Neoplasms, BreastPhase 3ZESTNCT04915755
Efficacy and Safety Comparison of Niraparib to Placebo in Participants With Human Epidermal Growth Factor 2 Negative (HER2-) Breast Cancer Susceptibility Gene Mutation (BRCAmut) or Triple-Negative Breast Cancer (TNBC) With Molecular Disease
A Phase 3 study testing Niraparib in people with Neoplasms, Breast, run by GlaxoSmithKline at 198 sites in 27 countries.
Trial summary
This study will assess the efficacy and safety of Niraparib in participants with either tumor mutation in the BRCA gene (tBRCAmut) HER2- breast cancer (Independent of hormone receptor [HR] status, including HR positive [+] and TNBC) or tumor BRCA wild type (tBRCAwt) TNBC with molecular disease based on the presence of… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Neoplasms, Breast
- What is being tested?
- Niraparib
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 40 participants
- Where
- 198 sitesin 27 countries
- Study dates
- 28 Jun 2021to 31 Dec 2025
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Stage I to III breast cancer with surgical resection of the primary tumor that is confirmed to be either: TNBC, irrespective of BRCA status or HR+/HER2- breast cancer with a known and documented deleterious or suspected deleterious tBRCA mutation.
- Estrogen receptor (ER) and/or progesterone receptor (PgR) negativity is defined as immunohistochemistry (IHC) nuclear staining less than (<) 1 percentage (%), or by Allred scoring system where TNBC is defined to be 0 out of 8 or 2 out of 8, or staining in <1 % of cancer cells.
- Completed prior standard therapy for curative intent.
- Participants with HR+ breast cancer must be on a stable regimen of endocrine therapy.
- Detectable ctDNA as measured by central testing.
- An archival tumor tissue specimen of the primary tumor sufficient in quality and quantity for ctDNA assay design and tBRCA and Homologous recombination deficiency (HRD) testing is required.
- An Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Who cannot join
- Prior treatment with a Poly Adenosine-diphosphate Ribose Polymerase (PARP) inhibitor.
- Current treatment with a Cyclin-dependent kinase (CDK)4/6 inhibitor or endocrine therapy other than anastrozole, letrozole, exemestane, and tamoxifen with or without ovarian suppression.
- Participants have any sign of metastasis or local recurrence after comprehensive assessment conducted per protocol.
- Participants have shown no definitive response to preoperative chemotherapy by pathologic, radiographic or clinical evaluation, in cases where preoperative chemotherapy was administered.
- Participants have inadequately treated or controlled hypertension.
- Participants have received live vaccine within 30 days of planned start of study randomization.
Show all 11Show fewer
- Participants have a second primary malignancy.
- Exceptions are the following: (a) Adequately treated non-melanoma skin cancer, curatively treated in situ cancer of the cervix, Ductal carcinoma in situ (DCIS) of the breast, Stage I Grade 1 endometrial carcinoma. (b) Other solid tumors and lymphomas (without bone marrow involvement) diagnosed >=5 years prior to randomization and treated with no evidence of disease recurrence and for whom no more than 1 line of chemotherapy was applied.
- Participant is pregnant, breastfeeding, or expecting to conceive children while receiving study treatment and/or for up to 180 days after the last dose of study treatment (except France).
- Participant is immunocompromised. Participants with splenectomy are allowed. Participants with known human immunodeficiency virus (HIV) are allowed if they meet protocol-defined criteria.
- Participants have a known history of myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML).
Trial locations and contacts
198 sites in 27 countries.
