NCT04497844

Brief Summary

The purpose of the study is to determine if the combination of niraparib with Abiraterone Acetate (AA) plus prednisone compared with AA plus prednisone in participants with deleterious germline or somatic Homologous Recombination Repair (HRR) gene-mutated Metastatic Castration-Sensitive Prostate Cancer (mCSPC) provides superior efficacy in improving radiographic progression-free survival (rPFS).

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
696

participants targeted

Target at P75+ for phase_3

Timeline
19mo left

Started Sep 2020

Longer than P75 for phase_3

Geographic Reach
32 countries

379 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 Progress79%
Sep 2020Nov 2027

First Submitted

Initial submission to the registry

July 31, 2020

Completed
4 days until next milestone

First Posted

Study publicly available on registry

August 4, 2020

Completed
2 months until next milestone

Study Start

First participant enrolled

September 23, 2020

Completed
4.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 7, 2025

Completed
1 year until next milestone

Results Posted

Study results publicly available

January 22, 2026

Completed
1.8 years until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2027

Expected
Last Updated

April 13, 2026

Status Verified

April 1, 2026

Enrollment Period

4.3 years

First QC Date

July 31, 2020

Results QC Date

January 6, 2026

Last Update Submit

April 9, 2026

Conditions

Outcome Measures

Primary Outcomes (3)

  • Breast Cancer Gene (BRCA) Subgroup: Radiographic Progression-free Survival (rPFS) Assessed by Investigator

    rPFS: time interval from date of randomization to first date of radiographic progression as assessed by investigator or death due to any cause, whichever occurred first. rPFS was determined by: (1) progression of soft tissue lesions measured by computerized tomography (CT) or magnetic resonance imaging (MRI) per response evaluation criteria in solid tumors (RECIST) 1.1; (2) progression of bone lesions observed by bone scan per prostate cancer working group 3 (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. A confirmatory scan with \>=2 new lesions indicated progression; A confirmatory scan not showing \>=2 new lesions means no progression. If Week 8 scan shows \<2 new bone lesions compared to baseline, first scan with \>=2 new lesions compared to Week 8 scan indicated progression, when confirmed by a subsequent scan \>=6 weeks later.

    From date of randomization (Day -3 to Day 1) up to approximately 49 months

  • HRR Effector Subgroup: Radiographic Progression-free Survival (rPFS) Assessed by Investigator

    rPFS: time interval from date of randomization to first date of radiographic progression as assessed by investigator or death due to any cause, whichever occurred first. rPFS was determined by: (1) progression of soft tissue lesions measured by CT or MRI per RECIST 1.1; (2) progression of bone lesions observed by bone scan per 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. A confirmatory scan with \>=2 new lesions indicated progression; A confirmatory scan not showing \>=2 new lesions means no progression. If Week 8 scan shows \<2 new bone lesions compared to baseline, first scan with \>=2 new lesions compared to Week 8 scan indicated progression, when confirmed by a subsequent scan \>=6 weeks later.

    From date of randomization (Day -3 to Day 1) up to approximately 49 months

  • All HRR: Radiographic Progression-free Survival (rPFS) Assessed by Investigator

    rPFS: time interval from date of randomization to first date of radiographic progression as assessed by investigator or death due to any cause, whichever occurred first. rPFS was determined by: (1) progression of soft tissue lesions measured by CT or MRI per RECIST 1.1; (2) progression of bone lesions observed by bone scan per 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. A confirmatory scan with \>=2 new lesions indicated progression; A confirmatory scan not showing \>=2 new lesions means no progression. If Week 8 scan shows \<2 new bone lesions compared to baseline, first scan with \>=2 new lesions compared to Week 8 scan indicated progression, when confirmed by a subsequent scan \>=6 weeks later.

    From date of randomization (Day -3 to Day 1) up to approximately 49 months

Secondary Outcomes (7)

  • BRCA Subgroup: Time to Symptomatic Progression

    From date of randomization (Day -3 to Day 1) up to approximately 49 months

  • HRR Effector Subgroup: Time to Symptomatic Progression

    From date of randomization (Day -3 to Day 1) up to approximately 49 months

  • All HRR: Time to Symptomatic Progression

    From date of randomization (Day -3 to Day 1) up to approximately 49 months

  • Overall Survival (OS)

    From date of randomization (Day -3 to Day 1) up to 83 months

  • Time to Subsequent Therapy

    From date of randomization (Day -3 to Day 1) up to 83 months

  • +2 more secondary outcomes

Study Arms (2)

Niraparib with Abiraterone Acetate plus Prednisone (AAP)

EXPERIMENTAL

Participants will receive the following in each 28-day treatment cycle: niraparib 200 milligrams (mg), abiraterone acetate (AA) 1000 mg plus prednisone 5 mg once daily.

Drug: NiraparibDrug: Abiraterone acetate (AA)Drug: Prednisone

AA plus Prednisone (AAP)

ACTIVE COMPARATOR

Participants will receive the following in each 28-day treatment cycle: matching placebo for Niraparib along with AA 1000 mg plus prednisone 5 mg once daily.

