ClinicalTrials.gg
CompletedNCT03359850Updated May 28, 2021Results posted

Pharmacokinetic and Safety Study of Niraparib With Normal or Moderate Hepatic Impairment Patients

A Phase 1 interventional study of Niraparib in Ovarian Neoplasms, Neoplasms and Solid Tumor, sponsored by Tesaro, Inc.. Completed at 5 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-05-28.

Sponsored by Tesaro, Inc. (part of GlaxoSmithKline) · Phase 1, Interventional, and Treatment

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Phase
Phase 1
Study type
Interventional
Enrollment
17
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 44 studies testing niraparib in Ovarian Neoplasms — 9 open to participants now, 14 under way, 2 of them phase 3. niraparib · Ovarian Neoplasms.

Enrollment
36th of 44
17 · median 41
Started
2018
with 4 others
Phase 1
10 of 44
none open now
Registered
10th of 44
by date
Lead sponsor
11 of 44
Tesaro, Inc.

Among the 44 studies testing niraparib in Ovarian Neoplasms, this one is the 36th largest by enrollment, is one of 5 that started in 2018, is one of 10 in phase 1, and was the 10th registered.

Ovarian Neoplasms

3,385 studies on the registry are indexed under Ovarian Neoplasms; 792 are open to participants now.

Browse Ovarian Neoplasms studies →

Open to participants now

9 of the 44 studies testing niraparib in Ovarian Neoplasms are open now, in 10 countries. Recruiting first, the newest first:

4 more — sign in →

By country, each count listing its studies:

All 9 open studies →

About niraparib

niraparib: first FDA approval 2017 (ZEJULA), first EMA approval 2017. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 605 Ovarian Neoplasms studies recruiting now, 442 (73%) set no upper age limit and 107 (18%) stop at 75 or younger; 39 take children under 18; 45 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 44 studies testing niraparib in Ovarian Neoplasms, or all of them as a file.
02

Study summary

Niraparib (Zejula®)is extensively metabolized and eliminated primarily by hepatic and renal pathways. The purpose of this study is to evaluate pharmacokinetics and safety of niraparib in patients with moderate hepatic impairment, for the purpose of providing recommendations to guide the initial dose and dose titration in this patient population.

03

Conditions studied

  • Ovarian Neoplasms
  • Neoplasms
  • Solid Tumor
  • Hepatic Impairment
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

Diagnosis and Criteria for Inclusion:

All patients:

To be considered eligible to participate in this study, all of the following requirements must be met:

  1. Patient, male or female, is at least 18 years of age.
  2. Patient has a diagnosis of advanced solid that has failed standard therapy or for which standard therapy is not likely to provide meaningful benefit, or patient has refused standard therapy.
  3. Patient has an (ECOG) performance status of 0 to 1.
  4. Patient is able to take oral medications.
  5. Female patient, if of , has a negative serum pregnancy test within 72 hours prior to taking study drug and agrees to abstain from activities that could result in pregnancy from enrollment through 120 days after the last dose of study treatment, or be of non-childbearing potential. Non-childbearing potential is defined as (by other than medical reasons):

    • ≥45 years of age and has not had menses for > 1 year.
    • Amenorrheic for \< 2 years without a hysterectomy Post hysterectomy, bilateral oophorectomy, or tubal ligation..

    Note: Abstinence is acceptable if this is the established and preferred for the patient.

  6. Male patient agrees to use an adequate method of contraception starting with the first dose of study treatment through 120 days after the last dose of study treatment..
  7. Patient is able to understand the study procedures and agrees to participate in the study by providing written .

Patients with normal hepatic function (Group 1):

Patients screened for the normal hepatic function group must meet the following additional criteria to be eligible for enrollment:

  1. Patient has no history of hepatic impairment.
  2. Patient has liver function test (LFT) results within normal range:

    • Total ≤
    • (AST) ≤ ULN.
    • ≤1.5 X ULN unless the patient is receiving anticoagulant therapy and the INR is within therapeutic range of intended use of anticoagulants.
  3. Patient has adequate hematologic and renal function as defined below:

    • ≥1500/µL
    • ≥100,000/µL
    • ≥9 g/dL
    • Serum creatinine ≤1.5 × ULN or a calculated ≥60 mL/min using the Cockcroft-Gault equation.

Patients with moderate hepatic impairment (Group 2):

Patients screened for the moderate hepatic impairment group must meet the following additional criteria to be eligible for enrollment:

  1. Patient has stable, moderate hepatic impairment, defined as:

    • BILI: >1.5 × to 3 × ULN, for at least 2 weeks prior to Day 1
    • AST: Any value
    • INR less than 1.8 unless the patient is receiving anticoagulant therapy and the INR is within therapeutic range of intended use of anticoagulants.
  2. Patient has hematologic and renal function as defined below:

    • Absolute neutrophil count ≥1000/µL
    • Platelets ≥75,000/µL
    • Hemoglobin ≥8 g/dL
    • Serum creatinine ≤1.5 × ULN or a calculated creatinine clearance ≥60 mL/min using the Cockcroft-Gault equation.
  3. Patient's hepatic disease is deemed stable by the Investigator

Criteria for Exclusion:

Patients will not be eligible for study entry if any of the following criteria are met:

All patients:

  1. Patient has undergone palliative radiotherapy within 1 week of study drug administration, encompassing >20% of the bone marrow.
  2. Patient is starting chemotherapy within 3 weeks of study drug administration.
  3. Patient has a known to the components of niraparib or
  4. Patients who received colony-stimulating factors within 2 weeks prior to the first dose of study treatment are not eligible.
  5. Patient has persistent chemotherapy associated Grade 2 or greater toxicity except for neuropathy, alopecia or fatigue.
  6. Patient has symptomatic uncontrolled brain or .
  7. Patient has undergone major surgery within 3 weeks of starting the study or patient has not recovered from any effects of any major surgery.
  8. Patient is considered a poor medical risk due to a serious, uncontrolled medical disorder (other than hepatic impairment) or active, uncontrolled infection.
  9. Patient has received a transfusion (platelets or red blood cells) within 3 weeks of receiving niraparib.
  10. Patient is pregnant, breastfeeding, or expecting to conceive children while receiving study treatment or for 3 months after the last dose of study treatment.
  11. Patient has a known history of myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML).

    NOTE: Exclusion Criteria 12-16 apply patients participating in the PK phase of the study.

  12. Patient is currently receiving, or unable to refrain from taking from 4 days prior to dosing until the time of the last PK blood draw, any of the following cytochrome (CYP) 1A2 substrates: alosetron, duloxetine, melatonin, ramelteon, tacrine, tizanidine, and theophylline.
  13. Patient is unable to refrain from any intake of grapefruit or grapefruit juice within 4 days of the first administration of niraparib until the final PK sample collection.
  14. Patient is currently receiving, or unable to refrain from taking from 4 days prior to dosing until the last PK blood draw, any of the following P-glycoprotein (P-gp) inhibitors: amiodarone, azithromycin, captopril, carvedilol, clarithromycin, conivaptan, cyclosporine, diltiazem, dronedarone, erythromycin, felodipine, itraconazole, ketoconazole, lopinavir and ritonavir, quercetin, quinidine, ranolazine, ticagrelor and verapamil.
  15. Patient is taking proton pump inhibitors, antacids, or histamine 2 (H2) blockers within 48 hours prior to niraparib administration, and/or within 6 hours after niraparib administration.
  16. Patient has esophagogastrointestinal disease or resection that is likely to interfere with the absorption of niraparib.