198 sites in 27 countries
United States24 sites
GSK Investigational Site
Albuquerque, New Mexico, 87106
GSK Investigational Site
Ann Arbor, Michigan, 48109
GSK Investigational Site
Aurora, Colorado, 80045
GSK Investigational Site
Austin, Texas, 78731
GSK Investigational Site
Burbank, California, 91505
GSK Investigational Site
Chicago, Illinois, 60612
GSK Investigational Site
Dallas, Texas, 75231
GSK Investigational Site
Dallas, Texas, 75246
GSK Investigational Site
Duarte, California, 91010
GSK Investigational Site
Everett, Washington, 98201
GSK Investigational Site
Fargo, North Dakota, 58122
GSK Investigational Site
Fort Worth, Texas, 76104
GSK Investigational Site
Highlands Ranch, Colorado, 80045
GSK Investigational Site
Houston, Texas, 77024
GSK Investigational Site
New York, New York, 10032
GSK Investigational Site
Norfolk, Virginia, 23502
GSK Investigational Site
Palo Alto, California, 94304
GSK Investigational Site
Philadelphia, Pennsylvania, 19111
GSK Investigational Site
Pittsburgh, Pennsylvania, 15213
GSK Investigational Site
San Antonio, Texas, 78240
GSK Investigational Site
San Francisco, California, 94158
GSK Investigational Site
Sioux Falls, South Dakota, 57104
GSK Investigational Site
Skokie, Illinois, 60076
GSK Investigational Site
Tyler, Texas, 75702
Japan20 sites
GSK Investigational Site
Aichi, 464-8681
GSK Investigational Site
Chiba, 277-8577
GSK Investigational Site
Ehime, 791-0280
GSK Investigational Site
Fukuoka, 811-1395
GSK Investigational Site
Hiroshima, 730-8518
GSK Investigational Site
Hokkaido, 003-0804
GSK Investigational Site
Kagoshima, 892-0833
GSK Investigational Site
Kanagawa, 216-8511
GSK Investigational Site
Kanagawa, 241-8515
GSK Investigational Site
Kanagawa, 259-1143
GSK Investigational Site
Okayama, 700-8558
GSK Investigational Site
Osaka, 541-8567
GSK Investigational Site
Osaka, 589-8511
GSK Investigational Site
Saitama, 350-1298
GSK Investigational Site
Saitama, 350-8550
GSK Investigational Site
Saitama, 362-0806
GSK Investigational Site
Tokyo, 104-0045
GSK Investigational Site
Tokyo, 113-8431
GSK Investigational Site
Tokyo, 135-8550
GSK Investigational Site
Tokyo, 142-8666
Italy14 sites
GSK Investigational Site
Ancona, 60126
GSK Investigational Site
Ancona, 62100
GSK Investigational Site
Bologna, 40138
GSK Investigational Site
Brindisi, 72100
GSK Investigational Site
Candiolo to, 10060
GSK Investigational Site
Catania, 95122
GSK Investigational Site
Genova, 16132
GSK Investigational Site
Meldola FC, 47014
GSK Investigational Site
Milan, 20141
GSK Investigational Site
Milan, 20157
GSK Investigational Site
Monza, 20900
GSK Investigational Site
Naples, 80131
GSK Investigational Site
Negrar Verona, 37024
GSK Investigational Site
Padova, 35128
Spain14 sites
GSK Investigational Site
Barcelona, 08003
GSK Investigational Site
Barcelona, 08028
GSK Investigational Site
Barcelona, 08035
GSK Investigational Site
Cáceres, 10003
GSK Investigational Site
Córdoba, 14004
GSK Investigational Site
Granada, 18016
GSK Investigational Site
Madrid, 28034
GSK Investigational Site
Madrid, 28041
GSK Investigational Site
Madrid, 28046
GSK Investigational Site
Madrid, 28050
GSK Investigational Site
Málaga, 29010
GSK Investigational Site
Santiago de Compostela, 15706
GSK Investigational Site
Valencia, 46010
GSK Investigational Site
Zaragoza, 50009
United Kingdom12 sites
GSK Investigational Site
Bath, BA1 3NG
GSK Investigational Site
