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Niraparib

  • Prescription medicine
  • Prescription only
  • Identity checked
  • Sources last checked 2026-09-04

This page shows what was measured, who it was measured in, and what that does not settle.

What Niraparib does in the body

Select patients for therapy based on an FDA‑authorized companion diagnostic for ZEJULA.

From the FDA-approved label: Niraparib is an inhibitor of PARP enzymes, including PARP-1 and PARP-2, that play a role in DNA repair. In vitro studies have shown that niraparib-induced cytotoxicity may involve inhibition of PARP enzymatic activity and increased formation of PARP-DNA complexes resulting in DNA damage, apoptosis, and cell death. Increased niraparib‑induced cytotoxicity was observed in tumor cell lines with or without deficiencies in BRCA1/2 . Niraparib decreased tumor growth in mouse xenograft models of human cancer cell lines with deficiencies in BRCA1/2 and in human patient-derived xenograft tumor models with homologous recombination deficiency (HRD) that had either mutated or wild-type BRCA1/2 .

Why people take it. Select patients for therapy based on an FDA‑authorized companion diagnostic for ZEJULA.

What happened in people

RNAWiki has not yet published a reviewed conclusion for this use.

A fixed RNAWiki sentence

Where this came from

Wording RNAWiki always uses, not a finding about this substance.

No reviewed claim names a result for any goal on this record.

No source is stored against this line.

The limit that matters most

Not recorded.

Where it acts
Not recorded.
Kind of result
No result is published, so no kind of result applies yet
Supervision
Professional supervision is normally required. A regulator classifies this substance in a way that restricts how it is supplied.

What the registries record it as

  • The substance registry classes this as chemical.

    FDA substance registry · 195Q483UZD · read 2026-08-29

  • Its recorded molecular formula is C26H30N4O5S, weighing 510.61.

    US prescribing information · b7f675e2-159c-490c-b6f4-3f16d9492b7d · read 2026-08-30

Where each sentence above came from

The use the label states, quoted from it. No plain-language version of this sentence has been written.

The use the label states, quoted from it. It is written for a clinician, not for a reader without medical training.

No statement of the main limit is recorded.

The four opening statements run to 143 words.

Words this page uses

Four words worth knowing first

Chosen from what this page shows, with each one explained before the word it depends on.

Biomarker

A biomarker is a number from a test that stands in for something about health.

A picture of it, and where the picture fails

A biomarker is like a fuel gauge.

Where that stops being true. A gauge is wired to the tank. Many biomarkers are only loosely tied to health.

What people get wrong. A better number is read as a better life. Several medicines improved a number and helped nobody.

A measurable indicator used as a substitute for a clinical outcome of interest.

Placebo

A placebo is a dummy treatment given so the real one can be compared with it.

A picture of it, and where the picture fails

A placebo is like a blank control in an experiment.

Where that stops being true. A blank does nothing. People given a placebo often do get better.

What people get wrong. A placebo effect is read as imaginary. The improvement is measured and real.

An inactive intervention matched in appearance to the test intervention, used to control for non-specific effects.

Comparator

A comparator is whatever the treatment was measured against.

A picture of it, and where the picture fails

It is like the other runner in a race.

Where that stops being true. A race has one winner. A study can show both arms improved.

What people get wrong. Results are read without asking what the other group got. Beating nothing is not beating a treatment.

The control condition against which the experimental intervention is assessed.

What happened in peopleRead from sources, not yet reviewed

What happened in people

Each card is one study: the exact question it asked, who was in it, and whether it showed what it set out to show.

Determine whether adding experimental agents to standard neoadjuvant medications increases the probability of pathologic complete response (pCR) over standard neoadjuvant chemotherapy for each biomarker signature established at trial entry.

The study did not show it

Who was studied
NCT01042379
How many people
5000
Study design
Phase 2
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

16 weeks clinical response

The study did not show it

Who was studied
NCT04817956
How many people
3000
Study design
Phase 2
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Percentage of patients that are treated based on their molecular tumor profile

The study did not show it

Who was studied
NCT02925234
How many people
1550
Study design
Phase 2
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Progression Free Survival (PFS)

The study did not show it

Who was studied
NCT03602859
How many people
1400
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
Living longer, or avoiding a major event
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Number of Participants With Continued Access to Atezolizumab-Based Therapy and/or Comparator Agent(s)

The study did not show it

Who was studied
NCT03768063
How many people
1000
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Progression Free Survival (PFS)

The study did not show it

Who was studied
NCT05009082
How many people
970
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
Living longer, or avoiding a major event
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Oral

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot
What we know
RNAWiki holds 6 written-up human studies for this substance, each with the question it asked.
How we know it
Each card names the study, the number of people and what the study set out to measure.
What this does not prove
These summaries were written by a person and have not been signed off as reviewed claims.
Why it matters
A study that failed is as informative as one that worked, and both are here.
What we still do not know
No reviewed claim exists, so no exact population, effect size or interval is published yet.

