Extension Study for Patients WHO Have Completed a Prior Glaxosmithkline/Tesaro-Sponsored Niraparib Study and Are Judged by the Investigator to Benefit From Continued Treatment with Niraparib

2023-506618-29-00 Protocol 213409 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 22 Sep 2021 · Status Ongoing, recruiting · 6 EU/EEA countries · 9 sites · Protocol 213409

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 27
Countries 6
Sites 9

Advanced ovarian, breast, or prostate cancer

To evaluate the long-term safety and tolerability of niraparib

Key facts

Sponsor
Glaxosmithkline Research & Development Limited
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
22 Sep 2021 → ongoing
Decision date (initial)
2023-10-02
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
GSK, United Kingdom

External identifiers

EU CT number
2023-506618-29-00
EudraCT number
2020-002667-53
ClinicalTrials.gov
NCT04641247

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Therapy, Others

To evaluate the long-term safety and tolerability of niraparib

Secondary objectives 1

  1. No secondary objectives will be evaluated in this study

Conditions and MedDRA coding

Advanced ovarian, breast, or prostate cancer

VersionLevelCodeTermSystem organ class
20.0 PT 10006187 Breast cancer 100000004864
20.0 PT 10033128 Ovarian cancer 100000004864
20.0 PT 10060862 Prostate cancer 100000004864

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. 1. Subject is able to understand the study procedures and agrees to participate in the study by providing written informed consent. 2. Subject is willing and able to comply with scheduled visits, treatment plans, and any other study procedures. 3. Subject is currently receiving treatment with niraparib (as monotherapy or in combination) in a GSK/TESARO-sponsored study that has fulfilled the requirements for the primary objective. 4. Subject is currently benefiting from treatment with niraparib as assessed by the Investigator according to the parent study protocol requirements. 5. Subjects of childbearing potential who are sexually active and their partners must agree to the use of an effective form of contraception throughout their participation during study treatment through 180 days after last dose of study drug. -Male subjects must use a condom and must not donate sperm during study treatment with niraparib and for 90 days after receiving the last dose of Study Drug.

Exclusion criteria 1

  1. 1. Subject has been permanently discontinued from niraparib treatment in the parent study for any reason. 2. Subject currently has unresolved toxicities for which niraparib dosing has been interrupted in the parent study. Subjects meeting all other eligibility criteria may be enrolled once toxicities have resolved to allow niraparib treatment to resume. 3. Subject is pregnant or is expecting to conceive children while receiving study drug or for up to 180 days after the last dose of study drug. Subject is breastfeeding or is expecting to breastfeed within 30 days of receiving the final dose of study drug (women should not breastfeed or store breastmilk for use during niraparib treatment and for 30 days after receiving the final dose of study treatment).

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. 1. Safety will be evaluated based on the incidence of treatment emergent AEs (TEAEs; including treatment discontinuation and dose modifications due to AEs), SAEs, AESIs, changes in ECOG performance status, changes in clinical laboratory assessments (hematology, chemistry), vital sign measurements, observations during physical examination, and use of concomitant medications (...).
  2. 2. (excluding any study drugs used in the parent study) All AEs will be coded using the Medical Dictionary for Regulatory Activities (MedRA) coding system outlined in the statistical analysis plan.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 7

Niraparib Tosilate Monohydrate

PRD10571865 · Product

Active substance
Niraparib Tosilate Monohydrate
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
300 mg milligram(s)
Max total dose
324000 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Not Authorised
MA holder
GLAXOSMITHKLINE
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/10/760

Zejula 100 mg hard capsules

PRD7912218 · Product

Active substance
Niraparib Tosilate Monohydrate
Substance synonyms
NIRAPARIB TOSYLATE MONOHYDRATE, MK-4827 TOSYLATE MONOHYDRATE, (3S)-3-{4-[7-(aminocarbonyl)-2H-indazol-2-yl] phenyl} piperidine tosylate monohydrate salt
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
300 mg milligram(s)
Max total dose
324000 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
L01XK02 — -
Marketing authorisation
EU/1/17/1235/003
MA holder
GLAXOSMITHKLINE (IRELAND) LIMITED
MA country
EU
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/10/760
Modified vs. Marketing Authorisation
Yes
Modification description
The clinical image Niraparib Tablets, 100 mg used in clinical studies are identical to the commercial Zejula Tablets, 100 mg except the tablets are not debossed to maintain the blind in clinical studies. Different container closure system can be used.

