A Phase 2 interventional study of Niraparib and Dostarlimab in Ovarian Neoplasms, sponsored by Tesaro, Inc.. Terminated at 27 sites in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-09-10.
Sponsored by Tesaro, Inc. · Phase 2, Interventional, and Treatment
This is an open-label, single-arm Phase 2 study to evaluate the efficacy and safety of combination of niraparib and dostarlimab (TSR-042) in participants with advanced, relapsed, high-grade ovarian, fallopian tube, endometrioid, clear cell ovarian or primary peritoneal cancer without known breast cancer susceptibility gene (BRCA) mutation who have platinum-resistant disease and who have also been previously treated with bevacizumab.
2,695 studies on the registry are indexed under Ovarian Neoplasms; 727 are open to participants now.
This study's enrollment of 41 is below the median of 60 across 2,030 interventional studies indexed under Ovarian Neoplasms.
Browse Ovarian Neoplasms studies →Tesaro, Inc. is the lead sponsor of 32 studies on the registry; none are open to participants now.
Of its 12 completed or terminated interventional studies of FDA-regulated products, 12 (100%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participant with a known history of human immunodeficiency virus (HIV) are allowed if they meet all of the following criteria:
Participants with body weight ≥77 kilogram (kg) and platelet count ≥150,000/microliter (μL) at baseline were administered Niraparib 300 milligram (mg) once daily (QD) and participants with body weight \<77 kg or platelet count \<150,000/μL at baseline were administered Niraparib 200 mg QD. Niraparib was administered continuously until Progressive disease (PD) or toxicity. Dostarlimab (TSR-042) was administered as an intravenous (IV) infusion of 500 mg once every three weeks (Q3W) from Cycle 1 Day 1 through Cycle 4. Beginning at Cycle 5, Dostarlimab (TSR-042) was administered via an IV infusion of 1000 mg on Day 1 of each 6-week cycle until PD or toxicity, up to 27 months.
Drug: Niraparib · Drug: Dostarlimab
Niraparib is a potent, orally active poly (adenosine diphosphate-ribose) polymerase (PARP)-1 and PARP2 inhibitor being developed as a treatment for participants with tumors that harbor defects in the homologous recombination deoxyribonucleic acid (DNA) repair pathway or that are driven by PARP-mediated transcription factors.
Also known as: ZEJULA
TSR-042 is a humanized monoclonal antibody that binds with high affinity to programmed cell death-1 (PD-1) resulting in inhibition of binding to programmed cell-death receptor ligands 1 and 2 (PD-L1 and PD-L2).
Objective Response Rate (ORR) in Participants With Platinum-resistant Ovarian Cancer (PROC)
ORR is defined as the percentage of participants who have achieved confirmed complete response (CR) or partial response (PR), as determined by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) criteria based on Investigator assessment and computed tomography (CT) scans were commonly used for tumor imaging.
Time frame: Up to approximately 22 months
ORR in Participants With PROC Who Have Programmed Cell Death-ligand 1 (PD-L 1) Positive Status
ORR is defined as the percentage of participants who have achieved confirmed CR or PR, as determined by RECIST v1.1 criteria based on Investigator assessment and CT scans were commonly used for tumor imaging. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with combined positive score (vCPS) \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
Time frame: Up to approximately 22 months
Duration of Response (DOR) in Participants With PROC
DOR is defined as the time from first documentation of response (CR or PR) until the time of first documentation of disease progression or death by any cause in the absence of progression by RECIST v.1.1 based on Investigator assessment.
Time frame: Up to approximately 22 months
DOR in Participants With PROC Who Have PD-L 1 Positive Status
DOR is defined as the time from first documentation of response (CR or PR) until the time of first documentation of disease progression or death by any cause in the absence of progression by RECIST v.1.1 based on Investigator assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
Time frame: Up to approximately 22 months
Progression-free Survival (PFS) in Participants With PROC
PFS is defined as the time from the date of the first dose of study treatment to the earlier date of assessment of progression or death by any cause in the absence of progression by RECIST v.1.1 based on Investigator assessment.
Time frame: Up to approximately 22 months
PFS in Participants With PROC Who Have PD-L 1 Positive Status
PFS is defined as the time from the date of the first dose of study treatment to the earlier date of assessment of progression or death by any cause in the absence of progression by RECIST v.1.1 based on Investigator assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with a vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
Time frame: Up to approximately 22 months
Overall Survival (OS) in Participants With PROC
OS is defined as the time from the date of the first dose of study treatment to the date of death by any cause.
