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Prostatic NeoplasmsPhase 1NCT04577833

A Study of Comparative Formulations of Niraparib and Abiraterone Acetate (AA) in Men With Prostate Cancer

A Phase 1 study testing Niraparib, Abiraterone Acetate (AA) and Prednisone in people with Prostatic Neoplasms, run by Janssen Research & Development, LLC at 16 sites in 11 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The purpose of this study is to determine the relative bioavailability (rBA; Period 1) and bioequivalence (BE; Period 2 and 3) of various strengths and formulations of niraparib and abiraterone acetate (AA) at steady state under modified fasted conditions in participants with metastatic castration-resistant prostate… Read more about this study

Who is it for?
Ages 18 years and older, men only
Conditions the study is for
Prostatic Neoplasms
What is being tested?
Niraparib, Abiraterone Acetate (AA) and Prednisone
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
136 participants
Where
16 sitesin 11 countries
Study dates
13 Nov 2020to 31 Dec 2027
Phase
Phase 1
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically or cytologically confirmed adenocarcinoma of the prostate
  • Diagnosed with metastatic castration-resistant prostate cancer (mCRPC), who in the opinion of the investigator may benefit from treatment in this study
  • Able to continue gonadotropin-releasing hormone analogues (GnRHa) therapy during the study if not surgically castrate (that is, participants who have not undergone bilateral orchiectomy)
  • Eastern Cooperative Oncology Group Performance Status (ECOG PS) of less than or equal to (<=) 1
  • Willing to provide a tumor sample (archival) for determination of homologous recombination repair (HRR) gene alteration status

Who cannot join

  • Symptomatic brain metastases
  • Prior disease progression during treatment with abiraterone acetate (AA) alone or when combined with a poly adenosine diphosphate (ADP)-ribose polymerase inhibitor (PARPi). Prior discontinuation of treatment with AA or PARPi due to AA- or PARPi related toxicity.
  • History or current diagnosis of myelodysplastic syndrome (MDS)/ acute myeloid leukemia (AML)
  • Known allergies, hypersensitivity, or intolerance to niraparib or AA or the corresponding excipients of niraparib/AA
  • Any medical condition that would make prednisone/prednisolone use contraindicated

Trial locations and contacts

16 sites in 11 countries.

16 sites in 11 countries

Spain3 sites
  • Hosp Univ Fund Jimenez Diaz

    Madrid, 28040

  • Hosp Univ Hm Sanchinarro

    Madrid, 28050

  • Hosp Virgen de La Victoria

    Málaga, 29010

Other trials in Spain

Belgium2 sites
  • Universitair Ziekenhuis Gent

    Ghent, 9000

  • GZA Ziekenhuizen- Campus St Augustinus

    Wilrijk, 2610

Other trials in Belgium

France2 sites
  • Institut Bergonié, Centre de Lutte Contre le Cancer

    Bordeaux, 33000

  • HIA Begin

    Saint-Mandé, 94163

Other trials in France

Poland2 sites
  • Uniwersyteckie Centrum Kliniczne

    Gdansk, 80 214

  • Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut Badawczy

    Warsaw, 02-781

Other trials in Poland

United States1 site
  • START Mountain Region

    West Valley City, Utah, 84119

Other trials in United States

Georgia1 site
  • Arensia Exploratory Medicine 1

    Tbilisi, 0112

Other trials in Georgia

Moldova1 site
  • Arensia Exploratory Medicine

    Chisinau, Md2025

Other trials in Moldova

Netherlands1 site
  • Erasmus MC

    Rotterdam, 3015 GD

Other trials in Netherlands

Sweden1 site
  • Karolinska Universitetssjukhuset Solna

    Stockholm, 171 76

Other trials in Sweden

Ukraine1 site
  • ARENSIA Exploratory Medicine Unit

    Kyiv, 01135

Other trials in Ukraine

United Kingdom1 site
  • Sir Bobby Robson Unit, Northern Centre for Cancer Care

    Newcastle upon Tyne, NE7 7DN

Other trials in United Kingdom

About this study

Official title: An Open-label, Randomized Study to Assess the Relative Bioavailability (BA) and Bioequivalence (BE) of Comparative Formulations of Niraparib and Abiraterone Acetate (AA) in Men With Prostate Cancer

The purpose of this study is to determine the relative bioavailability (rBA; Period 1) and bioequivalence (BE; Period 2 and 3) of various strengths and formulations of niraparib and abiraterone acetate (AA) at steady state under modified fasted conditions in participants with metastatic castration-resistant prostate cancer (mCRPC).

