ClinicalTrials.gg
CompletedNCT05198804Updated Mar 18, 2026

A Study of Azenosertib (ZN-c3) and Niraparib in Subjects With Platinum-Resistant Ovarian Cancer

A Phase 1/2 interventional study of Azenosertib and Niraparib in Ovarian Cancer, Platinum-resistant Ovarian Cancer and Primary Peritoneal Carcinoma, sponsored by K-Group, Beta, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, Inc. Completed at 22 sites in 2 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-18.

Sponsored by K-Group, Beta, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, Inc · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Oct 2025, 1 year ago, and no results have been posted to the registry.

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Phase
Phase 1/2
Study type
Interventional
Enrollment
117
Allocation
Non-randomized
Ages
18 Years and older
Sex
Female
01

Where this study stands

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

Among 1,778 studies in Ovarian Neoplasms with a site in United States — 280 open to participants now, 455 under way, 46 of them phase 3. Ovarian Neoplasms · United States.

Enrollment
398th of 1,497
117 · median 47
Started
2022
with 75 others
Phase 1/2
222 of 1,778
48 open now
Registered
1,424th of 1,778
by date

Among the 1,778 studies in Ovarian Neoplasms with a site in United States, this one is the 398th largest by enrollment of the 1,497 interventional ones that give a count, is one of 76 that started in 2022, is one of 222 in phase 1/2, and was the 1,424th 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

280 of the 1,778 studies in Ovarian Neoplasms with a site in United States are open now. Recruiting first, the newest first:

275 more — sign in →

All 280 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

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 · female · no healthy volunteers.

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02

Study summary

This is a Phase 1/2 study to evaluate the safety, clinical activity, pharmacokinetics (PK), and pharmacodynamics (PD) of ZN-c3 in combination with niraparib and of ZN-c3 Monotherapy in subjects with platinum-resistant ovarian cancer.

Read the detailed description

This is a Phase 1/2 open-label, multicenter study to evaluate the safety, clinical activity, PK, and PD of ZN-c3 in combination with niraparib and of ZN-c3 Monotherapy in subjects with platinum-resistant ovarian cancer who have failed Poly (ADP-ribose) polymerase inhibitor (PARPi) maintenance treatment.

03

Conditions studied

  • Ovarian Cancer
  • Platinum-resistant Ovarian Cancer
  • Primary Peritoneal Carcinoma
  • Fallopian Tube Cancer

Keywords

  • Wee1
  • Wee-1
04

Who can participate

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

Eligibility criteria

Key Inclusion Criteria:

  1. or cytologically confirmed recurrent high grade epithelial ovarian, primary peritoneal, or fallopian tube cancer with histologic subtypes of serous, clear cell or endometroid for which there is no known or established treatment available with curative intent.
  2. Subjects must have platinum-resistant disease.
  3. Must have evaluable or according to v1.1 criterion: defined as at least one lesion that can be accurately measured.
  4. Adequate hematologic and organ function.
  5. Ability and willingness to take oral medication.
  6. Subjects must provide formalin-fixed, paraffin-embedded tumor samples available from the primary or recurrent cancer.

Key Exclusion Criteria:

  1. Prior therapy directed at the malignant tumor within the last four weeks prior to Cycle 1 Day 1 (6 weeks for nitrosoureas or mitomycin C).
  2. A minimum of 10 days between termination of the prior PARPi and administration of ZN-c3 and niraparib treatment is required.
  3. Any drug therapy \<28 days.
  4. Prior treatment with a WEE1 inhibitor.
  5. Known to any drugs similar to ZN-c3 and/or niraparib in class or its .
  6. Participant has any known history or current diagnosis of myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML).
  7. Uncontrolled hypertension (Diastolic BP > 90 mmHg or Systolic BP > 140 mmHg).
  8. Myocardial impairment of any cause (e.g., cardiomyopathy, ischemic heart disease, significant valvular dysfunction, hypertensive heart disease, and congestive heart failure) resulting in heart failure by Criteria (Class III or IV).
  9. Significant gastrointestinal abnormalities, requirement for IV alimentation, active peptic ulcer, chronic diarrhea, or vomiting considered to be in the judgment of the Investigator, or prior surgical procedures affecting absorption.
  10. 12-lead demonstrating a interval using Fridericia's formula (QTcF) of >480 ms, except for subjects with atrioventricular pacemakers or other conditions (e.g., right bundle branch block) that render the QT measurement invalid.
  11. History or current evidence of congenital or family history of long QT syndrome or Torsades de Pointes (TdP).
  12. Taking medications with a known risk of TdP (according to current information provided at https://crediblemeds.org).
Terms in these criteria, in plain language(10)

