niraparib
Trade name: zejula
Approved
Mar 27, 2017
Niraparib (MK-4827) displays excellent PARP 1 and 2 inhibition. Inhibition of PARP in the context of defects in other DNA repair mechanisms provide a tumor specific way to kill cancer cells. Niraparib is in development with TESARO, under licence from Merck & Co, for the treatment of cancers (ovarian, fallopian tube and peritoneal cancer, breast cancer, prostate cancer and Ewing's sarcoma). Niraparib was characterized in a number of preclinical models before moving to phase I clinical trials, where it showed excellent human pharmacokinetics suitable for once a day oral dosing, achieved its pharmacodynamic target for PARP inhibition, and had promising activity in cancer patients. It is currently being tested in phase 3 clinical trials as maintenance therapy in ovarian cancer and as a treatment for breast cancer. — NCATS
Clinical trial activity
192 trials · 194 clinical orgs · 4 marketing orgs
Earliest trial started Sep 1, 2008 (NCT00749502)
Timeline
2000s
2010s
- Jan 1, 2010
- Apr 30, 2010
Orphan Drug Designation
- Jan 1, 2013
- Mar 27, 2017
Tesaro — Earliest FDA Approval
- Mar 27, 2017
Tesaro — NDA Secondary Org
- Mar 27, 2017
GlaxoSmithKline — Marketing Organization
- Mar 27, 2017
Tesaro — NDA Organization
- Mar 27, 2017
GlaxoSmithKline — NDA Secondary Org
2020s
- Aug 11, 2023
Johnson and Johnson — NDA Secondary Org
Indications
Studied for
- Adenocarcinoma · Phase 2
- Adnexal Diseases · Phase 2
- Angiogenesis Modulating Agents · Phase 2
- Antineoplastic Agents · Phase 2
- Astrocytoma · Phase 2
- Bevacizumab · Phase 2
- Biliary Tract Neoplasms · Phase 3
- Biomarkers · Phase 2
- Brain Neoplasms · Phase 3
- BRCA1 Protein · Phase 3
- Breast Neoplasms · Phase 3
- Carcinoma · Phase 2
- Carcinoma, Neuroendocrine · Phase 2
- Carcinoma, Non-Small-Cell Lung · Phase 3
- Carcinoma, Ovarian Epithelial · Phase 4
- Carcinoma, Renal Cell · Phase 2
- Carcinoma, Transitional Cell · Phase 2
- Cholangiocarcinoma · Phase 2
- Colorectal Neoplasms · Phase 2
- Drug Evaluation · Phase 2
- Drug-Related Side Effects and Adverse Reactions · Phase 2
- Drug Therapy · Phase 2
- Endocrine Gland Neoplasms · Phase 2
- Endocrine System Diseases · Phase 2
- Endometrial Neoplasms · Phase 2/Phase 3
- Enzyme Inhibitors · Phase 2
- Esophageal Neoplasms · Phase 2
- Fallopian Tube Neoplasms · Phase 3
- Genital Diseases, Female · Phase 2
- Genital Neoplasms, Female · Phase 2
- Glioblastoma · Phase 3
- Glioma · Phase 2
- Gonadal Disorders · Phase 2
- Hamartoma · Phase 3
- Head and Neck Neoplasms · Phase 2
- Homologous Recombination · Phase 2
- Leiomyosarcoma · Phase 2
- Leukemia, Lymphocytic, Chronic, B-Cell · Phase 1
- Leukemia, Prolymphocytic, T-Cell · Phase 1
- Liver Diseases · Phase 1
- Lung Neoplasms · Phase 2
- Lymphoma · Phase 2
- Lymphoma, Mantle-Cell · Phase 2
- Melanoma · Phase 2
- Mesothelioma · Phase 2
- Mesothelioma, Malignant · Phase 2
- Microsatellite Instability · Phase 2
- Molecular Mechanisms of Pharmacological Action · Phase 2
