NCT03748641

Brief Summary

The purpose of this study is to evaluate the effectiveness of niraparib in combination with abiraterone acetate plus prednisone (AAP) compared to AAP and placebo.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
765

participants targeted

Target at P75+ for phase_3

Timeline
10mo left

Started Jan 2019

Longer than P75 for phase_3

Geographic Reach
29 countries

318 active sites

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress90%
Jan 2019Feb 2027

First Submitted

Initial submission to the registry

November 19, 2018

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 21, 2018

Completed
2 months until next milestone

Study Start

First participant enrolled

January 25, 2019

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 8, 2021

Completed
2 years until next milestone

Results Posted

Study results publicly available

October 4, 2023

Completed
3.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

February 27, 2027

Expected
Last Updated

April 13, 2026

Status Verified

April 1, 2026

Enrollment Period

2.7 years

First QC Date

November 19, 2018

Results QC Date

September 8, 2023

Last Update Submit

April 9, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • Cohort 1: Radiographic Progression-Free Survival (rPFS) as Assessed by Blinded Independent Central Review (BICR)

    As per BICR, rPFS is time interval from the date of randomization to radiographic progression or death, whichever occurred first. Radiographic progression was determined by: (1) progression of soft tissue lesions measured by computerized tomography (CT) or magnetic resonance imaging (MRI) as per response evaluation criteria in solid tumors (RECIST) 1.1; (2) Progression of bone lesions observed by bone scan based on prostate cancer working group 3 (PCWG3) criteria. PCWG3 criteria: bone progression was confirmed by subsequent scan greater than or equal to (\>=) 6 weeks later. Week 8 scan was baseline to which all subsequent scans were compared to determine progression. Confirmatory scan \>=2 new lesions indicate progression; scan does not show \>=2 new lesions means no progression. If Week 8 scan less than (\<) 2 new bone lesions compared to baseline, the initial scan \>=2 new lesions compared to Week 8 scan indicates progression if confirmed by subsequent scan \>=6 weeks later.

    Up to 32 months

  • Cohort 1 Breast Cancer Gene (BRCA) Subgroup: Radiographic Progression-Free Survival (rPFS) as Assessed by Blinded Independent Central Review (BICR)

    As per BICR, rPFS is time interval from the date of randomization to radiographic progression or death, whichever occurred first. Radiographic progression was determined by: (1) progression of soft tissue lesions measured by CT or MRI as per RECIST 1.1; (2) Progression of bone lesions observed by bone scan based on PCWG3 criteria. PCWG3 criteria: bone progression was confirmed by subsequent scan \>=6 weeks later. Week 8 scan was baseline to which all subsequent scans were compared to determine progression. Confirmatory scan \>=2 new lesions indicate progression; scan does not show \>=2 new lesions means no progression. If Week 8 scan \<2 new bone lesions compared to baseline, the initial scan \>=2 new lesions compared to Week 8 scan indicates progression if confirmed by subsequent scan \>=6 weeks later.

    Up to 32 months

Secondary Outcomes (8)

  • Cohort 1: Overall Survival (OS)

    Up to 97 months

  • Cohort 1: Time to Symptomatic Progression

    Up to 97 months

  • Cohort 1: Time to Initiation of Cytotoxic Chemotherapy

    Up to 97 months

  • Observed Plasma Concentrations of Niraparib

    Up to 97 months

  • Observed Plasma Concentrations of Abiraterone

    Up to 97 months

  • +3 more secondary outcomes

Study Arms (3)

Cohort 1: Participants with mCRPC and HRR Gene Alteration

EXPERIMENTAL

Participants with L1 metastatic castration-resistant prostate cancer (mCRPC) and homologous recombination repair (HRR) gene alteration will receive combination of niraparib 200 milligrams (mg) or matching placebo and abiraterone acetate (AA) 1000 mg plus prednisone 10 mg. In the open label extension (OLE) phase participants earlier receiving the combination of niraparib and AAP may continue to receive open-label combination of niraparib 200 mg and AA 1000 mg plus prednisone 10 mg and those receiving placebo and AAP may cross over depending on the outcome of study to receive open-label combination of niraparib 200 mg and AA 1000 mg plus prednisone 10 mg.

Drug: NiraparibDrug: Abiraterone AcetateDrug: PrednisoneDrug: Placebo

Cohort 2: Participants with mCRPC and No HRR Gene Alteration

EXPERIMENTAL

Participants with L1 mCRPC and no HRR Gene alteration will receive combination of niraparib 200 mg or matching placebo and AA 1000 mg plus prednisone 10 mg. In the OLE phase participants earlier receiving the combination of niraparib and AAP may continue to receive open-label combination of niraparib 200 mg and AA 1000 mg plus prednisone 10 mg and those receiving placebo and AAP may cross over depending on the outcome of study to receive open-label combination of niraparib 200 mg and AA 1000 mg plus prednisone 10 mg.

Drug: NiraparibDrug: Abiraterone AcetateDrug: PrednisoneDrug: Placebo

Cohort 3 (Open-label): Participants with mCRPC

EXPERIMENTAL

Participants with mCRPC will receive a new formulation of niraparib 200 mg and AA 1000 mg tablets plus prednisone 10 mg.