Read the detailed description

Niraparib is an orally available, highly selective poly (adenosine diphosphate [ADP]-ribose) polymerase (PARP) inhibitor, with potent activity against PARP-1 and PARP-2 deoxyribonucleic acid (DNA)-repair polymerases. AA is a pro-drug of abiraterone which selectively inhibits the enzyme 17 alpha-hydroxylase/C17,20-lyase (CYP17), that is found in the testes and adrenals (leading to systemic inhibition of testosterone production), as well as in prostate tissues and tumors. The rationale of the study is to investigate the various strengths and formulations of niraparib and AA plus prednisone or prednisolone (P) in metastatic castration resistant prostate cancer (mCRPC) participants with and without homologous recombination repair (HRR) gene alterations. In participants with metastatic prostate cancer, DNA-repair anomalies are found in approximately 15 percent (%) to 20% of tumors. This study consists 4 periods: screening phase (up to 21 days); treatment phase (up to 22 days); extension and long-term extension phases (from day 23 until discontinuation); and post-treatment follow up phase (end of treatment [EoT] visit within 30 days after the last dose of study treatment). Total duration of study is up to 1.4 years. Efficacy, safety, pharmacokinetics (PK), and biomarkers will be assessed at specified time points during this study. Participants safety will be monitored throughout the study.

Being tested
Niraparib, Abiraterone Acetate (AA), Prednisone
Medical subject headings
Prostatic Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NiraparibDrug

    Niraparib will be administered orally.

  • Abiraterone Acetate (AA)Drug

    Abiraterone Acetate will be administered orally.

  • PrednisoneDrug

    Prednisone will be administered orally.

Study groups in NCT04577833
Study groupRoleWhat they receive
Treatment Sequence ABDExperimentalParticipants will receive single doses of niraparib and abiraterone acetate (AA) using niraparib Formulation 1 as Treatment A in Treatment Period 1, followed by multiple doses of niraparib and AA using niraparib Formulation 2 as Treatment B in Treatment Period 2, followed by multiple doses of niraparib and AA using niraparib Formulation 4 as Treatment D in Treatment Period 3. From Period 2 onwards and during Extension and Long-term Extension Phases, all participants will continue to receive treatment with niraparib and AA-prednisone (AAP) or AAP alone.
Receives: Drug: Niraparib; Drug: Abiraterone Acetate (AA); Drug: Prednisone
Treatment Sequence ADBExperimentalParticipants will receive Treatment A in Treatment Period 1 followed by Treatment D in Treatment Period 2, followed by Treatment B in Treatment Period 3. From Period 2 onwards and during Extension and Long-term Extension Phases, all participants will continue to receive treatment with niraparib and AAP or AAP alone.
Receives: Drug: Niraparib; Drug: Abiraterone Acetate (AA); Drug: Prednisone
Treatment Sequence CBDExperimentalParticipants will receive single doses of niraparib and AA using niraparib Formulation 3 as Treatment C in Treatment Period 1, followed by Treatment B in Treatment Period 2, followed by Treatment D in Treatment Period 3. From Period 2 onwards and during Extension and Long-term Extension Phases, all participants will continue to receive treatment with niraparib and AAP or AAP alone.
Receives: Drug: Niraparib; Drug: Abiraterone Acetate (AA); Drug: Prednisone
Treatment Sequence CDBExperimentalParticipants will receive Treatment C in Treatment Period 1, followed by Treatment D in Treatment Period 2, followed by Treatment B in Treatment Period 3. From Period 2 onwards and during Extension and Long-term Extension Phases, all participants will continue to receive treatment with niraparib and AAP or AAP alone.
Receives: Drug: Niraparib; Drug: Abiraterone Acetate (AA); Drug: Prednisone

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Maximum Observed Analyte Concentration at Steady State (Cmax,ss) of Niraparib and Abiraterone Acetate (AA) [Period 2 and Period 3]

    Cmax,ss is defined as maximum observed analyte concentration at steady state.