Drug: Abiraterone acetate (AA)Drug: PrednisoneDrug: Placebo for Niraparib

Interventions

Participants will receive matching placebo for Niraparib once daily.

AA plus Prednisone (AAP)

Participants will receive Niraparib 200 mg once daily.

Niraparib with Abiraterone Acetate plus Prednisone (AAP)

Participants will receive AA 1000 mg once daily.

AA plus Prednisone (AAP)Niraparib with Abiraterone Acetate plus Prednisone (AAP)

Participants will receive prednisone 5 mg once daily.

AA plus Prednisone (AAP)Niraparib with Abiraterone Acetate plus Prednisone (AAP)

Eligibility Criteria

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

You may qualify if:

  • Pathological diagnosis of prostate adenocarcinoma
  • Must have appropriate deleterious homologous recombination repair (HRR) gene alteration
  • Metastatic disease as documented by conventional imaging with computed tomography (CT) or magnetic resonance imaging (MRI) (for soft tissue lesions) or 99mTc bone scan (for bone lesions). Participants with a single bone lesion on Technetium-99m (99mTc) bone scan with no other non-nodal metastatic disease must have confirmation of bone metastasis by CT or MRI. Participants with lymph node-only disease are not eligible
  • Androgen deprivation therapy (either medical or surgical castration) must have been started \>=14 days prior to randomization and participants be willing to continue androgen deprivation therapy (ADT) through the treatment phase
  • Other allowed prior therapy for metastatic castration-sensitive prostate cancer (mCSPC): (a) maximum of 1 course of radiation and 1 surgical intervention for symptomatic control of prostate cancer (example, uncontrolled pain, impending spinal cord compression or obstructive symptoms). Participants with radiation or surgical interventions to all known sites of metastatic disease will be excluded from trial participation. Radiation must be completed prior to randomization (b) Up to a maximum of 6 months of ADT prior to randomization; (c) Up to a maximum of 45 days of abiraterone acetate + prednisone (AA-P) prior to randomization (d) Up to a maximum of 2 weeks of ketoconazole for prostate cancer prior to randomization

You may not qualify if:

  • Prior treatment with a poly (adenosine diphosphate-ribose) polymerase inhibitor (PARP inhibitor)
  • History of adrenal dysfunction
  • Long-term use of systemically administered corticosteroids (greater than \[\>\] 5 milligrams \[mg\] of prednisone or the equivalent) during the study is not allowed. Short-term use (\<=4 weeks, including taper) and locally administered steroids (for example, inhaled, topical, ophthalmic, and intra-articular) are allowed, if clinically indicated
  • History or current diagnosis of myelodysplastic syndrome (MDS)/ acute myeloid leukemia (AML)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (387)

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

Greater Los Angeles VA Healthcare System

Los Angeles, California, 90073, United States

Location

University of California Irvine Medical Center Chao Family Comprehensive Cancer Center

Orange, California, 92868, United States

Location

San Bernardino Urological Associates

San Bernardino, California, 92404, United States

Location

University of San Francisco California

San Francisco, California, 94158, United States

Location

Rocky Mountain Cancer Centers

Colorado Springs, Colorado, 80907, United States

Location

AdventHealth Medical Group Urology of Denver

Denver, Colorado, 80210, United States

Location

Colorado Clinical Research

Lakewood, Colorado, 80228, United States

Location

Eastern Connecticut Hematology & Oncology Assoc.

Norwich, Connecticut, 06360, United States

Location

Advanced Urology Institute

Daytona Beach, Florida, 32114, United States

Location

Holy Cross Hospital - Michael and Dianne Bienes Comprehensive Cancer Center

Fort Lauderdale, Florida, 33308, United States

Location

University of Florida Health Jacksonville

Jacksonville, Florida, 32209, United States

Location

Cancer Specialists of North Florida

Jacksonville, Florida, 32256, United States

Location

Urology of Indiana

Greenwood, Indiana, 46143, United States

Location

First Urology

Jeffersonville, Indiana, 47130, United States

Location

Ochsner Clinic Foundation

New Orleans, Louisiana, 70121, United States

Location

Baltimore VA Medical Center

Baltimore, Maryland, 21201, United States

Location

Maryland Oncology Hematology, PA

Columbia, Maryland, 21044, United States

Location

Chesapeake Urology Associates

Towson, Maryland, 21204, United States

Location

Michigan Institute of Urology

Troy, Michigan, 48084, United States

Location

Mosaic Life Care

Saint Joseph, Missouri, 64507, United States

Location

St. Louis VA Medical Center

St Louis, Missouri, 63109, United States

Location

GU Research Network

Omaha, Nebraska, 68130, United States

Location

New York Oncology Hematology

Albany, New York, 12206, United States

Location

Manhattan VAMC

New York, New York, 10010, United States

Location

Mount Sinai

New York, New York, 10029, United States

Location

Memorial Sloan Kettering Cancer Center

New York, New York, 10065, United States

Location

Associated Medical Professionals

Syracuse, New York, 13210, United States

Location

Montefiore Medical Center

The Bronx, New York, 10461, United States

Location

Durham VAMC

Durham, North Carolina, 27705, United States

Location

Stephenson Cancer Center

Oklahoma City, Oklahoma, 73104, United States

Location

VA Portland Health Care System

Portland, Oregon, 97239, United States

Location

Oregon Oncology Specialists

Salem, Oregon, 97301, United States

Location

Keystone Urology Specialists

Lancaster, Pennsylvania, 17604, United States

Location

Philadelphia VA Medical Center

Philadelphia, Pennsylvania, 19104, United States

Location

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

University of Pittsburgh Medical Center (UPMC)