Brighton, BN2 5BE
GSK Investigational Site
Cardiff, CF14 2TL
GSK Investigational Site
Coventry, CV2 2DX
GSK Investigational Site
Edinburgh, EH4 2XU
GSK Investigational Site
Leeds, LS9 7TF
GSK Investigational Site
London, SE1 9RT
GSK Investigational Site
London, SW3 6JJ
GSK Investigational Site
Maidstone, ME16 9QQ
GSK Investigational Site
Manchester, M20 4BX
GSK Investigational Site
Sutton, SM2 5PT
GSK Investigational Site
Wigan, WN1 2NN
Argentina10 sites
GSK Investigational Site
Buenos Aires, C1017 AAS
GSK Investigational Site
Buenos Aires, C1125ABD
GSK Investigational Site
Buenos Aires, C1426ABP
GSK Investigational Site
Capital Federal, C1426ANZ
GSK Investigational Site
Cipoletti Rio Negro, R8324CVE
GSK Investigational Site
Ciudad Autonoma Buenos Aires, C1430EGF
GSK Investigational Site
Ciudad Autonoma de Buenos Aire, C1426AGE
GSK Investigational Site
Ciudad AutOnoma de Buenos Aire, C1015ABO
GSK Investigational Site
Ciudad de Buenos Aires, C1118AAT
GSK Investigational Site
Entre Ríos, 2822
Brazil10 sites
GSK Investigational Site
Belo Horizonte, 30130-100
GSK Investigational Site
Florianópolis, 88034-000
GSK Investigational Site
Porto Alegre, 90020-090
GSK Investigational Site
Porto Alegre, 90610000
GSK Investigational Site
Rio de Janeiro, 20560-120
GSK Investigational Site
Rio Grande, 95070-560
GSK Investigational Site
Salvador, 40170-110
GSK Investigational Site
São Paulo, 01317000
GSK Investigational Site
São Paulo, 04312903
GSK Investigational Site
Vitória, 29043-260
Poland10 sites
GSK Investigational Site
Katowice, 40-514
GSK Investigational Site
Krakow, 31-115
GSK Investigational Site
Krakow, 31-501
GSK Investigational Site
Olsztyn, 10-228
GSK Investigational Site
Poznan, 61-866
GSK Investigational Site
Rzeszów, 35-021
GSK Investigational Site
Siedlce, 08-110
GSK Investigational Site
Szczecin, 70-707
GSK Investigational Site
Warsaw, 02-781
GSK Investigational Site
Wroclaw, 53-413
France9 sites
GSK Investigational Site
Avignon, 84918
GSK Investigational Site
Bordeaux, 33076
GSK Investigational Site
Caen, 14000
GSK Investigational Site
Dijon, 21000
GSK Investigational Site
Marseille, 13915
GSK Investigational Site
Montpellier, 34070
GSK Investigational Site
Pierre-Bénite, 69495
GSK Investigational Site
Rouen, 76000
GSK Investigational Site
Saint-Cloud, 92210
Russia9 sites
GSK Investigational Site
Chelyabinsk, 454048
GSK Investigational Site
Moscow, 111123
GSK Investigational Site
Moscow, 121309
GSK Investigational Site
Moscow, 143422
GSK Investigational Site
Omsk, 644013
GSK Investigational Site
Pushkin, 196603
GSK Investigational Site
Saint Petersburg, 197110
GSK Investigational Site
Saint Petersburg, 197758
GSK Investigational Site
StPetersburg, 197022
Romania8 sites
GSK Investigational Site
Bucharest, 011171
GSK Investigational Site
Bucharest, 020142
GSK Investigational Site
Bucharest, 021389
GSK Investigational Site
Bucharest, 022343
GSK Investigational Site
Cluj-Napoca, 400015
GSK Investigational Site
Craiova, 200347
GSK Investigational Site
Otopeni, 075100
GSK Investigational Site
Timișoara, 300239
Germany7 sites
GSK Investigational Site
Berlin, 13125
GSK Investigational Site
Cologne, 50935
GSK Investigational Site
Erlangen, 91054
GSK Investigational Site
Essen, 45136
GSK Investigational Site
Mannheim, 68167
GSK Investigational Site
München, 81377
GSK Investigational Site
Ulm, 89075
Israel7 sites
GSK Investigational Site
Beersheba, 84101
