An Efficacy and Safety Study of Niraparib in Men With Metastatic Castration-Resistant Prostate Cancer and DNA-Repair Anomalies

NCT ID: NCT02854436

Last Updated: 2025-11-12

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

289 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-08-31

Study Completion Date

2023-08-16

Brief Summary

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The purpose of this study is to assess the efficacy, safety, and pharmacokinetics of niraparib in men with metastatic castration-resistant prostate cancer (mCRPC) and deoxyribonucleic acid (DNA) repair anomalies.

Detailed Description

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This is a multicenter and open-label (participants and researchers are aware of the treatment that participants are receiving) study that consists of 4 phases: a Prescreening Phase for biomarker evaluation only, a Screening Phase, a Treatment Phase (Cycle 1 Day 1 and will continue until the study drug is discontinued), a Follow-up Phase (every 3 months after end of treatment visit), and a Long-term Extension Phase (until participants no longer derive benefit from treatment or until further notification on different means of study treatment). Participants will be monitored for safety during the study period, and up to 30 days after the last dose of study drug.

Conditions

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Prostatic Neoplasms

Keywords

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Prostate cancer CRPC Metastatic castrate-resistant prostate cancer Prostate neoplasm Galahad Niraparib DNA anomalies DNA defect PARP inhibitor PARPi

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Niraparib

Participants will receive 300 milligram (mg) niraparib (3 capsules\*100 mg) orally once daily.

Group Type EXPERIMENTAL

Niraparib

Intervention Type DRUG

Participants will receive 300 mg niraparib (3 capsules\*100 mg) orally once daily.

Interventions

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Niraparib

Participants will receive 300 mg niraparib (3 capsules\*100 mg) orally once daily.

Intervention Type DRUG

Other Intervention Names

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JNJ-64091742

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed prostate cancer (mixed histology is acceptable, with the exception of the small cell pure phenotype, which is excluded)
* Received a taxane-based chemotherapy for the treatment of metastatic prostate cancer with evidence of disease progression on or after treatment, or discontinued from a taxane-based chemotherapy due to an adverse event
* Received a second-generation or later androgen receptor (AR)-targeted therapy (for example, abiraterone acetate plus prednisone, enzalutamide, apalutamide) for the treatment of metastatic prostate cancer with evidence of disease progression or non-metastatic castration-resistant prostate cancer with evidence of subsequent metastasis
* Biomarker-positive by at least one of the following criteria: (a) Biallelic deoxyribonucleic acid (DNA)-repair anomaly based on a sponsor validated blood or tissue assay; (b) Germline pathogenic Breast Cancer gene (BRCA) 1 or BRCA2 by any test (somatic local results must be confirmed as positive by the sponsor-validated assay before dosing)
* Progression of metastatic prostate cancer in the setting of castrate levels of testosterone or history of bilateral orchiectomy at study entry

Exclusion Criteria

* Prior treatment with a poly (adenosine diphosphate \[ADP\] ribose) polymerase (PARP) inhibitor
* Prior platinum-based chemotherapy for the treatment of prostate cancer
* Known history or current diagnosis of myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML)
* Symptomatic or impending cord compression
* Symptomatic brain metastases
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Janssen Research & Development, LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janssen Research & Development, LLC Clinical Trial

Role: STUDY_DIRECTOR

Janssen Research & Development, LLC

Locations

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Tucson, Arizona, United States

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Los Angeles, California, United States

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Riverside, California, United States

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Sacramento, California, United States

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Aurora, Colorado, United States

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Denver, Colorado, United States

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Evanston, Illinois, United States

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Danville, Kentucky, United States

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Louisville, Kentucky, United States

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New Orleans, Louisiana, United States

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Boston, Massachusetts, United States

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Detroit, Michigan, United States

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Omaha, Nebraska, United States

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New York, New York, United States

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Durham, North Carolina, United States

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Lancaster, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Myrtle Beach, South Carolina, United States

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Houston, Texas, United States

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Charlottesville, Virginia, United States

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Fairfax, Virginia, United States

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Seattle, Washington, United States

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Madison, Wisconsin, United States

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Camperdown, , Australia

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Darlinghurst, , Australia

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East Albury, , Australia

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Kurralta Park, , Australia

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Macquarie University, , Australia

