Actively Recruiting

Phase 2
Age: 18Years +
FEMALE
ID05460000

A Phase II Randomized, Open Label Non-inferiority Study of Niraparib Maintenance After 3 vs. 6 Cycles of Platinum-based Chemotherapy in Completely Debulked Advanced HRD-positive High-grade Ovarian Cancer Patients in First Line Therapy

Led by North Eastern German Society of Gynaecological Oncology · Updated on 2026-02-12

640

Participants Needed

47

Research Sites

N/A

Total Duration

On this page

Sponsors

N

North Eastern German Society of Gynaecological Oncology

Lead Sponsor

I

Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating treatments for advanced HRD-positive high-grade ovarian cancer, fallopian tube cancer, primary peritoneal cancer, and clear cell carcinoma of the ovary. The study focuses on patients with no visible tumor remaining after primary tumor debulking surgery. It aims to compare the time patients remain free from cancer recurrence when treated with different lengths of chemotherapy followed by maintenance therapy with niraparib. Participants are randomly assigned to one of two groups. One group receives 3 cycles of carboplatin plus paclitaxel chemotherapy followed by niraparib maintenance therapy, while the other group receives 6 cycles of the same chemotherapy followed by niraparib maintenance. Niraparib is taken orally daily, starting at a dose of either 200 mg or 300 mg. Treatment continues until disease progression, unacceptable side effects, or other stopping reasons. Tumor assessments using CT or MRI scans and blood tests for the tumor marker CA-125 are performed regularly to monitor disease status. During chemotherapy, clinical visits including blood tests and toxicity monitoring occur every 3 weeks, and pregnancy tests are done every 4 weeks for women of childbearing potential. During niraparib maintenance, visits and safety monitoring happen every 4 weeks for the first 11 months, then every 12 weeks afterward. Physical exams take place every 12 weeks. Safety is closely monitored through adverse event reporting. The study plans to enroll 640 patients across about 60 sites in Europe, with follow-up lasting up to 8 years to assess recurrence-free survival and other outcomes.

CONDITIONS

Brief Title

A Phase II Randomized, Open Label Non-inferiority Study of NiraParib Maintenance After 3 vs. 6 Cycles of Platinum-based Chemotherapy in completeLy debUlked Advanced HRDpositive High-grade Ovarian Cancer patientS in First Line Therapy

Who Can Participate

Age: 18Years +
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Female patients aged 18 years or older
  • Diagnosis of FIGO Stage III-IV high-grade ovarian cancer (all histological types except mucinous), fallopian tube cancer, primary peritoneal cancer, or clear cell carcinoma of the ovary
  • Complete primary tumor debulking with no visible residual tumor, confirmed by postoperative CT scan
  • Availability of tumor samples for central NGS analysis confirming HRD-positive status based on BRCAmutation or NOGGO GIS Score
  • ECOG performance status 0 or 1
  • Ability to take oral medications
  • Synchronous or secondary malignancies allowed if ovarian cancer prognosis is unaffected
  • Normal organ and bone marrow function as defined by specified blood counts and laboratory values
  • Postmenopausal status or non-childbearing status with negative pregnancy test before treatment
  • Use of highly effective contraception for women of childbearing potential during treatment and specified periods afterward
Not Eligible

You will not qualify if you...

  • Non-epithelial ovarian, fallopian tube, or peritoneal tumors (e.g., germ cell tumors) or low malignant potential tumors
  • Low-grade ovarian, fallopian tube, or peritoneal cancer
  • Known hypersensitivity to study drugs or excipients or to platinum compounds other than carboplatin
  • Posttransplant patients including previous allogeneic bone marrow transplant
  • Prior interval debulking surgery
  • Prior anti-cancer therapy for ovarian cancer other than primary surgery
  • Use of other simultaneous chemotherapy, anti-cancer therapies, or radiotherapy during trial treatment
  • Prior treatment with PARP inhibitors or participation in trials involving PARP inhibitors
  • Planned use of Bevacizumab with first-line chemotherapy or maintenance
  • Significant cardiovascular disease or recent serious vascular events
  • History or evidence of brain metastases or spinal cord compression
  • Known history or risk of myelodysplastic syndrome or acute leukemia
  • Current clinically relevant bowel obstruction or gastrointestinal disorders affecting medication absorption
  • Pregnancy, lactation, or unwillingness to use effective contraception
  • Participation in other investigational studies recently
  • Known HIV, hepatitis B or active hepatitis C infection
  • Active SARS-CoV-2 infection
  • Recent live vaccination
  • Contraindications listed in current SmPC
  • Dependence on sponsor, CRO, site, or investigator
  • In Germany: incarceration or involuntary institutionalization by court order or authorities

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Approximately 3 to 6 months depending on chemotherapy cycles plus maintenance therapy until progression or discontinuation

Participants receive either 3 or 6 cycles of chemotherapy followed by maintenance therapy with niraparib until disease progression or other stopping criteria. Clinical visits occur regularly for monitoring blood counts, toxicity, and pregnancy tests.

Clinical visits at least every 3 weeks during chemotherapy; every 4 weeks during first 11 months of maintenance; then every 12 weeks thereafter

Follow-up

Duration - Up to 8 years

Participants undergo tumor assessments and monitoring of tumor markers and safety for up to 8 years after treatment to evaluate recurrence-free survival and overall health.