GSK Investigational Site
Haifa, 31096
GSK Investigational Site
Jerusalem, 91031
GSK Investigational Site
Jerusalem, 91120
GSK Investigational Site
Petah Tikva, 49100
GSK Investigational Site
Rehovot, 76100
GSK Investigational Site
Tel Aviv, 64239
Netherlands6 sites
GSK Investigational Site
Alkmaar, 1815 JD
GSK Investigational Site
Leeuwarden, 8934 AD
GSK Investigational Site
Maastricht, 6229 HX
GSK Investigational Site
Rotterdam, 3083 AN
GSK Investigational Site
The Hague, 2545 AA
GSK Investigational Site
Zwolle, 8025 AB
Belgium5 sites
GSK Investigational Site
Brussels, 1070
GSK Investigational Site
Brussels, 1200
GSK Investigational Site
Charleroi, 6000
GSK Investigational Site
Ghent, 9000
GSK Investigational Site
Leuven, 3000
Canada5 sites
GSK Investigational Site
Calgary, Alberta, T2N 4N2
GSK Investigational Site
Montreal, Quebec, H3T 1E2
GSK Investigational Site
Québec, Quebec, G1S 4L8
GSK Investigational Site
Toronto, Ontario, M4N 3M5
GSK Investigational Site
Toronto, Ontario, M5G 2M9
Austria4 sites
GSK Investigational Site
Feldkirch, A-6830
GSK Investigational Site
Innsbruck, 6020
GSK Investigational Site
Steyr, 4400
GSK Investigational Site
Vienna, A-1090
Mexico4 sites
GSK Investigational Site
León, 37178
GSK Investigational Site
Mexico City, 04980
GSK Investigational Site
Monterrey, 64460
GSK Investigational Site
Monterrey, 66278
Australia3 sites
GSK Investigational Site
Camperdown, New South Wales, 2050
GSK Investigational Site
Macquarie Park, New South Wales, 2109
GSK Investigational Site
North Sydney, New South Wales, 2060
Chile3 sites
GSK Investigational Site
Santiago, 7500653
GSK Investigational Site
Santiago, 7500836
GSK Investigational Site
Temuco, 5360000
Finland3 sites
GSK Investigational Site
Helsinki, 00180
GSK Investigational Site
Helsinki, HUS 00029
GSK Investigational Site
Turku, 20520
South Africa3 sites
GSK Investigational Site
Cape Town, 7700
GSK Investigational Site
Port Elizabeth, 6045
GSK Investigational Site
Pretoria, 0041
Ireland2 sites
GSK Investigational Site
Dublin, 8
GSK Investigational Site
Dublin, 9
Norway2 sites
GSK Investigational Site
Drammen, N-3004
GSK Investigational Site
Stavanger, 4011
Portugal2 sites
GSK Investigational Site
Lisbon, 1649-035
GSK Investigational Site
Loures, 2674-514
About this study
Official title: A Randomized Phase 3 Double-Blinded Study Comparing the Efficacy and Safety of Niraparib to Placebo in Participants With Either HER2-Negative BRCA-Mutated or Triple-Negative Breast Cancer With Molecular Disease Based on Presence of Circulating Tumor DNA After Definitive Therapy (ZEST)
This study will assess the efficacy and safety of Niraparib in participants with either tumor mutation in the BRCA gene (tBRCAmut) HER2- breast cancer (Independent of hormone receptor [HR] status, including HR positive [+] and TNBC) or tumor BRCA wild type (tBRCAwt) TNBC with molecular disease based on the presence of circulating tumor Deoxyribonucleic acid (ctDNA) following surgery or completion of adjuvant therapy.
- Conditions
- Neoplasms, Breast
- Being tested
- Niraparib, Placebo
- Keywords
- Niraparib, Breast cancer susceptibility gene, Human epidermal growth factor-2 negative (HER2), Breast cancer, Triple negative breast cancer (TNBC), Circulating tumor Deoxyribonucleic acid (ctDNA)
- Medical subject headings
- Breast Neoplasms, Triple Negative Breast 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.
