Skip to content

Study to Evaluate the Efficacy and Safety of the Combination of Niraparib and Dostarlimab (TSR-042) in Participants With Platinum Resistant Ovarian Cancer

A Phase 2 Open-Label, Single-Arm Study to Evaluate the Efficacy and Safety of the Combination of Niraparib and Dostarlimab (TSR-042) in Patients With Platinum-Resistant Ovarian Cancer (MOONSTONE)

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03955471
Acronym
MOONSTONE
Enrollment
41
Registered
2019-05-20
Start date
2019-10-03
Completion date
2022-01-12
Last updated
2022-09-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Ovarian Neoplasms

Keywords

Open-label, Single-arm, Efficacy and Safety, Platinum-resistant ovarian cancer, Niraparib, dostarlimab

Brief summary

This is an open-label, single-arm Phase 2 study to evaluate the efficacy and safety of combination of niraparib and dostarlimab (TSR-042) in participants with advanced, relapsed, high-grade ovarian, fallopian tube, endometrioid, clear cell ovarian or primary peritoneal cancer without known breast cancer susceptibility gene (BRCA) mutation who have platinum-resistant disease and who have also been previously treated with bevacizumab.

Interventions

DRUGNiraparib

Niraparib is a potent, orally active poly (adenosine diphosphate-ribose) polymerase (PARP)-1 and PARP2 inhibitor being developed as a treatment for participants with tumors that harbor defects in the homologous recombination deoxyribonucleic acid (DNA) repair pathway or that are driven by PARP-mediated transcription factors.

DRUGDostarlimab

TSR-042 is a humanized monoclonal antibody that binds with high affinity to programmed cell death-1 (PD-1) resulting in inhibition of binding to programmed cell-death receptor ligands 1 and 2 (PD-L1 and PD-L2).

Sponsors

Gynecologic Oncology Group
CollaboratorNETWORK
Tesaro, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Participant must be female \>=18 years of age, able to understand the study procedures, and subsequently agreed to participate in the study by providing written informed consent. * Participants must have recurrent high-grade serous, endometrioid, or clear cell ovarian, fallopian tube, or primary peritoneal cancer. * Participants must be considered resistant to the last administered platinum therapy. * Participants must have completed at least 1 but no more than 3 prior lines of therapy for advanced or metastatic ovarian cancer. * Participants must have been previously treated with platinum-based regimen, taxane agent(s), and bevacizumab. * Participant has measurable disease according to RECIST v.1.1. * Participant has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. * Participant has adequate organ function. * Females with childbearing potential have a serum pregnancy test that is negative 72 prior first dose and are not breastfeeding. Participant must also agree to abstain from activities that could result in pregnancy from enrollment through 180 days after the last dose of study treatment. * Participant must provide formalin fixed paraffin embedded (FFPE) tumor tissue block(s) with sufficient tumor content (as confirmed by the Sponsor's designated central laboratory) during screening to enable BRCA testing and PD-L1 testing. The use of slides created from paraffin-embedded tissue as opposed to FFPE blocks must be approved by the Sponsor. * Participant must agree to complete health-related quality of life (HRQoL) questionnaires throughout the study.