What is missing or unclearRead from sources, not yet reviewed

Were people like you studied?

RNAWiki cannot tell whether a study fits you. It can show who was in it, and where the result stops carrying.

Who was studied

People similar to this profile were included.

  • ZEJULA is a poly (ADP-ribose) polymerase (PARP) inhibitor indicated: • for the maintenance treatment of adult patients with advanced epithelial ovarian, fallopian tube, or primary peritoneal cancer who are in a complete or partial response to first-line platinum-based chemotherapy and whose cancer is associated with homologous recombination deficiency (HRD)-positive status defined by either: o a deleterious or…

Who is missing from the studies

  • Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

What the label states about particular groups

  • On pediatric, the label states: “The safety and effectiveness of ZEJULA have not been established in pediatric patients.”

    US prescribing information · b7f675e2-159c-490c-b6f4-3f16d9492b7d · read 2026-08-30

  • On older people, the label states: “In PRIMA, 39% of patients were aged 65 years or older and 10% were aged 75 years or older.”

    US prescribing information · b7f675e2-159c-490c-b6f4-3f16d9492b7d · read 2026-08-30

  • On people who are pregnant, the label states: “Risk Summary Based on its mechanism of action, ZEJULA can cause fetal harm when administered to pregnant women [see Clinical Pharmacology ( 12.1 )] .”

    US prescribing information · b7f675e2-159c-490c-b6f4-3f16d9492b7d · read 2026-08-30

  • On people who are breastfeeding, the label states: “Risk Summary No data are available regarding the presence of niraparib or its metabolites in human milk, or on its effects on the breastfed child or milk production.”

    US prescribing information · b7f675e2-159c-490c-b6f4-3f16d9492b7d · read 2026-08-30

  • On people with reduced liver function, the label states: “For patients with moderate hepatic impairment, the recommended dosage of ZEJULA is 200 mg once daily, regardless of body weight or platelet count.”

    US prescribing information · b7f675e2-159c-490c-b6f4-3f16d9492b7d · read 2026-08-30

Where the result stopped carrying

  • This is a scope explorer, not a diagnosis engine.
  • It shows who was studied so you can see whether people similar to you were included.

RNAWiki cannot tell whether a study fits you. It can show who was in it.

What it would be like to takeRead from sources, not yet reviewed

Why it might seem to do nothing

A real effect and a noticed effect are different things. These are the recorded reasons the two come apart.

It was studied in different people

The people in the studies were not much like the reader.

On this record: Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

The evidence may simply be wrong

Small early studies often do not hold up.

On this record: RNAWiki has not yet published a reviewed conclusion for this use.

Other reasons RNAWiki checked and found nothing for (11)
It was studied for a different goal
The studies measured something else entirely. Nothing in this record points to this reason.
A different form was studied
The studied form is not the form on the shelf. Nothing in this record points to this reason.
There was nothing to correct
Where a level is already normal, topping it up may change nothing. Nothing in this record points to this reason.
Something else had to happen too
In the studies it was paired with training, a diet or another treatment. Nothing in this record points to this reason.
The change is too small to feel
A real change can still sit below what a person notices. Nothing in this record points to this reason.
Day-to-day swing hides it
Sleep, food, stress and time of day move most numbers more than this would. Nothing in this record points to this reason.
Not enough time yet
The studies ran longer than the person has waited. Nothing in this record points to this reason.
It was not taken as studied
Missed days change the result, and studies count them. Nothing in this record points to this reason.
Something else changed at the same time
Two changes at once cannot be told apart afterwards. Nothing in this record points to this reason.
The product may not be what it says
Contents of a sold product are not always what the label states. Nothing in this record points to this reason.
No recorded reason
RNAWiki has nothing stored that would explain it. Nothing in this record points to this reason.

None of these is a reason to take more. Taking more is not a step this page ever suggests.

What it would be like to takeRead from sources, not yet reviewed

What taking it involves

The recorded facts about getting hold of it and using it. Nothing here is a suggestion about what you should do.

How it is supplied

Prescription only

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

Read from the recorded approval status.

No source is stored against this line.

Form and route

Oral

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

The form and route recorded on this substance.

No source is stored against this line.

Who oversees it

Professional supervision is normally required. A regulator classifies this substance in a way that restricts how it is supplied.

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

Suppression classes recorded: S1, S3, S4.

No source is stored against this line.

