description: With regard to tumor grading, conventional FIGO/ gynecologic oncology group (GOG)/ world health organisation (WHO) criteria or two-tier system for grading ovarian serous carcinoma is used; participants with grade 3 tumors in FIGO/GOG/WHO criteria (among grade 1 as well differentiated, grade 2 as moderately differentiated, and grade 3 indicates poorly differentiated) or participants with high-grade tumors in two-tier system (among low-grade or high-grade) are reported.
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Germline Breast Cancer (Gene) (BRCA1) Mutant
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
Without Mutant |
3 15.0%
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Unknown |
17 85.0%
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[1]
Measure Description: Participants were categorized as positive, negative or unknown for mutation of BRCA1 gene. Only categories with participants are reported.
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Germline BRCA2 Mutant
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
Without Mutant |
3 15.0%
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Unknown |
17 85.0%
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[1]
Measure Description: Participants were categorized as positive, negative or unknown for mutation of BRCA2 gene. Only categories with participants are reported.
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Homologous Recombination Deficiency/Deficient (HRD) Companion Diagnostic (CDx) Test Result
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
Positive |
20 100.0%
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[1]
Measure Description: Participants were categorized as positive, negative and unknown for HRD CDx test result. Only categories with participants are reported.
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Genomic Instability Status
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
Positive |
17 85.0%
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Unknown |
3 15.0%
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[1]
Measure Description: Participants were categorized as positive, negative and unknown for genomic instability status. Only categories with participants are reported.
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Tumor BRCA1/BRCA2 Mutation Status
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 20 participants | |
Negative |
6 30.0%
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Positive |
13 65.0%
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Unknown |
1 5.0%
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[1]
Measure Description: Participants were categorized as positive, negative and unknown for BRCA1/BRCA2 mutation status.
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Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Principal Investigators are NOT employed by the organization sponsoring the study.
There IS an agreement between Principal Investigators and the Sponsor (or its agents) that restricts
the PI's rights to discuss or publish trial results after the trial is completed.
The first study related publication will be a multi-center publication submitted within 24 months after conclusion or termination of a study at all sites. After such multi site publication, all proposed site publications and presentations will be submitted to sponsor for review 60 days in advance of publication. Site will remove Sponsor confidential information unrelated to study results. Sponsor can delay a proposed publication for another 60 days to preserve intellectual property.
Results Point of Contact
Name/Title: | Study Director |
Organization: | Takeda |
Phone: | +1-877-825-3327 |
EMail: | TrialDisclosures@takeda.com |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | Takeda |
ClinicalTrials.gov Identifier: | NCT03759600 |
Other Study ID Numbers: |
Niraparib-2002 U1111-1222-4100 ( Other Identifier: WHO ) JapicCTI-184224 ( Registry Identifier: JapicCTI ) |
First Submitted: | November 29, 2018 |
First Posted: | November 30, 2018 |
Results First Submitted: | June 30, 2020 |
Results First Posted: | August 11, 2020 |
Last Update Posted: | January 17, 2024 |