- Mutation · Phase 3
- Nasopharyngeal Carcinoma · Phase 2
- Neoadjuvant Therapy · Phase 2
- Neoplasm Metastasis · Phase 2
- Neoplasms by Histologic Type · Phase 2
- Neoplasms by Site · Phase 2
- Neoplasms, Glandular and Epithelial · Phase 2
- Ovarian Diseases · Phase 2/Phase 3
- Ovarian Neoplasms · Phase 4
- Pancreatic Neoplasms · Phase 2
- Penile Neoplasms · Phase 2
- Peritoneal Neoplasms · Phase 3
- Prostatic Neoplasms · Phase 2
- Prostatic Neoplasms, Castration-Resistant · Phase 3
- ras Proteins · Phase 2
- Rectal Neoplasms · Phase 1/Phase 2
- Retroperitoneal Neoplasms · Phase 2
- Sarcoma · Phase 2
- Sarcoma, Ewing · Phase 1
- Small Cell Lung Carcinoma · Phase 3
- Squamous Cell Carcinoma of Head and Neck · Phase 2
- Stomach Neoplasms · Phase 2
- Survival · Phase 2
- Treatment Outcome · Phase 2
- Triple Negative Breast Neoplasms · Phase 2
- Urinary Bladder Neoplasms · Phase 1/Phase 2
- Urogenital Neoplasms · Phase 2
- Urologic Neoplasms · Phase 2
- Uterine Cervical Neoplasms · Phase 2
- Uterine Neoplasms · Phase 2
Mechanism of action
- Poly [ADP-ribose] polymerase-1INHIBITOR
PARP1 inhibitor
IC(50) inhibition PARP1 (3.8 nM)
- Poly [ADP-ribose] polymerase 2INHIBITOR
PARP2 inhibitor
IC(50) inhibition PARP2 (2.1 nM)
- PARP 1, 2 and 3INHIBITOR
PARP 1, 2 and 3 inhibitor
Combination products
akeega
with abiraterone
Approval history
- approvedPriority reviewFast trackBreakthroughMar 27, 2017
Chemistry & pharmacology
SMILES
Cc1ccc(S(=O)(=O)O)cc1.NC(=O)c1cccc2cn(-c3ccc([C@@H]4CCCNC4)cc3)nc12.O- Mol. weight
- 510.62 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- ChEMBLCHEMBL3989922 ↗
- WikipediaNiraparib ↗
- NCATSHMC2H89N35 ↗
- ChEMBLCHEMBL1094636 ↗
Also known as
- 2-(4-(piperidin-3-yl)phenyl)-2h-indazole-7-carboxamide
- mk4827
- mk 4827
- mk-4827
- mk-4827
- mk-4827
- mk-4827
- niraparib
- niraparib
- niraparib
- niraparib
- niraparib
- niraparib
- niraparib
- niraparib hydrochloride
- niraparib tosylate
- niraparib tosylate monohydrate
- zejula
- zejula
- zejula
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06953323 | Phase 1/Phase 2 (Phase 2) | Jul 10, 2025 | Government of China |
| NCT06915025 | Phase 3 | Jul 9, 2025 | Celsion, Washington University in St. Louis |
| NCT06887933 | Phase 4 | Apr 22, 2025 | GlaxoSmithKline |
| NCT06747845 | Phase 2 | Jan 6, 2025 | Bristol-Myers Squibb, GlaxoSmithKline, Lustgarten Foundation, University of Pennsylvania |
| NCT06412120 | Phase 4 | Jan 1, 2025 | GlaxoSmithKline, University of Miami |
| NCT06392841 | Phase 2 | Dec 31, 2024 | Hoosier Cancer Research Network, Janssen Pharmaceutica NV |
| NCT06682780 | Phase 1/Phase 2 (Phase 2) | Dec 5, 2024 | LaNova Medicines Limited |
| NCT06502691 | Phase 1/Phase 2 (Phase 2) | Dec 1, 2024 | Breast Cancer Research Foundation, University of Washington |
| NCT06527690 | Phase 2 | Nov 29, 2024 | Janssen Pharmaceutica NV, Latin American Cooperative Oncology Group |
| NCT06365970 | Phase 2 | Oct 31, 2024 | GlaxoSmithKline, University of Pittsburgh |
