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Niraparib

Generic Name
Niraparib
Brand Names
Zejula
Drug Type
Small Molecule
Chemical Formula
C19H20N4O
CAS Number
1038915-60-4
Unique Ingredient Identifier
HMC2H89N35
Background

Niraparib is an orally active poly (ADP-ribose) polymerase (PARP) inhibitor. By blocking the enzymes responsible for DNA repair, niraparib induces cytotoxicity in cancer cells. Niraparib is selective towards PARP-1 and PARP-2. First approved by the FDA on March 27, 2017, niraparib is used to treat epithelial ovarian, fallopian tube, or primary peritoneal cancer. Niraparib was approved by the European Commission on November 16, 2017 and by Health Canada on June 27, 2019.

Indication

Niraparib is indicated for the maintenance treatment of adult patients with advanced or recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer who are in complete or partial response to first-line platinum-based chemotherapy.

In Canada and the US, niraparib is also available in a combination product with abiraterone, which is indicated with prednisone for the treatment of adults with deleterious or suspected deleterious BRCA-mutated (BRCAm) metastatic castration-resistant prostate cancer (mCRPC). In Canada, this combination product is also used with prednisolone and is reserved for patients who are asymptomatic or mildly symptomatic, and in whom chemotherapy is not clinically indicated.

Associated Conditions
Advanced Epithelial Ovarian Cancer, Advanced Primary Peritoneal Carcinoma, Metastatic Castration-Resistant Prostate Cancer (mCRPC), Recurrent Epithelial Ovarian Cancer, Recurrent Fallopian Tube Cancer, Recurrent Primary Peritoneal Cancer, Advanced Fallopian Tubes Cancer
Associated Therapies
Maintenance therapy

Niraparib Efficacy in Patient With Unresectable Mesothelioma

Phase 2
Completed
Conditions
Mesothelioma, Malignant
Interventions
Other: Active Symptom Control
First Posted Date
2022-07-13
Last Posted Date
2025-05-15
Lead Sponsor
University Hospital Southampton NHS Foundation Trust
Target Recruit Count
88
Registration Number
NCT05455424
Locations
🇬🇧

University Hospital Southampton, Southampton General Hospital, Southampton, Hampshire, United Kingdom

🇬🇧

Somerset NHS Foundation Trust, Musgrove Park Hospital, Taunton, Somerset, United Kingdom

🇬🇧

Belfast Health and Social Care Trust, Belfast City Hospital, Belfast, United Kingdom

and more 8 locations

Niraparib as First Line Therapy With Metastatic Homologous Repair-deficient Pancreatic Cancer

Phase 2
Recruiting
Conditions
Metastatic Pancreatic Cancer
Interventions
First Posted Date
2022-07-05
Last Posted Date
2023-03-30
Lead Sponsor
Centre Leon Berard
Target Recruit Count
28
Registration Number
NCT05442749
Locations
🇫🇷

Centre Léon Bérard, Lyon, France

Niraparib Maintenance Treatment in mCRC With a Partial o Complete Response After Oxaliplatin-based Induction Therapy

Phase 2
Withdrawn
Conditions
Metastatic Colorectal Cancer
Interventions
First Posted Date
2022-06-09
Last Posted Date
2023-09-08
Lead Sponsor
Ospedale Policlinico San Martino
Registration Number
NCT05412706

Niraparib In Recurrent IDH 1/2 Gliomas

Early Phase 1
Recruiting
Conditions
Low-grade Glioma
Glioma, Malignant
IDH2 Gene Mutation
Recurrent Glioma
IDH1 Mutation
Interventions
First Posted Date
2022-06-06
Last Posted Date
2024-03-29
Lead Sponsor
Massachusetts General Hospital
Target Recruit Count
16
Registration Number
NCT05406700
Locations
🇺🇸

Massachusetts General Hospital, Boston, Massachusetts, United States

Pre-approval Access Single Patient Request for Niraparib / Abiraterone Acetate Combination (Nira/AA Combination)

Conditions
Metastatic Castration-resistant Prostate Cancer
First Posted Date
2022-06-02
Last Posted Date
2023-09-15
Lead Sponsor
Janssen Research & Development, LLC
Registration Number
NCT05401214
Locations
🇲🇽

DUMMY, Dummy, Mexico

A Phase II Trial to Explore Niraparib and Anlotinib Maintenance Retreatment in Platinum-Sensitive Recurrent Ovarian Cancer Patients Previously Treated With PARPi

Phase 2
Not yet recruiting
Conditions
Epithelial Ovarian Cancer
Interventions
First Posted Date
2022-05-23
Last Posted Date
2022-05-23
Lead Sponsor
Peking Union Medical College Hospital
Target Recruit Count
35
Registration Number
NCT05385068

A Clinical Study Evaluating a Combination of Oregovomab and Niraparib in Adult Women With Platinum Sensitive Recurrent Ovarian Cancer.

Phase 2
Active, not recruiting
Conditions
Recurrent Ovarian Cancer
Recurrent Epithelial Cancer of Ovary
Peritoneal Cancer
Recurrent Epithelial Ovarian Cancer
Recurrent Fallopian Tube Cancer
Recurrent Carcinoma of Ovary
Adenocarcinoma of Ovary
Interventions
Biological: Oregovomab
First Posted Date
2022-04-20
Last Posted Date
2024-01-16
Lead Sponsor
CanariaBio Inc.
Target Recruit Count
10
Registration Number
NCT05335993
Locations
🇺🇸

Duke Cancer Center, Durham, North Carolina, United States

🇺🇸

Stephenson Cancer Center- University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, United States

🇺🇸

University of Virginia Health System, Charlottesville, Virginia, United States

PARP Inhibition for Gliomas (PI-4G or π4g)

Phase 2
Terminated
Conditions
Recurrent Glioma
Recurrent Astrocytoma
Recurrent Oligodendroglioma
Recurrent Glioblastoma
Interventions
First Posted Date
2022-03-28
Last Posted Date
2024-11-06
Lead Sponsor
University of Oklahoma
Target Recruit Count
15
Registration Number
NCT05297864
Locations
🇺🇸

Stephenson Cancer Center, Oklahoma City, Oklahoma, United States

Niraparib in High-grade Endometrial Cancer Trial

Early Phase 1
Withdrawn
Conditions
Endometrial Cancer
Serous Adenocarcinoma
Uterine Neoplasm
Interventions
First Posted Date
2022-03-21
Last Posted Date
2024-12-19
Lead Sponsor
Sir Mortimer B. Davis - Jewish General Hospital
Target Recruit Count
31
Registration Number
NCT05289648

A Dose-escalation Study of the Safety and Pharmacology of DAN-222 in Subjects With Metastatic Breast Cancer

Phase 1
Completed
Conditions
HER2-negative Metastatic Breast Cancer
Interventions
First Posted Date
2022-03-02
Last Posted Date
2023-12-13
Lead Sponsor
Dantari, Inc.
Target Recruit Count
30
Registration Number
NCT05261269
Locations
🇺🇸

UCLA - Parkside Cancer Center, Santa Monica, California, United States

🇺🇸

Magee Women's Hospital, Pittsburgh, Pennsylvania, United States

🇺🇸

Icahn School of Medicine at Mount Sinai, New York, New York, United States

and more 6 locations
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