Patients with moderate hepatic impairment (Group 2):

Patients screened for the moderate hepatic impairment group who meet any of the following additional criteria will be excluded from the study:

  1. Patient has hepatic encephalopathy, severe portal hypertension and/or porto-systemic shunt.
  2. Patient has fluctuating or rapidly deteriorating hepatic function as determined by the investigator within the screening period.
  3. Patient has acute liver disease caused by drug toxicity or by an infection.
  4. Patient has biliary obstruction or other causes of hepatic impairment not related to parenchymal disorder and/or disease of the liver.
  5. Patient has esophageal variceal bleeding within the past 2 months.
  6. Patient is receiving anticoagulant therapy with warfarin or related coumarins.
  7. Patient has a history of hepatic transplant, systemic lupus erythematosus, or hepatic coma.
Terms in these criteria, in plain language(16)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
17 participants (actual)

Study arms

  • Experimental
    Normal hepatic function (Group 1):

    To evaluate the pharmocokinetics and safety of niraparib

    Drug: Niraparib

  • Experimental
    Moderate hepatic impairment (Group 2):

    To evaluate the pharmocokinetics and safety of niraparib

    Drug: Niraparib

Interventions

  • Niraparib is a potent, orally active PARP1 and PARP2 inhibitor being developed as a treatment for patients with tumors that harbor defects in the homologous recombination DNA repair pathway or that are driven by PARP-mediated transcription factors.

    Also known as: Zejula®

06

What researchers measure

Primary outcomes

  1. Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Niraparib and Its Major Metabolite (M1) During PK Phase

    Blood samples were collected at indicated time points to evaluate AUC (last) of niraparib and M1. PK parameters were calculated by standard non-compartmental analysis.

    Time frame: Pre-dose, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 120, 168 hours post dose Day 1

  2. Area Under the Plasma Concentration-time Curve From Time 0 Extrapolated to Infinity (AUC 0-infinity) of Niraparib and M1 During PK Phase

    Blood samples were collected at indicated time points to evaluate AUC (0-infinity) of niraparib and M1. PK parameters were calculated by standard non-compartmental analysis.

    Time frame: Pre-dose, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 120, 168 hours post dose Day 1

  3. Observed Maximum Plasma Concentration (Cmax) of Niraparib and M1 During PK Phase

    Blood samples were collected at indicated time points to evaluate Cmax of niraparib and M1. PK parameters were calculated by standard non-compartmental analysis.

    Time frame: Pre-dose, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 120, 168 hours post dose Day 1

  4. Time to Maximum Concentration (Tmax) of Niraparib and M1 During PK Phase

    Blood samples were collected at indicated time points to evaluate tmax of niraparib and M1. PK parameters were calculated by standard non-compartmental analysis.

    Time frame: Pre-dose, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 120, 168 hours post dose Day 1

  5. Terminal Half-life (t½) of Niraparib and M1 During PK Phase

    Blood samples were collected at indicated time points to evaluate t1/2 of niraparib and M1. PK parameters were calculated by standard non-compartmental analysis.

    Time frame: Pre-dose, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 120, 168 hours post dose Day 1

  6. Apparent Total Body Clearance (CL/F) of Niraparib and M1 During PK Phase

    CL/F is calculated as Dose/(AUC 0-inf). Blood samples were collected at indicated time points to evaluate CL/F of niraparib and M1. PK parameters were calculated by standard non-compartmental analysis. Not applicable (NA) indicates that CL/F could not be measured for M1 since the dose of metabolite is unknown and only known dose is that of parent niraparib.

    Time frame: Pre-dose, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 120, 168 hours post dose Day 1

Secondary outcomes

  1. Number of Participants With Treatment-Emergent Adverse Events (TEAE) Including Non-serious Adverse Events (Non-SAEs), Serious Adverse Events (SAEs) and Discontinuations Due to AEs During PK Phase

    An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product, and which does not necessarily have to have a causal relationship with this treatment. SAE is defined as any untoward medical occurrence that, at any dose: results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; is a congenital anomaly/birth defect; or is an important medical event(s) requiring medical or scientific judgment. Treatment-emergent are any event that was not present prior to the initiation of study treatment or any event already present that worsens in either intensity or frequency following exposure to study treatment.

    Time frame: Up to Day 8

  2. Change From Baseline in Hemoglobin (Hb) During PK Phase

    Blood samples were collected from participants for evaluation of Hb. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

    Time frame: Baseline and at Day 8

  3. Change From Baseline in Platelets, Neutrophils, Monocytes, Lymphocytes and Leukocyte During PK Phase

    Blood samples were collected to analyze hematology parameters:Leukocyte, Lymphocytes, Monocytes, Neutrophils and Platelets. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

    Time frame: Baseline and Day 8

  4. Change From Baseline in Clinical Chemistry Parameter of Protein and Albumin During PK Phase

    Blood samples were collected to analyze clinical chemistry parameters: protein and albumin. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

    Time frame: Baseline and Day 8

  5. Change From Baseline in Clinical Chemistry Parameter of Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST) and Lactate Dehydrogenase (LDH) During PK Phase

    Blood samples were collected at indicated time-points for analysis of clinical chemistry parameters: alkaline phosphatase, ALT, AST and LDH. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

    Time frame: Baseline and Day 8

  6. Change From Baseline in Clinical Chemistry Parameter of Amylase During PK Phase

    Blood samples were collected at indicated time-points for analysis of clinical chemistry parameter: Amylase. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

    Time frame: Baseline and Day 8

  7. Change From Baseline in Clinical Chemistry Parameter of Bilirubin and Creatinine During PK Phase

    Blood samples were collected at indicated time-points for analysis of clinical chemistry parameters: Bilirubin and Creatinine. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

    Time frame: Baseline and Day 8

  8. Change From Baseline in Chemistry Parameters: Glucose, Calcium, Chloride, Phosphate, Potassium, Sodium, Magnesium and Blood Urea Nitrogen (BUN) During PK Phase

    Blood samples were collected at indicated time-points for analysis of clinical chemistry parameter:Glucose, Calcium, Chloride, Phosphate, Potassium, Sodium, Magnesium and BUN. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

    Time frame: Baseline and Day 8

  9. Change From Baseline in Weight During PK Phase

    Weight was measured at indicated time-points. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

    Time frame: Baseline, Day 2 and Day 8

  10. Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During PK Phase

    Vital signs including SBP and DBP were measured at indicated time-points. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

    Time frame: Baseline, Day 2 and Day 8

  11. Change From Baseline in Pulse Rate During PK Phase

    Vital sign including pulse rate was measured at indicated time-points. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

    Time frame: Baseline, Day 2 and Day 8

  12. Change From Baseline in Body Temperature During PK Phase

    Vital sign including body temperature was measured at indicated time-points. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

    Time frame: Baseline, Day 2 and Day 8

  13. Number of Participants With TEAE Including Non-SAEs, SAEs and Discontinuations Due to AEs During Extension Phase

    An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product, and which does not necessarily have to have a causal relationship with this treatment. SAE is defined as any untoward medical occurrence that, at any dose: results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; is a congenital anomaly/birth defect; or is an important medical event(s) requiring medical or scientific judgment. Treatment-emergent are any event that was not present prior to the initiation of study treatment or any event already present that worsens in either intensity or frequency following exposure to study treatment.