Time frame: Up to approximately 22 months
OS in Participants With PROC Who Have PD-L 1 Positive Status
OS is defined as the time from the date of the first dose of study treatment to the date of death by any cause. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
Time frame: Up to approximately 22 months
Disease Control Rate (DCR) in Participants With PROC
DCR is defined as the percentage of participants who have achieved best overall response (BOR) of CR, PR, or stable disease (SD) per RECIST v.1.1 based on the investigator's assessment.
Time frame: Up to approximately 22 months
DCR in Participants With PROC Who Have PD-L 1 Positive Status
DCR is defined as the percentage of participants who have achieved BOR of CR, PR, or SD per RECIST v.1.1 based on the investigator's assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
Time frame: Up to approximately 22 months
ORR in Participants With PROC Based on Independent Review Committee (IRC) Assessment
ORR is defined as the percentage of participants who have achieved confirmed CR or PR per RECIST v1.1 based on the independent review committee assessment.
Time frame: Up to approximately 22 months
ORR in Participants With PROC Who Have PD-L 1 Positive Status Based on IRC Assessment
ORR is defined as the percentage of participants who have achieved confirmed CR or PR per RECIST v1.1 based on the independent review committee assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with a vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
Time frame: Up to approximately 22 months
DOR in Participants With PROC Based on IRC Assessment
DOR is defined as the time from first documentation of response (CR or PR) until the time of first documentation of disease progression or death by any cause in the absence of progression by RECIST v.1.1 based on Independent Review Committee assessment.
Time frame: Up to approximately 22 months
DOR in Participants With PROC Who Have PD-L 1 Positive Status Based on IRC Assessment
DOR is defined as the time from first documentation of response (CR or PR) until the time of first documentation of disease progression or death by any cause in the absence of progression by RECIST v.1.1 based on Independent Review Committee assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with a vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
Time frame: Up to approximately 22 months
PFS in Participants With PROC Based on IRC Assessment
PFS is defined as the time from the date of the first dose of study treatment to the earlier date of assessment of progression or death by any cause in the absence of progression by RECIST v.1.1 based on Independent Review Committee Assessment.
Time frame: Up to approximately 22 months
PFS in Participants With PROC Who Have PD-L 1 Positive Status Based on IRC Assessment
PFS is defined as the time from the date of the first dose of study treatment to the earlier date of assessment of progression or death by any cause in the absence of progression by RECIST v.1.1 based on IRC Assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with a vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
Time frame: Up to approximately 22 months
DCR in Participants With PROC Based on IRC Assessment
DCR is defined as the percentage of participants who have achieved BOR of CR, PR, or SD per RECIST v.1.1 based on IRC Assessment.
Time frame: Up to approximately 22 months
DCR in Participants With PROC Who Have PD-L 1 Positive Status Based on IRC Assessment
DCR is defined as the percentage of participants who have achieved BOR of CR, PR, or SD per RECIST v.1.1 based on Independent Review Committee Assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
Time frame: Up to approximately 22 months
Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Treatment-emergent Adverse Events (TEAEs) and Adverse Event of Special Interest (AESI)
An AE is any untoward medical occurrence in a patient administered with a medicinal product and that does which may or may not have a causal relationship with this treatment. A SAE is 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 any other situation according to medical or scientific judgment. TEAEs are any event that occurred between first dose of study drug up to 22 months, which were absent before treatment or that had worsened relative to pretreatment state. AESI were any AE (serious or non-serious) that is of scientific and medical concern specific to the study treatment, for which ongoing monitoring and rapid communication by the Investigator to the Sponsor was done.
Time frame: Up to approximately 27 months
Number of Participants With Grade Shift From Baseline in Hematology
Blood samples were collected for the analysis of hematology parameters and each parameter was graded according to National Cancer Institute (NCI)-Common Terminology Criteria for Adverse Events (CTCAE) version 4.3. Grade 0: Normal, Grade 1: mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences. Baseline was defined as the most recent measurement prior to the first administration of study treatment. Data has been presented for the number of participants with hematology grade shifts from baseline grade to grade 3 and 4 for each parameter.
