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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

Trial of Niraparib in Participants with Newly-diagnosed Glioblastoma and Recurrent Glioma

Early Phase 1
Active, not recruiting
Conditions
Glioblastoma Multiforme
Glioma
Glioblastoma Multiforme of Brain
Glioblastoma
Glioma, Malignant
GBM
Interventions
Radiation: Radiation therapy
First Posted Date
2021-10-13
Last Posted Date
2025-02-27
Lead Sponsor
Nader Sanai
Target Recruit Count
42
Registration Number
NCT05076513
Locations
🇺🇸

St. Joseph's Hospital and Medical Center, Phoenix, Arizona, United States

Using Genetic Profile to Determine the Treatment for Patients With Ovarian Cancer Who Previously Received a PARP-inhibitor

Phase 2
Recruiting
Conditions
High Grade Serous Cancer
High Grade Endometrioid Cancer
Ovarian Cancer
Fallopian Tube Cancer
Primary Peritoneal Cancer
Interventions
First Posted Date
2021-10-01
Last Posted Date
2024-01-17
Lead Sponsor
University Health Network, Toronto
Target Recruit Count
40
Registration Number
NCT05065021
Locations
🇨🇦

Princess Margaret Cancer Centre, Toronto, Ontario, Canada

A Study of Niraparib in Patients With Ovarian Cancer in Clinical Practice

Active, not recruiting
Conditions
Ovarian Cancer
Interventions
First Posted Date
2021-08-25
Last Posted Date
2025-03-25
Lead Sponsor
Takeda
Target Recruit Count
354
Registration Number
NCT05021562
Locations
🇯🇵

Takeda Selected Site, Tokyo, Japan

Niraparib vs Niraparib Plus Bevacizumab in Patients With Platinum/Taxane-based Chemotherapy in Advanced Ovarian Cancer

Phase 3
Recruiting
Conditions
Ovarian Cancer
Fallopian Tube Cancer
Peritoneal Cancer
Interventions
First Posted Date
2021-08-17
Last Posted Date
2024-04-08
Lead Sponsor
AGO Study Group
Target Recruit Count
970
Registration Number
NCT05009082
Locations
🇩🇪

Klinikum Neumarkt, Neumarkt, Germany

🇩🇪

MVZ Nordhausen, Nordhausen, Germany

🇩🇪

Klinikum St. Marien Amberg, Amberg, Germany

and more 57 locations

Niraparib in Tumors Metastatic to the CNS

Phase 2
Recruiting
Conditions
Metastatic Cancer
Central Nervous System Cancer
Interventions
First Posted Date
2021-08-05
Last Posted Date
2024-12-12
Lead Sponsor
Massachusetts General Hospital
Target Recruit Count
20
Registration Number
NCT04992013
Locations
🇺🇸

Dana-Farber Cancer Institute, Boston, Massachusetts, United States

🇺🇸

Massachusetts General Hospital Cancer Center, Boston, Massachusetts, United States

🇺🇸

Brigham and Women's Hospital, Boston, Massachusetts, United States

A Study of ART4215 for the Treatment of Advanced or Metastatic Solid Tumors

Phase 1
Active, not recruiting
Conditions
Advanced Cancer
Breast Cancer
Metastatic Cancer
Interventions
First Posted Date
2021-08-05
Last Posted Date
2025-04-18
Lead Sponsor
Artios Pharma Ltd
Target Recruit Count
390
Registration Number
NCT04991480
Locations
🇺🇸

Yale School of Medicine, New Haven, Connecticut, United States

🇺🇸

Florida Cancer Specialists, Orlando, Florida, United States

🇺🇸

Memorial Sloan Kettering Cancer Center, New York, New York, United States

and more 5 locations

Real-world Study of Niraparib Maintenance Treatment in Patients With Newly Diagnosed Ovarian Cancer

Not yet recruiting
Conditions
Epithelial Ovarian Cancer
First Posted Date
2021-08-02
Last Posted Date
2021-08-02
Lead Sponsor
Ling-Ying Wu
Target Recruit Count
300
Registration Number
NCT04986371

Androgen Ablation Therapy with or Without Niraparib After Radiation Therapy for the Treatment of High-Risk Localized or Locally Advanced Prostate Cancer

Phase 2
Recruiting
Conditions
Prostate Carcinoma
Stage IIC Prostate Cancer AJCC V8
Stage III Prostate Cancer AJCC V8
Stage IIIA Prostate Cancer AJCC V8
Stage IIIB Prostate Cancer AJCC V8
Stage IIIC Prostate Cancer AJCC V8
Stage IVA Prostate Cancer AJCC V8
Interventions
Drug: Antiandrogen Therapy
Procedure: Biopsy
Radiation: Radiation Therapy
First Posted Date
2021-07-01
Last Posted Date
2025-02-13
Lead Sponsor
M.D. Anderson Cancer Center
Target Recruit Count
200
Registration Number
NCT04947254
Locations
🇺🇸

M D Anderson Cancer Center, Houston, Texas, United States

UNITO-001- Study in HRR/PDL1 Positive MPM/NSCLC

Phase 2
Recruiting
Conditions
Lung Cancer
Mesothelioma
Interventions
First Posted Date
2021-06-25
Last Posted Date
2023-05-12
Lead Sponsor
University of Turin, Italy
Target Recruit Count
70
Registration Number
NCT04940637
Locations
🇮🇹

AOU San Luigi- Department of Oncology, Orbassano, Turin, Italy

A Safety Study Adding Niraparib and Dostarlimab to Radiation Therapy for Rectal Cancers

Phase 1
Terminated
Conditions
Rectal Neoplasms
Rectal Neoplasm Malignant
Interventions
Radiation: Short course radiation
First Posted Date
2021-06-15
Last Posted Date
2025-02-27
Lead Sponsor
Joseph Caster, Ph.D., M.D.
Target Recruit Count
3
Registration Number
NCT04926324
Locations
🇺🇸

Holden Comprehensive Cancer Center at the University of Iowa, Iowa City, Iowa, United States

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