Exclusion criteria

* Participant who experienced disease progression within 3 months (12 weeks or 84 days) of first-line platinum therapy. * Participants with a known deleterious or suspected BRCA 1 or 2 mutation. * Participant has received prior therapy with an anti-PD-1, anti-PD-L1 or anti-PD-L2 agent. * Participant has received prior therapy with a PARP-1/PARP-2 inhibitor. * Participant has a known hypersensitivity to dostarlimab (TSR-042), Niraparib, their components, or their excipients. * Participant has a known history of myelodysplastic syndrome or acute myeloid leukemia. * Participant has not recovered from prior chemotherapy induced adverse events. * Participant has a known diagnosis of immunodeficiency or is receiving systemic steroid therapy exceeding an equivalent of prednisone 10 mg daily or any other form of immunosuppressive therapy within 7 days prior to the first dose of study treatment. * Participant is currently participating in a treatment study or has participated in a study of an investigational agent within 4 weeks of the first dose of treatment. * Participant has received prior systemic anticancer therapy including cytotoxic chemotherapy, hormonal therapy given with the intention to treat ovarian cancer, or biological therapy within 3 weeks of the first dose of study treatment. * Participant has received live vaccine within 14 days of planned start of study therapy * Participant has symptomatic uncontrolled brain or leptomeningeal metastases. (If investigator feels participant symptoms are not symptomatic, participants can undergo a scan to confirm for eligibility). * Participant had major surgery with 4 weeks of starting the first dose of the study treatment or participant has not recovered from any effects of any major surgery. * Participant has a known additional malignancy that progressed or required active treatment within the last 2 years. * Participant is considered a poor medical risk due to a serious, uncontrolled medical disorder, nonmalignant systemic disease or active controlled infection. * Participant has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study. * Participant has known active hepatitis B (hepatitis B surface antigen reactive) or hepatitis C (hepatitis C virus ribonucleic acid, qualitative). * Participant with a known history of human immunodeficiency virus (HIV) are allowed if they meet all of the following criteria: 1. Cluster of differentiation 4 \>=350/microliter (μL) and viral load \<400 copies/milliliter (mL) 2. No history of acquired immunodeficiency syndrome-defining opportunistic infections within 12 months prior to enrollment 3. No history of HIV-associated malignancy for the past 5 years 4. Concurrent antiretroviral therapy as per the most current National Institutes of Health (NIH) Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents Living with HIV started \>4 weeks prior to study enrollment * Participant is immunocompromised. Participants with splenectomy are allowed. * Participant has an ongoing bowel obstruction or has other conditions that would lead to impaired absorption of oral niraparib. * Participant has active autoimmune disease that has required systemic treatment in the past 2 years (ie, with use of disease-modifying agents, corticosteroids, or immunosuppressive drugs). Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment.

Design outcomes

Primary

MeasureTime frameDescription
Objective Response Rate (ORR) in Participants With Platinum-resistant Ovarian Cancer (PROC)Up to approximately 22 monthsORR is defined as the percentage of participants who have achieved confirmed complete response (CR) or partial response (PR), as determined by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) criteria based on Investigator assessment and computed tomography (CT) scans were commonly used for tumor imaging.
ORR in Participants With PROC Who Have Programmed Cell Death-ligand 1 (PD-L 1) Positive StatusUp to approximately 22 monthsORR is defined as the percentage of participants who have achieved confirmed CR or PR, as determined by RECIST v1.1 criteria based on Investigator assessment and CT scans were commonly used for tumor imaging. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with combined positive score (vCPS) \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.