Time frame: Up to approximately 27 months
Number of Participants With Grade Shift From Baseline in Plasma Chemistry
Blood samples were collected and the clinical chemistry parameters assessed were Albumin (Alb), alanine aminotransferase (ALT), amylase, aspartate aminotransferase (AST), alkaline phosphatase (ALP), sodium, total bilirubin (TB), creatinine, glucose, magnesium and potassium. The Grade shift post baseline data of each parameter from Grade 0 through Grade 4 was based on the CTCAE version 4.03, grading scale, as per intensity, namely Grade 0: Normal, Grade 1: mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences. Baseline was defined as the most recent measurement prior to the first administration of study treatment. Data has been presented for the number of participants with plasma chemistry grade shifts from baseline grade to grade 3 and 4 for each parameter.
Time frame: Up to approximately 27 months
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
Baseline was defined as the most recent measurement prior to the first administration of study treatment. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. The minimum (min) and maximum (max) change from baseline values have been reported.
Time frame: Up to approximately 27 months
Change From Baseline in Pulse Rate
Baseline was defined as the most recent measurement prior to the first administration of study treatment. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. The minimum (min) and maximum (max) change from baseline values have been reported.
Time frame: Up to approximately 27 months
Change From Baseline in Temperature
Baseline was defined as the most recent measurement prior to the first administration of study treatment. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. The minimum (min) and maximum (max) change from baseline values have been reported.
Time frame: Up to approximately 27 months
Change From Baseline in Prothrombin International Normalized Ratio
Blood samples were collected to evaluate Prothrombin International Normalized Ratio (INR). Baseline was defined as the most recent measurement prior to the first administration of study treatment. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.
Time frame: Baseline and up to approximately 27 months
Change in Baseline in Activated Partial Thromboplastin Time
Blood samples were planned to be collected to evaluate activated partial thromboplastin time (APTT). Baseline was defined as the most recent measurement prior to the first administration of study treatment. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.
Time frame: Baseline and up to approximately 27 months
Change From Baseline in Thyrotropin
Blood samples were collected to evaluate thyrotropin at indicated time points. Baseline was defined as the most recent measurement prior to the first administration of study treatment. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.
Time frame: Baseline and up to approximately 27 months
From October 2019 until September 2020, 72 participants were screened and 41 participants were enrolled (31 screen failures)
| Milestone | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| Started | 41 |
| Completed | 1 |
| Not completed | 40 |
| Withdrew: Death | 22 |
| Withdrew: Lost to follow-up | 1 |
| Withdrew: Withdrawal by subject | 6 |
| Withdrew: Sponsor decision to terminate study | 11 |
ORR is defined as the percentage of participants who have achieved confirmed complete response (CR) or partial response (PR), as determined by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) criteria based on Investigator assessment and computed tomography (CT) scans were commonly used for tumor imaging.
| Percentage of Participants | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| Objective Response Rate (ORR) in Participants With Platinum-resistant Ovarian Cancer (PROC) | 7.3 (1.5 to 19.9) |
ORR is defined as the percentage of participants who have achieved confirmed CR or PR, as determined by RECIST v1.1 criteria based on Investigator assessment and CT scans were commonly used for tumor imaging. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with combined positive score (vCPS) \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
| Percentage of Participants | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| ORR in Participants With PROC Who Have Programmed Cell Death-ligand 1 (PD-L 1) Positive Status | 7.7 (0.2 to 36) |
DOR is defined as the time from first documentation of response (CR or PR) until the time of first documentation of disease progression or death by any cause in the absence of progression by RECIST v.1.1 based on Investigator assessment.
| Months | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| Duration of Response (DOR) in Participants With PROC | 3.8 (3 to 9.2) |
DOR is defined as the time from first documentation of response (CR or PR) until the time of first documentation of disease progression or death by any cause in the absence of progression by RECIST v.1.1 based on Investigator assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
| Months | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| DOR in Participants With PROC Who Have PD-L 1 Positive Status | NA (3.8 to NA) |
PFS is defined as the time from the date of the first dose of study treatment to the earlier date of assessment of progression or death by any cause in the absence of progression by RECIST v.1.1 based on Investigator assessment.