Drug: PrednisoneDrug: New Formulation of Niraparib and Abiraterone Acetate (AA)

Interventions

Participants will receive niraparib 200 mg capsules or tablets once daily.

Also known as: JNJ-64091742
Cohort 1: Participants with mCRPC and HRR Gene AlterationCohort 2: Participants with mCRPC and No HRR Gene Alteration

Participants will receive AA 1000 mg tablets once daily.

Cohort 1: Participants with mCRPC and HRR Gene AlterationCohort 2: Participants with mCRPC and No HRR Gene Alteration

Participants will receive a new formulation of niraparib 200 mg and AA 1000 mg tablets once daily.

Cohort 3 (Open-label): Participants with mCRPC

Participants will receive prednisone 10 mg tablets daily.

Cohort 1: Participants with mCRPC and HRR Gene AlterationCohort 2: Participants with mCRPC and No HRR Gene AlterationCohort 3 (Open-label): Participants with mCRPC

Participants will receive matching placebo once daily.

Cohort 1: Participants with mCRPC and HRR Gene AlterationCohort 2: Participants with mCRPC and No HRR Gene Alteration

Eligibility Criteria

Age18 Years+
Sexmale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • HRR gene alteration (as identified by the sponsor's required assays) as follows:
  • Cohort 1: positive for HRR gene alteration
  • Cohort 2: not positive for DRD (that is, HRR gene alteration)
  • Cohort 3: eligible by HRR status
  • Metastatic disease documented by positive bone scan or metastatic lesions on computed tomography (CT) or magnetic resonance imaging (MRI)
  • Metastatic prostate cancer in the setting of castrate levels of testosterone less than or equal to (\<=) 50 nanogram per deciliter (ng/dL) on a gonadotropin releasing hormone analog (GnRHa) or bilateral orchiectomy
  • Able to continue GnRHa during the study if not surgically castrate
  • Score of \<= 3 on the brief pain inventory-short form (BPI-SF) question number 3 (worst pain in last 24 hours)

You may not qualify if:

  • Prior treatment with a poly (adenosine diphosphate \[ADP\]-ribose) polymerase (PARP) inhibitor
  • Systemic therapy (that is, novel second-generation AR-targeted therapy such as enzalutamide, apalutamide, or darolutamide; taxane-based chemotherapy, or more than 4 months of abiraterone acetate plus prednisone \[AAP\] prior to randomization) in the metastatic castration-resistant prostate cancer (mCRPC) setting; or AAP outside of the mCRPC setting
  • Symptomatic brain metastases
  • History or current diagnosis of myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML)
  • Other prior malignancy (exceptions: adequately treated basal cell or squamous cell skin cancer, superficial bladder cancer, or any other cancer in situ currently in complete remission) \<= 2 years prior to randomization, or malignancy that currently requires active systemic therapy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (318)

Urology Centers Of Alabama

Homewood, Alabama, 35209, United States

Location

Mayo Clinic Arizona

Phoenix, Arizona, 85054, United States

Location

Urological Associates of Southern Arizona, P.C.