PlaceboDrug
Matching placebo will be administered
| Study group | Role | What they receive |
|---|---|---|
| Cohort1:Participants with tBRCAmut HER2-breast cancer(Independent of HR status,including HR+andTNBC) | Experimental | Eligible participants will receive either Niraparib or Placebo. Receives: Drug: Niraparib; Drug: Placebo |
| Cohort 2: Participants with tBRCAwt TNBC | Experimental | Eligible participants will receive either Niraparib or Placebo. Receives: Drug: Niraparib; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Treatment Emergent Adverse Event (TEAEs), Serious Adverse Events (SAEs) and Adverse Events of Special Interest (AESIs)
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE is defined as any untoward medical occurrence that, at any dose resulted in death, is life threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, is a congenital anomaly/birth defect, other situations and is associated with liver injury or impaired liver function. SAEs are subsets of AEs. TEAE is an event that emerged during treatment having been absent pretreatment or worsened relative to the pretreatment state. AESI is any AE (serious or nonserious) that is of scientific and medical concern specific to niraparib for which ongoing monitoring and rapid communication by the Investigator to the Sponsor is warranted. AEs were coded using the Medical Dictionary for Regulatory Activities (MedDRA) coding system.
Measured: Up to approximately 125 weeks
Number of Participants With TEAEs Leading to Death
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. TEAE is an event that emerged during treatment having been absent pretreatment or worsened relative to the pretreatment state.Number of participants with TEAEs leading to death were reported.
Measured: Up to approximately 125 weeks
Number of Participants With TEAEs Leading to Dose Modifications and Discontinuation of Study Treatment
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. TEAE is an event that emerged during treatment having been absent pretreatment or worsened relative to the pretreatment state. Number of participants with TEAEs leading to dose modifications (reduction and interruption/delay) and permanent discontinuation of study treatment were reported.
Measured: Up to approximately 125 weeks
Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status
Number of participants with ECOG Performance Status was reported and was measured on 6-point grade scale 0: Fully active, able to carry on all pre-disease performance without restriction. Grade 1: Restricted in physically strenuous activity but ambulatory \& able to carry out work of light or sedentary nature; Grade 2 - Ambulatory \& capable of all self-care but unable to carry out any work activities. Up and about more than (>) 50% of waking hours; Grade 3 -Capable of only limited self-care, confined to bed or chair > 50% of waking hours; Grade 4 -Completely disabled. Cannot carry on any self-care. Totally confined to bed or chair; Grade 5 -Dead. Data is presented as baseline grade, best case on-therapy, and worst-case on-therapy for the available participants.
Measured: Up to approximately 125 weeks
Number of Participants With Worst-Case Post-Baseline (WCPB) Hematology Results Relative to Baseline
Blood samples were collected for the analysis of hematology parameters. The summaries of worst-case change from baseline with respect to normal range was analyzed for only those laboratory tests that were not gradable by Common Terminology Criteria for Adverse Events (CTCAE) version (v) 5. The number of participants with decreases to low from baseline, changes to normal or no changes from baseline, and increases to high values have been presented. Baseline is defined as the latest non-missing pre-dose value, including those from unscheduled visits.
Measured: Up to approximately 125 weeks
Number of Participants With Worst-Case Post-Baseline (WCPB) Clinical Chemistry Results Relative to Baseline
Blood samples were collected for evaluation of clinical chemistry parameters. The summaries of worst case change from Baseline with respect to normal range have been presented for only those laboratory tests that are gradable by CTCAE v5.0. The number of participants with decreases to low, changes to normal or no changes from Baseline, and increases to high values have been presented. Baseline is defined as the latest non-missing pre-dose value, including those from unscheduled visits.