Pittsburgh, Pennsylvania, 15232, United States

Location

Ralph H. Johnson Veterans Affairs Medical Center

Charleston, South Carolina, 29401, United States

Location

Prisma Health

Seneca, South Carolina, 29672, United States

Location

Urology Associates

Nashville, Tennessee, 37209, United States

Location

Texas Oncology-Austin

Austin, Texas, 78731, United States

Location

Texas Oncology - Northeast

Denton, Texas, 76201, United States

Location

Houston Metro Urology

Houston, Texas, 77027, United States

Location

Texas Oncology P A

New Braunfels, Texas, 78130, United States

Location

Texas Oncology - Northeast 1

Tyler, Texas, 75702, United States

Location

University of Utah Huntsman Cancer Institute

Salt Lake City, Utah, 84112, United States

Location

Virginia Oncology Associates

Norfolk, Virginia, 23502, United States

Location

Virginia Commonwealth University - Massey Cancer Center

Richmond, Virginia, 23298, United States

Location

VA Puget Sound Healthcare System

Seattle, Washington, 98108, United States

Location

Fred Hutchinson Cancer Research Center

Seattle, Washington, 98109, United States

Location

MultiCare Health System

Tacoma, Washington, 98405, United States

Location

CIPREC

Buenos Aires, C1061AAS, Argentina

Location

Asociacion de Beneficencia Hospital Sirio Libanes

Buenos Aires, C1419AHN, Argentina

Location

Centro OncolĂ³gico Korben

Buenos Aires, C1426AGE, Argentina

Location

Hospital Militar Cosme Argerich

C.a.b.a., C1426BOR, Argentina

Location

CINME Centro de Investigaciones Metabolicas

Caba, C1056ABI, Argentina

Location

Centro de Urologia (CDU)

Ciudad Automoma Buenos Aires, C1120AAT, Argentina

Location

Hospital Italiano de Buenos Aires

Ciudad Autonoma de, C1199ABB, Argentina

Location

Clinica Adventista Belgrano

Ciudad de Buenos Aires, C1430EGF, Argentina

Location

Cemaic Centro Privado de Especialidades Medicas Ambulatorias e Investigacion Clinica