Tucson, Arizona, 85741, United States

Location

Arkansas Urology

Little Rock, Arkansas, 72211, United States

Location

Kaiser Permanente

Riverside, California, 92505, United States

Location

San Bernardino Urological Associates

San Bernardino, California, 92404, United States

Location

University of California San Francisco

San Francisco, California, 94158, United States

Location

Sansum Clinic Pharm

Santa Barbara, California, 93105, United States

Location

The Urology Center of Colorado

Denver, Colorado, 80211, United States

Location

Colorado Clinical Research

Lakewood, Colorado, 80228, United States

Location

VA Connecticut Healthcare

West Haven, Connecticut, 06516, United States

Location

Bay Pines VA Healthcare System

Bay Pines, Florida, 33744, United States

Location

Advanced Urology Institute

Daytona Beach, Florida, 32114, United States

Location

University of Florida Health Jacksonville

Jacksonville, Florida, 32209, United States

Location

Mayo Clinic - Division Of Hematology/oncology

Jacksonville, Florida, 32224, United States

Location

Veterans Affairs Medical Ctr

Hines, Illinois, 60141, United States

Location

Fort Wayne Medical Oncology and Hematology

Fort Wayne, Indiana, 46825, United States

Location

First Urology

Jeffersonville, Indiana, 47130, United States

Location

University of Kansas Medical Center

Kansas City, Kansas, 66160, United States

Location

Norton Healthcare

Louisville, Kentucky, 40202, United States

Location

Ochsner Clinic Foundation

New Orleans, Louisiana, 70121, United States

Location

Rcca Md, Llc

Bethesda, Maryland, 20817, United States

Location

Chesapeake Urology Research Associates

Towson, Maryland, 21204, United States

Location

Massachusetts General

Boston, Massachusetts, 02114, United States

Location

Michigan Institute of Urology

Troy, Michigan, 48084, United States

Location

Kansas City Veterans Affairs Medical Center

Kansas City, Missouri, 64128, United States

Location

Adult Pediatric Urology & Urogynecology, P.C

Omaha, Nebraska, 68114, United States

Location

Nebraska Cancer Specialists

Omaha, Nebraska, 68130, United States

Location

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, 89169, United States

Location

Delaware Valley Urology, LLC

Mount Laurel, New Jersey, 08054, United States

Location

New York Oncology Hematology

Albany, New York, 12208, United States

Location

Icahn School of Medicine at Mount Sinai - The Derald H. Ruttenberg

New York, New York, 10029, United States

Location

Memorial Sloan Kettering Cancer Center

New York, New York, 10065, United States

Location

Upstate Cancer Center

Syracuse, New York, 13210, United States

Location

Helios Clinical Research, LLC

Middleburg Heights, Ohio, 44130, United States

Location

Oregon Urology Institute

Springfield, Oregon, 97477, United States

Location

MidLantic Urology

Bala-Cynwyd, Pennsylvania, 19004, United States

Location

Lancaster Urology

Lancaster, Pennsylvania, 17604, United States

Location

VA Pittsburgh

Pittsburgh, Pennsylvania, 15240, United States

Location

Carolina Urologic Research Center

Myrtle Beach, South Carolina, 29572, United States

Location

Urology Associates

Nashville, Tennessee, 37209, United States

Location

Houston Metro Urology

Houston, Texas, 77027, United States

Location

University of Texas MD Anderson Cancer Center

Houston, Texas, 77030, United States

Location

Utah Cancer Specialists

Salt Lake City, Utah, 84106, United States

Location

Salem VA Medical Center

Salem, Virginia, 80113, United States

Location

Urology of Virginia, PLCC

Virginia Beach, Virginia, 23462, United States

Location

NorthWest Medical Specialties, PLLC

Tacoma, Washington, 98405, United States

Location

Hospital Aleman

Buenos Aires, C1118AAT, Argentina

Location

Centro Oncológico Korben

Buenos Aires, C1426AGE, Argentina

Location

CEMIC Saavedra

Buenos Aires, C1431FWN, Argentina

Location

Centro de Urologia (CDU)

Ciudad Automoma Buenos Aires, C1120AAT, Argentina

Location

Cemaic Centro Privado de Especialidades Medicas Ambulatorias e Investigacion Clinica

Córdoba, 5000, Argentina

Location

Hospital Privado Centro Medico de Cordoba

Córdoba, X5016KEH, Argentina

Location

Instituto de Investigaciones Clinicas Mar del Plata

Mar del Plata, B7600FZN, Argentina

Location

Hospital Privado de Comunidad

Mar del Plata, B7602CBM, Argentina

Location

Centro de Investigacion Pergamino SA

Pergamino, B2700CPM, Argentina

Location

Sanatorio Britanico de Rosario

Rosario, 2000, Argentina

Location

Sanatorio Parque

Rosario, S2000SDV, Argentina

Location

ARS Médica

San Salvador de Jujuy, Y4600AFW, Argentina

Location

Royal Adelaide Hospital

Adelaide, 5000, Australia

Location

Pindara Private Hospital

Benowa, 4217, Australia

Location

Sunshine Coast University Hospital

Birtinya, 4575, Australia

Location

Princess Alexandra Hospital

Brisbane, 4102, Australia

Location

St Vincent s Hospital Sydney

Darlinghurst, 2010, Australia

Location

Royal Hobart Hospital

Hobart, 7000, Australia

Location

Macquarie University

Macquarie University, 2109, Australia

Location

Eye Surgery Associates

Malvern, 3144, Australia

Location

Peter MacCallum Cancer Centre

Melbourne, 3000, Australia

Location

Fiona Stanley Hospital

Murdoch, 6150, Australia

Location

Hollywood Private Hospital

Nedlands, 6009, Australia

Location

Prince Of Wales Hospital

Randwick, 2031, Australia

Location

Sydney Adventist Hospital

Wahroonga, 2076, Australia

Location

Wollongong Private Hospital

Wollongong, 2500, Australia

Location

OLV Ziekenhuis Aalst

Aalst, 9300, Belgium

Location

ZAS Augustinus

Antwerp, 2610, Belgium

Location

Grand Hopital de Charleroi, site Notre Dame

Charleroi, 6000, Belgium

Location

AZ Maria Middelares

Ghent, 9000, Belgium

Location

Centre Hospitalier Universitaire de Liege Domaine Universitaire du Sart Tilman

Liège, B-4000, Belgium

Location

ZNA Jan Palfijn

Merksem, 2170, Belgium

Location

Fundacao Pio XII

Barretos, 14784-400, Brazil

Location

PERSONAL Oncologia de Precisao e Personalizada

Belo Horizonte, 30130-090, Brazil

Location

Sociedade Beneficente de Senhoras - Hospital Sirio Libanes HSL Unidade Brasilia

Brasília, 7020-730, Brazil

Location

CIONC Centro Integrado de Oncologia de Curitiba

Curitiba, 80810 050, Brazil

Location

Pronutrir

Fortaleza, 60 810180, Brazil

Location

Associacao de Combate ao Cancer em Goias - Hospital de Cancer Araujo Jorge

Goiânia, 74605-070, Brazil

Location

Oncosite - Centro de Pesquisa Clínica em Oncologia Ltda

Ijuí, 98700-000, Brazil

Location

Fundacao Sao Francisco Xavier

Ipatinga, 35162 189, Brazil

Location

Instituto Joinvilense de Hematologia e Oncologia Ltda Centro de Hematologia e Oncologia

Joinville, 89201-260, Brazil

Location

Medradius Clinica de Medicina Nuclear e Radiologia de Maceio Ltda.