| Months | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| Progression-free Survival (PFS) in Participants With PROC | 2.1 (1.97 to 2.23) |
PFS is defined as the time from the date of the first dose of study treatment to the earlier date of assessment of progression or death by any cause in the absence of progression by RECIST v.1.1 based on Investigator assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with a vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
| Months | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| PFS in Participants With PROC Who Have PD-L 1 Positive Status | 2.22 (1.64 to NA) |
OS is defined as the time from the date of the first dose of study treatment to the date of death by any cause.
| Months | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| Overall Survival (OS) in Participants With PROC | 10.61 (7.26 to 13.44) |
OS is defined as the time from the date of the first dose of study treatment to the date of death by any cause. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
| Months | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| OS in Participants With PROC Who Have PD-L 1 Positive Status | NA (7.26 to NA) |
DCR is defined as the percentage of participants who have achieved best overall response (BOR) of CR, PR, or stable disease (SD) per RECIST v.1.1 based on the investigator's assessment.
| Percentage of Participants | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| Disease Control Rate (DCR) in Participants With PROC | 29.3 (16.1 to 45.5) |
DCR is defined as the percentage of participants who have achieved BOR of CR, PR, or SD per RECIST v.1.1 based on the investigator's assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
| Percentage of Participants | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| DCR in Participants With PROC Who Have PD-L 1 Positive Status | 38.5 (13.9 to 68.4) |
ORR is defined as the percentage of participants who have achieved confirmed CR or PR per RECIST v1.1 based on the independent review committee assessment.
No measurements were reported for this outcome.
ORR is defined as the percentage of participants who have achieved confirmed CR or PR per RECIST v1.1 based on the independent review committee assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with a vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
No measurements were reported for this outcome.
DOR is defined as the time from first documentation of response (CR or PR) until the time of first documentation of disease progression or death by any cause in the absence of progression by RECIST v.1.1 based on Independent Review Committee assessment.
No measurements were reported for this outcome.
DOR is defined as the time from first documentation of response (CR or PR) until the time of first documentation of disease progression or death by any cause in the absence of progression by RECIST v.1.1 based on Independent Review Committee assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with a vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
No measurements were reported for this outcome.
PFS is defined as the time from the date of the first dose of study treatment to the earlier date of assessment of progression or death by any cause in the absence of progression by RECIST v.1.1 based on Independent Review Committee Assessment.
No measurements were reported for this outcome.
PFS is defined as the time from the date of the first dose of study treatment to the earlier date of assessment of progression or death by any cause in the absence of progression by RECIST v.1.1 based on IRC Assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with a vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
No measurements were reported for this outcome.
DCR is defined as the percentage of participants who have achieved BOR of CR, PR, or SD per RECIST v.1.1 based on IRC Assessment.
No measurements were reported for this outcome.
DCR is defined as the percentage of participants who have achieved BOR of CR, PR, or SD per RECIST v.1.1 based on Independent Review Committee Assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
No measurements were reported for this outcome.
An AE is any untoward medical occurrence in a patient administered with a medicinal product and that does which may or may not have a causal relationship with this treatment. A SAE is 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 any other situation according to medical or scientific judgment. TEAEs are any event that occurred between first dose of study drug up to 22 months, which were absent before treatment or that had worsened relative to pretreatment state. AESI were any AE (serious or non-serious) that is of scientific and medical concern specific to the study treatment, for which ongoing monitoring and rapid communication by the Investigator to the Sponsor was done.
| Participants | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| AEs | 41 |
| SAEs | 23 |
| TEAE | 41 |
| AESIs | 2 |
Blood samples were collected for the analysis of hematology parameters and each parameter was graded according to National Cancer Institute (NCI)-Common Terminology Criteria for Adverse Events (CTCAE) version 4.3. Grade 0: Normal, Grade 1: mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences. Baseline was defined as the most recent measurement prior to the first administration of study treatment. Data has been presented for the number of participants with hematology grade shifts from baseline grade to grade 3 and 4 for each parameter.