Secondary

MeasureTime frameDescription
Progression-free Survival (PFS) in Participants With PROCUp to approximately 22 monthsPFS is defined as the time from the date of the first dose of study treatment to the earlier date of assessment of progression or death by any cause in the absence of progression by RECIST v.1.1 based on Investigator assessment.
PFS in Participants With PROC Who Have PD-L 1 Positive StatusUp to approximately 22 monthsPFS is defined as the time from the date of the first dose of study treatment to the earlier date of assessment of progression or death by any cause in the absence of progression by RECIST v.1.1 based on Investigator assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with a vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
Overall Survival (OS) in Participants With PROCUp to approximately 22 monthsOS is defined as the time from the date of the first dose of study treatment to the date of death by any cause.
OS in Participants With PROC Who Have PD-L 1 Positive StatusUp to approximately 22 monthsOS is defined as the time from the date of the first dose of study treatment to the date of death by any cause. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
Disease Control Rate (DCR) in Participants With PROCUp to approximately 22 monthsDCR is defined as the percentage of participants who have achieved best overall response (BOR) of CR, PR, or stable disease (SD) per RECIST v.1.1 based on the investigator's assessment.
DCR in Participants With PROC Who Have PD-L 1 Positive StatusUp to approximately 22 monthsDCR is defined as the percentage of participants who have achieved BOR of CR, PR, or SD per RECIST v.1.1 based on the investigator's assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
ORR in Participants With PROC Based on Independent Review Committee (IRC) AssessmentUp to approximately 22 monthsORR is defined as the percentage of participants who have achieved confirmed CR or PR per RECIST v1.1 based on the independent review committee assessment.
ORR in Participants With PROC Who Have PD-L 1 Positive Status Based on IRC AssessmentUp to approximately 22 monthsORR is defined as the percentage of participants who have achieved confirmed CR or PR per RECIST v1.1 based on the independent review committee assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with a vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
DOR in Participants With PROC Based on IRC AssessmentUp to approximately 22 monthsDOR is defined as the time from first documentation of response (CR or PR) until the time of first documentation of disease progression or death by any cause in the absence of progression by RECIST v.1.1 based on Independent Review Committee assessment.
DOR in Participants With PROC Who Have PD-L 1 Positive Status Based on IRC AssessmentUp to approximately 22 monthsDOR is defined as the time from first documentation of response (CR or PR) until the time of first documentation of disease progression or death by any cause in the absence of progression by RECIST v.1.1 based on Independent Review Committee assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with a vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
PFS in Participants With PROC Based on IRC AssessmentUp to approximately 22 monthsPFS is defined as the time from the date of the first dose of study treatment to the earlier date of assessment of progression or death by any cause in the absence of progression by RECIST v.1.1 based on Independent Review Committee Assessment.
Duration of Response (DOR) in Participants With PROCUp to approximately 22 monthsDOR is defined as the time from first documentation of response (CR or PR) until the time of first documentation of disease progression or death by any cause in the absence of progression by RECIST v.1.1 based on Investigator assessment.
DCR in Participants With PROC Based on IRC AssessmentUp to approximately 22 monthsDCR is defined as the percentage of participants who have achieved BOR of CR, PR, or SD per RECIST v.1.1 based on IRC Assessment.
DCR in Participants With PROC Who Have PD-L 1 Positive Status Based on IRC AssessmentUp to approximately 22 monthsDCR is defined as the percentage of participants who have achieved BOR of CR, PR, or SD per RECIST v.1.1 based on Independent Review Committee Assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Treatment-emergent Adverse Events (TEAEs) and Adverse Event of Special Interest (AESI)Up to approximately 27 monthsAn AE is any untoward medical occurrence in a patient administered with a medicinal product and that does which may or may not have a causal relationship with this treatment. A SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect or any other situation according to medical or scientific judgment. TEAEs are any event that occurred between first dose of study drug up to 22 months, which were absent before treatment or that had worsened relative to pretreatment state. AESI were any AE (serious or non-serious) that is of scientific and medical concern specific to the study treatment, for which ongoing monitoring and rapid communication by the Investigator to the Sponsor was done.
Number of Participants With Grade Shift From Baseline in HematologyUp to approximately 27 monthsBlood samples were collected for the analysis of hematology parameters and each parameter was graded according to National Cancer Institute (NCI)-Common Terminology Criteria for Adverse Events (CTCAE) version 4.3. Grade 0: Normal, Grade 1: mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences. Baseline was defined as the most recent measurement prior to the first administration of study treatment. Data has been presented for the number of participants with hematology grade shifts from baseline grade to grade 3 and 4 for each parameter.
Number of Participants With Grade Shift From Baseline in Plasma ChemistryUp to approximately 27 monthsBlood samples were collected and the clinical chemistry parameters assessed were Albumin (Alb), alanine aminotransferase (ALT), amylase, aspartate aminotransferase (AST), alkaline phosphatase (ALP), sodium, total bilirubin (TB), creatinine, glucose, magnesium and potassium. The Grade shift post baseline data of each parameter from Grade 0 through Grade 4 was based on the CTCAE version 4.03, grading scale, as per intensity, namely Grade 0: Normal, Grade 1: mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences. Baseline was defined as the most recent measurement prior to the first administration of study treatment. Data has been presented for the number of participants with plasma chemistry grade shifts from baseline grade to grade 3 and 4 for each parameter.
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)Up to approximately 27 monthsBaseline was defined as the most recent measurement prior to the first administration of study treatment. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. The minimum (min) and maximum (max) change from baseline values have been reported.
Change From Baseline in Pulse RateUp to approximately 27 monthsBaseline was defined as the most recent measurement prior to the first administration of study treatment. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. The minimum (min) and maximum (max) change from baseline values have been reported.
Change From Baseline in TemperatureUp to approximately 27 monthsBaseline was defined as the most recent measurement prior to the first administration of study treatment. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. The minimum (min) and maximum (max) change from baseline values have been reported.
Change From Baseline in Prothrombin International Normalized RatioBaseline and up to approximately 27 monthsBlood samples were collected to evaluate Prothrombin International Normalized Ratio (INR). Baseline was defined as the most recent measurement prior to the first administration of study treatment. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.
Change in Baseline in Activated Partial Thromboplastin TimeBaseline and up to approximately 27 monthsBlood samples were planned to be collected to evaluate activated partial thromboplastin time (APTT). Baseline was defined as the most recent measurement prior to the first administration of study treatment. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.
Change From Baseline in ThyrotropinBaseline and up to approximately 27 monthsBlood samples were collected to evaluate thyrotropin at indicated time points. Baseline was defined as the most recent measurement prior to the first administration of study treatment. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.
PFS in Participants With PROC Who Have PD-L 1 Positive Status Based on IRC AssessmentUp to approximately 22 monthsPFS is defined as the time from the date of the first dose of study treatment to the earlier date of assessment of progression or death by any cause in the absence of progression by RECIST v.1.1 based on IRC Assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with a vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.
DOR in Participants With PROC Who Have PD-L 1 Positive StatusUp to approximately 22 monthsDOR is defined as the time from first documentation of response (CR or PR) until the time of first documentation of disease progression or death by any cause in the absence of progression by RECIST v.1.1 based on Investigator assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.