Maceió, 57052-765, Brazil

Location

Liga Norte Riograndense Contra O Cancer

Natal, 59062 000, Brazil

Location

Irmandade Santa Casa de Misericordia de Porto Alegre

Porto Alegre, 90020-090, Brazil

Location

Hospital Ernesto Dornelles

Porto Alegre, 90160-093, Brazil

Location

Ministerio da Saude Instituto Nacional do Cancer

Rio de Janeiro, 20230 130, Brazil

Location

Universidade do Estado do Rio de Janeiro - UERJ

Rio de Janeiro, 20551-030, Brazil

Location

Oncoclinicas Rio de Janeiro S A

Rio de Janeiro, 22250 905, Brazil

Location

Instituto de Educacao, Pesquisa e Gestao em Saude Instituto Americas (COI)

Rio de Janeiro, 22775 001, Brazil

Location

Hospital Santa Isabel

Salvador, 40050-410, Brazil

Location

Fundacao do ABC Centro Universitario FMABC

Santo André, 09060 870, Brazil

Location

Irmandade Santa Casa de Misericordia de Sao Paulo

São Paulo, 01221-020, Brazil

Location

Instituto de Ensino e Pesquisa São Lucas

São Paulo, 01236-030, Brazil

Location

Fundacao Faculdade de Medicina Instituto do Cancer do Estado de Sao Paulo

São Paulo, 01246 000, Brazil

Location

Hospital Alemao Oswaldo Cruz

São Paulo, 01421-000, Brazil

Location

Fundacao Antonio Prudente A C Camargo Cancer Center

São Paulo, 01509 900, Brazil

Location

Núcleo de Pesquisa São Camilo

São Paulo, 04014-002, Brazil

Location

Instituto de Assistencia Medica ao Servidor Publico Estadual IAMSPE

São Paulo, 04039-004, Brazil

Location

Instituto D Or de Pesquisa e Ensino IDOR

São Paulo, 04502-001, Brazil

Location

IOS - Instituto de Oncologia de Sorocaba Dr. Gilson Delgado

Sorocaba, 18030-005, Brazil

Location

Instituto do Cancer De Tres Lagoas

Três Lagoas, 79601-001, Brazil

Location

MHAT Deva Maria

Burgas, 8001, Bulgaria

Location

UMHAT 'Dr. Georgi Stranski', EAD

Pleven, 5800, Bulgaria

Location

Complex Oncology Center - Plovdiv EOOD

Plovdiv, 4004, Bulgaria

Location

Specialized Hospital for Active Treatment in Oncology EAD

Sofia, 1756, Bulgaria

Location

SHATOD 'Dr. Marko Antonov Markov'

Varna, 9010, Bulgaria

Location

Comprehensive Cancer Center

Vratsa, 3001, Bulgaria

Location

Southern Alberta Institute of Urology / Prostate Cancer Centre

Calgary, Alberta, T2V 1P9, Canada

Location

British Columbia Cancer Agency BCCA Vancouver Centre

Vancouver, British Columbia, V5Z 4E6, Canada

Location

British Columbia Cancer Agency Vancouver Island Centre

Victoria, British Columbia, V8R 6V5, Canada

Location

McMaster Institute of Urology

Hamilton, Ontario, L8N 4A6, Canada

Location

Cancer Centre of Southeastern Ontario (Kingston Regional Cancer Centre)

