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ACTIVE NOT RECRUITING

NCT03602859

PHASE3

A Comparison of Platinum-based Therapy With TSR-042 and Niraparib Versus Standard of Care (SOC) Platinum-based Therapy as First-line Treatment of Stage III or IV Nonmucinous Epithelial Ovarian Cancer

Sponsor: Tesaro, Inc.

View on ClinicalTrials.gov

Summary

Ovarian cancer is a heterogeneous disease, characterized by complex molecular and genetic changes. The high expression of vascular endothelial growth factor (VEGF) receptor, programmed death receptor ligands 1 (PD-L1) expression, and deoxyribonucleic acid (DNA) damage in ovarian tumors provide several targets for treatment and maintenance of disease response. Given the unmet medical need of participants with advanced or metastatic ovarian cancer, this study design will enable investigators to provide participants with current SOC for ovarian cancer for the duration of the study. This is a global, multicenter, randomized, double-blind, controlled Phase 3 study that will primarily compare the progression-free survival (PFS) for participants receiving dostarlimab with SOC chemotherapy +/- bevacizumab followed by niraparib and dostarlimab maintenance +/- bevacizumab versus participants receiving SOC with chemotherapy followed by niraparib maintenance. This comparison will be investigated in participants of newly diagnosed stage III or IV advanced non-mucinous epithelial ovarian cancer participants and also to compare PFS of all participants with Stage III or IV high-grade non-mucinous epithelial ovarian cancer treated with platinum-based combination therapy, dostarlimab (TSR-042), and niraparib to SOC platinum-based combination therapy. The currently recommended SOC therapy for the first line treatment of Stage III or IV ovarian cancer is the combination of paclitaxel and carboplatin, with or without concurrent and maintenance bevacizumab. Participants will receive SOC during the chemotherapy Run-In period (cycle 1) before randomization to study treatment (cycle 2). Concurrent bevacizumab use must be determined prior to randomization at cycle 2.

Official title: A Randomized, Double-blind, Phase 3 Comparison of Platinum-based Therapy With TSR-042 and Niraparib Versus Standard of Care Platinum-based Therapy as First-line Treatment of Stage III or IV Nonmucinous Epithelial Ovarian Cancer

Key Details

Gender

FEMALE

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

1400

Start Date

2018-10-11

Completion Date

2029-04-30

Last Updated

2025-12-31

Healthy Volunteers

Conditions

Ovarian Neoplasms Ovarian, Fallopian Tube and Primary Peritoneal Carcinoma

Interventions

DRUG

Niraparib

Participants will receive oral capsules of niraparib as a unit dosage strength of 100 milligrams (mg)

DRUG

Dostarlimab (TSR-042)

Participants will receive 500 mg dostarlimab on day 1 every 3 weeks from cycle 2 to 6 followed by 1000mg of dostarlimab on day 1 every 6 weeks to continue up to 3 years in the absence of disease progression, unacceptable toxicity, participant withdrawal, or investigator decision

DRUG

Standard of care

Participants will receive SOC that includes paclitaxel 175 milligrams per square meter (mg/m\^2) on day 1 every 21 days + carboplatin area under the curve (AUC) of 5 to 6 milligrams per milliliter per minute (mg/mL/min) on day 1 every 21 days +/- bevacizumab 7.5 milligrams per kilograms (mg/kg) every 21 days or 15 mg/kg every 21 days for a total of 15 months.

DRUG

Dostarlimab-Placebo

Participants will receive 500 mg of dostarlimab-placebo on day 1 every 3 weeks from cycle 2 to 6 followed by 1000 mg of dostarlimab-placebo on day 1 every 6 weeks to continue up to 3 years in the absence of disease progression, unacceptable toxicity, participant withdrawal, or investigator decision

DRUG

Niraparib-Placebo

Participants will receive oral capsules of niraparib-placebo as a unit dosage strength of 100 mg.