Countries

United States

Participant flow

Recruitment details

From October 2019 until September 2020, 72 participants were screened and 41 participants were enrolled (31 screen failures)

Pre-assignment details

This study was terminated as the interim analysis of the primary endpoint met the prespecified futility criteria.

Participants by arm

ArmCount
Niraparib+Dostarlimab (TSR-042)
Participants with body weight ≥77 kg and platelet count ≥150,000/μL at baseline were administered Niraparib 300 mg QD and participants with body weight \<77 kg or platelet count \<150,000/μL at baseline were administered Niraparib 200 mg QD. Niraparib was administered continuously until PD or toxicity. Dostarlimab (TSR-042) was administered as an IV infusion of 500 mg Q3W from Cycle 1 Day 1 through Cycle 4. Beginning at Cycle 5, Dostarlimab was administered via an IV infusion of 1000 mg on Day 1 of each 6-week cycle until PD or toxicity, up to 27 months.
41
Total41

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyDeath22
Overall StudyLost to Follow-up1
Overall StudySponsor Decision to Terminate Study11
Overall StudyWithdrawal by Subject6

Baseline characteristics

CharacteristicNiraparib+Dostarlimab (TSR-042)
Age, Continuous62.9 YEARS
STANDARD_DEVIATION 10.59
Race/Ethnicity, Customized
American Indian or Alaska Native
1 Participants
Race/Ethnicity, Customized
Asian
2 Participants
Race/Ethnicity, Customized
Black or African American
3 Participants
Race/Ethnicity, Customized
Unknown
3 Participants
Race/Ethnicity, Customized
White
32 Participants
Sex: Female, Male
Female
41 Participants
Sex: Female, Male
Male
0 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
22 / 41
other
Total, other adverse events
41 / 41
serious
Total, serious adverse events
23 / 41

Outcome results

Primary

Objective Response Rate (ORR) in Participants With Platinum-resistant Ovarian Cancer (PROC)

ORR is defined as the percentage of participants who have achieved confirmed complete response (CR) or partial response (PR), as determined by Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1) criteria based on Investigator assessment and computed tomography (CT) scans were commonly used for tumor imaging.

Time frame: Up to approximately 22 months

Population: Safety (SAF) Population: All participants who receive any amount of study treatment.

ArmMeasureValue (NUMBER)
Niraparib+Dostarlimab (TSR-042)Objective Response Rate (ORR) in Participants With Platinum-resistant Ovarian Cancer (PROC)7.3 Percentage of Participants
Primary

ORR in Participants With PROC Who Have Programmed Cell Death-ligand 1 (PD-L 1) Positive Status

ORR is defined as the percentage of participants who have achieved confirmed CR or PR, as determined by RECIST v1.1 criteria based on Investigator assessment and CT scans were commonly used for tumor imaging. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with combined positive score (vCPS) \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.

Time frame: Up to approximately 22 months

Population: Data for participants with PD-L1 positive status in the SAF population are presented.

ArmMeasureValue (NUMBER)
Niraparib+Dostarlimab (TSR-042)ORR in Participants With PROC Who Have Programmed Cell Death-ligand 1 (PD-L 1) Positive Status7.7 Percentage of Participants
Secondary

Change From Baseline in Prothrombin International Normalized Ratio

Blood samples were collected to evaluate Prothrombin International Normalized Ratio (INR). Baseline was defined as the most recent measurement prior to the first administration of study treatment. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.

Time frame: Baseline and up to approximately 27 months

Population: SAF Population. Only those participants with data available at the specified time points were analyzed.

ArmMeasureGroupValue (MEAN)
Niraparib+Dostarlimab (TSR-042)Change From Baseline in Prothrombin International Normalized RatioDay 20.2 Ratio
Niraparib+Dostarlimab (TSR-042)Change From Baseline in Prothrombin International Normalized RatioDay 410.3 Ratio
Niraparib+Dostarlimab (TSR-042)Change From Baseline in Prothrombin International Normalized RatioDay 520.7 Ratio
Secondary

Change From Baseline in Pulse Rate

Baseline was defined as the most recent measurement prior to the first administration of study treatment. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. The minimum (min) and maximum (max) change from baseline values have been reported.