CĂ³rdoba, 5000, Argentina

Location

Centro Urologico Profesor Bengio

CĂ³rdoba, X5000KPH, Argentina

Location

Instituto Médico de Río Cuarto

CĂ³rdoba, X5800, Argentina

Location

Hospital Privado de Cordoba

CĂ³rdoba, XX5016KEH, Argentina

Location

Hospital Privado de Comunidad

Mar del Plata, B7602CBM, Argentina

Location

Centro de Investigacion Pergamino SA

Pergamino, B2700CPM, Argentina

Location

ARS Médica

San Salvador de Jujuy, Y4600AFW, Argentina

Location

Sunshine Coast University Hospital

Birtinya, 4575, Australia

Location

St Vincent s Hospital Sydney

Darlinghurst, 2010, Australia

Location

Cancer Care Services Clinical Research Unit

Herston, 4029, Australia

Location

Royal Hobart Hospital

Hobart, 7000, Australia

Location

Icon Cancer Centre Kurralta Park

Kurralta Park, 5037, Australia

Location

Liverpool Hospital

Liverpool, 2170, Australia

Location

Peter MacCallum Cancer Centre

Melbourne, 3000, Australia

Location

Fiona Stanley Hospital

Murdoch, 6150, Australia

Location

Macquarie University Hospital

North Ryde, 2109, Australia

Location

ICON Cancer Care

South Brisbane, 4101, Australia

Location

St John of God Subiaco Hospital

Subiaco, 6008, Australia

Location

Bobruisk Interregional Oncology Dispensary

Babruysk, 213825, Belarus

Location

Brest Regional Oncology Dispensary

Brest, 224027, Belarus

Location

Grodno University Hospital

Grodno, 230017, Belarus

Location

Gomel Regional Clinical Oncology Dispensary

Homyel, 246012, Belarus

Location

N N Alexandrov National Cancer Centre of Belarus

Lesnoy, 223040, Belarus

Location

Minsk city Clinical Oncological Dispensary

Minsk, 220013, Belarus

Location

Mogilev Regional Oncology Dispensary

Mogilev, 212018, Belarus

Location

Vitebsk Regional Clinical Oncology Dispensary

Vitebsk, 210603, Belarus

Location

ZNA Middelheim

Antwerp, 2020, Belgium

Location

ZAS Augustinus

Antwerp, 2610, Belgium

Location

Grand Hopital De Charleroi Site Les Viviers

Charleroi, 6060, Belgium

Location

Jolimont

Haine-St-Paul, 7100, Belgium

Location

CHC MontLegia

Liège, 4000, Belgium

Location

CHU UCL Namur - Site Sainte Elisabeth

Namur, 5000, Belgium

Location

Clinique St Pierre

Ottignies, 1340, Belgium

Location

Algemeen Ziekenhuis Delta

Roeselare, 8800, Belgium

Location

Fundacao Pio XII

Barretos, 14784-400, Brazil

Location

Cetus Oncologia

Belo Horizonte, 30110-022, Brazil

Location

PERSONAL Oncologia de Precisao e Personalizada

Belo Horizonte, 30130-090, Brazil

Location

CIONC Centro Integrado de Oncologia de Curitiba

Curitiba, 80810 050, Brazil

Location

Centro de Pesquisa e Ensino em Oncologia de Santa Catarina CEPEN

FlorianĂ³polis, 88034-000, Brazil

Location

Pronutrir

Fortaleza, 60 810180, Brazil

Location

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

GoiĂ¢nia, 74605-070, 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

Liga Norte Riograndense Contra O Cancer

Natal, 59075-740, Brazil

Location

UPCO Unidade de Pesquisa Clinica em Oncologia

Pelotas, 96020 080, 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

MultiHemo Servicos Medicos S.A

Recife, CEP: 50070-460, 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

Nucleo de Oncologia da Bahia

Salvador, 40170 110, Brazil

Location

Hospital Sao Rafael

Salvador, 41253 190, Brazil

Location

Fundacao do ABC Centro Universitario FMABC

Santo André, 09060 870, Brazil

Location

Instituto do Cancer Arnaldo Vieira de Carvalho

SĂ£o Paulo, 01221 020, Brazil

Location

Irmandade Santa Casa de Misericordia de Sao Paulo

SĂ£o Paulo, 01221-020, Brazil

Location

Instituto de Ensino e Pesquisa SĂ£o Lucas

SĂ£o Paulo, 01236-030, Brazil

Location

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

SĂ£o Paulo, 01246 000, Brazil

Location

Real e Benemerita Associacao Portuguesa de Beneficencia

SĂ£o Paulo, 01323 900, Brazil

Location

Hospital Alemao Oswaldo Cruz

SĂ£o Paulo, 01421-000, Brazil

Location

NĂºcleo de Pesquisa SĂ£o Camilo

SĂ£o Paulo, 04014-002, Brazil

Location

Instituto de Assistencia Medica ao Servidor Publico Estadual IAMSPE

SĂ£o Paulo, 04039-004, Brazil

Location

IOS - Instituto de Oncologia de Sorocaba Dr. Gilson Delgado

Sorocaba, 18030-005, Brazil

Location

Centro OncolĂ³gico do TriĂ¢ngulo

UberlĂ¢ndia, 38408-150, Brazil

Location

MHAT Deva Maria

Burgas, 8001, Bulgaria

Location

UMHAT 'Dr. Georgi Stranski', EAD 1

Pleven, 5800, Bulgaria

Location

Complex Oncology Center - Plovdiv EOOD

Plovdiv, 4004, Bulgaria

Location

Multifunctional Hospital for Active Treatment for Women Health Nadezhda

Sofia, 1330, Bulgaria

Location

Specialized Hospital for Active Treatment in Oncology

Sofia, 1756, Bulgaria

Location

UMHAT Sofia Med

Sofia, 1797, Bulgaria

Location

Comprehensive Cancer Center

Vratsa, 3001, Bulgaria

Location

Prostate Cancer Centre

Calgary, Alberta, T2V 1P9, Canada

Location

Cross Cancer Institute

Edmonton, Alberta, T6G 1Z2, Canada

Location

British Columbia Cancer Agency(BCCA)-Sindi Ahluwalia Hawkins Centre for the Southern Interior(CSI)

Kelowna, British Columbia, V1Y 5L3, 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

Kingston Health Sciences Centre, Kingston General Health Research Institute

Kingston, Ontario, K7L2V7, 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 Hospitalier de l'Universite de Montreal