    Measured: Predose, up to 10 hour post dose

  2. Area Under the Plasma Concentration-time Curve from Time Zero to 24 Hours at Steady State (AUC [0-24h],ss) of Niraparib and AA (Period 2 and Period 3)

    AUC (0-24h),ss is defined as area under the plasma concentration-time curve from time zero to 24 hours at steady state.

    Measured: Predose, up to 24 hours post dose

  3. Ratio of Individual Cmax,ss Values Between Test and Reference Treatment (Period 2 and Period 3)

    Ratio of individual Cmax,ss values between test and reference treatment will be assessed.

    Measured: Predose, up to 10 hours post dose

  4. Ratio of individual AUC (0-24h),ss Values Between Test and Reference Treatment (Period 2 and Period 3)

    Ratio of individual AUC (0-24h),ss values between test and reference treatment will be assessed.

    Measured: Predose, up to 24 hours post dose

Secondary outcomes (7)
  1. Maximum Observed Analyte Concentration at (Cmax) of Niraparib and AA (Period 1)

    Cmax is defined as maximum observed analyte concentration.

    Measured: Predose, up to 72 hours post dose

  2. Area Under the Plasma Concentration-time Curve from Time Zero to 72 Hours (AUC [0-72h]) of Niraparib and AA (Period 1)

    AUC (0-72h) is defined as area under the plasma concentration-time curve from time zero to 72 hours post dosing.

    Measured: Predose, up to 72 hours post dose

  3. Ratio of individual AUC (0-72h) Values Between Test and Reference Treatment (Period 1)

    Ratio of individual AUC (0-72h) values between test and reference treatment will be assessed.

    Measured: Predose, up to 72 hours post dose

  4. Serum Testosterone Level

    Serum testosterone level will be assessed.

    Measured: Predose on Day -7, Day 11, Day 12 and Day 23

  5. Number of Participants with Adverse Events (AEs) as a Measure of Safety and Tolerability

    An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study.

    Measured: From study start until study completion (up to 3.1 years)

  6. Number of Participants with AEs by Severity

    Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. Severity scale ranges from Grade 1 (Mild) to Grade 5 (Death). Grade 1= Mild, Grade 2= Moderate, Grade 3= Severe, Grade 4= Life-threatening and Grade 5= Death.

    Measured: From study start until study completion (up to 3.1 years)

  7. Number of Participants with Clinical Laboratory Abnormalities

    Number of participants with clinical laboratory abnormalities including hematology, serum chemistry and urinalysis will be reported.

    Measured: From study start until study completion (up to 3.1 years)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Oct 2020
  2. Study start13 Nov 2020
  3. Primary completion15 Oct 2021
  4. Study completion31 Dec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Other
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
136 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04577833
Sponsor's protocol ID
CR108783
Other IDs
67652000PCR1001, 2019-000137-39, 2023-508150-26-00, 2023, 2019
Status last verified
Nov 2026
First submitted
5 Oct 2020
Last updated
3 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: The data sharing policy of the Janssen Pharmaceutical Companies of Johnson \& Johnson is available at www.janssen.com/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Publications

  • Yu A, Hazra A, Jiao JJ, Hellemans P, Mitselos A, Tian H, Ruixo JJP, Haddish-Berhane N, Ouellet D, Russu A. Demonstrating Bioequivalence for Two Dose Strengths of Niraparib and Abiraterone Acetate Dual-Action Tablets Versus Single Agents: Utility of Clinical Study Data Supplemented with Modeling and Simulation. Clin Pharmacokinet. 2024 Apr;63(4):511-527. doi: 10.1007/s40262-023-01340-5. Epub 2024 Mar 4.

    PubMed 38436924

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Niraparib, Abiraterone Acetate (AA) and Prednisone in people with Prostatic Neoplasms, run by Janssen Research & Development, LLC at 16 sites in 11 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in Spain, Belgium, France, Poland, United States and 6 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Maximum Observed Analyte Concentration at Steady State (Cmax,ss) of Niraparib and Abiraterone Acetate (AA) [Period 2 and Period 3] (time frame: Predose, up to 10 hour post dose). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04577833, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2026.

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