| Participants | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| Hemoglobin, Grade 0 to Grade 3 | 3 |
| Hemoglobin, Grade 1 to Grade 3 | 5 |
| Hemoglobin, Grade 2 to Grade 3 | 1 |
| Hemoglobin, Grade 3 to Grade 3 | 0 |
| Hemoglobin, Grade 4 to Grade 3 | 0 |
| Hemoglobin, Grade 0 to Grade 4 | 0 |
| Hemoglobin, Grade 1 to Grade 4 | 0 |
| Hemoglobin, Grade 2 to Grade 4 | 0 |
| Hemoglobin, Grade 3 to Grade 4 | 0 |
| Hemoglobin, Grade 4 to Grade 4 | 0 |
| Leukocytes, Grade 0 to Grade 3 | 0 |
| Leukocytes, Grade 1 to Grade 3 | 0 |
| Leukocytes, Grade 2 to Grade 3 | 0 |
| Leukocytes, Grade 3 to Grade 3 | 0 |
| Leukocytes, Grade 4 to Grade 3 | 0 |
| Leukocytes, Grade 0 to Grade 4 | 0 |
| Leukocytes, Grade 1 to Grade 4 | 0 |
| Leukocytes, Grade 2 to Grade 4 | 0 |
| Leukocytes, Grade 3 to Grade 4 | 0 |
| Leukocytes, Grade 4 to Grade 4 | 0 |
| Lymphocytes, Grade 0 to Grade 3 | 5 |
| Lymphocytes, Grade 1 to Grade 3 | 3 |
| Lymphocytes, Grade 2 to Grade 3 | 3 |
| Lymphocytes, Grade 3 to Grade 3 | 0 |
| Lymphocytes, Grade 4 to Grade 3 | 0 |
| Lymphocytes, Grade 0 to Grade 4 | 1 |
| Lymphocytes, Grade 1 to Grade 4 | 0 |
| Lymphocytes, Grade 2 to Grade 4 | 0 |
| Lymphocytes, Grade 3 to Grade 4 | 0 |
| Lymphocytes, Grade 4 to Grade 4 | 0 |
| Neutrophil Count, Grade 0 to Grade 3 | 1 |
| Neutrophil Count, Grade 1 to Grade 3 | 0 |
| Neutrophil Count, Grade 2 to Grade 3 | 0 |
| Neutrophil Count, Grade 3 to Grade 3 | 0 |
| Neutrophil Count, Grade 4 to Grade 3 | 0 |
| Neutrophil Count, Grade 0 to Grade 4 | 1 |
| Neutrophil Count, Grade 1 to Grade 4 | 0 |
| Neutrophil Count, Grade 2 to Grade 4 | 0 |
| Neutrophil Count, Grade 3 to Grade 4 | 0 |
| Neutrophil Count, Grade 4 to Grade 4 | 0 |
| Platelets, Grade 0 to Grade 3 | 4 |
| Platelets, Grade 1 to Grade 3 | 1 |
| Platelets, Grade 2 to Grade 3 | 0 |
| Platelets, Grade 3 to Grade 3 | 0 |
| Platelets, Grade 4 to Grade 3 | 0 |
| Platelets, Grade 0 to Grade 4 | 4 |
| Platelets, Grade 1 to Grade 4 | 0 |
| Platelets, Grade 2 to Grade 4 | 0 |
| Platelets, Grade 3 to Grade 4 | 0 |
| Platelets, Grade 4 to Grade 4 | 0 |
Blood samples were collected and the clinical chemistry parameters assessed were Albumin (Alb), alanine aminotransferase (ALT), amylase, aspartate aminotransferase (AST), alkaline phosphatase (ALP), sodium, total bilirubin (TB), creatinine, glucose, magnesium and potassium. The Grade shift post baseline data of each parameter from Grade 0 through Grade 4 was based on the CTCAE version 4.03, grading scale, as per intensity, namely Grade 0: Normal, Grade 1: mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences. Baseline was defined as the most recent measurement prior to the first administration of study treatment. Data has been presented for the number of participants with plasma chemistry grade shifts from baseline grade to grade 3 and 4 for each parameter.
