A Phase 1/2 Dose-Escalation and Dose-Expansion Study of ZN-c3 in Combination With Niraparib in Subjects With Platinum-Resistant Ovarian Cancer

  • End date
    Nov 25, 2023
  • participants needed
  • sponsor
    K-Group Beta
Updated on 25 October 2022
measurable disease
cancer chemotherapy
ovarian cancer
fallopian tube
recurrent cancer
cancer of the ovary
platinum-resistant ovarian cancer


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


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

Condition Ovarian Cancer, Platinum-resistant Ovarian Cancer, Primary Peritoneal Carcinoma, Fallopian Tube Cancer
Treatment Niraparib, ZN-c3
Clinical Study IdentifierNCT05198804
SponsorK-Group Beta
Last Modified on25 October 2022


Yes No Not Sure

Inclusion Criteria

Female and at least 18 years old
Histologically or cytologically confirmed recurrent high grade epithelial ovarian, primary peritoneal, or fallopian tube cancer with histologic subtypes of serous, clear cell or endometrial for which there is no known or established treatment available with curative intent
Have demonstrated relapse within 6 months of platinum therapy (platinum-free interval <6 months)
Must have evaluable or measurable disease according to RECIST v1.1 criterion: defined as at least one lesion that can be accurately measured
Adequate hematologic and organ function
Ability and willingness to take oral medication
If unknown homologous recombination deficiency (HRD) status, subjects must provide formalin-fixed, paraffin-embedded tumor samples available from the primary or recurrent cancer or agree to undergo fresh biopsy prior to study treatment initiation
Willingness to release archival tissue for research purposes or to undergo a tumor tissue biopsy prior to dosing on Cycle 1 Day 1
Additional Key Inclusion Criteria for Phase II
This supersedes inclusion criterion 3 (above). Demonstrated relapse within 6 months of platinum therapy, while taking a PARPi as maintenance: a minimum of 3 months is required if the participant received PARPi maintenance following first-line chemotherapy
Must have measurable disease according to RECIST V1.1 criterion: defined as at least one lesion that can be accurately measured

Exclusion Criteria

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