A Safety and Pharmacokinetics Study of Niraparib Plus an Androgen Receptor-Targeted Therapy in Men With Metastatic Castration-Resistant Prostate Cancer (BEDIVERE)

NCT ID: NCT02924766

Last Updated: 2020-07-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

34 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-10-03

Study Completion Date

2019-07-19

Brief Summary

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The purpose of this study is to assess the safety and pharmacokinetics of niraparib when administered in combination with an androgen receptor (AR)-targeted therapy (apalutamide or abiraterone acetate plus prednisone) in adult men with metastatic castration resistant prostate cancer (mCRPC) who may or may not have deoxyribonucleic acid (DNA)-repair anomalies.

Detailed Description

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Conditions

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Prostatic Neoplasms

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 + Apalutamide/[Abiraterone Acetate + Prednisone]

Participants will receive initial starting dose of Niraparib 200 milligram (mg) once daily in combination either with Apalutamide 240 mg (4\*60 mg) once daily or Abiraterone Acetate 1000 mg (4\*250 mg) plus 10 mg Prednisone (5 mg twice daily) for 28 days of cycle 1. Once a safe dose of niraparib is selected with each Andrgen Receptor (AR)-targeted therapy \[Apalutamide or Abiraterone Acetate plus Prednisone\], then an expansion phase (Part 2) will open to further explore safety and assess antitumor activity.

Group Type EXPERIMENTAL

Niraparib

Intervention Type DRUG

Participants will start with niraparib 200 mg once daily.

Apalutamide

Intervention Type DRUG

Participants will receive apalutamide 240 mg (4\*60 mg) once daily orally.

Abiraterone Acetate

Intervention Type DRUG

Participants will receive 1000 mg (4\*250mg) once daily.

Prednisone

Intervention Type DRUG

Participants will receive 10 mg (1\*5 mg twice daily).

Interventions

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Niraparib

Participants will start with niraparib 200 mg once daily.

Intervention Type DRUG

Apalutamide

Participants will receive apalutamide 240 mg (4\*60 mg) once daily orally.

Intervention Type DRUG

Abiraterone Acetate

Participants will receive 1000 mg (4\*250mg) once daily.

Intervention Type DRUG

Prednisone

Participants will receive 10 mg (1\*5 mg twice daily).

Intervention Type DRUG

Other Intervention Names

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JNJ-64091742 ARN-509 ZYTIGA

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 be excluded
* At least 1 line of prior taxane-based chemotherapy
* At least 1 line of prior androgen receptor (AR) targeted therapy
* Progression of metastatic prostate cancer in the setting of castrate levels of testosterone or history of bilateral orchiectomy at study entry
* Eastern Cooperative Oncology Group Performance Status (ECOG PS) of lesser than or equal to \[\<=\]1

Exclusion Criteria

* Known brain metastases or history of seizure
* 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)
* Severe or unstable cardiovascular disease or uncontrolled hypertension
* Left ventricular ejection fraction (LVEF) of lesser than \[\<\] 50 percent (%) as determined by multiple uptake gated acquisition (MUGA) or echocardiography during screening
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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West Hollywood, California, United States

Site Status

Louisville, Kentucky, United States

Site Status

Portland, Oregon, United States

Site Status

Myrtle Beach, South Carolina, United States

Site Status

Vancouver, British Columbia, Canada

Site Status

Montreal, Quebec, Canada

Site Status

Countries

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United States Canada

References

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Saad F, Chi KN, Shore ND, Graff JN, Posadas EM, Lattouf JB, Espina BM, Zhu E, Yu A, Hazra A, De Meulder M, Mamidi RNVS, Bradic B, Francis P, Hayreh V, Rezazadeh Kalebasty A. Niraparib with androgen receptor-axis-targeted therapy in patients with metastatic castration-resistant prostate cancer: safety and pharmacokinetic results from a phase 1b study (BEDIVERE). Cancer Chemother Pharmacol. 2021 Jul;88(1):25-37. doi: 10.1007/s00280-021-04249-7. Epub 2021 Mar 22.

Reference Type DERIVED
PMID: 33754187 (View on PubMed)

Related Links

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https://filehosting-v2.pharmacm.com/api/Attachment/Download?tenantId=80217051&amp;parentIdentifier=CR108230&amp;attachmentIdentifier=6859793c-4a76-466e-ad41-843b583b6c9c&amp;fileName=CR108230_CSR_Synopsis.pdf&amp;versionIdentifier=

A Safety and Pharmacokinetics Study of Niraparib plus Androgen Receptor-Targeted Therapy (Apalutamide or Abiraterone Acetate plus Prednisone) in Men with Metastatic Castration-Resistant

Other Identifiers

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2016-002694-35

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

64091742PCR1001

Identifier Type: OTHER

Identifier Source: secondary_id

CR108230

Identifier Type: -

Identifier Source: org_study_id

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