    Time frame: Up to 28 months

  14. Change From Baseline in Hb During Extension Phase

    Blood samples were collected from participants for evaluation of Hb. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

    Time frame: Baseline and Cycle 1 (Days 8, 15, 21), Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1, and Cycle 6 Day 1 (each cycle was of 28 days)

  15. Change From Baseline in Platelets, Neutrophils, Monocytes, Lymphocytes and Leukocytes During Extension Phase

    Blood samples were collected to analyze hematology parameters: Lymphocytes, Leukocytes, Monocytes, Neutrophils and Platelets. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

    Time frame: Baseline and Cycle 1 (Days 8, 15, 21), Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1, and Cycle 6 Day 1 (each cycle was of 28 days)

  16. Change From Baseline in Clinical Chemistry Parameter of Protein and Albumin During Extension Phase

    Blood samples were collected to analyze clinical chemistry parameters: protein and albumin. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

    Time frame: Baseline and Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1 (each cycle was of 28 days)

  17. Change From Baseline in Clinical Chemistry Parameter of Alkaline Phosphatase, ALT, AST and LDH During Extension Phase

    Blood samples were collected at indicated time-points for analysis of clinical chemistry parameters: alkaline phosphatase, ALT, AST and LDH. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

    Time frame: Baseline and Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1 (each cycle was of 28 days)

  18. Change From Baseline in Clinical Chemistry Parameter of Amylase During Extension Phase

    Blood samples were collected at indicated time-points for analysis of clinical chemistry parameter: Amylase. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

    Time frame: Baseline and Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1 (each cycle was of 28 days)

  19. Change From Baseline in Clinical Chemistry Parameter of Bilirubin and Creatinine During Extension Phase

    Blood samples were collected at indicated time-points for analysis of clinical chemistry parameter: Bilirubin and Creatinine. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

    Time frame: Baseline and Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1 (each cycle was of 28 days)

  20. Change From Baseline in Chemistry Parameters: Glucose, Calcium, Chloride, Phosphate, Potassium, Sodium, Magnesium and BUN During Extension Phase

    Blood samples were collected at indicated time-points for analysis of clinical chemistry parameter:Glucose, Calcium, Chloride, Phosphate, Potassium, Sodium, Magnesium and BUN. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

    Time frame: Baseline and Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1 (each cycle was of 28 days)

  21. Change From Baseline in Weight During Extension Phase

    Weight was measured at indicated time-points. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

    Time frame: Baseline and Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1 (each cycle was of 28 days)

  22. Change From Baseline in SBP and DBP During Extension Phase

    Vital signs including SBP and DBP were measured at indicated time-points. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

    Time frame: Baseline and Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1 (each cycle was of 28 days)

  23. Change From Baseline in Pulse Rate During Extension Phase

    Vital sign including pulse rate was measured at indicated time-points. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

    Time frame: Baseline and Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1 (each cycle was of 28 days)

  24. Change From Baseline in Temperature During Extension Phase

    Vital sign including temperature was measured at indicated time-points. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

    Time frame: Baseline and Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1 (each cycle was of 28 days)

Other outcomes

  1. Plasma Protein Unbound Fraction (Fu) of Niraparib and M1 During PK Phase

    Unbound fraction is the unbound concentration of niraparib and M1 in plasma divided by total concentration. This analysis was planned but not performed due to insufficient participants with data

    Time frame: Pre-dose, 3 hours and 168 hours post dose Day 1

  2. Clearance of Unbound Niraparib and M1 (CLfu/F) During PK Phase

    CLfu/F is the clearance for unbound niraparib and M1. This analysis was planned but not performed due to insufficient participants with data

    Time frame: Pre-dose, 3 hours and 168 hours post dose Day 1

07

Results

Posted Nov 16, 2020

Participant flow

This study evaluated pharmacokinetics and safety of niraparib in participants with advanced solid tumors and with either normal hepatic function or moderate hepatic impairment.

PK Phase (Up to Day 8)
Participant flow — PK Phase (Up to Day 8)
MilestoneParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Started98
Completed87
Not completed11
Withdrew: Physician decision01
Withdrew: Adverse event10
Extension Phase (Up to 28 Months)
Participant flow — Extension Phase (Up to 28 Months)
MilestoneParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Started87
Completed01
Not completed86
Withdrew: Death24
Withdrew: Withdrawal by subject12
Withdrew: Disease progression50

Outcome measures

PrimaryArea Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Niraparib and Its Major Metabolite (M1) During PK Phase

Blood samples were collected at indicated time points to evaluate AUC (last) of niraparib and M1. PK parameters were calculated by standard non-compartmental analysis.

Time frame:
Pre-dose, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 120, 168 hours post dose Day 1
Reported as:
Geometric mean · Hour*nanogram per milliliter (hr*ng/mL)
Area Under the Plasma Concentration-time Curve From Time 0 to the Time of the Last Quantifiable Concentration (AUClast) of Niraparib and Its Major Metabolite (M1) During PK Phase
Hour*nanogram per milliliter (hr*ng/mL)Participants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Niraparib18500 ± 37.726800 ± 49.6
M119000 ± 27.512400 ± 55.0
PrimaryArea Under the Plasma Concentration-time Curve From Time 0 Extrapolated to Infinity (AUC 0-infinity) of Niraparib and M1 During PK Phase

Blood samples were collected at indicated time points to evaluate AUC (0-infinity) of niraparib and M1. PK parameters were calculated by standard non-compartmental analysis.

Time frame:
Pre-dose, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 120, 168 hours post dose Day 1
Reported as:
Geometric mean · Hour*nanogram per milliliter (hr*ng/mL)
Area Under the Plasma Concentration-time Curve From Time 0 Extrapolated to Infinity (AUC 0-infinity) of Niraparib and M1 During PK Phase
Hour*nanogram per milliliter (hr*ng/mL)Participants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Niraparib, n= 9, 719700 ± 38.730800 ± 54.3
M1, n=9, 320700 ± 29.821500 ± 25.4
PrimaryObserved Maximum Plasma Concentration (Cmax) of Niraparib and M1 During PK Phase

Blood samples were collected at indicated time points to evaluate Cmax of niraparib and M1. PK parameters were calculated by standard non-compartmental analysis.

Time frame:
Pre-dose, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 120, 168 hours post dose Day 1
Reported as:
Geometric mean · Nanogram per milliliter
Observed Maximum Plasma Concentration (Cmax) of Niraparib and M1 During PK Phase
Nanogram per milliliterParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Niraparib594 ± 45.6553 ± 47.4
M1398 ± 17.6151 ± 89.3
PrimaryTime to Maximum Concentration (Tmax) of Niraparib and M1 During PK Phase

Blood samples were collected at indicated time points to evaluate tmax of niraparib and M1. PK parameters were calculated by standard non-compartmental analysis.