Inclusion criteria: * Participants must be female, \>=18 years of age, able to understand the study procedures, and agree to participate in the study by providing written informed consent. * Participants with a histologically confirmed diagnosis of high-grade nonmucinous epithelial ovarian (serous, endometrioid, clear cell, carcinosarcoma, and mixed pathologies), fallopian tube, or peritoneal cancer that is Stage III or IV according to the International Federation of Gynecology and Obstetrics (FIGO) or tumor, node and metastasis staging criteria. * All participants with Stage IV disease are eligible. This includes those with inoperable disease, those who undergo primary debulking surgery (PDS) (R0 or macroscopic disease), or those for whom neoadjuvant chemotherapy (NACT) is planned. * Participants with Stage III are eligible if they meet protocol defined criteria. * Participants must provide a blood sample for circulating tumor deoxyribonucleic acid (ctDNA) homologous recombinant repair (HRR) testing at pre-screening or screening. * Participant must provide a minimum of 1 formalin-fixed paraffin embedded (FFPE) block slide at pre-screening or screening for PD-L1, homologous recombinant deficiency (HRD) testing. * Participants of childbearing potential must have a negative serum or urine pregnancy test (beta human chorionic gonadotropin) within 3 days prior to receiving the first dose of study treatment. * Participants must be postmenopausal, free from menses for \>1 year, surgically sterilized, or willing to use highly effective contraception to prevent pregnancy or must agree to abstain from activities that could result in pregnancy throughout the study, starting with enrollment through 180 days after the last dose of study treatment. * Participants must have adequate organ function: Absolute neutrophil count (ANC) \>=1500/micro liter (μL;) Platelet count \>=100000/μL; Hemoglobin \>=9 grams per deciliter (g/dL); Serum creatinine \<=1.5 × upper limit of normal (ULN) or calculated creatinine clearance \>=60 milliliters per minute (mL/min) using the Cockcroft-Gault equation; total bilirubin \<=1.5 × ULN or direct bilirubin \<=1.5 × ULN; AST and ALT \<=2.5 × ULN unless liver metastases are present, in which case they must be \<=5 × ULN. * Participants must have an ECOG score of 0 or 1. * Participants must have normal blood pressure (BP) or adequately treated and controlled hypertension (systolic BP \<=140 millimeters of mercury (mmHg) and/or diastolic BP \<=90 mmHg). * Participants must agree to complete health related quality of life (HRQoL) questionnaires throughout the study. * Participants must be able to take oral medication. Exclusion Criteria: * Participant has mucinous, germ cell, transitional cell, or undifferentiated tumor. * Participant has low-grade or Grade 1 epithelial ovarian cancer. * Participant has not adequately recovered from prior major surgery. * Participant is pregnant or is expecting to conceive children while receiving study drug or for up to 180 days after the last dose of study drug. Participant is breastfeeding or is expecting to breastfeed within 30 days of receiving the final dose of study drug (women should not breastfeed or store breastmilk for use, during niraparib treatment and for 30 days after receiving the final dose of study treatment). * Participant has known active central nervous system metastases, carcinomatous meningitis, or both. * Participant has clinically significant cardiovascular disease. * Participant has a bowel obstruction by clinical symptoms or computed tomography (CT) scan, subocclusive mesenteric disease, abdominal or gastrointestinal fistula, gastrointestinal perforation, or intra-abdominal abscess. * Participant has any known history or current diagnosis of myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML). * Participant has been diagnosed and/or treated with any therapy for invasive cancer \<5 years from study enrollment, completed adjuvant chemotherapy and/or targeted therapy (example, trastuzumab) less than 3 years from enrollment, or completed adjuvant hormonal therapy less than 4 weeks from enrollment. * Participants with definitively treated non-invasive malignancies such as cervical carcinoma in situ, ductal carcinoma in situ, Grade 1 or 2, Stage I endometrial cancer, or non-melanomatous skin cancer are allowed. * Participant is at increased bleeding risk due to concurrent conditions (example, major injuries or major surgery within the past 28 days prior to start of study treatment and/or history of hemorrhagic stroke, transient ischemic attack, subarachnoid hemorrhage, or clinically significant hemorrhage within the past 3 months). * Participant is immunocompromised. * Participant has known active hepatitis B (example, hepatitis B surface antigen reactive) or hepatitis C (example, hepatitis C virus ribonucleic acid \[qualitative\] is detected). * Participant is considered a poor medical risk due to a serious, uncontrolled medical disorder, non-malignant systemic disease, or uncontrolled infection. * Participant has had investigational therapy administered within 4 weeks or within a time interval less than at least 5 half-lives of the investigational agent, whichever is longer, prior to the first scheduled day of dosing in this study. * Participant has received a live vaccine within 14 days of planned start of study therapy. Seasonal influenza vaccines that do not contain live viruses are allowed. * Participant has a known contraindication or uncontrolled hypersensitivity to the components of paclitaxel, carboplatin, niraparib, bevacizumab, dostarlimab, or their excipients. * Prior treatment for high-grade nonmucinous epithelial ovarian, fallopian tube, or peritoneal cancer (immunotherapy, anti-cancer therapy, radiation therapy). * Participant has an active autoimmune disease that has required systemic treatment in the past 2 years. Replacement therapy is not considered a form of systemic therapy (example, thyroid hormone or insulin). * Participant has a diagnosis of immunodeficiency or is receiving systemic steroid therapy or any other form of systemic immunosuppressive therapy within 7 days prior to the first dose of study treatment.