What is in the pack

Sold as capsule, tablet, tablet, film coated, given by the oral route.

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

Recorded notes on how this is sold and what that means for what is in the pack.

No source is stored against this line.

Where it is registered

Regulatory records are listed in the technical disclosure at the foot of this page.

Counted from records

Where this came from

A count of rows RNAWiki holds. It describes our records, not your body.

Register entries are stored per jurisdiction and shown with their dates.

No source is stored against this line.

Why people stop

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

No record of why people stopped taking it is stored for this substance.

No source is stored against this line.

What it would be like to takeNothing found in the sources checked

What can go wrong

Sorted by where each line came from. A regulator's label and a report somebody sent in are not the same kind of fact.

Nothing found in the sources checked

No harm is recorded against this substance in the sources RNAWiki checked. Finding nothing is not the same as showing there is nothing.

The sources listed were searched and held nothing. That is not the same as nothing existing.

Over a long time. No completed tested study window is recorded, so long-term effects are not established by the registry record.

Groups the studies covered thinly. Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

What is missing or unclearRead from sources, not yet reviewed

Does the exact form matter?

Evidence belongs to the exact thing that was tested. A different salt, a different mixture or a different preparation is a different question.

The form that was studied

Oral

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

The form used in the studies cited on this page.

No source is stored against this line.

What is sold

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

Nothing further is recorded about which forms are sold.

No source is stored against this line.

What is recorded as being sold

  • 19 products list this as an active ingredient in the United States drug directory. 17 of them contain it and nothing else.

    FDA National Drug Code directory · 54893-0516 · read 2026-08-29

  • They are sold as capsule, powder and tablet, film coated, taken oral.

    FDA National Drug Code directory · 54893-0516 · read 2026-08-29

  • The regulator's established pharmacologic class for it is poly(adp-ribose) polymerase inhibitor [epc] and poly(adp-ribose) polymerase inhibitors [moa].

    FDA National Drug Code directory · 54893-0516 · read 2026-08-29

  • 2 published labels name it as an active ingredient. 1 of them describe this substance alone, which is where its own label text on this page comes from.

    US prescribing information · 8245a990-3268-4613-b5c5-9537858a1eb9 · read 2026-08-29

  • Those labels are classed as human prescription drug.

    US prescribing information · 8245a990-3268-4613-b5c5-9537858a1eb9 · read 2026-08-29

  • ZEJULA is oral at 3 DOSAGE FORMS AND STRENGTHS • Tablets: 100-mg gray, oval-shaped, film-coated tablet debossed with “100” on one side and “Zejula” on the other side. • Tablets: 200-mg blue, oval-shaped, film-coated tablet debossed with…, recorded as fda label in effect 2026-07-28 in the United States.

    US prescribing information · b7f675e2-159c-490c-b6f4-3f16d9492b7d · read 2026-08-30

Evidence carries across two names for one substance. It does not carry across a salt, a mirror form or a mixture.

What it would be like to takeRead from sources, not yet reviewed

What you could measure

This one is decided with a clinician, so this section holds questions to ask rather than a plan to run.

Self-experiment planning is not offered for a prescription or clinician-supervised medicine. The questions below are for a clinician or pharmacist.

Questions worth asking

  • Which of the trials of Niraparib studied people like me?
  • What was measured, and for how long?
  • Was the result a laboratory value or a health outcome?
  • What would we watch for, and when would we stop?

Tracking can show whether something changed for you. It cannot show what caused it.

RNAWiki records evidence. It does not say whether this substance is right for you.

What is missing or unclearRead from sources, not yet reviewed

What nobody knows yet

Open questions, each with why it is open and what would close it.

Missing populations

Which groups were under-represented in the studies has not been recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing long-term data

No completed tested study window is recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

No reviewed conclusion

RNAWiki has not yet published a reviewed conclusion for this use.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing interaction studies

No interaction was found in the registers checked. Not finding one is not the same as showing there is none.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Formulation uncertainty

Several salts, forms or products of Niraparib are recorded. Results from one form may not transfer to another.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Mechanism not reviewed

No reviewed mechanism story exists for this substance.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

What happened in peopleRead from sources, not yet reviewed

Check any of this yourself

Every line above traced back to the study it came from. This is the technical layer, and the vocabulary changes here.

Where else this substance is registered

FDA substance identifier (UNII)
195Q483UZD
RxNorm concept
2637449

Checks this page had to pass

  • Passed

    Identity resolved

    no open identity hold

  • Passed

    No unresolved merge across substance families

    no quarantine open

  • Passed

    Every public sentence names a source

    The opening statement carries the origin: Quoted from a stored source.

  • Not passed

    Trial roles classified for highlighted evidence

    No registered study is classified as testing this substance.