Montreal, Quebec, H2X 0A9, Canada

Location

McGill University - Jewish General Hospital

Montreal, Quebec, H3T 1E2, Canada

Location

Cancer Hospital Chinese Academy of Medical Sciences

Beijing, 100021, China

Location

Peking University First Hospital

Beijing, 100034, China

Location

Beijing Friendship Hospital Capital Medical University

Beijing, 100050, China

Location

Beijing Cancer Hospital

Beijing, 100142, China

Location

Beijing University Third Hospital

Beijing, 100191, China

Location

Beijing Hospital

Beijing, 100730, China

Location

West China Hospital of Sichuan University

Chengdu, 610041, China

Location

Sichuan Provincial Peoples Hospital

Chengdu, 610072, China

Location

Western Theater General Hospital of the Chinese People's Liberation Army

Chengdu, 610083, China

Location

Chongqing University Cancer Hospital

Chongqing, 400030, China

Location

Southwest Hospital, The Third Military Medical University

Chongqing, 400038, China

Location

Sun Yat Sen University Cancer Center

Guangzhou, 430030, China

Location

Guangzhou First Municipal People's Hospital

Guangzhou, 510180, China

Location

Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University

Guangzhou, 510289, China

Location

Zhejiang Provincial People's Hospital

Hangzhou, 310014, China

Location

The First Affiliated Hospital of NanChang University

Nanchang, 330006, China

Location

Jiangsu Province Cancer Hospital

Nanjing, 210000, China

Location

Nanjing Drum Tower Hospital

Nanjing, 210008, China

Location

The First Affiliated Hospital of Ningbo University

Ningbo, 315010, China

Location

Fudan University Shanghai Cancer Center

Shanghai, 200032, China

Location

Huashan Hospital Fudan University

Shanghai, 200040, China

Location

Renji Hospital Affiliated to Medical College of Shanghai Jiaotong University

Shanghai, 200127, China

Location

The Fifth People's Hospital of Shanghai, Fudan University

Shanghai, 200240, China

Location

Huadong Hospital Affiliated to Fudan University

Shanghai, 200400, China

Location

Shengjing Hospital Of China Medical University

Shenyang, 110004, China

Location

Second Affiliated Hospital of Soochow University

Suzhou, 200233, China

Location

The First Affliated Hospital of Soochow University

Suzhou, 215006, China

Location

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, 325000, China

Location

TongJi Hospital of TongJi Medical College of Huazhong University of Science & Technology

Wuhan, 430030, China

Location

The First Affiliated Hospital of Xian Jiaotong University

Xi'an, 710061, China

Location

Fakultni nemocnice u sv. Anny v Brne

Brno, 656 91, Czechia

Location

FN Hradec Kralove, Urologicka klinika

Hradec KrĂ¡lovĂ©, 500 05, Czechia

Location

KrajskĂ¡ nemocnice Liberec

Liberec, 460 63, Czechia

Location

Uromedical Center s.r.o.