Tumor assessments every 9-12 weeks initially, then every 6 months; CA-125 marker assessed every 12 weeks; physical exams every 12 weeks

Trial Site Locations

Total: 47 locations

1

Universitätsklinik Innsbruck

Innsbruck, Austria, 6020

Actively Recruiting

2

Cliniques Universitaires St. Luc

Brussels, Belgium

Active, Not Recruiting

3

UZ Gent

Ghent, Belgium

Not Yet Recruiting

4

Jessa ziekenhuis

Hasselt, Belgium

Not Yet Recruiting

5

UZ Leuven

Leuven, Belgium

Active, Not Recruiting

6

University Hospital Ostrava

Ostrava, Czechia

Active, Not Recruiting

7

General University Hospital in Prague

Prague, Czechia

Actively Recruiting

8

University Hospital Bulovka

Prague, Czechia

Active, Not Recruiting

9

Universitätsklinikum Aachen

Aachen, Germany, 52074

Actively Recruiting

10

Klinikum Mittelbaden Baden-Baden Bühl

Baden-Baden, Germany

Not Yet Recruiting

11

DRK-Kliniken Berlin-Köpenick

Berlin, Germany, 12559

Actively Recruiting

12

Charité - Universitätsmedizin Berlin, Campus Virchow Klinikum

Berlin, Germany, 13353

Actively Recruiting

13

ZAHO Bonn Onkologische Praxis

Bonn, Germany, 53115

Active, Not Recruiting

14

Uniklinikum Bonn

Bonn, Germany

Active, Not Recruiting

15

Klinikum Lippe

Detmold, Germany

Actively Recruiting

16

Universitätsklinikum Carl Gustav Carus

Dresden, Germany, 01307

Active, Not Recruiting

17

Florence-Nightingale-Krankenhaus Düsseldorf-Kaiserswerth

Düsseldorf, Germany

Active, Not Recruiting

18

Universitätsklinikum Freiburg

Freiburg im Breisgau, Germany

Active, Not Recruiting

19

Universitätsklinik Göttingen

Göttingen, Germany

Active, Not Recruiting

20

Universitätsklinikum Hamburg-Eppendorf

Hamburg, Germany

Active, Not Recruiting

21

SLK-Kliniken Heilbronn

Heilbronn, Germany

Not Yet Recruiting

22

Universitätsklinikum Schleswig-Holstein Campus Kiel

Kiel, Germany

Active, Not Recruiting

23

Universitätsklinikum Leipzig

Leipzig, Germany

Active, Not Recruiting

24

Universitätsklinik der Johannes-Gutenberg Universität Mainz

Mainz, Germany, 55131

Active, Not Recruiting

25

Diakonie Klinikum Schwäbisch Hall

Schwäbisch Hall, Germany

Actively Recruiting

26

Christliches Klinikum Unna Mitte

Unna, Germany, 59423

Active, Not Recruiting

27

Helios Dr. Horst Schmidt Kliniken Wiesbaden

Wiesbaden, Germany, 65199

Actively Recruiting

28

Policlinico St. Orsola Malpighi

Bologna, Italy

Active, Not Recruiting

29

ASST Spedali Civili di Brescia

Brescia, Italy

Active, Not Recruiting

30

ASST Lecco - Ospedale A. Manzoni

Lecco, Italy

Not Yet Recruiting

31

IRCCS Istituto nazionale dei Tumori

Milan, Italy

Not Yet Recruiting

32

AOU Cagliari

Monserrato, Italy

Not Yet Recruiting

33

Istituto Oncologico Veneto (IOV)

Padova, Italy

Active, Not Recruiting

34

Azienda Ospedaliera Universitaria Pisana

Pisa, Italy

Active, Not Recruiting

35

Azienda USL IRCCS Di Reggio Emilia

Reggio Emilia, Italy

Active, Not Recruiting

36

AO Ordine Mauriziano

Torino, Italy

Active, Not Recruiting

37

AOU Città della Salute e della Scienza di Torino - Ospedale Sant'Anna

Torino, Italy

Not Yet Recruiting

38

Hospital General Universitario Dr. Balmis

Alicante, Spain

Active, Not Recruiting

39

Hospital Virgen de las Nieves

Granada, Spain

Active, Not Recruiting

40

Hospital Universitario Lucus Augusti

Lugo, Spain

Active, Not Recruiting

41

CIOCC Clara Campal

Madrid, Spain

Active, Not Recruiting

42

H. Althaia Manresa

Manresa, Spain

Active, Not Recruiting

43

H.U. Virgen de la Macarena

Seville, Spain

Active, Not Recruiting

44

Hospital Universitario Virgen del Rocío

Seville, Spain

Active, Not Recruiting

45

Hospital Universitario Sant Joan de Reus

Tarragona, Spain

Active, Not Recruiting

46

Hospital General Universitario de Valencia

Valencia, Spain

Actively Recruiting

47

Hospital La Fe

Valencia, Spain

Active, Not Recruiting

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Research Team

J

Jessica Nguyen

J

Jasmin Yamamoto

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

A randomized, open-label phase II non-inferiority study of niraparib maintenance after 3 versus 6 cycles of platinum-based chemotherapy in patients with completely debulked advanced HRD-positive high-grade ovarian cancer in first-line therapy (N-PLUS/NOGGO-ov53/ENGOT-ov62).

Jalid Sehouli, Klaus Pietzner, Dario Zocholl...

https://pubmed.ncbi.nlm.nih.gov/42140839