  • Passed

    No internal keys in reader text

    enforced by the copy-contract test over the rendered page

  • Passed

    Safety mode resolved

    Suppression classes recorded: S1, S3, S4.

  • Passed

    Canonical metadata present

    slug and display name present

What is missing or unclearRead from sources, not yet reviewed

How this medicine reached us

Kept near the foot of the page. A historical event moves up only when it changes something about this substance today.

What the approval register records

  • 3 approved applications cover products containing this substance. The earliest was NDA208447, approved 20170327 to GLAXOSMITHKLINE.

    Drugs@FDA application register · NDA208447 · read 2026-08-29

  • Marketing status on the register: discontinued and prescription.

    Drugs@FDA application register · NDA208447 · read 2026-08-29

  • The earliest marketing start date recorded for a listed product is 20150315.

    FDA National Drug Code directory · 54893-0516 · read 2026-08-29

What is missing or unclearRead from sources, not yet reviewed

What to learn next

Ordered by what would most change how you read this page, starting with what is easiest to misunderstand.

This order is fixed in code and does not count clicks or time on the page.

What is not here

9 questions this page could not answer

These sections were prepared and left out because there was nothing to put in them. They are listed rather than hidden, so the gaps in this record are visible.

  • What was measured, goal by goal — found nothing in the sources checked.
  • How close this is to real life — found nothing in the sources checked.
  • The path through the body — found nothing in the sources checked.
  • Felt, measured, or meaningful — found nothing in the sources checked.
  • How long anything takes — found nothing in the sources checked.
  • What it may clash with — found nothing in the sources checked.
  • Other ways to the same goal — found nothing in the sources checked.
  • Claims that go past the evidence — found nothing in the sources checked.
  • What changed on this page — found nothing in the sources checked.

The record as stored

The full record, for auditing

Everything above is built from what is below. This layer keeps the technical vocabulary, record identifiers and every stored row, so a reader who wants to check the page can.

Recorded evidence blocks (10)

On the Niraparib label: indicated for what?


"ZEJULA is a poly (ADP-ribose) polymerase (PARP) inhibitor indicated: • for the maintenance treatment of adult patients with advanced epithelial ovarian, fallopian tube, or primary peritoneal cancer who are in a complete or partial response to first-line platinum-based chemotherapy and whose cancer is associated with…": indications and usage on Niraparib's label. DailyMed label · b7f675e2-159c-490c-b6f4-3f16d9492b7d · 2026-07-28

185 registered trials of Niraparib — at which phases?


Registered studies posting no result
142 of 185

185 registered studies of Niraparib: 111 phase2, 57 phase1, 19 phase3, 11 na or unstated, 4 early phase1, 4 phase4, 1 na. CLINICALTRIALS_SNAPSHOT · 2026-09-01

93 with a PubMed record

Show the evidence
  • phase2
    111
  • phase1
    57
  • phase3
    19
  • na or unstated
    11
  • early phase1
    4
  • phase4
    4
9 more recorded rows
  • na
    1
  • completed
    53
  • active not recruiting
    34
  • recruiting
    30
  • terminated
    26
  • unknown
    20
  • withdrawn
    16
  • not yet recruiting
    5
  • approved for marketing
    1

recorded 2026-09-01 · last checked 2026-09-04

40 of Niraparib's trials stopped: safety, futility/efficacy, accrual/recruitment, funding/business, sponsor decision unspecified, other?


safety (1), futility/efficacy (5), accrual/recruitment (8), funding/business (8), sponsor decision unspecified (3) and other (15): Niraparib's stop wording, clustered. CLINICALTRIALS_SNAPSHOT · 2026-09-01

"Sponsor decision"; 40 of 185 registered studies

Show the evidence

Trial

  • NCT01244009
    withdrawn; "Sponsor decision"
  • NCT01905592
    terminated; "The study was terminated due to futility."
  • NCT02500901
    terminated; "Suspended by funder"
  • NCT02826512
    terminated; "Not enough eligble patient can be found, too many screen failures"
  • NCT03209401
    terminated; "Lack of accrual"
  • NCT03644342
    terminated; "A recent change in treatment landscape may make study futile"
14 further recorded trials
  • NCT03806049
    withdrawn; "Lack of financial support"
  • NCT03840967
    terminated; "Due to slow accruals"
  • NCT03869190
    terminated; "Study was closed early as the sponsor decided not to continue development of certain treatment combinations."
  • NCT03891576
    terminated; "Low accrual rate"
  • NCT03944902
    terminated; "will not resume. company choosing not to continue with drug. one participant now off study."
  • NCT03955471
    terminated; "The study will not resume based on the results of a planned interim analysis that showed futility"
  • NCT04030559
    terminated; "PI choice; poor accrual"
  • NCT04159155
    terminated; "Low accrual"
  • NCT04267939
    terminated; "There was no anticipated benefit of the experimental combination as tested over available standard therapies; therefore Sponsor has decided to terminate the investigation."
  • NCT04544995
    terminated; "Sponsor Decision"
  • NCT04655183
    withdrawn; "Trial withdrawn based on portfolio prioritization; oral ATRi M1774 in combination with niraparib is under investigation in DDRiver Solid Tumor 301"
  • NCT04762901
    withdrawn; "Funding was terminated."
  • NCT04779151
    terminated; "Abandon of the partner, GSK"
  • NCT04826198
    terminated; "Treatment availability issue: The manufacturer of AsiDNA™ decided to cease production to develop an improved version, and the contract ensuring access to this molecule has expired."