Kingston, Ontario, K7L 3N6, Canada

Location

Sunnybrook Health Sciences Center

Toronto, Ontario, M4N 3M5, Canada

Location

Princess Margaret Cancer Centre University Health Network

Toronto, Ontario, M5G2M9, Canada

Location

Centre de Recherche du CHUM

Montreal, Quebec, H2X 0A9, Canada

Location

Saskatoon Cancer Centre

Saskatoon, Saskatchewan, S7N 4H4, Canada

Location

Cancer Hospital Chinese Academy of Medical Sciences

Beijing, 100021, China

Location

Peking University First Hospital

Beijing, 100034, China

Location

Beijing Friendship Hospital

Beijing, 100050, China

Location

Beijing Cancer Hospital of Peking University

Beijing, 100142, China

Location

Peking University Third Hospital

Beijing, 100191, China

Location

Beijing Hospital

Beijing, 100730, China

Location

Sichuan Provincial Peoples Hospital

Chengdu, 610072, China

Location

Southwest Hospital, The Third Military Medical University

Chongqing, 400025, China

Location

Chongqing University Cancer Hospital

Chongqing, 400030, China

Location

Fujian Medical University Union Hospital

Fuzhou, 350001, China

Location

Sun Yat-Sen Memorial Hospital Sun Yat-sen University

Guangzhou, 510120, China

Location

Guangzhou First Municipal People's Hospital

Guangzhou, 510180, China

Location

Nanjing Drum Tower Hospital

Nanjing, 210008, China

Location

Jiangsu Cancer Hospital

Nanjing, 210009, China

Location

Drug clinical trial ethics committee of Ningbo First Hospital

Ningbo, 315010, China

Location

Renji Hospital, Shanghai Jiaotong University School of Medicine

Shanghai, 200001, China

Location

Fudan University Shanghai Cancer Center

Shanghai, 200032, China

Location

Huashan Hospital Fudan University

Shanghai, 200040, China

Location

ShangHai Huadong Hospital

Shanghai, 200040, China

Location

The Fifth People's Hospital of Shanghai, Fudan University

Shanghai, 200240, China

Location

The First Affiliated Hospital of Soochow University

Suzhou, 215006, China

Location

Tianjin Medical University Cancer Hospital

Tianjin, 300060, China

Location

The Central Hospital of Wuhan

Wuhan, 430014, China

Location

Tongji Hospital Tongji Medical College of Huazhong University of Science and Technology

Wuhan, 430030, China

Location

Wuxi People s Hospital

Wuxi, 214023, China

Location

The First Affiliated Hospital of Xian Jiaotong University

Xi'an, 710061, China

Location

Fakultni nemocnice Hradec Kralove

Hradec Králove, 500 05, Czechia

Location

Krajská nemocnice Liberec

Liberec, 460 63, Czechia

Location

Uromedical Center s.r.o.

Olomouc, 77900, Czechia

Location

Multiscan s.r.o.

Pardubice, 53203, Czechia

Location

Fakultni nemocnice Plzen, Urologicka klinika

Pilsen, 305 99, Czechia

Location

Urologicka klinika 1 LF UK a VFN

Prague, 120 00, Czechia

Location

Thomayerova nemocnice, Onkologicka klinika

Prague, 140 59, Czechia

Location

Uherskohradistska nemocnice a.s.

Uherské Hradiště, 68668, Czechia

Location

CHRU De Besancon

Besançon, 25030, France

Location

Institut Bergonie

Bordeaux, 33000, France

Location

Centre Jean Perrin

Clermont-Ferrand, 63011, France

Location

Centre Leon Berard

Lyon, 69008, France

Location

Institut Regional du Cancer de Montpellier Val d'Aurelle

Montpellier, 34298, France

Location

Polyclinique de Gentilly

Nancy, 54100, France

Location

Centre Antoine Lacassagne

Nice, 06189, France

Location

Hopital Europeen Georges-Pompidou

Paris, 75908, France

Location

Institut de Cancerologie de l Ouest ICO

Saint-Herblain, 44805, France

Location

HIA Begin

Saint-Mandé, 94163, France

Location

Hôpitaux Universitaires de Strasbourg - Hôpital de Hautepierre

Strasbourg, 67098, France

Location

Städtisches Klinikum Braunschweig gGmbH - Standort Salzdahlumer

Braunschweig, 38126, Germany

Location

Urologicum Duisburg

Duisburg, 47179, Germany

Location

Universitätsklinikum des Saarlandes

Homburg, 66424, Germany

Location

Universitätsklinikum Otto-von-Guericke-Universität Magdeburg

Magdeburg, 39120, Germany

Location

Universitaetsklinikum Muenster

Münster, 48149, Germany

Location

Studienpraxis Urologie Drs. Feyerabend

Nürtingen, 72622, Germany

Location

Semmelweis Egyetem, Urológia Klinika

Budapest, 1082, Hungary

Location

Országos Onkológiai Intézet, C Belgyógyászati-Onkológiai és Klinikai Farmakológiai Osztály

Budapest, 1122, Hungary

Location

Debreceni Egyetem Klinikai Kozpont

Debrecen, 4032, Hungary

Location

Bekes Megyei Kozponti Korhaz Pandy Kalman Tagkorhaz

Gyula, 5700, Hungary

Location

Szabolcs-Szatmar-Bereg Megyei Korhazak es Egyetemi Oktatokorhaz, Josa Andras Oktatokorhaz

Nyíregyháza, 4400, Hungary

Location

Uro-Clin Kft.

Pécs, 7621, Hungary

Location

Szegedi Tudomanyegyetem

Szeged, 6720, Hungary

Location

Szegedi Tudomanyegyetem 1

Szeged, 6725, Hungary

Location

Markusovszky Egyetemi Oktatokorhaz

Szombathely, 9700, Hungary

Location

Asaf Harofe Medical Center

Beer Yaakov, 60930, Israel

Location

Rambam Health Care Campus

Haifa, 31096, Israel

Location

Rabin Medical Center

Petah Tikva, 49100, Israel

Location

Sheba Medical Center Tel Hashomer

Ramat Gan, 52621, Israel

Location

AUSL Romagna - Ospedale di Faenza

Faenza, 48018, Italy

Location

Ospedale San Raffaele

Milan, 20132, Italy

Location

ASST Grande Ospedale Metropolitano Niguarda

Milan, 20162, Italy

Location

Oncologia Medica A - Ist Naz Tumori G Pascale

Naples, 80131, Italy

Location

Istituto Oncologico Veneto Iov Irccs Padova

Padova, 35128, Italy

Location

Oncologia Medica - Azienda Ospedaliero Universitaria Di Parma

Parma, 43126, Italy

Location

Ospedale S. Maria Della Misericordia Centro Operativo Studi Clinici SC Oncologia Medica