Time frame:
Pre-dose, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 120, 168 hours post dose Day 1
Reported as:
Median · Hour
Time to Maximum Concentration (Tmax) of Niraparib and M1 During PK Phase
HourParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Niraparib4.00 (3.00 to 6.33)4.09 (2.00 to 8.02)
M16.00 (4.00 to 12.08)17.73 (6.00 to 25.17)
PrimaryTerminal Half-life (t½) of Niraparib and M1 During PK Phase

Blood samples were collected at indicated time points to evaluate t1/2 of niraparib and M1. PK parameters were calculated by standard non-compartmental analysis.

Time frame:
Pre-dose, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 120, 168 hours post dose Day 1
Reported as:
Geometric mean · Hour
Terminal Half-life (t½) of Niraparib and M1 During PK Phase
HourParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Niraparib, n=9, 743.9 ± 11.554.8 ± 25.8
M1, n=9, 347.9 ± 16.643.7 ± 20.7
PrimaryApparent Total Body Clearance (CL/F) of Niraparib and M1 During PK Phase

CL/F is calculated as Dose/(AUC 0-inf). Blood samples were collected at indicated time points to evaluate CL/F of niraparib and M1. PK parameters were calculated by standard non-compartmental analysis. Not applicable (NA) indicates that CL/F could not be measured for M1 since the dose of metabolite is unknown and only known dose is that of parent niraparib.

Time frame:
Pre-dose, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 120, 168 hours post dose Day 1
Reported as:
Geometric mean · Liters per hour
Apparent Total Body Clearance (CL/F) of Niraparib and M1 During PK Phase
Liters per hourParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Niraparib15.2 ± 38.79.74 ± 54.3
M1NA ± NANA ± NA
Other pre-specifiedPlasma Protein Unbound Fraction (Fu) of Niraparib and M1 During PK Phase

Unbound fraction is the unbound concentration of niraparib and M1 in plasma divided by total concentration. This analysis was planned but not performed due to insufficient participants with data

Time frame:
Pre-dose, 3 hours and 168 hours post dose Day 1

No measurements were reported for this outcome.

Other pre-specifiedClearance of Unbound Niraparib and M1 (CLfu/F) During PK Phase

CLfu/F is the clearance for unbound niraparib and M1. This analysis was planned but not performed due to insufficient participants with data

Time frame:
Pre-dose, 3 hours and 168 hours post dose Day 1

No measurements were reported for this outcome.

SecondaryNumber of Participants With Treatment-Emergent Adverse Events (TEAE) Including Non-serious Adverse Events (Non-SAEs), Serious Adverse Events (SAEs) and Discontinuations Due to AEs During PK Phase

An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product, and which does not necessarily have to have a causal relationship with this treatment. SAE is defined as any untoward medical occurrence that, at any dose: results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; is a congenital anomaly/birth defect; or is an important medical event(s) requiring medical or scientific judgment. Treatment-emergent are any event that was not present prior to the initiation of study treatment or any event already present that worsens in either intensity or frequency following exposure to study treatment.

Time frame:
Up to Day 8
Reported as:
Count of participants · Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAE) Including Non-serious Adverse Events (Non-SAEs), Serious Adverse Events (SAEs) and Discontinuations Due to AEs During PK Phase
ParticipantsParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Any Non -SAEs53
Any SAE10
Any Discontinuations due to AE10
SecondaryChange From Baseline in Hemoglobin (Hb) During PK Phase

Blood samples were collected from participants for evaluation of Hb. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

Time frame:
Baseline and at Day 8
Reported as:
Mean · Grams per liter
Change From Baseline in Hemoglobin (Hb) During PK Phase
Grams per literParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Change From Baseline in Hemoglobin (Hb) During PK Phase-0.5 ± 7.820.6 ± 7.65
SecondaryChange From Baseline in Platelets, Neutrophils, Monocytes, Lymphocytes and Leukocyte During PK Phase

Blood samples were collected to analyze hematology parameters:Leukocyte, Lymphocytes, Monocytes, Neutrophils and Platelets. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

Time frame:
Baseline and Day 8
Reported as:
Mean · 10^9 cells per liter
Change From Baseline in Platelets, Neutrophils, Monocytes, Lymphocytes and Leukocyte During PK Phase
10^9 cells per literParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Lymphocytes0.2 ± 0.38-0.1 ± 0.15
Monocytes0.1 ± 0.32-0.1 ± 0.24
Neutrophils-0.5 ± 2.13-0.7 ± 1.89
Platelets-18.4 ± 95.41-23.4 ± 60.31
Leukocyte-0.2 ± 2.04-0.8 ± 2.16
SecondaryChange From Baseline in Clinical Chemistry Parameter of Protein and Albumin During PK Phase

Blood samples were collected to analyze clinical chemistry parameters: protein and albumin. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

Time frame:
Baseline and Day 8
Reported as:
Mean · Grams per liter
Change From Baseline in Clinical Chemistry Parameter of Protein and Albumin During PK Phase
Grams per literParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Protein-1.0 ± 4.24-3.5 ± 5.55
Albumin-0.9 ± 2.03-2.3 ± 3.45
SecondaryChange From Baseline in Clinical Chemistry Parameter of Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST) and Lactate Dehydrogenase (LDH) During PK Phase

Blood samples were collected at indicated time-points for analysis of clinical chemistry parameters: alkaline phosphatase, ALT, AST and LDH. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

Time frame:
Baseline and Day 8
Reported as:
Mean · International units per Liter
Change From Baseline in Clinical Chemistry Parameter of Alkaline Phosphatase, Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST) and Lactate Dehydrogenase (LDH) During PK Phase
International units per LiterParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Alkaline phosphatase26.3 ± 50.67-32.6 ± 219.03
AST34.6 ± 94.42-6.4 ± 43.81
ALT24.3 ± 60.82-4.4 ± 10.39
LDH36.0 ± 134.66-58.5 ± 137.97
SecondaryChange From Baseline in Clinical Chemistry Parameter of Amylase During PK Phase

Blood samples were collected at indicated time-points for analysis of clinical chemistry parameter: Amylase. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

Time frame:
Baseline and Day 8
Reported as:
Mean · Units per Liter
Change From Baseline in Clinical Chemistry Parameter of Amylase During PK Phase
Units per LiterParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Change From Baseline in Clinical Chemistry Parameter of Amylase During PK Phase74.4 ± 206.900.3 ± 22.92
SecondaryChange From Baseline in Clinical Chemistry Parameter of Bilirubin and Creatinine During PK Phase

Blood samples were collected at indicated time-points for analysis of clinical chemistry parameters: Bilirubin and Creatinine. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

Time frame:
Baseline and Day 8
Reported as:
Mean · Micromoles per liter
Change From Baseline in Clinical Chemistry Parameter of Bilirubin and Creatinine During PK Phase
Micromoles per literParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Bilirubin0.6 ± 3.418.3 ± 9.47
Creatinine-1.9 ± 10.87-0.7 ± 17.19
SecondaryChange From Baseline in Chemistry Parameters: Glucose, Calcium, Chloride, Phosphate, Potassium, Sodium, Magnesium and Blood Urea Nitrogen (BUN) During PK Phase

Blood samples were collected at indicated time-points for analysis of clinical chemistry parameter:Glucose, Calcium, Chloride, Phosphate, Potassium, Sodium, Magnesium and BUN. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