recorded 2026-09-01 · last checked 2026-09-04

Human studies of Niraparib used Niraparib 200 mg — over how long?


studies of Niraparib used the recorded amount. ClinicalTrials.gov · 2026-09-01

4 recorded entries; human; also "Niraparib 200 mg", "Niraparib 100 mg", "Niraparib 300 mg"

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human

  • NCT03431350
    Niraparib 200 mg
  • NCT04502602
    Niraparib 100 mg
  • NCT04502602
    Niraparib 300 mg
  • NCT04812366
    Niraparib 100mg Oral Capsule

recorded 2026-09-01 · last checked 2026-09-04

Which running trial of Niraparib could settle lifespan?


NCT06827353 measures Progression-free survival of patients with high-grade stage III and IV epithelial ovarian carcinoma who received chemotherapy between those who received maintenance treatment with bevacizumab and those who received niraparib., reading out 2025-09-30.

21 open trials; n 300; "Niraparib Versus Bevacizumab as Maintenance Therapy in Patients With de Novo Ovarian Cancer Without Homologous Recombination Deficiency"

Show the evidence

Trial

  • NCT06827353
    "Niraparib Versus Bevacizumab as Maintenance Therapy in Patients With de Novo Ovarian Cancer Without Homologous Recombination Deficiency"; n 300; "Progression-free survival of patients with high-grade stage III and IV epithelial ovarian carcinoma who received chemotherapy between those who received maintenance treatment with bevacizumab and those who received niraparib."; 2025-09-30
  • NCT02655016
    "A Study of Niraparib (GSK3985771) Maintenance Treatment in Participants With Advanced Ovarian Cancer Following Response on Front-Line Platinum-Based Chemotherapy"; n 733; "Progression Free Survival"; 2026-05-29
  • NCT05515575
    "A Study of Niraparib in People With Soft Tissue Sarcoma Who Have Changes in Their Tumor DNA"; n 8; "Progression free survival (PFS)"; 2026-08
  • NCT03981796
    "A Study to Evaluate Dostarlimab Plus Carboplatin-paclitaxel Versus Placebo Plus Carboplatin-paclitaxel in Participants With Recurrent or Primary Advanced Endometrial Cancer"; n 785; "Parts 1 and 2: Progression-Free Survival (PFS) - investigator assessment"; 2026-11-26
  • NCT03903835
    "ProBio: A Biomarker Driven Study in Patients With Metastatic Prostate Cancer"; n 750; "Progression free survival (PFS) in mCRPC"; 2026-12
  • NCT03748641
    "A Study of Niraparib in Combination With Abiraterone Acetate and Prednisone Versus Abiraterone Acetate and Prednisone for Treatment of Participants With Metastatic Prostate Cancer"; n 765; "Cohort 1: Radiographic Progression-Free Survival (rPFS) as Assessed by Blinded Independent Central Review (BICR)"; 2027-02-27
14 further recorded trials
  • NCT04701307
    "Niraparib and Dostarlimab for the Treatment of Small Cell Lung Cancer and Other High-Grade Neuroendocrine Carcinomas"; n 48; "6-month Progression free survival (PFS)"; 2027-04-30
  • NCT05718323
    "Niraparib Added to Anti-PD-L1 Antibody Maintenance in SLFN11-positive, Extensive-disease SCLC"; n 44; "Progression-free survival (PFS) rate at 3 months by investigator assessment (according to RECIST v1.1)"; 2027-06
  • NCT06141265
    "Niraparib Maintenance in HRD-Positive Advanced Ovarian Cancer Following Front-Line Chemotherapy + Bevacizumab"; n 116; "Progression Free Survival (PFS) Rate at 24 months (PFS24)"; 2027-09
  • NCT04592237
    "Cabazitaxel, Carboplatin, and Cetrelimab Followed by Niraparib With or Without Cetrelimab for the Treatment of Aggressive Variant Metastatic Prostate Cancer"; n 120; "Progression-free survival"; 2027-12-31
