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NCT Number: NCT03551171

The Clinical Trial to Evaluate the Pharmacokinetics, Safety and Tolerability of ZL-2306 (Niraparib) in Patients With Ovarian Cancer

Niraparib is a potent and highly selective PARP-1/-2 inhibitor. The primary objective of this trial is to evaluate the pharmacokinetic (PK) properties of ZL-2306 (niraparib) and its metabolite M1 in patients from Mainland China with ovarian cancer, following a single and multiple oral administration of the study drug at the indicated dose (300mg, 200mg or 100mg), once a day.

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Key information

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Phase 1

Primary location

Beijing Cancer Hospital, Beijing, Beijing Municipality, China

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Signed informed consent .
  • Female, age ≥ 18 years.
  • Histologically confirmed diagnosis of FIGO stage III or IV ovarian cancer, fallopian tube cancer, or primary peritoneal cancer.
  • Has received no further than second-line platinum-based chemotherapy, and has clinical complete response (CR) or partial response (PR) at least following 4 courses of the last platinum-based chemotherapy.
  • ECOG 0-1.
  • Has good organ function, including:
  • Patient of childbearing potential, has a negative pregnancy test when enrolled and promises to use an adequate method of contraception or abstain from activities that could result in pregnancy from enrolment to the end of study and during the 3 months after the last dose of the study treatment, or be of non-childbearing potential, can be enrolled in the study.
  • Is able to adhere to the protocol.
  • Has recovered from previous chemotherapy induced toxic side effects to ≤ grade 1 CTCAE or basal level, apart from ≤ grade 2 CTCAE peripheral neuropathy or hair loss symptoms at steady state.

Exclusion criteria

  • Has a known hypersensitivity to the active or inactive ingredients of ZL-2306 (niraparib) or compound which has similar chemical structure to ZL-2306 (niraparib).
  • Has symptomatic uncontrolled brain or leptomeningeal metastasis.
  • Major surgery or chemotherapy within 3 weeks of starting the study or patient has not recovered from any effects of the surgery.
  • Receive palliative radiotherapy encompassing > 20% of the bone marrow within 1 week of entering the study.
  • Be diagnosed any invasive cancer other than ovarian cancer (apart from cured basal cell carcinoma and squamous cell carcinoma) within 2 years prior to study enrolment.
  • Has a history or current diagnosis of myelodysplastic syndrome (MDS) and acute myeloid leukaemia (AML).
  • Has other serious or uncontrolled disease
  • Has any disease, treatment and laboratory abnormality that may interfere the study results and affect the fully attendance of study. Or the patient is considered to be not suitable for the study by the investigator. Cannot receive platelet or red blood cell transfusion within 4 weeks of study drug administration.
  • Pregnant, breastfeeding or expecting to conceive children during the study treatment period.
  • Corrected QT (QTc) interval > 470 msec.
  • Use proton pump inhibitors, antacids or histamine 2 (H2) blockers within 48hrs prior to the first drug administration for PK measurement.

Treatment and study plan

ZL-2306 (niraparib)

Drug

About 30 subjects will be enrolled to the study, and randomised into 300mg, 200mg and 100mg dose groups (about 10 subjects per group).

All subjects will be randomised into indicated dose group (300mg, 200mg or 100mg) at the first day of the first cycle. A single administration of ZL-2306 (niraparib) will be given to the subjects at indicated dose.

Primary outcomes

  1. Maximum plasma drug concentration (Cmax)

    Time frame: From pre-dose to day 1 of the 2nd cycle (each cycle is 28 days)

  2. Time to reach Cmax (Tmax)

    Time frame: From pre-dose to day 1 of the 2nd cycle (each cycle is 28 days)

  3. Terminal rate constant (λz)

    Time frame: From pre-dose to day 1 of the 2nd cycle (each cycle is 28 days)

  4. Elimination half-life (t1/2)

    Time frame: From pre-dose to day 1 of the 2nd cycle (each cycle is 28 days)

  5. Area under the plasma concentration-time curve from time zero to 24hrs (AUC (0-24))

    Time frame: From pre-dose to day 1 of the 2nd cycle (each cycle is 28 days)

  6. Area under the plasma concentration-time curve from time zero to time of last measurable concentration (AUC(0-t)) and from zero to infinity (AUC0-∞)

    Time frame: From pre-dose to day 1 of the 2nd cycle (each cycle is 28 days)

  7. Apparent total body clearance of the drug from plasma (CL/F)

    Time frame: From pre-dose to day 1 of the 2nd cycle (each cycle is 28 days)

  8. Apparent volume of distribution (Vd/f)

    Time frame: From pre-dose to day 1 of the 2nd cycle (each cycle is 28 days)

  9. Mean residence time (MRT)

    Time frame: From pre-dose to day 1 of the 2nd cycle (each cycle is 28 days)

  10. Degree of fluctuation (DF)

    Time frame: From pre-dose to day 1 of the 2nd cycle (each cycle is 28 days)

  11. Maximum plasma drug concentration at steady-state (Css max)

    Time frame: From pre-dose to day 1 of the 2nd cycle (each cycle is 28 days)

  12. Time to reach Css max (Tss max)

    Time frame: From pre-dose to day 1 of the 2nd cycle (each cycle is 28 days)

  13. Minimum plasma drug concentration at steady-state (Css min)

    Time frame: From pre-dose to day 1 of the 2nd cycle (each cycle is 28 days)

  14. Area under the plasma concentration-time curve from time zero to the end of drug administration (AUCss)

    Time frame: From pre-dose to day 1 of the 2nd cycle (each cycle is 28 days)

  15. Steady-state apparent total body clearance of drug from plasma (Clss/F)

    Time frame: From pre-dose to day 1 of the 2nd cycle (each cycle is 28 days)

  16. Accumulation ratio following multiple drug administration (RAC)

    Time frame: From pre-dose to day 1 of the 2nd cycle (each cycle is 28 days)

  17. The plasma drug concentration before drug administration

    Time frame: From pre-dose to day 1 of the 2nd cycle (each cycle is 28 days)

Secondary outcomes

  1. Number of participants with adverse events as assessed by CTCAE v4.0

    Time frame: From the signing of ICF till the end of this study (30 days after the last administration of the study drug or the date to close the clinical trial database, whichever is earlier)

Sponsors and collaborators

Lead sponsor

Zai Lab (Shanghai) Co., Ltd.

Industry

Registry information

Official study title

An Open-Label,Single-Arm,Phase I Clinical Trial to Evaluate the Pharmacokinetics,Safety and Tolerability of ZL-2306 (Niraparib) in Patients With Ovarian Cancer,Fallopian Tube Cancer and Primary Peritoneal Cancer (Collectively Termed as Ovarian Cancer)

Important dates

Study start
2017
Primary completion
2018
Study completion
2018
First posted
Jun 11, 2018
Registry last updated
Jan 24, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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