Targeted drug shows promise for rare genetic cancers
NCT ID NCT05169437
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a drug called niraparib in 22 adults with advanced solid tumors (like breast, lung, or pancreatic cancer) that have a specific genetic change called a PALB2 mutation. The goal was to see if the drug could shrink tumors or slow cancer growth. The study was stopped early, but results may still help understand how to treat these rare cancers.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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22 people
The number who actually took part.
- Started
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Mar 2022
- Finished
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Aug 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Participants must be at least 18 years of age or older. * Participants must have a histologically or cytologically confirmed diagnosis of locally advanced or metastatic solid tumor(s). * Participants must have tested positive for a pathogenic or likely pathogenic tPALB2 gene mutation using a CLIA-certified laboratory as described in the Next-Generation Sequencing (NGS) Laboratory Manual. * Participants who have stable and asymptomatic Central Nervous System (CNS) disease must be receiving a stable (for at least 7 days) or decreasing corticosteroid dose at the time of study entry. * Participants must submit fresh or archived (collected within 24 months of enrollment) Formalin-Fixed Paraffin-Embedded (FFPE) tumor sample to the central laboratory for post-enrollment confirmation of tPALB2 status. * Participants must have received all standard therapies appropriate for their tumor type and stage of disease or, in the opinion of the Investigator, the patient would be unlikely to tolerate or derive clinically meaningful benefit from appropriate standard of care therapy, or the participant has no satisfactory alternative treatments. Exclusion Criteria: * Participants have other active concomitant malignancy that warrants systemic, biologic, or hormonal therapy. * Participants who have ovarian or prostate cancer. * Participants who have variants of undetermined significance (VUS), but not pathogenic variants of PALB2, at the time of screening. * Participants who relapsed while receiving platinum based therapy in the adjuvant/curative setting. * Participants progressing within 14-18 weeks while receiving platinum based therapy in the metastatic setting. * Participants who have received Poly (ADP-ribose) polymerase (PARP) inhibitor(s) in prior lines of treatment. * Participants with leptomeningeal disease, carcinomatous meningitis, symptomatic brain metastases, or radiologic signs of CNS hemorrhage. * Participants with germline or somatic BRCA1 or BRCA2 mutations. * Participant has systolic blood pressure (BP) over 140 mmHg or diastolic BP over 90 mmHg, despite optimal medical therapy. * Participants have previously or are currently participating in a treatment study of an investigational agent within 3 weeks of the first dose of therapy preceding the study. * Participants have received prior systemic cytotoxic chemotherapy, biological therapy, or hormonal therapy for cancer, or received radiation therapy within 3 weeks of the first dose therapy preceding the study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Aultman Medical Group
Canton, Ohio, 44708, United States
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Avera Cancer Institute
Sioux Falls, South Dakota, 57105, United States
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Baptist Cancer Center
Memphis, Tennessee, 38120, United States
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Beacon Health System
South Bend, Indiana, 46601, United States
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Bon Secours - St. Francis Cancer Center
Greenville, South Carolina, 29607, United States
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Cancer Specialists of North Florida
Jacksonville, Florida, 32256, United States
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Cancer and Blood Specialty
Los Alamitos, California, 90720, United States
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Cancer and Blood Specialty Clinic
Los Alamitos, California, 90720, United States
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Central Care Cancer Center
Bolivar, Missouri, 65613, United States
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Cleveland Clinic - Taussig Cancer Center
Cleveland, Ohio, 44195, United States
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Community Cancer Trials of Utah
Ogden, Utah, 84405, United States
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Community Health Network
Indianapolis, Indiana, 46250, United States
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Eastern Connecticut Hematology and Oncology
Norwich, Connecticut, 06360, United States
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Englewood Health
Englewood, New Jersey, 07631, United States
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Fort Wayne Medical Oncology and Hematology
Fort Wayne, Indiana, 46845, United States
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Frederick Health
Frederick, Maryland, 21702, United States
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Gettysburg Cancer Center
Gettysburg, Pennsylvania, 17325, United States
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Goshen Health
Goshen, Indiana, 46526, United States
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Hartford Healthcare
Hartford, Connecticut, 06102, United States
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Hawaii Cancer Care
Honolulu, Hawaii, 96813, United States
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Hematology Oncology Associates of Fredericksburg
Fredericksburg, Virginia, 22408, United States
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Highlands Oncology
Springdale, Arkansas, 72762, United States
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Holy Cross
Fort Lauderdale, Florida, 33308, United States
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Inova Schar Institute
Fairfax, Virginia, 22031, United States
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Lumi Research
Sugar Land, Texas, 77479, United States
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Mary Crowley Cancer Research
Dallas, Texas, 75230, United States
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Maryland Oncology Hematology
Rockville, Maryland, 20850, United States
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Memorial Care Medical Center