| Participants | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| ALT, Grade 0 to Grade 3 | 3 |
| ALT, Grade 1 to Grade 3 | 0 |
| ALT, Grade 2 to Grade 3 | 0 |
| ALT, Grade 3 to Grade 3 | 0 |
| ALT, Grade 4 to Grade 3 | 0 |
| ALT, Grade 0 to Grade 4 | 1 |
| ALT, Grade 1 to Grade 4 | 0 |
| ALT, Grade 2 to Grade 4 | 0 |
| ALT, Grade 3 to Grade 4 | 0 |
| ALT, Grade 4 to Grade 4 | 0 |
| Alb, Grade 0 to Grade 3 | 1 |
| Alb, Grade 1 to Grade 3 | 0 |
| Alb, Grade 2 to Grade 3 | 0 |
| Alb, Grade 3 to Grade 3 | 0 |
| Alb, Grade 4 to Grade 3 | 0 |
| Alb, Grade 0 to Grade 4 | 0 |
| Alb, Grade 1 to Grade 4 | 0 |
| Alb, Grade 2 to Grade 4 | 0 |
| Alb, Grade 3 to Grade 4 | 0 |
| Alb, Grade 4 to Grade 4 | 0 |
| ALP, Grade 0 to Grade 3 | 3 |
| ALP, Grade 1 to Grade 3 | 1 |
| ALP, Grade 2 to Grade 3 | 1 |
| ALP, Grade 3 to Grade 3 | 0 |
| ALP, Grade 4 to Grade 3 | 0 |
| ALP, Grade 0 to Grade 4 | 0 |
| ALP, Grade 1 to Grade 4 | 1 |
| ALP, Grade 2 to Grade 4 | 0 |
| ALP, Grade 3 to Grade 4 | 0 |
| ALP, Grade 4 to Grade 4 | 0 |
| Amylase, Grade 0 to Grade 3 | 0 |
| Amylase, Grade 1 to Grade 3 | 0 |
| Amylase, Grade 2 to Grade 3 | 0 |
| Amylase, Grade 3 to Grade 3 | 0 |
| Amylase, Grade 4 to Grade 3 | 0 |
| Amylase, Grade 0 to Grade 4 | 0 |
| Amylase, Grade 1 to Grade 4 | 0 |
| Amylase, Grade 2 to Grade 4 | 0 |
| Amylase, Grade 3 to Grade 4 | 0 |
| Amylase, Grade 4 to Grade 4 | 0 |
| AST, Grade 0 to Grade 3 | 4 |
| AST, Grade 1 to Grade 3 | 1 |
| AST, Grade 2 to Grade 3 | 0 |
| AST, Grade 3 to Grade 3 | 0 |
| AST, Grade 4 to Grade 3 | 0 |
| AST, Grade 0 to Grade 4 | 0 |
| AST, Grade 1 to Grade 4 | 0 |
| AST, Grade 2 to Grade 4 | 0 |
| AST, Grade 3 to Grade 4 | 0 |
| AST, Grade 4 to Grade 4 | 0 |
| TB, Grade 0 to Grade 3 | 1 |
| TB, Grade 1 to Grade 3 | 0 |
| TB, Grade 2 to Grade 3 | 0 |
| TB, Grade 3 to Grade 3 | 0 |
| TB, Grade 4 to Grade 3 | 0 |
| TB, Grade 0 to Grade 4 | 1 |
| TB, Grade 1 to Grade 4 | 0 |
| TB, Grade 2 to Grade 4 | 0 |
| TB, Grade 3 to Grade 4 | 0 |
| TB, Grade 4 to Grade 4 | 0 |
| Creatinine, Grade 0 to Grade 3 | 1 |
| Creatinine, Grade 1 to Grade 3 | 0 |
| Creatinine, Grade 2 to Grade 3 | 0 |
| Creatinine, Grade 3 to Grade 3 | 0 |
| Creatinine, Grade 4 to Grade 3 | 0 |
| Creatinine, Grade 0 to Grade 4 | 0 |
| Creatinine, Grade 1 to Grade 4 | 0 |
| Creatinine, Grade 2 to Grade 4 | 0 |
| Creatinine, Grade 3 to Grade 4 | 0 |
| Creatinine, Grade 4 to Grade 4 | 0 |
| Glucose high, Grade 0 to Grade 3 | 0 |
| Glucose high, Grade 1 to Grade 3 | 3 |
| Glucose high, Grade 2 to Grade 3 | 0 |
| Glucose high, Grade 3 to Grade 3 | 1 |
| Glucose high, Grade 4 to Grade 3 | 0 |
| Glucose high, Grade 0 to Grade 4 | 0 |
| Glucose high, Grade 1 to Grade 4 | 0 |
| Glucose high, Grade 2 to Grade 4 | 0 |
| Glucose high, Grade 3 to Grade 4 | 0 |
| Glucose high, Grade 4 to Grade 4 | 0 |
| Glucose low, Grade 0 to Grade 3 | 0 |
| Glucose low, Grade 1 to Grade 3 | 0 |
| Glucose low, Grade 2 to Grade 3 | 0 |
| Glucose low, Grade 3 to Grade 3 | 0 |