Perugia, 06132, Italy

Location

Azienda Ospedaliero Universitaria Pisana

Pisa, 56126, Italy

Location

Fondazione Policlinico Universitario A Gemelli IRCCS

Roma, 00168, Italy

Location

Campus Bio Medico di Roma

Roma, 128, Italy

Location

Azienda Ospedaliera S. Maria Terni

Terni, 5100, Italy

Location

A.O.U. Città della Salute e della Scienza

Torino, 10126, Italy

Location

Ospedale Santa Chiara Trento

Trento, 38122, Italy

Location

Hospital Pulau Pinang

George Town, 10990, Malaysia

Location

Hospital Sultan Ismail

Johor Bahru, 81100, Malaysia

Location

Hospital Likas

Kota Kinabalu, 88996, Malaysia

Location

Hospital Kuala Lumpur

Kuala Lumpur, 50586, Malaysia

Location

University Malaya Medical Centre

Kuala Lumpur, 59100, Malaysia

Location

Sarawak General Hospital

Kuching, 93586, Malaysia

Location

iBiomed Research Unit

Aguascalientes, 20010, Mexico

Location

Consultorio de Especialidad en Urologia Privado

Durango, 34000, Mexico

Location

Mexico Centre for Clinical Research, S.A. de C.V.

Mexico City, 03100, Mexico

Location

Avix Investigacion Clinica S C

Monterrey, 64710, Mexico

Location

Consultorio Privado

Zapopan, 45040, Mexico

Location

Antoni van Leeuwenhoek

Amsterdam, 1066 CX, Netherlands

Location

Universitair Medisch Centrum Groningen

Groningen, 9713 GZ, Netherlands

Location

MC Haaglanden Lok Antoniushove - Afd.Interne - INT

Leidschendam, 2262 BA, Netherlands

Location

St. Antonius Ziekenhuis (St. Antonius Hospital)

Nieuwegein, 3430EM, Netherlands

Location

Canisius-Wilhelminaziekenhuis

Nijmegen, 6532 SZ, Netherlands

Location

Erasmus MC

Rotterdam, 3075 EA, Netherlands

Location

Zuyderland Medical Center

Sittard-Geleen, 6162 BG, Netherlands

Location

Szpital Uniwersytecki NR 1 IM Dr Antoniego Jurasza

Bydgoszcz, 85 094, Poland

Location

Centrum Onkologii im Prof F Lukaszczyka

Bydgoszcz, 85 796, Poland

Location

Uniwersyteckie Centrum Kliniczne

Gdansk, 80 214, Poland

Location

Szpitale Pomorskie Sp z o o

Gdynia, 81 519, Poland

Location

Wojewodzki Szpital Specjalistyczny im. M. Kopernika w Lodzi

Lodz, 93-509, Poland

Location

Urologica Praktyka Lekarska Adam Marcheluk

Siedlce, 08-110, Poland

Location

Pomorski Uniwersytet Medyczny w Szczecinie

Szczecin, 70 111, Poland

Location

Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut Badawczy

Warsaw, 02-781, Poland

Location

Dolnoslaskie Centrum Onkologii

Wroclaw, 53 413, Poland

Location

Hospitais da universidade de Coimbra

Coimbra, 3000-075, Portugal

Location

Instituto Portugues de Oncologia de Coimbra Francisco Gentil, EPE

Coimbra, 3000-075, Portugal

Location

Champalimaud Foundation Champalimaud Centre

Lisbon, 1400-038, Portugal

Location

Centro Hospitalar Lisboa Norte EPE Hosp. Santa Maria

Lisbon, 1649-035, Portugal

Location

H. Santo António - Centro Hospitalar do Porto

Porto, 4099-001, Portugal

Location

VA Caribbean Healthcare System

San Juan, 00921, Puerto Rico

Location

Altai Regional Oncology Dispensary

Barnaul, 656045, Russia

Location

Ivanovo Regional Oncology Dispensary

Ivanovo, 153040, Russia

Location

GUZ Kursk Regional Oncology Dispensary

Kursk, 305524, Russia

Location

Russian Scientific Center of Roentgenoradiology

Moscow, 117997, Russia

Location

Moscow City Clinical Hospital # 62

Moscow, 125130, Russia

Location

Clinical Diagnostic Centre of Nizhny Novgorod Region

Nizhny Novgorod, 603000, Russia

Location

Clinical Oncology Dispensary

Omsk, 644013, Russia

Location

LLC Novaya Clinica

Pyatigorsk, 357500, Russia

Location

Pyatigorsk Interdistrict Oncology Dispensary

Pyatigorsk, 357502, Russia

Location

Leningrad Regional Oncology Dispensary

Saint Petersburg, 191104, Russia

Location

Private Medical Institution Euromedservice

Saint Petersburg, 196603, Russia

Location

Russian Scientific Center of Radiology and Surgical Technologies

Saint Petersburg, 197758, Russia

Location

Republican Oncology Dispensary

Saransk, 430032, Russia

Location

Oncologic Dispensary No.2

Sochi, 354057, Russia

Location

Tambov Regional Oncology Clinical Dispansary

Tambov, 392013, Russia

Location

Tomsk Cancer Research Institute

Tomsk, 634050, Russia

Location

Medical-sanitary unit 'Neftyanik'