Time frame:
Baseline and Day 8
Reported as:
Mean · Millimoles per liter
Change From Baseline in Chemistry Parameters: Glucose, Calcium, Chloride, Phosphate, Potassium, Sodium, Magnesium and Blood Urea Nitrogen (BUN) During PK Phase
Millimoles per literParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Glucose, n=8, 8-0.8 ± 1.14-0.5 ± 1.61
Calcium, n=8, 80.0 ± 0.17-0.1 ± 0.15
Chloride, n=8, 81.8 ± 2.25-0.3 ± 1.83
Phosphate, n=8, 80.1 ± 0.16-0.1 ± 0.14
Potassium, n=8, 8-0.2 ± 0.26-0.2 ± 0.74
Sodium, n=8, 81.6 ± 2.26-0.5 ± 2.78
BUN, n=8, 8-0.4 ± 1.66-0.1 ± 0.97
Magnesium, n=8, 7-0.0 ± 0.090.0 ± 0.09
SecondaryChange From Baseline in Weight During PK Phase

Weight was measured at indicated time-points. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

Time frame:
Baseline, Day 2 and Day 8
Reported as:
Mean · Kilograms
Change From Baseline in Weight During PK Phase
KilogramsParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Day 2, n=8, 6-0.0 ± 0.580.8 ± 0.87
Day 8, n=9, 8-0.0 ± 1.140.3 ± 1.30
SecondaryChange From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During PK Phase

Vital signs including SBP and DBP were measured at indicated time-points. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

Time frame:
Baseline, Day 2 and Day 8
Reported as:
Mean · Millimeters of mercury
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) During PK Phase
Millimeters of mercuryParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
SBP, Day 2, n=9, 75.9 ± 10.795.7 ± 10.23
SBP, Day 8, n=9, 80.9 ± 18.580.3 ± 9.69
DBP, Day 2, n=9, 73.6 ± 8.382.7 ± 3.15
DBP, Day 8, n=9, 82.4 ± 9.08-0.1 ± 11.18
SecondaryChange From Baseline in Pulse Rate During PK Phase

Vital sign including pulse rate was measured at indicated time-points. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

Time frame:
Baseline, Day 2 and Day 8
Reported as:
Mean · Beats per minute
Change From Baseline in Pulse Rate During PK Phase
Beats per minuteParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Day 2, n=9, 78.9 ± 11.301.3 ± 10.58
Day 8, n=9, 82.8 ± 11.91-2.3 ± 7.85
SecondaryChange From Baseline in Body Temperature During PK Phase

Vital sign including body temperature was measured at indicated time-points. Baseline is defined as the most recent measurement prior to the first administration of study drug in PK phase. Change from Baseline was calculated as post dose value minus Baseline value.

Time frame:
Baseline, Day 2 and Day 8
Reported as:
Mean · Degrees Celsius
Change From Baseline in Body Temperature During PK Phase
Degrees CelsiusParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Day 2, n=9, 7-0.0 ± 0.390.1 ± 0.24
Day 8, n=9, 80.1 ± 0.330.1 ± 0.47
SecondaryNumber of Participants With TEAE Including Non-SAEs, SAEs and Discontinuations Due to AEs During Extension Phase

An AE is any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product, and which does not necessarily have to have a causal relationship with this treatment. SAE is defined as any untoward medical occurrence that, at any dose: results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent disability/incapacity; is a congenital anomaly/birth defect; or is an important medical event(s) requiring medical or scientific judgment. Treatment-emergent are any event that was not present prior to the initiation of study treatment or any event already present that worsens in either intensity or frequency following exposure to study treatment.

Time frame:
Up to 28 months
Reported as:
Count of participants · Participants
Number of Participants With TEAE Including Non-SAEs, SAEs and Discontinuations Due to AEs During Extension Phase
ParticipantsParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Any Non-SAEs87
Any SAE32
Any Discontinuations due to AE01
SecondaryChange From Baseline in Hb During Extension Phase

Blood samples were collected from participants for evaluation of Hb. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

Time frame:
Baseline and Cycle 1 (Days 8, 15, 21), Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1, and Cycle 6 Day 1 (each cycle was of 28 days)
Reported as:
Mean · Grams per liter
Change From Baseline in Hb During Extension Phase
Grams per literParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Cycle 1 Day 8, n=8, 54.3 ± 5.781.0 ± 8.89
Cycle 1 Day 15, n=8, 4-0.5 ± 6.32-8.3 ± 15.73
Cycle 1 Day 21, n=7, 4-2.6 ± 12.91-22.3 ± 17.19
Cycle 2 Day 1, n=6, 2-8.0 ± 14.93-15.0 ± 1.41
Cycle 3 Day 1, n=3, 1-16.7 ± 12.10-10.0 ± NA
Cycle 4 Day 1, n=3, 0-10.7 ± 11.06—
Cycle 5 Day 1, n=3, 0-3.7 ± 2.08—
Cycle 6 Day1, n=2, 03.0 ± 7.07—
SecondaryChange From Baseline in Platelets, Neutrophils, Monocytes, Lymphocytes and Leukocytes During Extension Phase

Blood samples were collected to analyze hematology parameters: Lymphocytes, Leukocytes, Monocytes, Neutrophils and Platelets. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