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
117 participants (actual)

Study arms

  • Experimental
    Azenosertib and Niraparib

    Azenosertib in combination with Niraparib

    Drug: Azenosertib · Drug: Niraparib

  • Experimental
    Azenosertib

    Azenosertib Monotherapy

    Drug: Azenosertib

Interventions

06

What researchers measure

Primary outcomes

  1. To investigate the safety and tolerability of ZN-c3 in combination with niraparib, including identification of the MTD and RP2D

    Incidence and severity of Dose Limiting Toxicities (DLTs) in DLT-evaluable subjects during Cycle 1

    Time frame: 6 months

  2. To determine the safety and tolerability of ZN-c3 monotherapy

    Frequency and severity of AEs and dose modifications

    Time frame: 12 months

  3. To investigate the antitumor activity of ZN-c3 monotherapy

    ORR as defined by the revised RECIST Guideline version 1.1 and assessed by ICR.

    Time frame: 12 months

Secondary outcomes

  1. To further investigate the antitumor activity of ZN-c3 in combination with niraparib and ZN-c3 monotherapy

    Duration of response (DOR) as key secondary endpoint

    Time frame: 30 months

  2. To further investigate the antitumor activity of ZN-c3 in combination with niraparib and ZN-c3 monotherapy

    Clinical Benefit Rate (CBR), Progression Free Survival (PFS) (median and 4-month rate), as defined by the revised RECIST version 1.1

    Time frame: 30 months

  3. To further investigate the antitumor activity of ZN-c3 in combination with niraparib and ZN-c3 monotherapy

    Objective Response Rate (ORR) based on investigator assessment

    Time frame: 30 months

  4. To investigate the OS of subjects receiving ZN-c3 in combination with niraparib and ZN-c3 monotherapy

    OS (median and at 12 months)

    Time frame: 30 months

  5. To investigate the safety and tolerability of ZN-c3 in combination with niraparib and ZN-c3 monotherapy

    Frequency and severity of AEs and dose modifications

    Time frame: 30 months

  6. To evaluate changes in Patient Reported Outcomes (PROs) and quality of life

    Ongoing measurement of subject-reported symptomatic toxicity according to the PRO-CTCAE, and determination of change from Baseline in self-reported quality of life using EQ-5D-5L

    Time frame: 30 months

  7. To investigate the plasma PK of ZN-c3 and niraparib when given in combination - Maximum Plasma Concentration

    The maximum plasma concentration (Cmax) of ZN-c3 (and its potential metabolites, as applicable) and niraparib (and their potential metabolites, as applicable) will be determined

    Time frame: 30 months

  8. To investigate the plasma PK of ZN-c3 and niraparib when given in combination - Area under the plasma concentration-time curve from 0 to 24h

    Area under the plasma concentration-time curve from 0 to 24h \[AUC0-24h\] of ZN-c3 (and its potential metabolites, as applicable) and niraparib (and their potential metabolites, as applicable) will be determined

    Time frame: 30 months

  9. To investigate the plasma PK of ZN-c3 and niraparib when given in combination - Trough concentration

    Trough concentration \[Ctrough\] of ZN-c3 (and its potential metabolites, as applicable) and niraparib (and their potential metabolites, as applicable) will be determined