Locations (182)

GSK Investigational Site

Anchorage, Alaska, United States

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Phoenix, Arizona, United States

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Tucson, Arizona, United States

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Los Angeles, California, United States

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Los Angeles, California, United States

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Newport Beach, California, United States

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Farmington, Connecticut, United States

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Hartford, Connecticut, United States

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Gainesville, Florida, United States

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Jacksonville, Florida, United States

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Geneva, Illinois, United States

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Warrenville, Illinois, United States

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Zion, Illinois, United States

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Covington, Louisiana, United States

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New Orleans, Louisiana, United States

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Shreveport, Louisiana, United States

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Scarborough, Maine, United States

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Baltimore, Maryland, United States

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Silver Spring, Maryland, United States

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Boston, Massachusetts, United States

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Springfield, Massachusetts, United States

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Worcester, Massachusetts, United States

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Minneapolis, Minnesota, United States

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Minneapolis, Minnesota, United States

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Billings, Montana, United States

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Neptune City, New Jersey, United States

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Teaneck, New Jersey, United States

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Hawthorne, New York, United States

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New York, New York, United States

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New York, New York, United States

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New York, New York, United States

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Rochester, New York, United States

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Stony Brook, New York, United States

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Syracuse, New York, United States

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Charlotte, North Carolina, United States

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Canton, Ohio, United States

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Cincinnati, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Eugene, Oregon, United States

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Portland, Oregon, United States

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Paoli, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Willow Grove, Pennsylvania, United States

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Wynnewood, Pennsylvania, United States

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Providence, Rhode Island, United States

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Charleston, South Carolina, United States

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Sioux Falls, South Dakota, United States

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Knoxville, Tennessee, United States

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Nashville, Tennessee, United States

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Nashville, Tennessee, United States

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Austin, Texas, United States

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Dallas, Texas, United States

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Fort Worth, Texas, United States

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Houston, Texas, United States

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San Antonio, Texas, United States

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The Woodlands, Texas, United States

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Tyler, Texas, United States

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Ogden, Utah, United States

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Charlottesville, Virginia, United States

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Norfolk, Virginia, United States

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Kennewick, Washington, United States

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Seattle, Washington, United States

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Seattle, Washington, United States

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Minsk, Belarus

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Brasschaat, Belgium

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Bruges, Belgium

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Vancouver, British Columbia, Canada

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London, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Sherbrooke, Quebec, Canada

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Windsor, Canada

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Prague, Czechia

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Prague, Czechia

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Copenhagen, Denmark

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Herlev, Denmark

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Roskilde, Denmark

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Helsinki, Finland

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Kuopio, Finland

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Tampere, Finland

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Turku, Finland

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Angers, France

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Avignon, France

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Besançon, France

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Bordeaux, France

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Bron, France

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Caen, France

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Cholet, France

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Clermont-Ferrand, France

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Dijon, France

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Grenoble, France

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Grenoble, France

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Le Mans, France

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Lille, France

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Lyon, France

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Lyon, France

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Lyon, France

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Marseille, France

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Montpellier, France

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Montpellier, France

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Nancy, France

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Nantes, France

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Nice, France

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Nîmes, France

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Paris, France

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Paris, France

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Paris, France

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Paris, France

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Paris, France

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Pierre-Bénite, France

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Plerin-sur-mer, France

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Poitiers, France

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Reims, France

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Rennes, France

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Saint-Cloud, France

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Saint-Priest-en-Jarez, France

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Strasbourg, France

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Toulouse, France

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Tours, France

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Villejuif, France

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Berlin, Germany

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Hamburg, Germany

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Kiel, Germany

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Münster, Germany

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Ravensburg, Germany

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Wolfsburg, Germany

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Athens, Greece

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Athens, Greece

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Athens, Greece

GSK Investigational Site

Haidari - Athens, Greece

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Marousi, Greece

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Beersheba, Israel

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Haifa, Israel

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Haifa, Israel

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Holon, Israel

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Petah Tikva, Israel

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Rehovot, Israel

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Bologna, Italy

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Faenza, Italy

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Lugo RA, Italy

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Meldola FC, Italy

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Naples, Italy

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Amsterdam, Netherlands

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Groningen, Netherlands

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Maastricht, Netherlands

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Nijmegen, Netherlands

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Rotterdam, Netherlands

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Utrecht, Netherlands

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Kristiansand, Norway

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Oslo, Norway

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Tromsø, Norway

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Olsztyn, Poland

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Szczecin, Poland

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Warsaw, Poland

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Bucharest, Romania

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Cluj-Napoca, Romania

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Cluj-Napoca, Romania

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Constanța, Romania

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Craiova, Romania

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Timișoara, Romania

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Ávila, Spain

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Badalona, Spain

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Barcelona, Spain

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Girona, Spain

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Jaén, Spain

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Madrid, Spain

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Madrid, Spain

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Santiago de Compostela, Spain

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Toledo, Spain

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Valencia, Spain

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Zaragoza, Spain

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Chernihiv, Ukraine

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Kharkiv, Ukraine

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Lviv, Ukraine

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Glasgow, United Kingdom

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Metropolitan Borough of Wirral, United Kingdom

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Portsmouth, United Kingdom

GSK Investigational Site

Sutton, United Kingdom

GSK Investigational Site

Truro, United Kingdom

Clinical Research Directory

A Comparison of Platinum-based Therapy With TSR-042 and Niraparib Versus Standard of Care (SOC) Platinum-based Therapy as First-line Treatment of Stage III or IV Nonmucinous Epithelial Ovarian Cancer

Summary

Key Details

Conditions

Interventions

Eligibility Criteria

Locations (182)