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Melbourne, , Australia

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Murdoch, , Australia

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Port Macquarie, , Australia

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Randwick, , Australia

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Wahroonga, , Australia

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Aalst, , Belgium

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Brussels, , Belgium

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Charleroi, , Belgium

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Ghent, , Belgium

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Haine-Saint-Paul, , Belgium

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Hasselt, , Belgium

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Kortrijk, , Belgium

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Liège, , Belgium

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Namur, , Belgium

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Ottignies, , Belgium

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Wilrijk, , Belgium

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Barretos, , Brazil

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Belo Horizonte, , Brazil

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Curitiba, , Brazil

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Fortaleza, , Brazil

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Ijuí, , Brazil

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Itajaí, , Brazil

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Joinville, , Brazil

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Natal, , Brazil

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Salvador, , Brazil

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São Paulo, , Brazil

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Vancouver, British Columbia, Canada

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Oshawa, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Québec, Quebec, Canada

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Aarhus N, , Denmark

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Copenhagen N, , Denmark

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Herlev, , Denmark

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Odense C, , Denmark

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Avignon, , France

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Besançon, , France

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Caen, , France

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Lyon, , France

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Nice, , France

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Paris, , France

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Reims, , France

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Strasbourg, , France

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Villejuif, , France

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Beersheba, , Israel

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Haifa, , Israel

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Kfar Saba, , Israel

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Ramat Gan, , Israel

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Zrifin, , Israel

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Alkmaar, , Netherlands

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Amsterdam, , Netherlands

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Groningen, , Netherlands

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Maastricht, , Netherlands

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Rotterdam, , Netherlands

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Moscow, , Russia

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Omsk, , Russia

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Tomsk, , Russia

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Seoul, , South Korea

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Barcelona, , Spain

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Córdoba, , Spain

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Madrid, , Spain

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Málaga, , Spain

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Pozuelo de Alarcón, , Spain

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Santander, , Spain

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Santiago de Compostela, , Spain

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Seville, , Spain

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Valencia, , Spain

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Gothenburg, , Sweden

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Lund, , Sweden

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Stockholm, , Sweden

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Umeå, , Sweden

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Kaohsiung City, , Taiwan

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Taichung, , Taiwan

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Tainan, , Taiwan

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Taipei, , Taiwan

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Taoyuan, , Taiwan

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Blackburn, , United Kingdom

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Bristol, , United Kingdom

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Cardiff, , United Kingdom

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Exeter, , United Kingdom

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London, , United Kingdom

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Preston, , United Kingdom

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Countries

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Germany United States Australia Belgium Brazil Canada Denmark France Israel Netherlands Russia South Korea Spain Sweden Taiwan United Kingdom

References

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Smith MR, Sandhu S, George DJ, Chi KN, Saad F, Thiery-Vuillemin A, Stahl O, Olmos D, Danila DC, Gafanov R, Castro E, Moon H, Joshua AM, Mason GE, Espina BM, Liu Y, Lopez-Gitlitz A, Francis P, Bevans KB, Fizazi K. Health-related quality of life in GALAHAD: A multicenter, open-label, phase 2 study of niraparib for patients with metastatic castration-resistant prostate cancer and DNA-repair gene defects. J Manag Care Spec Pharm. 2023 Jul;29(7):758-768. doi: 10.18553/jmcp.2023.29.7.758.

Reference Type DERIVED
PMID: 37404070 (View on PubMed)

Smith MR, Scher HI, Sandhu S, Efstathiou E, Lara PN Jr, Yu EY, George DJ, Chi KN, Saad F, Stahl O, Olmos D, Danila DC, Mason GE, Espina BM, Zhao X, Urtishak KA, Francis P, Lopez-Gitlitz A, Fizazi K; GALAHAD investigators. Niraparib in patients with metastatic castration-resistant prostate cancer and DNA repair gene defects (GALAHAD): a multicentre, open-label, phase 2 trial. Lancet Oncol. 2022 Mar;23(3):362-373. doi: 10.1016/S1470-2045(21)00757-9. Epub 2022 Feb 4.

Reference Type DERIVED
PMID: 35131040 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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64091742PCR2001

Identifier Type: OTHER

Identifier Source: secondary_id

2016-002057-38

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CR108208

Identifier Type: -

Identifier Source: org_study_id