Zejula 100 mg film-coated tablets

PRD9709363 · Product

Active substance
Niraparib Tosilate Monohydrate
Substance synonyms
NIRAPARIB TOSYLATE MONOHYDRATE, MK-4827 TOSYLATE MONOHYDRATE, (3S)-3-{4-[7-(aminocarbonyl)-2H-indazol-2-yl] phenyl} piperidine tosylate monohydrate salt
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
300 mg milligram(s)
Max total dose
324000 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
L01XK02 — -
Marketing authorisation
EU/1/17/1235/004
MA holder
GLAXOSMITHKLINE (IRELAND) LIMITED
MA country
EU
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/10/760
Modified vs. Marketing Authorisation
Yes
Modification description
The clinical image Niraparib Tablets, 100 mg used in clinical studies are identical to the commercial Zejula Tablets, 100 mg except the tablets are not debossed to maintain the blind in clinical studies. Different container closure system can be used.

Zejula 100 mg hard capsules

PRD5625301 · Product

Active substance
Niraparib Tosilate Monohydrate
Substance synonyms
NIRAPARIB TOSYLATE MONOHYDRATE, MK-4827 TOSYLATE MONOHYDRATE, (3S)-3-{4-[7-(aminocarbonyl)-2H-indazol-2-yl] phenyl} piperidine tosylate monohydrate salt
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
300 mg milligram(s)
Max total dose
324000 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
L01XK02 — -
Marketing authorisation
EU/1/17/1235/001
MA holder
GLAXOSMITHKLINE (IRELAND) LIMITED
MA country
EU
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/10/760
Modified vs. Marketing Authorisation
Yes
Modification description
The clinical image Niraparib Tablets, 100 mg used in clinical studies are identical to the commercial Zejula Tablets, 100 mg except the tablets are not debossed to maintain the blind in clinical studies. Different container closure system can be used.

Niraparib Tosilate Monohydrate

PRD8096048 · Product

Active substance
Niraparib Tosilate Monohydrate
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
300 mg milligram(s)
Max total dose
324000 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Not Authorised
MA holder
GLAXOSMITHKLINE
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/10/760

Zejula 100 mg film-coated tablets

PRD9709386 · Product

Active substance
Niraparib Tosilate Monohydrate
Substance synonyms
NIRAPARIB TOSYLATE MONOHYDRATE, MK-4827 TOSYLATE MONOHYDRATE, (3S)-3-{4-[7-(aminocarbonyl)-2H-indazol-2-yl] phenyl} piperidine tosylate monohydrate salt
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
300 mg milligram(s)
Max total dose
324000 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
L01XK02 — -
Marketing authorisation
EU/1/17/1235/005
MA holder
GLAXOSMITHKLINE (IRELAND) LIMITED
MA country
EU
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/10/760
Modified vs. Marketing Authorisation
Yes
Modification description
The clinical image Niraparib Tablets, 100 mg used in clinical studies are identical to the commercial Zejula Tablets, 100 mg except the tablets are not debossed to maintain the blind in clinical studies. Different container closure system can be used.

Zejula 100 mg hard capsules

PRD7910464 · Product

Active substance
Niraparib Tosilate Monohydrate
Substance synonyms
NIRAPARIB TOSYLATE MONOHYDRATE, MK-4827 TOSYLATE MONOHYDRATE, (3S)-3-{4-[7-(aminocarbonyl)-2H-indazol-2-yl] phenyl} piperidine tosylate monohydrate salt
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
300 mg milligram(s)
Max total dose
324000 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
L01XK02 — -
Marketing authorisation
EU/1/17/1235/002
MA holder
GLAXOSMITHKLINE (IRELAND) LIMITED
MA country
EU
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/10/760
Modified vs. Marketing Authorisation
Yes
Modification description
The clinical image Niraparib Tablets, 100 mg used in clinical studies are identical to the commercial Zejula Tablets, 100 mg except the tablets are not debossed to maintain the blind in clinical studies. Different container closure system can be used.