Time frame:
Baseline and Cycle 1 (Days 8, 15, 21), Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1, and Cycle 6 Day 1 (each cycle was of 28 days)
Reported as:
Mean · 10^9 cells per liter
Change From Baseline in Platelets, Neutrophils, Monocytes, Lymphocytes and Leukocytes During Extension Phase
10^9 cells per literParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Lymphocytes, Cycle 1 Day 8, n=7, 5-0.2 ± 0.36-0.1 ± 0.22
Lymphocytes, Cycle 1 Day 15, n=8, 4-0.1 ± 0.37-0.0 ± 0.48
Lymphocytes, Cycle 1 Day 21, n=7, 4-0.1 ± 0.25-0.2 ± 0.20
Lymphocytes, Cycle 2 Day 1, n=6, 2-0.1 ± 0.330.1 ± 0.04
Lymphocytes, Cycle 3 Day 1, n=3, 1-0.3 ± 0.240.2 ± NA
Lymphocytes, Cycle 4 Day 1, n=3, 00.0 ± 0.33—
Lymphocytes, Cycle 5 Day 1, n=3, 00.3 ± 0.30—
Lymphocytes, Cycle 6 Day1, n=2, 0-0.0 ± 0.54—
Monocytes, Cycle 1 Day 8, n=7, 5-0.1 ± 0.200.0 ± 0.11
Monocytes, Cycle 1 Day 15, n=8, 4-0.2 ± 0.28-0.1 ± 0.22
Monocytes, Cycle 1 Day 21, n=7, 4-0.2 ± 0.20-0.1 ± 0.40
Monocytes, Cycle 2 Day 1, n=6, 2-0.1 ± 0.14-0.1 ± 0.16
Monocytes, Cycle 3 Day 1, n=3, 1-0.2 ± 0.060.0 ± NA
Monocytes, Cycle 4 Day 1, n=3, 0-0.0 ± 0.09—
Monocytes, Cycle 5 Day 1, n=3, 0-0.1 ± 0.10—
Monocytes, Cycle 6 Day1, n=2, 0-0.1 ± 0.16—
Neutrophils, Cycle 1 Day 8, n=7, 50.4 ± 0.870.4 ± 0.44
Neutrophils, Cycle 1 Day 15, n=8, 40.3 ± 1.010.5 ± 0.73
Neutrophils, Cycle 1 Day 21, n=7, 4-0.6 ± 1.92-0.2 ± 0.81
Neutrophils, Cycle 2 Day 1, n=6, 20.6 ± 2.03-1.8 ± 1.94
Neutrophils, Cycle 3 Day 1, n=3, 1-0.0 ± 1.70-0.5 ± NA
Neutrophils, Cycle 4 Day 1, n=3, 0-0.4 ± 0.51—
Neutrophils, Cycle 5 Day 1, n=3, 00.5 ± 0.27—
Neutrophils, Cycle 6 Day1, n=2, 0-0.1 ± 0.78—
Platelets, Cycle 1 Day 8, n=8, 512.0 ± 21.75-0.8 ± 21.32
Platelets, Cycle 1 Day 15, n=8, 4-58.1 ± 118.98-8.3 ± 63.33
Platelets, Cycle 1 Day 21, n=7, 4-81.9 ± 113.91-19.3 ± 57.70
Platelets, Cycle 2 Day 1, n=6, 255.3 ± 128.24-102.5 ± 130.81
Platelets, Cycle 3 Day 1, n=3, 1-46.3 ± 36.4659.0 ± NA
Platelets, Cycle 4 Day 1, n=3, 034.0 ± 43.92—
Platelets, Cycle 5 Day 1, n=3, 045.7 ± 22.68—
Platelets, Cycle 6 Day1, n=2, 034.0 ± 42.43—
Leukocytes, Cycle 1 Day 8, n=8, 50.4 ± 1.760.3 ± 0.40
Leukocytes, Cycle 1 Day 15, n=8, 4-0.1 ± 1.250.4 ± 1.28
Leukocytes, Cycle 1 Day 21, n=7, 4-1.0 ± 2.05-0.5 ± 1.36
Leukocytes, Cycle 2 Day 1, n=6, 20.5 ± 1.96-1.9 ± 1.91
Leukocytes, Cycle 3 Day 1, n=3, 1-0.5 ± 1.67-0.2 ± NA
Leukocytes, Cycle 4 Day 1, n=3, 0-0.4 ± 0.76—
Leukocytes, Cycle 5 Day 1, n=3, 00.9 ± 0.31—
Leukocytes, Cycle 6 Day1, n=2, 0-0.3 ± 1.48—
SecondaryChange From Baseline in Clinical Chemistry Parameter of Protein and Albumin During Extension Phase

Blood samples were collected to analyze clinical chemistry parameters: protein and albumin. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

Time frame:
Baseline and Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1 (each cycle was of 28 days)
Reported as:
Mean · Grams per liter
Change From Baseline in Clinical Chemistry Parameter of Protein and Albumin During Extension Phase
Grams per literParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Protein, Cycle 2 Day 1, n=6, 2-1.0 ± 6.96-2.0 ± 0.00
Protein, Cycle 3 Day 1, n=3, 1-2.0 ± 3.46-5.0 ± NA
Protein, Cycle 4 Day 1, n=3, 01.0 ± 3.61—
Protein, Cycle 5 Day 1, n=3, 04.0 ± 2.65—
Protein, Cycle 6 Day1, n=2, 00.0 ± 2.83—
Albumin, Cycle 2 Day 1, n=6, 20.3 ± 4.37-1.0 ± 0.00
Albumin, Cycle 3 Day 1, n=3, 11.0 ± 2.65-1.0 ± NA
Albumin, Cycle 4 Day 1, n=3, 02.7 ± 3.21—
Albumin, Cycle 5 Day 1, n=3, 04.7 ± 2.52—
Albumin, Cycle 6 Day1, n=2, 017.0 ± 16.97—
SecondaryChange From Baseline in Clinical Chemistry Parameter of Alkaline Phosphatase, ALT, AST and LDH During Extension Phase

Blood samples were collected at indicated time-points for analysis of clinical chemistry parameters: alkaline phosphatase, ALT, AST and LDH. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

Time frame:
Baseline and Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1 (each cycle was of 28 days)
Reported as:
Mean · International units per Liter
Change From Baseline in Clinical Chemistry Parameter of Alkaline Phosphatase, ALT, AST and LDH During Extension Phase
International units per LiterParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Alkaline Phosphatase, Cycle 2 Day 1, n=6, 223.3 ± 17.43-53.5 ± 221.32
Alkaline Phosphatase, Cycle 3 Day 1, n=3, 119.7 ± 5.0357.0 ± NA
Alkaline Phosphatase, Cycle 4 Day 1, n=3, 020.0 ± 10.54—
Alkaline Phosphatase, Cycle 5 Day 1, n=3, 012.0 ± 14.80—
Alkaline Phosphatase, Cycle 6 Day1, n=2, 01.5 ± 16.26—
ALT, Cycle 2 Day 1, n=6, 211.8 ± 19.77-6.5 ± 20.51
ALT, Cycle 3 Day 1, n=3, 14.7 ± 6.114.0 ± NA
ALT, Cycle 4 Day 1, n=3, 02.0 ± 5.00—
ALT, Cycle 5 Day 1, n=3, 05.3 ± 7.02—
ALT, Cycle 6 Day1, n=2, 02.0 ± 4.24—
AST, Cycle 2 Day 1, n=6, 24.8 ± 5.81-25.0 ± 38.18
AST, Cycle 3 Day 1, n=3, 12.0 ± 2.654.0 ± NA
AST, Cycle 4 Day 1, n=3, 04.3 ± 2.31—
AST, Cycle 5 Day 1, n=3, 05.3 ± 2.52—
AST, Cycle 6 Day1, n=2, 05.5 ± 4.95—
LDH, Cycle 2 Day 1, n=3, 211.7 ± 37.53-625.0 ± 847.11
LDH, Cycle 3 Day 1, n=3, 16.7 ± 17.56-9.0 ± NA
LDH, Cycle 4 Day 1, n=3, 0-11.7 ± 41.77—
LDH, Cycle 5 Day 1, n=3, 0-5.3 ± 21.46—
LDH, Cycle 6 Day1, n=2, 019.0 ± 35.36—
SecondaryChange From Baseline in Clinical Chemistry Parameter of Amylase During Extension Phase

Blood samples were collected at indicated time-points for analysis of clinical chemistry parameter: Amylase. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

Time frame:
Baseline and Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1 (each cycle was of 28 days)
Reported as:
Mean · Units per Liter
Change From Baseline in Clinical Chemistry Parameter of Amylase During Extension Phase
Units per LiterParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Cycle 2 Day 1, n=4, 2-1.0 ± 16.39-2.5 ± 6.36
Cycle 3 Day 1, n=3, 1-7.0 ± 14.18-4.0 ± NA
Cycle 4 Day 1, n=3, 0-2.3 ± 16.77—
Cycle 5 Day 1, n=3, 03.0 ± 5.57—
Cycle 6 Day1, n=2, 0-2.5 ± 31.82—
SecondaryChange From Baseline in Clinical Chemistry Parameter of Bilirubin and Creatinine During Extension Phase