    Time frame: 30 months

  10. To investigate the plasma PK of ZN-c3 and niraparib when given in combination - Time to maximum plasma concentration

    Time to maximum plasma concentration (Tmax) of ZN-c3 (and its potential metabolites, as applicable) and niraparib (and their potential metabolites, as applicable) will be determined

    Time frame: 30 months

Other outcomes

  1. To investigate the PD and downstream effects of ZN-c3 when given in combination with niraparib - Baseline Cyclin E expression

    Baseline Cyclin E expression in pre-dose tumor tissue

    Time frame: 30 months

  2. To investigate the PD and downstream effects of ZN-c3 when given in combination with niraparib - Molecular determinants of sensitivity to ZN-c3

    Molecular determinants of sensitivity to ZN-c3 including but not limited to Baseline DNA Damage Repair (DDR) gene mutations, deletions, copy number variations or indices of genetic instability in either tumor tissue or cell-free DNA (cfDNA)

    Time frame: 30 months

  3. To investigate the PD and downstream effects of ZN-c3 when given in combination with niraparib - Changes in genomic or protein biomarkers

    Changes in genomic or protein biomarkers in peripheral blood samples

    Time frame: 30 months

07

Study locations

22 sites
  • Arizona Oncology Associates (Wilmot HOPE) - USOR
    Tucson, Arizona 85711, United States
  • Rocky Mountain Cancer Centers
    Aurora, Colorado 80012, United States
  • University of Colorado
    Aurora, Colorado 80045, United States
  • Mount Sinai Comprehensive Cancer Center
    Miami Beach, Florida 33140, United States
  • Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
  • Spectrum Health System
    Grand Rapids, Michigan 49503, United States
  • Rutgers New Jersey Medical School
    Newark, New Jersey 07103, United States
  • Optimum Clinical Research Group- Women's Oncology
    Albuquerque, New Mexico 87109, United States
  • The Blavatnik Family - Chelsea Medical Center at Mount Sinai
    New York, New York 10011, United States
  • Willamette Valley Cancer Institute and Research Center
    Eugene, Oregon 97401, United States
  • Women and Infants Hospital of Rhode Island
    Providence, Rhode Island 02905, United States
  • Texas Oncology-Fort Worth Cancer Center
    Fort Worth, Texas 76104, United States
  • MD Anderson Cancer Center, Gynecologic Oncology Center
    Texas City, Texas 77030, United States
  • University of Virginia
    Charlottesville, Virginia 22908, United States
  • Virginia Cancer Specialists
    Fairfax, Virginia 22031, United States
  • Virginia Commonwealth University
    Richmond, Virginia 23298, United States
  • Centre Georges François Leclerc
    Dijon, France
  • Centre Oscar Lambret
    Lille, France
  • Centre Hospitalier Lyon Sud
    Saint-Genis-Laval, France
  • ICANS - Institut de cancérologie Strasbourg Europe
    Strasbourg, France
  • EDOG - Institut Claudius Regaud
    Toulouse, France
  • Institut Gustave Roussy
    Villejuif, France
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

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 Jan 2022 to primary completion in Oct 2025, 44 months.

Of 116 industry-sponsored phase 1/2 interventional studies under Ovarian Neoplasms, half reached primary completion within 61 months of starting (the median), counting those still running; a quarter within 44 and three quarters within 88. This study's 44 months is below that.

Counting every sponsor, half of 173 studies reached it within 65 months; a quarter within 44 and three quarters within 88.

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

Registered
Dec 8, 2021
First posted
Jan 20, 2022
StartActual
Jan 27, 2022
Primary completionActual
Oct 15, 2025
CompletionActual
Jan 19, 2026
Last update
Mar 18, 2026
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 Mar 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05198804
Lead sponsor
K-Group, Beta, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, Inc
Responsible party
Sponsor
First posted
Jan 20, 2022
Start date
Jan 27, 2022
Primary completion
Oct 15, 2025
Completion
Jan 19, 2026
Last update
Mar 18, 2026

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Azenosertib

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