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Glaxosmithkline Research & Development Limited

Sponsor organisation
Glaxosmithkline Research & Development Limited
Address
G S K House, 980 Great West Road 980 Great West Road
City
Brentford
Postcode
TW8 9GS
Country
United Kingdom

Scientific contact point

Organisation
Glaxosmithkline Research & Development Limited
Contact name
EU GSK Clinical Trials Call Canter

Public contact point

Organisation
Glaxosmithkline Research & Development Limited
Contact name
EU GSK Clinical Trials Call Canter

Third parties 4

OrganisationCity, countryDuties
Suvoda LLC
ORG-100043523
Conshohocken, United States Interactive response technologies (IRT)
Greenphire LLC
ORG-100041621
King Of Prussia, United States Other
Syneos Health Netherlands B.V.
ORG-100013861
Amsterdam, Netherlands On site monitoring, Code 12, Code 13, Code 2, Code 5, Data management, E-data capture, Code 8, Code 9
Medidata Solutions Inc.
ORG-100016256
New York, United States Data management, E-data capture

Locations

6 EU/EEA countries · 9 investigational sites

By country

CountryMS statusPlanned subjectsSites
Austria Ongoing, recruiting 3 2
France Ended 2 2
Germany Authorised, recruitment pending 1 1
Italy Ongoing, recruiting 1 1
Romania Authorised, recruitment pending 1 1
Spain Ongoing, recruiting 2 2
Rest of world
Israel, United States, Canada
17

Investigational sites

Austria

2 sites · Ongoing, recruiting
Medical University Of Graz
Gynaecology, Neue Stiftingtalstrasse 6, 8010, Graz
Medical University of Vienna
Comprehensive Cancer Center, Medical University of Vienna, Waehringer Guertel 18-20, Alsergrund, Vienna

France

2 sites · Ended
L'Hopital Prive Du Confluent
Service d’oncologie médicale, 4 Rue Eric Tabarly, 44277, Nantes Cedex 2
Centre Antoine Lacassagne
Service d’oncologie médicale, 33 Avenue De Valombrose, 06189, Nice Cedex 2

Germany

1 site · Authorised, recruitment pending
MVZ-Onkologie Velbert GbR
Oncology, Friedrichstrasse 311, Mitte, Velbert

Italy

1 site · Ongoing, recruiting
Azienda Istituti Ospitalieri Di Cremona
PO di Cremona, ASST di Cremona - Patologia Mammaria e Breast Unit - Cremona, Viale Concordia 1, 26100, Cremona

Romania

1 site · Authorised, recruitment pending
Centrul De Oncologie SF Nectarie S.R.L.
Departamentul Oncologie Medicală, Strada Caracal Nr 109, 200542, Craiova

Spain

2 sites · Ongoing, recruiting
Hospital Universitario La Paz
Medical Oncology, Paseo Castellana 261, 28046, Madrid
Hospital Clinico San Carlos
Medical Oncology, Calle Del Profesor Martin Lagos Sn, 28040, Madrid

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Austria 2021-11-25 2021-12-07
France 2021-10-13 2024-07-29 2021-10-18
Italy 2021-10-19 2021-10-26
Spain 2021-09-22 2021-10-05

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 16 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_COVID 19 Protocol Appendix 2023-506618-29-00_Redacted 1
Protocol (for publication) D1_Protocol 2023-506618-29-00_Redacted Am 1
Protocol (for publication) D1_Risk Benefit Assessment 2023-506618-29-00_Redacted 2.0
Recruitment arrangements (for publication) K1_Recruitment arrangements 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main_EN_Redacted 3.2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Main_RO_Redacted 3.2.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner_EN_Redacted 2.1.0
Subject information and informed consent form (for publication) L1_SIS and ICF Pregnant Partner_RO_Redacted 2.1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Main ICF_Redacted 3.1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_PP ICF_Redacted 2.1.0
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Zejula NA
Synopsis of the protocol (for publication) D1 Protocol Synopsis_AUT_DEU_2023-506618-29-00_Redacted Am 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis_ESP_2023-506618-29-00_Redacted Am 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis_FRA_2023-506618-29-00_Redacted Am 1
Synopsis of the protocol (for publication) D1_Protocol Synopsis_IT_ 2023-506618-29-00_Redacted Am 1

Application history

5 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-08-15 Spain Acceptable
2023-09-26
2023-09-26
2 NON SUBSTANTIAL MODIFICATION NSM-1 2025-01-23 Spain Acceptable
2023-09-26
2025-01-23
3 NON SUBSTANTIAL MODIFICATION NSM-2 2025-10-22 Spain Acceptable
2023-09-26
2025-10-22
4 SUBSEQUENT ADDITION OF MSC APP-4 2025-10-23 2026-02-02
5 SUBSEQUENT ADDITION OF MSC APP-5 2025-11-26 Acceptable
2023-09-26
2026-02-02