Blood samples were collected at indicated time-points for analysis of clinical chemistry parameter: Bilirubin and Creatinine. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

Time frame:
Baseline and Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1 (each cycle was of 28 days)
Reported as:
Mean · Micromoles per liter
Change From Baseline in Clinical Chemistry Parameter of Bilirubin and Creatinine During Extension Phase
Micromoles per literParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Bilirubin, Cycle 2 Day 1, n=6, 20.9 ± 1.79-6.0 ± 8.46
Bilirubin, Cycle 3 Day 1, n=3, 10.6 ± 2.611.7 ± NA
Bilirubin, Cycle 4 Day 1, n=3, 00.6 ± 0.99—
Bilirubin, Cycle 5 Day 1, n=3, 02.9 ± 0.99—
Bilirubin, Cycle 6 Day1, n=2, 0-0.9 ± 1.21—
Creatinine, Cycle 2 Day 1, n=6, 27.5 ± 17.9318.1 ± 3.13
Creatinine, Cycle 3 Day 1, n=3, 113.0 ± 5.030.0 ± NA
Creatinine, Cycle 4 Day 1, n=3, 00.9 ± 9.56—
Creatinine, Cycle 5 Day 1, n=3, 05.6 ± 2.84—
Creatinine, Cycle 6 Day1, n=2, 05.7 ± 5.63—
SecondaryChange From Baseline in Chemistry Parameters: Glucose, Calcium, Chloride, Phosphate, Potassium, Sodium, Magnesium and BUN During Extension Phase

Blood samples were collected at indicated time-points for analysis of clinical chemistry parameter:Glucose, Calcium, Chloride, Phosphate, Potassium, Sodium, Magnesium and BUN. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

Time frame:
Baseline and Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1 (each cycle was of 28 days)
Reported as:
Mean · Millimoles per liter
Change From Baseline in Chemistry Parameters: Glucose, Calcium, Chloride, Phosphate, Potassium, Sodium, Magnesium and BUN During Extension Phase
Millimoles per literParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Glucose, Cycle 2 Day 1, n=6, 2-0.0 ± 1.451.6 ± 0.47
Glucose, Cycle 3 Day 1, n=3, 10.7 ± 1.50-2.3 ± NA
Glucose, Cycle 4 Day 1, n=3, 0-0.4 ± 0.95—
Glucose, Cycle 5 Day 1, n=3, 0-0.7 ± 0.90—
Glucose, Cycle 6 Day1, n=2, 0-0.8 ± 0.90—
Calcium, Cycle 2 Day 1, n=6, 2-0.0 ± 0.160.0 ± 0.14
Calcium, Cycle 3 Day 1, n=3, 10.0 ± 0.060.0 ± NA
Calcium, Cycle 4 Day 1, n=3, 00.0 ± 0.00—
Calcium, Cycle 5 Day 1, n=3, 00.1 ± 0.10—
Calcium, Cycle 6 Day1, n=2, 0-0.0 ± 0.02—
Chloride, Cycle 2 Day 1, n=6, 2-1.7 ± 2.25-3.5 ± 2.12
Chloride, Cycle 3 Day 1, n=3, 1-2.0 ± 3.610.0 ± NA
Chloride, Cycle 4 Day 1, n=3, 0-0.7 ± 1.53—
Chloride, Cycle 5 Day 1, n=3, 0-1.7 ± 1.15—
Chloride, Cycle 6 Day1, n=2, 0-2.5 ± 2.12—
Phosphate, Cycle 2 Day 1, n=5, 2-0.2 ± 0.340.3 ± 0.02
Phosphate, Cycle 3 Day 1, n=3, 10.0 ± 0.18-0.1 ± NA
Phosphate, Cycle 4 Day 1, n=3, 0-0.1 ± 0.26—
Phosphate, Cycle 5 Day 1, n=3, 00.0 ± 0.43—
Phosphate, Cycle 6 Day1, n=2, 00.0 ± 0.30—
Potassium, Cycle 2 Day 1, n=6, 2-0.2 ± 0.120.1 ± 0.21
Potassium, Cycle 3 Day 1, n=3, 10.1 ± 0.300.4 ± NA
Potassium, Cycle 4 Day 1, n=3, 00.0 ± 0.20—
Potassium, Cycle 5 Day 1, n=3, 00.1 ± 0.38—
Potassium, Cycle 6 Day1, n=2, 00.1 ± 0.21—
Sodium, Cycle 2 Day 1, n=6, 2-1.8 ± 1.17-1.5 ± 2.12
Sodium, Cycle 3 Day 1, n=3, 1-3.0 ± 1.731.0 ± NA
Sodium, Cycle 4 Day 1, n=3, 0-1.0 ± 1.73—
Sodium, Cycle 5 Day 1, n=3, 0-1.7 ± 0.58—
Sodium, Cycle 6 Day1, n=2, 0-1.5 ± 2.12—
BUN, Cycle 2 Day 1, n=6, 20.3 ± 2.151.8 ± 0.50
BUN, Cycle 3 Day 1, n=3, 10.7 ± 2.141.4 ± NA
BUN, Cycle 4 Day 1, n=3, 0-1.0 ± 0.90—
BUN, Cycle 5 Day 1, n=3, 0-0.5 ± 1.25—
BUN, Cycle 6 Day1, n=2, 0-0.5 ± 0.76—
Magnesium, Cycle 2 Day 1, n=5, 2-0.0 ± 0.090.0 ± 0.00
Magnesium, Cycle 3 Day 1, n=3, 1-0.0 ± 0.040.1 ± NA
Magnesium, Cycle 4 Day 1, n=2, 00.0 ± 0.00—
Magnesium, Cycle 5 Day 1, n=2, 00.1 ± 0.00—
Magnesium, Cycle 6 Day1, n=1, 00.0 ± NA—
SecondaryChange From Baseline in Weight During Extension Phase

Weight was measured at indicated time-points. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

Time frame:
Baseline and Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1 (each cycle was of 28 days)
Reported as:
Mean · Kilograms
Change From Baseline in Weight During Extension Phase
KilogramsParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Cycle 2 Day 1, n=6, 2-1.6 ± 1.74-4.6 ± 4.31
Cycle 3 Day 1, n=3, 1-0.3 ± 1.00-4.5 ± NA
Cycle 4 Day 1, n=3, 0-2.3 ± 0.85—
Cycle 5 Day 1, n=3, 0-3.3 ± 2.91—
Cycle 6 Day1, n=2, 0-0.4 ± 0.92—
SecondaryChange From Baseline in SBP and DBP During Extension Phase

Vital signs including SBP and DBP were measured at indicated time-points. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

Time frame:
Baseline and Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1 (each cycle was of 28 days)
Reported as:
Mean · Millimeters of mercury
Change From Baseline in SBP and DBP During Extension Phase
Millimeters of mercuryParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
DBP, Cycle 2 Day 1, n=6, 2-0.2 ± 3.19-12.0 ± 12.73
DBP, Cycle 3 Day 1, n=3, 18.7 ± 9.81-9.0 ± NA
DBP, Cycle 4 Day 1, n=3, 0-0.3 ± 3.06—
DBP, Cycle 5 Day 1, n=3, 012.3 ± 6.51—
DBP, Cycle 6 Day1, n=2, 06.5 ± 4.95—
SBP, Cycle 2 Day 1, n=6, 2-1.2 ± 12.89-2.5 ± 23.33
SBP, Cycle 3 Day 1, n=3, 16.7 ± 10.97-6.0 ± NA
SBP, Cycle 4 Day 1, n=3, 0-2.3 ± 7.57—
SBP, Cycle 5 Day 1, n=3, 05.7 ± 10.02—
SBP, Cycle 6 Day1, n=2, 013.0 ± 1.41—
SecondaryChange From Baseline in Pulse Rate During Extension Phase