Olomouc, 77900, Czechia

Location

Urologicka klinika 1 LF UK a VFN

Prague, 128 00, Czechia

Location

Aalborg University Hospital

Aalborg, 9000, Denmark

Location

Copenhagen University Hospital

Copenhagen, 2100, Denmark

Location

Herlev Hospital

Herlev, DK-2730, Denmark

Location

Næstved Hospital

Næstved, 4700, Denmark

Location

Odense Universitetshospital

Odense, DK-5000, Denmark

Location

Vejle Hospital

Vejle, DK-7100, Denmark

Location

Institut de Cancerologie de l Ouest ICO

Angers, 49933, France

Location

Institut Sainte Catherine

Avignon, 84918, France

Location

CHRU De Besancon

Besançon, 25030, France

Location

Institut Bergonie

Bordeaux, 33000, France

Location

Centre Jean Perrin

Clermont-Ferrand, 63011, France

Location

Centre Georges Francois Leclerc

Dijon, 21000, France

Location

Centre Oscar Lambret

Lille, 59000, France

Location

Centre Leon Berard

Lyon, 69008, France

Location

Hopital Prive Jean Mermoz

Lyon, 69008, France

Location

Institut Regional du Cancer de Montpellier Val d'Aurelle

Montpellier, 34298, France

Location

Polyclinique de Gentilly

Nancy, 54100, France

Location

CHU De Poitiers

Poitiers, 86021, France

Location

Centre Hopitalier Inter-Communal De Cornouaille

Quimper, 29000, France

Location

HIA Begin

Saint-Mandé, 94163, France

Location

Institut de Cancérologie de Loire

Saint-Priest-en-Jarez, 42271, France

Location

Clinique Sainte Anne

Strasbourg, 67000, France

Location

Hopital Foch

Suresnes, 32151, France

Location

CHRU de Tours

Tours, 37044, France

Location

Städtisches Klinikum Braunschweig gGmbH - Standort Salzdahlumer

Braunschweig, 38126, Germany

Location

Universitaetsklinikum Koelnt

Cologne, 50937, Germany

Location

Universitätsklinik Carl Gustav Carus, Med. Klinik u. Poliklinik I

Dresden, 01307, Germany

Location

Urologicum Duisburg

Duisburg, 47169, Germany

Location

Medizinische Hochschule Hannover

Hanover, 30625, Germany

Location

Klinikum rechts der Isar - III. Med. Klinik und Poliklinik

MĂ¼nchen, 81675, Germany

Location

Universitaetsklinikum Muenster

MĂ¼nster, 48149, Germany

Location

Studienpraxis Urologie Drs. Feyerabend

NĂ¼rtingen, 72622, Germany

Location

Jahn Ferenc Del-pesti Korhaz es Rendelointezet

Budapest, 1204, Hungary

Location

Debreceni Egyetem

Debrecen, 4032, Hungary

Location

Petz Aladar Megyei Oktato Korhaz

Győr, 9024, Hungary

Location

Bekes Megyei Kozponti Korhaz Pandy Kalman Tagkorhaz

Gyula, 5700, Hungary

Location

Borsod Abauj Zemplen Varmegyei Kozponti Korhaz es Egyetemi Oktato Korhaz

Miskolc, 3526, Hungary

Location

Szegedi Tudomanyegyetem

Szeged, 6720, Hungary

Location

Szent Borbala Hospital Tatabanya

TatabĂ¡nya, 2800, Hungary

Location

Haemek Medical Center - Afula

Afula, 1834111, Israel

Location

Soroka Hospital

Beersheba, 85101, Israel

Location

Rambam Medical Center

Haifa, 31096, Israel

Location

Hadassah Hospital

Jerusalem, 91200, Israel

Location

Rabin Medical Center, Beilinson Hospital

Petach Tikvah, 49100, Israel

Location

Sheba Medical Center Tel Hashomer

Ramat Gan, 52621, Israel

Location

Tel Aviv Sourasky Medical Center

Tel Aviv, 64239, Israel

Location

Ospedale S. Donato - Asl 8 Arezzo

Arezzo, 52100, Italy

Location

Divisione di Oncologia - Istituto per la ricerca e cura del cancro

Candiolo, 10060, Italy

Location

Istituti Ospitalieri di Cremona, AO di Cremona

Cremona, 26100, Italy

Location

Azienda Ospedaliera ''Vito Fazzi''

Lecce, 73100, Italy

Location

Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori

Meldola, 47014, Italy

Location

Ospedale San Raffaele

Milan, 20132, Italy

Location

Fondazione IRCCS Istituto Nazionale dei Tumori

Milan, 20133, Italy

Location

European Institute of Oncology

Milan, 20141, Italy

Location

Fondazione G Pascale Istituto Nazionale Tumori IRCCS

Naples, 80138, Italy

Location

Aou San Luigi Gonzaga

Orbassano, 10043, Italy

Location

Istituto Oncologico Veneto Iov Irccs Padova

Padova, 35128, Italy

Location

Azienda Ospedaliero Universitaria Pisana

Pisa, 56126, Italy

Location

ASL Napoli 2 Nord-SM delle Grazie Hospital

Pozzuoli, 80078, Italy

Location

Casa Sollievo Della Sofferenza IRCCS

San Giovanni Rotondo, 71013, Italy

Location

Ospedale S. Chiara

Trento, Italy

Location

Ospedale San Bortolo

Vicenza, 36100, Italy

Location

Hospital Pulau Pinang

George Town, 10990, Malaysia

Location

Hospital Sultan Ismail

Johor Bahru, 81100, 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

Institut Kanser Negara Clinical Research Center

Putrajaya, 62250, Malaysia

Location

Consultorio de Especialidad en Urologia Privado

Durango, 34000, Mexico

Location

Consultorio Privado

LeĂ³n, 37000, Mexico

Location

Centro de InvestigaciĂ³n ClĂ­nica Gramel S.C.1

Mexico City, 3720, Mexico

Location

Avix Investigacion Clinica S C

Monterrey, 64710, Mexico

Location

i Can Oncology Center

Monterrey, 64710, Mexico

Location

Oncologia Integral Satelite

Naucalpan, 53100, Mexico

Location

Centro de Investigacion Clinica de Oaxaca

Oaxaca City, 68020, Mexico

Location

Consultorio Privado 1

Zapopan, 45040, Mexico

Location

Reinier de Graaf Gasthuis

Delft, 2625 AD, Netherlands

Location

Tergooiziekenhuizen

Hilversum, 1213XZ, Netherlands

Location

Canisius-Wilhelminaziekenhuis

Nijmegen, 6532 SZ, Netherlands

Location

Elisabeth-TweeSteden Ziekenhuis

Tilburg, 5022 GC, Netherlands

Location

Auckland City Hospital

Auckland, 1023, New Zealand

Location

Canterbury Urology Research Trust

Christchurch, 8013, New Zealand

Location

Dunedin Hospital

Dunedin Central, 9016, New Zealand

Location

Tauranga Hospital

Tauranga, 3112, New Zealand

Location

IN VIVO Sp. z o.o

Bydgoszcz, 85 048, Poland

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

Szpitale Pomorskie Sp z o o

Gdynia, 81 519, Poland

Location

Przychodnia Lekarska KOMED Roman Karaszewski

Konin, 62-500, Poland

Location

Klinika MedTrials

Krakow, 30 539, Poland

Location

Wojewodzki Szpital Specjalistyczny im. M. Kopernika w Lodzi

Lodz, 93-509, Poland

Location

Medisport

Lublin, 20-223, Poland

Location

Urologica Praktyka Lekarska Adam Marcheluk

Siedlce, 08-110, Poland

Location

Szpital Grochowski Im Dr Med Rafala Masztaka Sp Z O O

Warsaw, 04 073, Poland

Location

Specjalistyczna przychodnia lekarska POLIMED

Wroclaw, 53-329, Poland

Location

Uls Almada Seixal - Hosp. Garcia de Orta

Almada, 2805-607, Portugal

Location

Instituto PortuguĂªs de Oncologia Francisco Gentil - Centro Regional de Oncologia de Coimbra, S.A.