| NCT06329830 | Phase 1/Phase 2 (Phase 2) | Oct 31, 2024 | Baptist Health, Janssen Pharmaceutica NV, Miami Cancer Institute |
| NCT06258018 | Phase 1/Phase 2 (Phase 2) | Sep 30, 2024 | GlaxoSmithKline, Istituto Clinico Humanitas - Rozzano (MI), Italy |
| NCT06594679 | Phase 1/Phase 2 (Phase 2) | Sep 18, 2024 | Eli Lilly, GlaxoSmithKline, University of Milan |
| NCT05615818 | Phase 3 | Jul 18, 2024 | Accord Research, Belgian Group of Digestive Oncology, Cancer Research UK, Center Eugene Marquis, Institut Mutualiste Montsouris, National Cancer Institute, France, Otsuka, Pierre Fabre, Servier, UNICANCER, Université catholique de Louvain, University of London, Zymeworks Inc. |
| NCT06388733 | Phase 3 | Jun 19, 2024 | GlaxoSmithKline, Ivy Brain Tumor Center |
| NCT06320067 | Phase 3 | Jun 11, 2024 | Cancer Research UK, Janssen Pharmaceutica NV, Medical Research Council, Novartis, University of London |
| NCT06212583 | Phase 2 | Apr 17, 2024 | Janssen Pharmaceutica NV, University of Maryland |
| NCT06237205 | Phase 2 | Feb 27, 2024 | Korea University, Seoul National University, Takeda |
| NCT05990192 | Phase 2 | Jan 31, 2024 | Royal Marsden Hospital NHS Trust, University of London |
| NCT06180356 | Phase 2 | Dec 31, 2023 | MedSIR, Universidad Complutense de Madrid |
Organizations
Research & Development (194)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Tesaro | For profit | 47 | 22 | 5 | 2008 |
| GlaxoSmithKline | For profit | 43 | 6 | 4 | 2018 |
| Janssen Pharmaceutica NV | For profit | 12 | 3 | 3 | 2017 |
| Harvard University | Academic/Hospital | 10 | 8 | 3 | 2013 |
| Zai Lab Pty. Ltd. | For profit | 10 | 6 | 3 | 2017 |
| Sun Yat-Sen University | Academic/Hospital | 8 | 3 | 1 | 2020 |
| Chinese Academy of Medical Sciences | Academic/Hospital | 6 | 5 | 2 | 2020 |
| Myrexis Inc. | For profit | 6 | 0 | 2 | 2013 |
| Takeda | For profit | 6 | 3 | 3 | 2018 |
| European Network for Gynaecological Oncological Trial | Academic/Hospital | 5 | 0 | 2 | 2013 |
| National Cancer Institute (NCI) | Government | 5 | 0 | 2 | 2018 |
| University of Pennsylvania | Academic/Hospital | 5 | 4 | 1 | 2018 |
| University of Texas at Houston | Academic/Hospital | 5 | 5 | 2 | 2018 |
| Fudan University | Academic/Hospital | 4 | 1 | 1 | 2019 |
| Hoosier Cancer Research Network | Academic/Hospital | 4 | 2 | 2 | 2016 |
| Roche | For profit | 4 | 2 | 3 | 2018 |
| University of London | Academic/Hospital | 4 | 3 | 3 | 2023 |
| University of Toronto | Academic/Hospital | 4 | 3 | 1 | 2017 |
| Zhejiang University | Academic/Hospital | 4 | 0 | 1 | 2020 |
| ARCAGY-GINECO | For profit | 3 | 3 | 3 | 2018 |
Marketing (6)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| GlaxoSmithKline | For profit | MKTG | Mar 27, 2017 |
| GlaxoSmithKline | For profit | NDA2 | Mar 27, 2017 |
| Johnson and Johnson | For profit | NDA2 | Aug 11, 2023 |
| Merck | For profit | IND | May 1, 2008 |
| Tesaro | For profit | NDA2 | Mar 27, 2017 |
| Tesaro | For profit | NDA | Mar 27, 2017 |