Vital sign including pulse rate was measured at indicated time-points. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

Time frame:
Baseline and Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1 (each cycle was of 28 days)
Reported as:
Mean · Beats per minute
Change From Baseline in Pulse Rate During Extension Phase
Beats per minuteParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Cycle 2 Day 1, n=6, 217.2 ± 10.159.0 ± 5.66
Cycle 3 Day 1, n=3, 123.0 ± 20.784.0 ± NA
Cycle 4 Day 1, n=3, 015.3 ± 8.08—
Cycle 5 Day 1, n=3, 09.3 ± 11.55—
Cycle 6 Day1, n=2, 016.5 ± 9.19—
SecondaryChange From Baseline in Temperature During Extension Phase

Vital sign including temperature was measured at indicated time-points. Baseline is defined as the most recent measurement prior to the first administration of study drug in extension phase. Change from Baseline was calculated as post dose value minus Baseline value. NA indicates standard deviation could not be calculated as a single participant was analyzed.

Time frame:
Baseline and Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1, Cycle 5 Day 1 and Cycle 6 Day 1 (each cycle was of 28 days)
Reported as:
Mean · Degrees Celsius
Change From Baseline in Temperature During Extension Phase
Degrees CelsiusParticipants With Normal Hepatic FunctionParticipants With Impaired Hepatic Function
Cycle 2 Day 1, n=6, 2-0.3 ± 0.770.1 ± 0.07
Cycle 3 Day 1, n=3, 1-0.1 ± 0.260.0 ± NA
Cycle 4 Day 1, n=3, 0-0.0 ± 0.38—
Cycle 5 Day 1, n=3, 0-0.1 ± 0.21—
Cycle 6 Day1, n=2, 0-0.3 ± 0.21—

Adverse events

Collected over All cause mortality, non-SAEs and SAEs were reported from start of study treatment and up to Day 8 in PK Phase and up to 28 months in Extension Phase.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Participants With Normal Hepatic Function-PK Phase0/9 (0%)1/9 (11.1%)5/9 (55.6%)
Participants With Impaired Hepatic Function-PK Phase0/8 (0%)0/8 (0%)3/8 (37.5%)
Participants With Normal Hepatic Function-Extension Phase2/8 (25%)3/8 (37.5%)8/8 (100%)
Participants With Impaired Hepatic Function-Extension Phase4/7 (57.1%)2/7 (28.6%)7/7 (100%)
Most frequent serious events
Most frequent serious events
EventParticipants With Normal Hepatic Function-PK PhaseParticipants With Impaired Hepatic Function-PK PhaseParticipants With Normal Hepatic Function-Extension PhaseParticipants With Impaired Hepatic Function-Extension Phase
Abdominal painGastrointestinal disorders0/90/80/81/7
SepsisInfections and infestations0/90/80/81/7
PyrexiaGeneral disorders0/90/81/80/7
Musculoskeletal painMusculoskeletal and connective tissue disorders0/90/81/80/7
Intestinal obstructionGastrointestinal disorders0/90/81/80/7
InfluenzaInfections and infestations1/90/80/80/7
PneumoniaInfections and infestations1/90/80/80/7
Acute respiratory failureRespiratory, thoracic and mediastinal disorders1/90/80/80/7
Pulmonary hypertensionRespiratory, thoracic and mediastinal disorders1/90/80/80/7
Most frequent other events
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Most frequent other events
EventParticipants With Normal Hepatic Function-PK PhaseParticipants With Impaired Hepatic Function-PK PhaseParticipants With Normal Hepatic Function-Extension PhaseParticipants With Impaired Hepatic Function-Extension Phase
FatigueGeneral disorders0/91/87/85/7
AnaemiaBlood and lymphatic system disorders0/90/83/85/7
ThrombocytopeniaBlood and lymphatic system disorders0/90/82/85/7
NauseaGastrointestinal disorders1/91/84/81/7
ConstipationGastrointestinal disorders0/90/84/83/7
Decreased appetiteMetabolism and nutrition disorders0/91/82/83/7
Abdominal painGastrointestinal disorders0/90/82/83/7
InsomniaPsychiatric disorders0/90/83/80/7
Aspartate aminotransferase increasedInvestigations1/91/80/82/7
HyperbilirubinaemiaHepatobiliary disorders0/92/80/82/7

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Participants With Normal Hepatic FunctionParticipants With Impaired Hepatic FunctionTotal
Mean64.8 ± 6.6963.6 ± 7.7164.2 ± 6.98
Sex: Female, Male
Sex: Female, Male(Participants)Participants With Normal Hepatic FunctionParticipants With Impaired Hepatic FunctionTotal
Female246
Male7411
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Participants With Normal Hepatic FunctionParticipants With Impaired Hepatic FunctionTotal
Black or African American101
White8816
08

Study locations

5 sites
  • GSK Investigational Site
    Los Angeles, California 90033, United States
  • GSK Investigational Site
    Newport Beach, California 92663, United States
  • GSK Investigational Site
    Aurora, Colorado 80045, United States
  • GSK Investigational Site
    Atlanta, Georgia 30322, United States
  • GSK Investigational Site
    Houston, Texas 77030, United States
09

References and documents

Publications

  • Akce M, El-Khoueiry A, Piha-Paul SA, Bacque E, Pan P, Zhang ZY, Ewesuedo R, Gupta D, Tang Y, Milton A, Zajic S, Judson PL, O'Bryant CL. Pharmacokinetics and safety of niraparib in patients with moderate hepatic impairment. Cancer Chemother Pharmacol. 2021 Nov;88(5):825-836. doi: 10.1007/s00280-021-04329-8. Epub 2021 Jul 29. PubMed 34324028 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2018 to primary completion in Sep 2019, 18 months.

Results were first posted in Nov 2020, 1 year 2 months after primary completion.

Of 210 industry-sponsored phase 1 interventional studies under Ovarian Neoplasms, half reached primary completion within 47 months of starting (the median), counting those still running; a quarter within 29 and three quarters within 65. This study's 18 months is below that.

Counting every sponsor, half of 380 studies reached it within 50 months; a quarter within 32 and three quarters within 76.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 3, 2017
First posted
Dec 2, 2017
StartActual
Feb 20, 2018
Primary completionActual
Sep 16, 2019
CompletionActual
Jun 24, 2020
Results first posted
Nov 16, 2020
Last update
May 28, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 28, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03359850
Lead sponsor
Tesaro, Inc.
Responsible party
Sponsor
First posted
Dec 2, 2017
Start date
Feb 20, 2018
Primary completion
Sep 16, 2019
Completion
Jun 24, 2020
Results posted
Nov 16, 2020
Last update
May 28, 2021

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2021. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Niraparib

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