  • NCT05990192
    "SBRT Alone or Followed by Niraparib for Oligometastases or Oligoprogression in Ovarian Cancer Following PARPi Therapy"; n 42; "Progression free survival"; 2027-12-31
  • NCT06180356
    "Niraparib Rechallenge After Surgery in Ovarian Cancer Patients With Oligometastatic Progression"; n 30; "Progression-free survival (PFS)"; 2028-01
  • NCT06388733
    "A Study Comparing Niraparib With Temozolomide in Adult Participants With Newly-diagnosed, MGMT Unmethylated Glioblastoma"; n 450; "Overall survival"; 2028-03
  • NCT05615818
    "Personalized Medicine for Advanced Biliary Cancer Patients"; n 800; "Progression-free survival (PFS)"; 2028-06
  • NCT04947254
    "Androgen Ablation Therapy With or Without Niraparib After Radiation Therapy for the Treatment of High-Risk Localized or Locally Advanced Prostate Cancer"; n 200; "Composite radiographic progression-free survival(rPFS) and biochemical (PSA) progression-free survival (PFS)"; 2028-06-07
  • NCT06747845
    "Maintenance Niraparib Plus Ipilimumab in Patients With Metastatic Pancreatic Adenocarcinoma Whose Disease Has Not Progressed on Platinum-Based Chemotherapy"; n 68; "Progression-free survival (PFS) in the experimental arm"; 2029-01-30
  • NCT05784012
    "Two-cohort Study of Niraparib and Dostarlimab Plus (Chemo)RadIotherapy in Locally-Advanced Head and Neck Squamous Cell Carcinoma"; n 34; "1-year disease free survival"; 2029-03
  • NCT03602859
    "A Comparison of Platinum-based Therapy With TSR-042 and Niraparib Versus Standard of Care (SOC) Platinum-based Therapy as First-line Treatment of Stage III or IV Nonmucinous Epithelial Ovarian Cancer"; n 1400; "Progression Free Survival (PFS)"; 2029-04-30
  • NCT05009082
    "Niraparib vs Niraparib Plus Bevacizumab in Patients With Platinum/Taxane-based Chemotherapy in Advanced Ovarian Cancer"; n 970; "Progression Free Survival (PFS)"; 2031-12
  • NCT05183984
    "Niraparib With beVAcizumab After Complete cytoreductioN in Patients With ovArian Cancer"; n 390; "Progression-Free survival (PFS) rate up to 24 months"; 2032-02-01

Which 20 trials of Niraparib posted no result?


Posted no result
20 of 20 completed trials
Registrations
NCT01294735, NCT00749502, NCT02476552, NCT02924766, NCT04785716 and NCT02044120, and 14 more
Completion dates
oldest 2012-05; newest 2024-08-05
Show the evidence

Trial

  • NCT01294735
    2012-05
  • NCT00749502
    2013-06
  • NCT02476552
    2018-01
  • NCT02924766
    2019-07-19
  • NCT04785716
    2020-08-03
  • NCT02044120
    2021-01
14 further recorded trials
  • NCT04546373
    2021-07-31
  • NCT03945084
    2021-09-01
  • NCT02354131
    2021-12-15
  • NCT04392102
    2022-08-11
  • NCT06086665
    2022-10-31
  • NCT03076203
    2022-11-07
  • NCT03752216
    2022-12-13
  • NCT05130515
    2023-01-01
  • NCT05734911
    2023-02-07
  • NCT03695380
    2023-07-12
  • NCT04284852
    2023-10-01
  • NCT05261269
    2023-10-11
  • NCT04240106
    2023-11-17
  • NCT03598270
    2024-08-05

At the median, Niraparib's trials enrolled 42 people — anything larger?


Median enrolment
42
Largest enrolment
3000
Registered trials counted
184

What do 1783 spontaneous reports say about Niraparib — and not say?


These are reports people sent to a regulator. They do not show the medicine caused the reaction. Nobody counted how many people took the medicine and reported nothing. The same event can be reported more than once, and many reports are incomplete. News coverage, lawsuits and new warnings change how often people report. A count is not a rate and not a risk.