Measured: Up to approximately 125 weeks
Number of Participants With Worst-Case Post-Baseline (WCPB) Vital Signs Results Relative to Baseline
The abnormal vital sign ranges are: Pulse Rate (PR): Low [<60 beats per minute (bpm)], Normal (60 bpm to 100 bpm), High (>100 bpm); Temperature: Low (<35 degree Celsius (°C)), Normal (35 C and 38 C), High (>38 C); Systolic Blood Pressure (SBP): Low (<90 millimeter of mercury (mmHg)), Normal (>90 mmHg to <120 mmHg), High (>120 mmHg); Diastolic Blood Pressure (DBP): Low (<60 mmHg), Normal (60 mmHg to 79 mmHg), High (>80 mmHg). Participants were counted in the maximum worst case increase category that their value changes to (low, normal or high), unless there is no change in their category. Participants whose value category was unchanged (e.g., High to High), or whose value became normal, are recorded in the "To Normal or No Change" category.
Measured: Up to approximately 125 weeks
Number of Participants With Use of Concomitant Medications
Number of participants who used concomitant medications is presented.
Measured: Up to approximately 125 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Jun 2021
- Study start28 Jun 2021
- Primary completion28 Jun 2024
- Study completion31 Dec 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Neoplasms, BreastStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 40 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04915755
- Sponsor's protocol ID
- 213831
- Other IDs
- 2020-003973-23
- Acronym
- ZEST
- Status last verified
- Jun 2025
- First submitted
- 1 Jun 2021
- Last updated
- 16 Jul 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified researchers may request access to anonymized individual patient-level data (IPD) and related study documents of the eligible studies via the Data Sharing Portal. Details on GSK's data sharing criteria can be found at: https://www.gsk.com/en-gb/innovation/trials/data-transparency/
Study at a glance
From the registry record, last updated by the sponsor on 16 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Phase 3 Double-Blinded Study Comparing the Efficacy and Safety of Niraparib to Placebo in Participants With Either HER2-Negative BRCA-Mutated or Triple-Negative Breast Cancer With Molecular Disease Based on Presence of Circulating Tumor DNA After Definitive Therapy (ZEST)
- ClinicalTrials.gov ID
- NCT04915755
- Acronym / sponsor ID
- ZEST / 213831
- Conditions
- Neoplasms, Breast
- Keywords
- Niraparib, Breast cancer susceptibility gene, Human epidermal growth factor-2 negative (HER2), Breast cancer, Triple negative breast cancer (TNBC), Circulating tumor Deoxyribonucleic acid (ctDNA)
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 40 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- 28 Jun 2021 (actual)
- Primary completion
- 28 Jun 2024 (actual)
- Study completion
- 31 Dec 2025 (estimated)
- First posted
- 7 Jun 2021 (actual)
- Results
- Posted 16 Jul 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will assess the efficacy and safety of Niraparib in participants with either tumor mutation in the BRCA gene (tBRCAmut) HER2- breast cancer (Independent of hormone receptor [HR] status, including HR positive [+] and TNBC) or tumor BRCA wild type (tBRCAwt) TNBC with molecular disease based on the presence of circulating tumor Deoxyribonucleic acid (ctDNA) following surgery or completion of adjuvant therapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Cohort1:Participants with tBRCAmut HER2-breast cancer(Independent of HR status,including HR+andTNBC) | Experimental | Drug: Niraparib, Drug: PlaceboEligible participants will receive either Niraparib or Placebo. |
| Cohort 2: Participants with tBRCAwt TNBC | Experimental | Drug: Niraparib, Drug: PlaceboEligible participants will receive either Niraparib or Placebo. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Stage I to III breast cancer with surgical resection of the primary tumor that is confirmed to be either: TNBC, irrespective of BRCA status or HR+/HER2- breast cancer with a known and documented deleterious or suspected deleterious tBRCA mutation.
- Estrogen receptor (ER) and/or progesterone receptor (PgR) negativity is defined as immunohistochemistry (IHC) nuclear staining less than (<) 1 percentage (%), or by Allred scoring system where TNBC is defined to be 0 out of 8 or 2 out of 8, or staining in <1 % of cancer cells.
