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
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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
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
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
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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
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).