Niraparib appears in spontaneous reports to regulators. Across the 10 most-reported reaction terms, 1783 reaction mentions were counted: nausea 309; platelet count decreased 245; fatigue 226; disease progression 195. FAERS via Open Targets · CHEMBL1094636 · 2026-06-24

Show the evidence
  • nausea
    309
  • platelet count decreased
    245
  • fatigue
    226
  • disease progression
    195
  • constipation
    169
  • thrombocytopenia
    166
4 more recorded rows
  • vomiting
    123
  • carbohydrate antigen 125 increased
    121
  • anaemia
    120
  • headache
    109

recorded 2026-06-24 · last checked 2026-09-04

Which 10 reactions does Niraparib's label not list?


anaemia, carbohydrate antigen 125 increased and constipation and 7 more reported for Niraparib, absent from its label. FAERS via Open Targets · CHEMBL1094636 · 2026-06-24

2 label terms; 10 reported and unlisted; b7f675e2-159c-490c-b6f4-3f16d9492b7d

Show the evidence
  • anaemia
    count not stated
  • carbohydrate antigen 125 increased
    count not stated
  • constipation
    count not stated
  • disease progression
    count not stated
  • fatigue
    count not stated
  • headache
    count not stated
4 more recorded rows
  • nausea
    count not stated
  • platelet count decreased
    count not stated
  • thrombocytopenia
    count not stated
  • vomiting
    count not stated

recorded 2026-06-24 · last checked 2026-09-04

Niraparib and BCRP, MATE1 and MATE2K: shared by which compounds?


BCRP, MATE1 and MATE2K appear in Niraparib's recorded interaction sentences, 8 in all. DailyMed label · b7f675e2-159c-490c-b6f4-3f16d9492b7d · 2026-07-28

CYP1A, CYP2B6, CYP2C19, CYP2C8, CYP2C9, CYP2D6; 37 shared nodes; pharmacokinetics

Show the evidence

Interaction statement

  • pharmacokinetics
    Drug Interaction Studies In Vitro Studies: Cytochrome P450 ( CYP) Enzymes: Niraparib and M1 did not inhibit CYP1A, CYP2B6, CYP2C8, CYP2C9, CYP2C19, CYP2D6, and CYP3A.
  • pharmacokinetics
    Niraparib and M1 do not induce CYP3A.
  • pharmacokinetics
    Uridine 5'-Diphospho-Glucuronosyltransferases (UGTs): Niraparib did not inhibit UGT1A1, UGT1A4, UGT1A9, and UGT2B7.
  • pharmacokinetics
    Transporters: Niraparib inhibits BCRP, MATE1, and MATE2K, but does not inhibit P-glycoprotein (P-gp), BSEP, or MRP2.
  • pharmacokinetics
    M1 did not inhibit P‑gp, BCRP, BSEP, MRP2, MATE1 or MATE2K.
  • pharmacokinetics
    Niraparib and M1 did not inhibit OATP1B1, OATP1B3, OCT1, OAT1, OAT3, or OCT2.
2 more recorded rows
  • Interaction statement pharmacokinetics
    Niraparib is a substrate of P-gp and BCRP, but not of BSEP, MRP2, MATE1, MATE2K, OATP1B1, OATP1B3, OCT1, OAT1, OAT3, or OCT2.
  • Interaction statement pharmacokinetics
    M1 is a substrate of MATE1 and MATE2K, but not of P-gp, BCRP, BSEP, MRP2, OATP1B1, OATP1B3, OCT1, OAT1, OAT3, or OCT2.
  • CYP1A
    Rasburicase, Tivozanib, Riluzole, Alfuzosin, Tenofovir Disoproxil, Eribulin
  • CYP2B6
    FINGOLIMOD LAURYL SULFATE, TAFAMIDIS MEGLUMINE, Arimoclomol, Sofpironium, Bupropion, Golodirsen, Tinidazole, Naldemedine
  • CYP2C19
    FINGOLIMOD LAURYL SULFATE, FOSAPREPITANT DIMEGLUMINE, TAFAMIDIS MEGLUMINE, Arimoclomol, Rasagiline, Golodirsen, Naldemedine, Etravirine
  • CYP2C8
    FINGOLIMOD LAURYL SULFATE, TAFAMIDIS MEGLUMINE, Arimoclomol, Golodirsen, Naldemedine, Methylnaltrexone, Lapatinib, Tivozanib
  • CYP2C9
    FINGOLIMOD LAURYL SULFATE, FOSAPREPITANT DIMEGLUMINE, TAFAMIDIS MEGLUMINE, Arimoclomol, Rasagiline, Golodirsen, Tinidazole, Naldemedine
  • CYP2D6
    FINGOLIMOD LAURYL SULFATE, Darunavir Propylene Glycolate, FOSAPREPITANT DIMEGLUMINE, TAFAMIDIS MEGLUMINE, Arimoclomol, Rasagiline, Sofpironium, Fluoxetine
1 more recorded row
  • CYP3A
    FINGOLIMOD LAURYL SULFATE, Darunavir Propylene Glycolate, Vincristine, Naldemedine, Pemetrexed, Eravacycline, Rasburicase, Repotrectinib