Coimbra, 3000075, Portugal

Location

Fund. Champalimaud

Lisbon, 1400-038, Portugal

Location

Uls Santa Maria - Hosp. Santa Maria

Lisbon, 1649 035, Portugal

Location

Puerto Rico Medical Research Center

Hato Rey, 00917, Puerto Rico

Location

Altai Regional Oncology Dispensary

Barnaul, 656045, Russia

Location

Chelyabinsk Regional Clinical Center Of Oncology And Nuclear Medicine

Chelyabinsk, 454087, Russia

Location

Ivanovo Regional Oncology Dispensary

Ivanovo, 153040, Russia

Location

Moscow City Clinical Hospital # 62

Moscow, 125130, Russia

Location

Hertzen Oncology Research Institute

Moscow, 125284, Russia

Location

Privolzhsky District Medical Centre

Nizhny Novgorod, 603001, 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

Republican Oncology Dispensary

Saransk, 430032, Russia

Location

Tomsk Cancer Research Institute

Tomsk, 634050, Russia

Location

Multifunctional clinical medical center 'Medical city'

Tyumen, 625041, Russia

Location

Bashkir State Medical University

Ufa, 450083, Russia

Location

CancerCare Rondebosch

Cape Town, 7700, South Africa

Location

Steve Biko Academic Hospital

Pretoria, 0001, South Africa

Location

East Rand Urology Research Unit

Vosloorus, 1475, 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

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 Mary s Hospital

Seoul, 06591, South Korea

Location

Ajou University Hospital

Suwon, 16499, South Korea

Location

Hosp Univ A Coruna

A Coruña, 15006, Spain

Location

Hosp. de La Santa Creu I Sant Pau

Barcelona, 08025, Spain

Location

Hosp Clinic de Barcelona

Barcelona, 08036, Spain

Location

Hosp. Gral. Univ. de Castellon

Castellon, 12004, Spain

Location

Institut CatalĂ  D'Oncologia Girona

Girona, 17007, Spain

Location

Hosp. de Jerez de La Frontera

Jerez de la Frontera, 11407, Spain

Location

Hosp. Univ. de La Princesa

Madrid, 28006, Spain

Location

Hosp. Univ. Ramon Y Cajal

Madrid, 28034, Spain

Location

Hosp. Univ. 12 de Octubre

Madrid, 28041, Spain

Location

Hosp. Univ. La Paz

Madrid, 28046, Spain

Location

Hosp. Univ. Hm Monteprincipe

Madrid, 28660, Spain

Location

Hosp Virgen de La Victoria

MĂ¡laga, 29010, Spain

Location

Corporacio Sanitari Parc Tauli

Sabadell, 08208, Spain

Location

Hosp. Univ. Marques de Valdecilla

Santander, 39008, Spain

Location

Hosp. Virgen Del Rocio

Seville, 41013, Spain

Location

Hosp. Clinico Univ. de Valencia

Valencia, 46010, Spain

Location

Salgrenska University hospital

Gothenburg, 413 45, Sweden

Location

Urologiska Mottagningen

Malmo, 205 02, Sweden

Location

Sodersjukhuset

Stockholm, 11883, Sweden

Location

Karolinska Universitetssjukhuset Solna

Stockholm, 17164, Sweden

Location

Kaohsiung Medical University Chung Ho Memorial Hospital

Kaohsiung City, 807, Taiwan

Location

Kaohsiung Chang Gung Memorial Hospital

Kaohsiung City, 83301, Taiwan

Location

China Medical University Hospital

Taichung, 40447, Taiwan

Location

Taichung Veterans General Hospital

Taichung, 40705, Taiwan

Location

Tungs' Taichung MetroHarbor Hospital

Taichung, 435, Taiwan

Location

National Taiwan University Hospital.

Taipei, 10002, Taiwan

Location

Taipei Veterans General Hospital

Taipei, 11217, Taiwan

Location

Chang-Gung Memorial Hospital, LinKou Branch

Taoyuan District, 333, Taiwan

Location

King Chulalongkorn Memorial Hospital

Bangkok, 10330, Thailand

Location

Ramathibodi Hospital

Bangkok, 10400, Thailand

Location

Siriraj Hospital

Bangkok, 10700, Thailand

Location

Adana Baskent Yuregir Hospital

Adana, 01250, Turkey (TĂ¼rkiye)

Location

Dr. Abdurrahman Yurtaslan Ankara Onkoloji Egitim ve Arastirma Hastanesi

Ankara, 06200, Turkey (TĂ¼rkiye)

Location

Memorial Ankara Hastanesi

Ankara, 06520, Turkey (TĂ¼rkiye)

Location

Gazi Hastanesi

Ankara, 06560, Turkey (TĂ¼rkiye)

Location

Ankara University Medical Faculty

Ankara, 06590, Turkey (TĂ¼rkiye)

Location

Ankara Bilkent Sehir Hastanesi

Ankara, 06800, Turkey (TĂ¼rkiye)

Location

Bursa Yuksek lhtisas EAH Medikal Onkoloji Klinigi

Bursa, 16310, Turkey (TĂ¼rkiye)