- Completed prior standard therapy for curative intent.
- Participants with HR+ breast cancer must be on a stable regimen of endocrine therapy.
- Detectable ctDNA as measured by central testing.
Key exclusion criteria (11 listed)
- Prior treatment with a Poly Adenosine-diphosphate Ribose Polymerase (PARP) inhibitor.
- Current treatment with a Cyclin-dependent kinase (CDK)4/6 inhibitor or endocrine therapy other than anastrozole, letrozole, exemestane, and tamoxifen with or without ovarian suppression.
- Participants have any sign of metastasis or local recurrence after comprehensive assessment conducted per protocol.
- Participants have shown no definitive response to preoperative chemotherapy by pathologic, radiographic or clinical evaluation, in cases where preoperative chemotherapy was administered.
- Participants have inadequately treated or controlled hypertension.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| NiraparibNiraparib will be administered. | Drug | Cohort 2: Participants with tBRCAwt TNBC, Cohort1:Participants with tBRCAmut HER2-breast cancer(Independent of HR status,including HR+andTNBC) |
| PlaceboMatching placebo will be administered | Drug | Cohort 2: Participants with tBRCAwt TNBC, Cohort1:Participants with tBRCAmut HER2-breast cancer(Independent of HR status,including HR+andTNBC) |
Primary outcome
Number of Participants With Treatment Emergent Adverse Event (TEAEs), Serious Adverse Events (SAEs) and Adverse Events of Special Interest (AESIs)
Time frame: Up to approximately 125 weeks
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE is defined as any untoward medical occurrence that, at any dose resulted in death, is life threatening, required hospitalization or prolongation of existing hospitalization, resulted in disability/incapacity, is a congenital anomaly/birth defect, other situations and is associated with liver injury or impaired liver function. SAEs are subsets of AEs. TEAE is an event that emerged during treatment having been absent pretreatment or worsened relative to the pretreatment state. AESI is any AE (serious or nonserious) that is of scientific and medical concern specific to niraparib for which ongoing monitoring and rapid communication by the Investigator to the Sponsor is warranted. AEs were coded using the Medical Dictionary for Regulatory Activities (MedDRA) coding system.
Number of Participants With TEAEs Leading to Death
Time frame: Up to approximately 125 weeks
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. TEAE is an event that emerged during treatment having been absent pretreatment or worsened relative to the pretreatment state.Number of participants with TEAEs leading to death were reported.
Number of Participants With TEAEs Leading to Dose Modifications and Discontinuation of Study Treatment
Time frame: Up to approximately 125 weeks
An AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. TEAE is an event that emerged during treatment having been absent pretreatment or worsened relative to the pretreatment state. Number of participants with TEAEs leading to dose modifications (reduction and interruption/delay) and permanent discontinuation of study treatment were reported.
Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status
Time frame: Up to approximately 125 weeks
Number of participants with ECOG Performance Status was reported and was measured on 6-point grade scale 0: Fully active, able to carry on all pre-disease performance without restriction. Grade 1: Restricted in physically strenuous activity but ambulatory \& able to carry out work of light or sedentary nature; Grade 2 - Ambulatory \& capable of all self-care but unable to carry out any work activities. Up and about more than (>) 50% of waking hours; Grade 3 -Capable of only limited self-care, confined to bed or chair > 50% of waking hours; Grade 4 -Completely disabled. Cannot carry on any self-care. Totally confined to bed or chair; Grade 5 -Dead. Data is presented as baseline grade, best case on-therapy, and worst-case on-therapy for the available participants.
Number of Participants With Worst-Case Post-Baseline (WCPB) Hematology Results Relative to Baseline
Time frame: Up to approximately 125 weeks
Blood samples were collected for the analysis of hematology parameters. The summaries of worst-case change from baseline with respect to normal range was analyzed for only those laboratory tests that were not gradable by Common Terminology Criteria for Adverse Events (CTCAE) version (v) 5. The number of participants with decreases to low from baseline, changes to normal or no changes from baseline, and increases to high values have been presented. Baseline is defined as the latest non-missing pre-dose value, including those from unscheduled visits.
