Study on Niraparib Combination Therapies for Treating Advanced Prostate Cancer

Sponsor: Janssen Research & Development, LLC

Sponsor score: 60

ClinicalTrials ID:NCT03431350

This clinical trial is testing different combinations of the drug niraparib with other treatments to see if they are safe and effective for men with advanced prostate cancer that has not responded to hormone therapy.

Patient Parameters

Program Overview

The study aims to find the best dose and evaluate the effectiveness and safety of niraparib when combined with other cancer treatments for men with metastatic castration-resistant prostate cancer (mCRPC). It will also assess how well niraparib and another drug, abiraterone acetate, work together in the body.

Description

This study involves testing niraparib in combination with other cancer-fighting drugs to treat men with advanced prostate cancer that has spread and is resistant to hormone therapy. There are three main combinations being tested:

  1. Niraparib with cetrelimab, an antibody that helps the immune system fight cancer. This part of the study will first determine the best dose and then test the combination in more patients, divided into groups based on specific biomarkers.

  2. Niraparib with abiraterone acetate and prednisone, specifically for patients whose cancer has certain DNA-repair gene defects.

  3. Niraparib with abiraterone acetate to study how these drugs are absorbed and processed in the body.

The study will have several phases, including screening, treatment, and follow-up, to monitor the effectiveness and safety of the treatments. Researchers will look at how well the drugs work, how they are processed in the body, and any side effects.

Eligibility Criteria

Exclusion Criteria

  • History or current diagnosis of certain blood disorders like myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML).
  • Having other active cancers that are progressing or need treatment changes in the last 2 years, except for certain types like non-muscle invasive bladder cancer, skin cancer, or breast cancer that are considered cured.
  • Active infections that need treatment with medication.
  • Allergies or intolerance to niraparib or its ingredients.

For Combination 3:

  • Having symptoms from cancer that has spread to the brain.
  • Previous progression of the disease while on treatment with abiraterone acetate and a similar type of drug called a PARP inhibitor, or stopping these treatments due to side effects.

Locations

FACILITYZIPCITYSTATE
Urological Associates of Southern Arizona, P.C.85741TucsonArizona
The Urology Center of Colorado80211DenverColorado
Mayo Clinic - Division Of Hematology/oncology32224JacksonvilleFlorida
First Urology, PSC47130JeffersonvilleIndiana
Chesapeake Urology Research Associates21204TowsonMaryland
Michigan Institute of Urology48084TroyMichigan
New York Oncology Hematology12208AlbanyNew York
Memorial Sloan Kettering Cancer Center10604HarrisonNew York
Memorial Sloan Kettering Cancer Center10065New YorkNew York
Thomas Jefferson University19107PhiladelphiaPennsylvania

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