BCRP

  • TAFAMIDIS MEGLUMINE, Arimoclomol, Ceftobiprole Medocaril, Deoxycholic acid, Golodirsen, Naldemedine, Eravacycline, Omadacycline
  • TAFAMIDIS MEGLUMINE, Arimoclomol, Ceftobiprole Medocaril, Deoxycholic acid, Golodirsen, Naldemedine, Eravacycline, Omadacycline
  • TAFAMIDIS MEGLUMINE, Arimoclomol, Ceftobiprole Medocaril, Deoxycholic acid, Golodirsen, Naldemedine, Eravacycline, Omadacycline

BSEP

  • Ceftobiprole Medocaril, Eravacycline, Prucalopride, Chenodeoxycholic acid, Trametinib, Eluxadoline, Histidine, Tirbanibulin
  • Ceftobiprole Medocaril, Eravacycline, Prucalopride, Chenodeoxycholic acid, Trametinib, Eluxadoline, Histidine, Tirbanibulin
  • Ceftobiprole Medocaril, Eravacycline, Prucalopride, Chenodeoxycholic acid, Trametinib, Eluxadoline, Histidine, Tirbanibulin

MATE1

  • TAFAMIDIS MEGLUMINE, Arimoclomol, Ceftobiprole Medocaril, Sofpironium, Golodirsen, Eravacycline, Prucalopride, Chenodeoxycholic acid
  • TAFAMIDIS MEGLUMINE, Arimoclomol, Ceftobiprole Medocaril, Sofpironium, Golodirsen, Eravacycline, Prucalopride, Chenodeoxycholic acid
  • TAFAMIDIS MEGLUMINE, Arimoclomol, Ceftobiprole Medocaril, Sofpironium, Golodirsen, Eravacycline, Prucalopride, Chenodeoxycholic acid

MATE2-K

  • TAFAMIDIS MEGLUMINE, Arimoclomol, Sofpironium, Golodirsen, Eravacycline, Prucalopride, Chenodeoxycholic acid, Methylnaltrexone
  • TAFAMIDIS MEGLUMINE, Arimoclomol, Sofpironium, Golodirsen, Eravacycline, Prucalopride, Chenodeoxycholic acid, Methylnaltrexone
  • TAFAMIDIS MEGLUMINE, Arimoclomol, Sofpironium, Golodirsen, Eravacycline, Prucalopride, Chenodeoxycholic acid, Methylnaltrexone
  • MRP2
    Ceftobiprole Medocaril, Deoxycholic acid, Golodirsen, Omadacycline, Prucalopride, Methylnaltrexone, Sonidegib, Trametinib

recorded 2026-07-28 · last checked 2026-09-04

Where it is registered
Identifiers, relations and other names

The exact record

ChEMBL id
CHEMBL1094636
PubChem CID
24958199
CAS number
1038915-58-0
RxCUI
2637449
InChIKey
PCHKPVIQAHNQLW-CQSZACIVSA-N
Also called
ZL-2306, JNJ-64091742, MK 4827, MK4827, ZEJULA, parp inhibitors, parpi, NIRAPARIB TOSYLATE MONOHYDRATE, NIRAPARIB TOSYLATE [USAN], Niraparib tosilate hydrate [JAN], Niraparib tosylate monohydrate [MI], Niraparib tosylate monohydrate [WHO-DD]
Development code
GSK-3985771, GSK3985771
Salt form
MK-4827 TOSYLATE MONOHYDRATE, Niraparib tosilate hydrate, Niraparib tosylate, Niraparib tosylate component of akeega, Niraparib tosylate monohydrate component of akeega niraparib tosylate
Trade name
Akeega component niraparib tosylate, Akeega
Sources (6)

Sources

ChEMBL 37 — CC BY-SA 3.0 Unported · ChEMBL ATC CC BY-SA · ClinicalTrials.gov — US Government work · Open Targets 26.06 — CC0 · mixed register set; per-register licences in docs/specs/corpus-20k-sources.md · openFDA / DailyMed — US Government work

How these records are assembled · Which registers were checked

Index-quality checks
  • identity passed: no open identity hold
  • required summary fields resolved: 4 required field(s) not terminal: Why people use it, Best-supported result, Biggest unanswered question, Human evidence
  • public claims reviewed: 0 reviewed claim(s); drafts are never rendered
  • source coverage passed: 6 source rows
  • no critical contamination: no quarantine open
  • canonical metadata passed: slug and display name present
  • no raw internal fields: enforced by the copy-contract test over the rendered page

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