Tyumen, 625000, Russia

Location

Vologda Regional Oncological Dispensary

Vologda, 160012, Russia

Location

Clinresco Centres Pty Ltd

Johannesburg, 1619, South Africa

Location

Clinical Research Unit

Pretoria, 0001, South Africa

Location

Pusan National University Hospital

Busan, 49241, South Korea

Location

Kyungpook National University Chilgok Hospital

Daegu, 41404, South Korea

Location

Keimyung University Dongsan Hospital

Daegu, 42601, South Korea

Location

Chungnam National University Hospital

Daejeon, 35015, South Korea

Location

Chonnam National University Hospital

Gwangju, 61469, South Korea

Location

National Cancer Center

Gyeonggi-do, 10408, South Korea

Location

Ajou University Hospital

Gyeonggi-do, 443-721, South Korea

Location

Seoul National University Bundang Hospital

Seongnam-si, 13620, South Korea

Location

Seoul National University Hospital

Seoul, 03080, South Korea

Location

Severance Hospital Yonsei University Health System

Seoul, 03722, South Korea

Location

Asan Medical Center

Seoul, 05505, South Korea

Location

Gangnam Severance Hospital, Yonsei University Health System

Seoul, 06273, South Korea

Location

Samsung Medical Center

Seoul, 06351, South Korea

Location

The Catholic University of Korea Seoul St Marys Hospital

Seoul, 06591, South Korea

Location

Hospital Juan Canalejo

A Coruña, 15006, Spain

Location

Hosp. Del Mar

Barcelona, 08003, Spain

Location

Hosp. de La Santa Creu I Sant Pau

Barcelona, 08025, Spain

Location

Hosp Clinic de Barcelona

Barcelona, 08036, Spain

Location

Hosp. de Jerez de La Frontera

Jerez de la Frontera, 11407, Spain

Location

Hosp. Univ. Ramon Y Cajal

Madrid, 28034, Spain

Location

Hosp. Clinico San Carlos

Madrid, 28040, Spain

Location

Hosp Virgen de La Victoria

Málaga, 29010, Spain

Location

Hosp. Quiron Madrid Pozuelo

Pozuelo de Alarcón, 28223, Spain

Location

Corporacio Sanitari Parc Tauli

Sabadell, 08208, Spain

Location

Hosp. Univ. Marques de Valdecilla

Santander, 39008, Spain

Location

Hosp. Univ. I Politecni La Fe

Valencia, 46026, Spain

Location

Sodersjukhuset

Stockholm, 11883, Sweden

Location

Karolinska Universitetssjukhuset Solna

Stockholm, 171 76, Sweden

Location

Akademiska Sjukhuset

Uppsala, 751 85, Sweden

Location

Kaohsiung Medical University Chung Ho Memorial Hospital

Kaohsiung City, 807, Taiwan

Location

China Medical University Hospital

Taichung, 403, Taiwan

Location

Taichung Veterans General Hospital

Taichung, 40705, Taiwan

Location

Tungs' Taichung MetroHarbor Hospital

Taichung, 435, Taiwan

Location

Chi Mei Medical Center Yong Kang

Tainan, 710, Taiwan

Location

National Taiwan University Hospital

Taipei, 100, Taiwan

Location

Taipei Veterans General Hospital

Taipei, 11217, Taiwan

Location

Chang Gung Memorial Hospital

Taoyuan District, 33305, Taiwan

Location

Cukurova University, Faculty of Medicine

Adana, 01330, Turkey (Türkiye)

Location

Dr Abdurrahman Yurtaslan Oncology Training and Research Hospital

Ankara, 06200, Turkey (Türkiye)

Location

Ankara Bilkent Sehir Hastanesi

Ankara, 6560, Turkey (Türkiye)

Location

Akdeniz University Medical Faculty

Antalya, 07070, Turkey (Türkiye)

Location

Trakya University Medical Faculty

Edirne, 22030, Turkey (Türkiye)

Location

Istanbul University Cerrahpasa Medical Faculty

Istanbul, 34098, Turkey (Türkiye)

Location

Bakirkoy Training and Research Hospital

Istanbul, 34147, Turkey (Türkiye)

Location

Goztepe Prof Dr Suleyman Yalcin Sehir Hastanesi

Istanbul, 34722, Turkey (Türkiye)

Location

IEU Medical Point Hospital

Izmir, 35575, Turkey (Türkiye)

Location

Kocaeli University Medical Faculty

Kocaeli, 41380, Turkey (Türkiye)

Location

CNE Clinical Center of Oncology Hematology Transplantology and Palliative Care of the Cherkasy RC

Cherkasy, 18009, Ukraine

Location

Ce 'Dnipropetrovsk Regional Clinical Hospital N.A. Mechnikov' of Dnipropetrovsk Rc

Dnipo, 49005, Ukraine

Location

Municipal Institution 'Clinical Oncology Dispensary' Under Dnipropetrovsk Regional Council

Dnipro, 49100, Ukraine

Location

Dnipropetrovsk State Medical Academy, Dnipropetrovsk City Multifield Clinical Hospital # 4