Fountain Valley, California, 92708, United States
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MemorialCare
Long Beach, California, 90806, United States
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Mosaic Life Care
Saint Joseph, Missouri, 64507, United States
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Nebraska Cancer Specialists
Omaha, Nebraska, 68130, United States
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New Jersey Cancer Care and Blood Disorders
Belleville, New Jersey, 07109, United States
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Northwest Medical Specialties
Tacoma, Washington, 98405, United States
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Northwest Oncology & Hematology
Rolling Meadows, Illinois, 60008, United States
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Novant Health Inc. - Charlotte
Charlotte, North Carolina, 28204, United States
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Novant Health Inc. - Winston-Salem
Winston-Salem, North Carolina, 27103, United States
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Ocala Community Cancer Center
Ocala, Florida, 34474, United States
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OhioHealth
Columbus, Ohio, 43214, United States
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Oklahoma Cancer Specialists
Tulsa, Oklahoma, 74146, United States
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Oncology Consultants
Houston, Texas, 77030, United States
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Oncology Hematology Associates
Springfield, Missouri, 65807, United States
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OptumCare Cancer Care
Las Vegas, Nevada, 89102, United States
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Oregon Oncology Specialists
Salem, Oregon, 97301, United States
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PeaceHealth
Bellingham, Washington, 98225, United States
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Pontchartrain Cancer Center
Hammond, Louisiana, 70403, United States
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Ridley-Tree Cancer Center
Santa Barbara, California, 93105, United States
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Rush University Medical Center
Chicago, Illinois, 60612, United States
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SSM Health
Madison, Wisconsin, 53717, United States
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Sanford Health
Sioux Falls, South Dakota, 57117, United States
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Sharp Healthcare
San Diego, California, 92123, United States
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Southcoast Health
Fairhaven, Massachusetts, 02719, United States
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Southeastern Medical Oncology Center
Goldsboro, North Carolina, 27534, United States
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Sparrow Health
Lansing, Michigan, 48912, United States
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St Joseph Health Medical Group - Napa
Napa, California, 94558, United States
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St Joseph Health Medical Group - Santa Rosa
Santa Rosa, California, 95403, United States
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St Joseph Heritage Health - Fullerton
Fullerton, California, 92835, United States
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Summit Medical Group
Florham Park, New Jersey, 07932, United States
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Texas Oncology - Austin Central Pharmacy
Austin, Texas, 78731, United States
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Texas Oncology - Austin Midtown
Austin, Texas, 78705, United States
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Texas Oncology - Baylor Charles A. Sammons Cancer Center
Dallas, Texas, 75246, United States
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Texas Oncology - Longview Cancer Center
Longview, Texas, 75601, United States
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Texas Oncology - Palestine Cancer Center
Palestine, Texas, 75801, United States
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Texas Oncology - Paris Cancer Center
Paris, Texas, 75460, United States
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Texas Oncology - South Austin
Austin, Texas, 78745, United States
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Texas Oncology - Tyler Pharmacy
Tyler, Texas, 75702, United States
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The Center for Cancer and Blood Disorders - Maryland
Bethesda, Maryland, 20817, United States
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The Toledo Clinic
Toledo, Ohio, 43623, United States
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The University of Texas Southwestern Medical Center
Dallas, Texas, 75390, United States
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ThedaCare
Appleton, Wisconsin, 54911, United States
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TriHealth
Cincinnati, Ohio, 45220, United States
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University Cancer & Blood Center
Athens, Georgia, 30607, United States
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University Hospitals Seidman
Cleveland, Ohio, 44106, United States
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University of California Los Angeles
Los Angeles, California, 90404, United States
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University of California San Diego
La Jolla, California, 92093-0698, United States
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Utah Cancer Specialists
Salt Lake City, Utah, 84106, United States
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Vanderbilt University
Nashville, Tennessee, 37232, United States
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Ventura County Hematology Oncology Specialists
Oxnard, California, 93030, United States
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Virginia Cancer Institute
Richmond, Virginia, 23229, United States
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Virginia Cancer Institute
Richmond, Virginia, 23230, United States
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Yuma Regional Medical Center
Yuma, Arizona, 85364, United States
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Other studies related to the condition(s) this trial covers.
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