Location

Trakya University Medical Faculty

Edirne, 22030, Turkey (TĂ¼rkiye)

Location

Istanbul University Istanbul Medical Faculty

Istanbul, 34000, Turkey (TĂ¼rkiye)

Location

Istanbul Universitesi Cerrahpasa Tip Fakultesi Ic Hastaliklari Anabilim Dali Medikal Onkoloji Bd

Istanbul, 34098, Turkey (TĂ¼rkiye)

Location

Bakirkoy Training and Research Hospital

Istanbul, 34147, Turkey (TĂ¼rkiye)

Location

T C Saglik Bakanlıgi Goztepe Prof Dr Suleyman Yalcın Sehir Hastanesi

Istanbul, 34722, Turkey (TĂ¼rkiye)

Location

Dokuz Eylul Universitesi Arastirma ve Uygulama Hastanesi

Izmir, 35340, Turkey (TĂ¼rkiye)

Location

Izmir Medical Point Hospital

Izmir, 35530, Turkey (TĂ¼rkiye)

Location

Sakarya Ăœniversitesi Tıp FakĂ¼ltesi Hastanesi

Sakarya, 54050, Turkey (TĂ¼rkiye)

Location

Medical Park Samsun Hastanesi

Samsun, 55200, Turkey (TĂ¼rkiye)

Location

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

Cherkasy, 18009, Ukraine

Location

Municipal Non-profit enterprise 'Bukovinian clinical oncology center'

Chernivtsi, 58013, Ukraine

Location

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

Dnipro, 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

Communal Institution 'City hospital â„–7 of Kamianske' of Dnepropetrov'sk Regional Council

Kamyanske, 51900, Ukraine

Location

Municipal non-profit enterprise 'Regional Center of Oncology'

Khakhiv, 61070, Ukraine

Location

Regional Medical Clinical Center for Urology and Nephrology named after V.I. Shapoval

Kharkiv, 61037, Ukraine

Location

Kherson Regional Oncological Dispensary

Kherson, 73035, 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

Kyiv Regional Oncological Dispensary

Kyiv, 04107, Ukraine

Location

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

Lviv, 79010, Ukraine

Location

Podilskiy Regional Center of Oncology

Vinnitsa, 21029, Ukraine

Location

Municipal non-profit enterprise Zhytomyr Regional Oncology Dispensary of Zhytomyr Regional Council

Zhytomyr, 10002, Ukraine

Location

Ysbyty Gwynedd

Bangor, LL57 2PW, United Kingdom

Location

Belfast City Hospital

Belfast, BT9 7AB, United Kingdom

Location

Brighton and Sussex University Hospitals NHS Trust

Brighton, BN2 5BE, United Kingdom

Location

Bristol Haematology and Oncology Centre

Bristol, BS2 8ED, United Kingdom

Location

Guy's Hospital

Great Maze Pond, SE1 9RT, United Kingdom

Location

Prince Of Wales Hospital

Grimsby, DN33 2BA, United Kingdom

Location

Marie Curie Research Wing - Mount Vernon Hospital

Hillingdon, HA6 2RN, United Kingdom

Location

Raigmore Hospital

Inverness, IV2 3UJ, United Kingdom

Location

University College London Hospitals NHSFT

London, NW1 2PG, United Kingdom

Location

Churchill Hospital

Oxford, OX3 7LE, United Kingdom

Location

Royal Preston Hospital

Preston, PR2 9HT, United Kingdom

Location

Royal Marsden Hospital

Sutton, SM2 5PT, United Kingdom

Location

Royal Cornwall Hospitals NHS Trust - Royal Cornwall Hospital

Truro, TR1 3LJ, United Kingdom

Location

Related Publications (1)

  • Attard G, Agarwal N, Graff JN, Sandhu S, Efstathiou E, Ozguroglu M, Pereira de Santana Gomes AJ, Vianna K, Luo H, Gotto GT, Cheng HH, Kim W, Varela CR, Schaeffer D, Kramer K, Li S, Baron B, Shen F, Mundle SD, McCarthy SA, Olmos D, Chi KN, Rathkopf DE. Niraparib and abiraterone acetate plus prednisone for HRR-deficient metastatic castration-sensitive prostate cancer: a randomized phase 3 trial. Nat Med. 2025 Dec;31(12):4109-4118. doi: 10.1038/s41591-025-03961-8. Epub 2025 Oct 7.

MeSH Terms

Interventions

niraparibAbiraterone AcetatePrednisone

Intervention Hierarchy (Ancestors)

AndrostenesAndrostanesSteroidsFused-Ring CompoundsPolycyclic CompoundsPregnadienediolsPregnadienesPregnanes

Results Point of Contact

Title
Executive Director Clinical Prostate
Organization
Janssen Research and 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
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 31, 2020

First Posted

August 4, 2020

Study Start

September 23, 2020

Primary Completion

January 7, 2025

Study Completion (Estimated)

November 1, 2027

Last Updated

April 13, 2026

Results First Posted

January 22, 2026

Record last verified: 2026-04

Data Sharing

IPD Sharing
Will share

The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

More information

Locations