Dnipro, 49102, Ukraine

Location

Ivano-Frankivsk Regional Clinical Hospital

Ivano-Frankivsk, 76008, Ukraine

Location

Municipal non-profit enterprise 'Regional Center of Oncology'

Khakhiv, 61070, Ukraine

Location

Regional Clinical Center of Urology and Nephrology n.a. V.I. Shapoval

Kharkiv, 61037, Ukraine

Location

State Nonprofit Enterprise National Cancer Institute

Kyiv, 03022, Ukraine

Location

State Institution Institute of Urology NAMS of Ukraine based on Kyiv City Clinical Oncology Center

Kyiv, 03115, Ukraine

Location

Communal Noncommercial Enterprise of Lviv Regional Council 'Lviv Regional Clinical Hospital'

Lviv, 79010, Ukraine

Location

ME 'Poltava Regional Clinical Hospital n.a. M.V. Sklifosovsky of the Poltava Regional Council'

Poltava, 36024, Ukraine

Location

Municipal Oncology Centre of Uzhgorod Central Municipal Clinical Hospitlal

Uzhhorod, 88000, Ukraine

Location

Royal Blackburn Hospital

Blackburn, BB2 3HH, United Kingdom

Location

Royal Lancaster Infirmary

Lancaster, LA1 4RP, United Kingdom

Location

UCL Cancer Institute

London, WC1E 6DD, United Kingdom

Location

Torbay Hospital-Devon

Torquay, TQ2 7AA, United Kingdom

Location

Royal Cornwall Hospitals NHS Trust - Royal Cornwall Hospital

Truro, TR1 3LJ, United Kingdom

Location

New Cross Hospital

Wolverhampton, WV10 0QP, United Kingdom

Location

Related Publications (4)

  • Rathkopf DE, Roubaud G, Chi KN, Efstathiou E, Attard G, Olmos D, Small EJ, Saad M, Castro E, Kim W, Wu D, Bertzos K, Dibaj S, Zhang J, Francis P, Smith MR. Patient-reported Outcomes for Patients with Metastatic Castration-resistant Prostate Cancer and BRCA1/2 Gene Alterations: Final Analysis from the Randomized Phase 3 MAGNITUDE Trial. Eur Urol. 2025 Oct;88(4):359-369. doi: 10.1016/j.eururo.2024.09.003. Epub 2024 Sep 23.

  • Roubaud G, Attard G, Boegemann M, Olmos D, Trevisan M, Antoni L, Pascoe K, Capone C, Van Sanden S, Hashim M, Palmer S, Chi K. Adjustment for imbalances in baseline characteristics in the MAGNITUDE phase 3 study confirms the clinical benefit of niraparib in combination with abiraterone acetate plus prednisone in patients with metastatic prostate cancer. Eur J Cancer. 2024 Sep;209:114183. doi: 10.1016/j.ejca.2024.114183. Epub 2024 Jun 17.

  • De Santis M, Breijo SM, Robinson P, Capone C, Pascoe K, Van Sanden S, Hashim M, Trevisan M, Daly C, Reitsma F, van Beekhuizen S, Ruan H, Heeg B, Verzoni E. Feasibility of Indirect Treatment Comparisons Between Niraparib Plus Abiraterone Acetate and Other First-Line Poly ADP-Ribose Polymerase Inhibitor Treatment Regimens for Patients with BRCA1/2 Mutation-Positive Metastatic Castration-Resistant Prostate Cancer. Adv Ther. 2024 Aug;41(8):3039-3058. doi: 10.1007/s12325-024-02918-6. Epub 2024 Jul 3.

  • Chi KN, Rathkopf D, Smith MR, Efstathiou E, Attard G, Olmos D, Lee JY, Small EJ, Pereira de Santana Gomes AJ, Roubaud G, Saad M, Zurawski B, Sakalo V, Mason GE, Francis P, Wang G, Wu D, Diorio B, Lopez-Gitlitz A, Sandhu S; MAGNITUDE Principal Investigators. Niraparib and Abiraterone Acetate for Metastatic Castration-Resistant Prostate Cancer. J Clin Oncol. 2023 Jun 20;41(18):3339-3351. doi: 10.1200/JCO.22.01649. Epub 2023 Mar 23.

MeSH Terms

Conditions

Prostatic Neoplasms, Castration-Resistant

Interventions

niraparibAbiraterone AcetatePrednisone

Condition Hierarchy (Ancestors)

Prostatic NeoplasmsGenital Neoplasms, MaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsGenital Diseases, MaleGenital DiseasesUrogenital DiseasesProstatic DiseasesMale Urogenital Diseases

Intervention Hierarchy (Ancestors)

AndrostenesAndrostanesSteroidsFused-Ring CompoundsPolycyclic CompoundsPregnadienediolsPregnadienesPregnanes

Results Point of Contact

Title
Executive Medical Director Oncology
Organization
Janssen Research & Development, LLC

Study Officials

  • Janssen Research & Development, LLC Clinical Trial

    Janssen Research & Development, LLC

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 19, 2018

First Posted

November 21, 2018

Study Start

January 25, 2019

Primary Completion

October 8, 2021

Study Completion (Estimated)

February 27, 2027

Last Updated

April 13, 2026

Results First Posted

October 4, 2023

Record last verified: 2026-04

Locations