| Glucose low, Grade 4 to Grade 3 | 0 |
| Glucose low, Grade 0 to Grade 4 | 0 |
| Glucose low, Grade 1 to Grade 4 | 0 |
| Glucose low, Grade 2 to Grade 4 | 0 |
| Glucose low, Grade 3 to Grade 4 | 0 |
| Glucose low, Grade 4 to Grade 4 | 0 |
| Magnesium high, Grade 0 to Grade 3 | 1 |
| Magnesium high, Grade 1 to Grade 3 | 0 |
| Magnesium high, Grade 2 to Grade 3 | 0 |
| Magnesium high, Grade 3 to Grade 3 | 0 |
| Magnesium high, Grade 4 to Grade 3 | 0 |
| Magnesium high, Grade 0 to Grade 4 | 0 |
| Magnesium high, Grade 1 to Grade 4 | 0 |
| Magnesium high, Grade 2 to Grade 4 | 0 |
| Magnesium high, Grade 3 to Grade 4 | 0 |
| Magnesium high, Grade 4 to Grade 4 | 0 |
| Magnesium low, Grade 0 to Grade 3 | 0 |
| Magnesium low, Grade 1 to Grade 3 | 0 |
| Magnesium low, Grade 2 to Grade 3 | 0 |
| Magnesium low, Grade 3 to Grade 3 | 1 |
| Magnesium low, Grade 4 to Grade 3 | 0 |
| Magnesium low, Grade 0 to Grade 4 | 0 |
| Magnesium low, Grade 1 to Grade 4 | 0 |
| Magnesium low, Grade 2 to Grade 4 | 0 |
| Magnesium low, Grade 3 to Grade 4 | 0 |
| Magnesium low, Grade 4 to Grade 4 | 0 |
| Potassium high, Grade 0 to Grade 3 | 0 |
| Potassium high, Grade 1 to Grade 3 | 0 |
| Potassium high, Grade 2 to Grade 3 | 0 |
| Potassium high, Grade 3 to Grade 3 | 0 |
| Potassium high, Grade 4 to Grade 3 | 0 |
| Potassium high, Grade 0 to Grade 4 | 0 |
| Potassium high, Grade 1 to Grade 4 | 0 |
| Potassium high, Grade 2 to Grade 4 | 0 |
| Potassium high, Grade 3 to Grade 4 | 0 |
| Potassium high, Grade 4 to Grade 4 | 0 |
| Potassium low, Grade 0 to Grade 3 | 3 |
| Potassium low, Grade 1 to Grade 3 | 1 |
| Potassium low, Grade 2 to Grade 3 | 0 |
| Potassium low, Grade 3 to Grade 3 | 0 |
| Potassium low, Grade 4 to Grade 3 | 0 |
| Potassium low, Grade 0 to Grade 4 | 0 |
| Potassium low, Grade 1 to Grade 4 | 0 |
| Potassium low, Grade 2 to Grade 4 | 0 |
| Potassium low, Grade 3 to Grade 4 | 0 |
| Potassium low, Grade 4 to Grade 4 | 0 |
| Sodium high, Grade 0 to Grade 3 | 0 |
| Sodium high, Grade 1 to Grade 3 | 0 |
| Sodium high, Grade 2 to Grade 3 | 0 |
| Sodium high, Grade 3 to Grade 3 | 0 |
| Sodium high, Grade 4 to Grade 3 | 0 |
| Sodium high, Grade 0 to Grade 4 | 0 |
| Sodium high, Grade 1 to Grade 4 | 0 |
| Sodium high, Grade 2 to Grade 4 | 0 |
| Sodium high, Grade 3 to Grade 4 | 0 |
| Sodium high, Grade 4 to Grade 4 | 0 |
| Sodium low, Grade 0 to Grade 3 | 4 |
| Sodium low, Grade 1 to Grade 3 | 7 |
| Sodium low, Grade 2 to Grade 3 | 0 |
| Sodium low, Grade 3 to Grade 3 | 0 |
| Sodium low, Grade 4 to Grade 3 | 0 |
| Sodium low, Grade 0 to Grade 4 | 0 |
| Sodium low, Grade 1 to Grade 4 | 0 |
| Sodium low, Grade 2 to Grade 4 | 0 |
| Sodium low, Grade 3 to Grade 4 | 0 |
| Sodium low, Grade 4 to Grade 4 | 0 |
Baseline was defined as the most recent measurement prior to the first administration of study treatment. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. The minimum (min) and maximum (max) change from baseline values have been reported.