Number of Participants With Worst-Case Post-Baseline (WCPB) Clinical Chemistry Results Relative to Baseline
Time frame: Up to approximately 125 weeks
Blood samples were collected for evaluation of clinical chemistry parameters. The summaries of worst case change from Baseline with respect to normal range have been presented for only those laboratory tests that are gradable by CTCAE v5.0. The number of participants with decreases to low, changes to normal or no changes from Baseline, and increases to high values have been presented. Baseline is defined as the latest non-missing pre-dose value, including those from unscheduled visits.
Number of Participants With Worst-Case Post-Baseline (WCPB) Vital Signs Results Relative to Baseline
Time frame: Up to approximately 125 weeks
The abnormal vital sign ranges are: Pulse Rate (PR): Low [<60 beats per minute (bpm)], Normal (60 bpm to 100 bpm), High (>100 bpm); Temperature: Low (<35 degree Celsius (°C)), Normal (35 C and 38 C), High (>38 C); Systolic Blood Pressure (SBP): Low (<90 millimeter of mercury (mmHg)), Normal (>90 mmHg to <120 mmHg), High (>120 mmHg); Diastolic Blood Pressure (DBP): Low (<60 mmHg), Normal (60 mmHg to 79 mmHg), High (>80 mmHg). Participants were counted in the maximum worst case increase category that their value changes to (low, normal or high), unless there is no change in their category. Participants whose value category was unchanged (e.g., High to High), or whose value became normal, are recorded in the "To Normal or No Change" category.
Number of Participants With Use of Concomitant Medications
Time frame: Up to approximately 125 weeks
Number of participants who used concomitant medications is presented.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Jul 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. Qualified researchers may request access to anonymized individual patient-level data (IPD) and related study documents of the eligible studies via the Data Sharing Portal. Details on GSK's data sharing criteria can be found at: https://www.gsk.com/en-gb/innovation/trials/data-transparency/
Related trials for Neoplasms, Breast
Active, not recruiting
Streamlined Geriatric and Oncological Evaluation Based On IC Technology
Breast Cancer, Comorbidities and Coexisting Conditions
RecruitingPhase 2
Gene Signatures to Guide HR+MBC Therapy in a Diverse Cohort
Invasive Mammary Carcinoma, Metastatic Breast Cancer
Not yet recruitingObservational study
Comparison of Reliability, Time Cost, and Participant Comfort of Lymphedema Assessments in Upper Extremity
Lymphedema, Upper Extremity Lymphedema
RecruitingPhase 3
A Study of Camrelizumab Plus Chemotherapy in Combination With or Without Famitinib as Neoadjuvant Therapy in Participants With Triple Negative Breast Cancer (BCTOP-T-N01)
TNBC - Triple-Negative Breast Cancer
RecruitingPhase 3
Testing Whether Hormone Therapy With Ribociclib is as Effective as Chemotherapy Followed by Hormone Therapy With Ribociclib for the Treatment of High Anatomic Stage Breast Cancer With Low Recurrence Risk, The RxFINE-Low Trial
Anatomic Stage II Breast Cancer AJCC v8, Anatomic Stage IIIA Breast Cancer AJCC v8
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
GlaxoSmithKline
198 sites in 27 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Niraparib in people with Neoplasms, Breast, run by GlaxoSmithKline at 198 sites in 27 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 7 inclusion and 11 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 16 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 198 sites in United States, Japan, Italy, Spain, United Kingdom and 22 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 16 Jul 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Number of Participants With Treatment Emergent Adverse Event (TEAEs), Serious Adverse Events (SAEs) and Adverse Events of Special Interest (AESIs) (time frame: Up to approximately 125 weeks). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 16 Jul 2025.