| Millimeters of mercury | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| DBP, max change post baseline | 10.6 ± 10.07 |
| DBP, min change post baseline | -5.8 ± 11.87 |
| SBP, max change post baseline | 16.5 ± 23.01 |
| SBP, min change post baseline | -12.5 ± 24.61 |
Baseline was defined as the most recent measurement prior to the first administration of study treatment. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. The minimum (min) and maximum (max) change from baseline values have been reported.
| Beats per minute | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| max change post baseline | 20.5 ± 14.71 |
| min change post baseline | 1 ± 13.77 |
Baseline was defined as the most recent measurement prior to the first administration of study treatment. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. The minimum (min) and maximum (max) change from baseline values have been reported.
| Degrees Celsius | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| max change post baseline | 0.31 ± 0.421 |
| min change post baseline | -0.35 ± 0.422 |
Blood samples were collected to evaluate Prothrombin International Normalized Ratio (INR). Baseline was defined as the most recent measurement prior to the first administration of study treatment. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.
| Ratio | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| Day 2 | 0.2 |
| Day 41 | 0.3 |
| Day 52 | 0.7 |
Blood samples were planned to be collected to evaluate activated partial thromboplastin time (APTT). Baseline was defined as the most recent measurement prior to the first administration of study treatment. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.
| Second | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| Day 2 | 1 |
| Day 41 | 16.9 |
Blood samples were collected to evaluate thyrotropin at indicated time points. Baseline was defined as the most recent measurement prior to the first administration of study treatment. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.
| Milliunits per liter (mU/L) | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| Cycle 5 Day 1 | 8.074 ± 19.737 |
| Cycle 7 Day 1 | 12.79 ± 23.240 |
| Cycle 9 Day 1 | 2.596 |
| Cycle 11 Day 1 | 2.517 |
Collected over All cause mortality, non-SAEs and SAEs were collected from Day 1 up to approximately 27 months.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Niraparib+Dostarlimab (TSR-042) | 22/41 (53.7%) | 23/41 (56.1%) | 41/41 (100%) |
| Event | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| ThrombocytopeniaBlood and lymphatic system disorders | 3/41 |
| Small intestinal obstructionGastrointestinal disorders | 3/41 |
| DyspnoeaRespiratory, thoracic and mediastinal disorders | 3/41 |
| AnaemiaBlood and lymphatic system disorders | 2/41 |
| Intestinal obstructionGastrointestinal disorders | 2/41 |
| VomitingGastrointestinal disorders | 2/41 |
| Blood bilirubin increasedInvestigations | 2/41 |
| Pleural effusionRespiratory, thoracic and mediastinal disorders | 2/41 |
| TachycardiaCardiac disorders | 1/41 |
| Abdominal painGastrointestinal disorders | 1/41 |
| Event | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| NauseaGastrointestinal disorders | 24/41 |
| VomitingGastrointestinal disorders | 19/41 |
| AnaemiaBlood and lymphatic system disorders | 18/41 |
| FatigueGeneral disorders | 18/41 |
| Abdominal painGastrointestinal disorders | 15/41 |
| ConstipationGastrointestinal disorders | 15/41 |
| DiarrhoeaGastrointestinal disorders | 11/41 |
| Platelet count decreasedInvestigations | 11/41 |
| Blood creatinine increasedInvestigations | 10/41 |
| Blood alkaline phosphatase increasedInvestigations | 10/41 |
| Age, Continuous(YEARS) | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| Mean | 62.9 ± 10.59 |
| Sex: Female, Male(Participants) | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| Female | 41 |
| Male | 0 |
| Race/Ethnicity, Customized(Participants) | Niraparib+Dostarlimab (TSR-042) |
|---|---|
| American Indian or Alaska Native | 1 |
| Asian | 2 |
| Black or African American | 3 |
| Unknown | 3 |
| White | 32 |
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Tesaro, Inc.