Time frame: Up to approximately 27 months

Population: SAF Population

ArmMeasureGroupValue (MEAN)Dispersion
Niraparib+Dostarlimab (TSR-042)Change From Baseline in Pulse Ratemin change post baseline1 Beats per minuteStandard Deviation 13.77
Niraparib+Dostarlimab (TSR-042)Change From Baseline in Pulse Ratemax change post baseline20.5 Beats per minuteStandard Deviation 14.71
Secondary

Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)

Baseline was defined as the most recent measurement prior to the first administration of study treatment. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. The minimum (min) and maximum (max) change from baseline values have been reported.

Time frame: Up to approximately 27 months

Population: SAF Population

ArmMeasureGroupValue (MEAN)Dispersion
Niraparib+Dostarlimab (TSR-042)Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)DBP, max change post baseline10.6 Millimeters of mercuryStandard Deviation 10.07
Niraparib+Dostarlimab (TSR-042)Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)DBP, min change post baseline-5.8 Millimeters of mercuryStandard Deviation 11.87
Niraparib+Dostarlimab (TSR-042)Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)SBP, max change post baseline16.5 Millimeters of mercuryStandard Deviation 23.01
Niraparib+Dostarlimab (TSR-042)Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)SBP, min change post baseline-12.5 Millimeters of mercuryStandard Deviation 24.61
Secondary

Change From Baseline in Temperature

Baseline was defined as the most recent measurement prior to the first administration of study treatment. The change from baseline was calculated by subtracting the baseline values from the individual post-randomization values. The minimum (min) and maximum (max) change from baseline values have been reported.

Time frame: Up to approximately 27 months

Population: SAF Population

ArmMeasureGroupValue (MEAN)Dispersion
Niraparib+Dostarlimab (TSR-042)Change From Baseline in Temperaturemax change post baseline0.31 Degrees CelsiusStandard Deviation 0.421
Niraparib+Dostarlimab (TSR-042)Change From Baseline in Temperaturemin change post baseline-0.35 Degrees CelsiusStandard Deviation 0.422
Secondary

Change From Baseline in Thyrotropin

Blood samples were collected to evaluate thyrotropin at indicated time points. Baseline was defined as the most recent measurement prior to the first administration of study treatment. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.

Time frame: Baseline and up to approximately 27 months

Population: SAF Population. Only those participants with data available at the specified time points were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
Niraparib+Dostarlimab (TSR-042)Change From Baseline in ThyrotropinCycle 5 Day 18.074 Milliunits per liter (mU/L)Standard Deviation 19.737
Niraparib+Dostarlimab (TSR-042)Change From Baseline in ThyrotropinCycle 7 Day 112.79 Milliunits per liter (mU/L)Standard Deviation 23.24
Niraparib+Dostarlimab (TSR-042)Change From Baseline in ThyrotropinCycle 9 Day 12.596 Milliunits per liter (mU/L)
Niraparib+Dostarlimab (TSR-042)Change From Baseline in ThyrotropinCycle 11 Day 12.517 Milliunits per liter (mU/L)
Secondary

Change in Baseline in Activated Partial Thromboplastin Time

Blood samples were planned to be collected to evaluate activated partial thromboplastin time (APTT). Baseline was defined as the most recent measurement prior to the first administration of study treatment. Change from Baseline was calculated by subtracting Baseline value from the post-dose visit value.

Time frame: Baseline and up to approximately 27 months

Population: SAF Population. Only those participants with data available at the specified time points were analyzed.

ArmMeasureGroupValue (MEAN)
Niraparib+Dostarlimab (TSR-042)Change in Baseline in Activated Partial Thromboplastin TimeDay 21 Second
Niraparib+Dostarlimab (TSR-042)Change in Baseline in Activated Partial Thromboplastin TimeDay 4116.9 Second
Secondary

DCR in Participants With PROC Based on IRC Assessment

DCR is defined as the percentage of participants who have achieved BOR of CR, PR, or SD per RECIST v.1.1 based on IRC Assessment.

Time frame: Up to approximately 22 months

Population: Data was not collected as IRC assessment was not utilized due to study termination

Secondary

DCR in Participants With PROC Who Have PD-L 1 Positive Status

DCR is defined as the percentage of participants who have achieved BOR of CR, PR, or SD per RECIST v.1.1 based on the investigator's assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.

Time frame: Up to approximately 22 months

Population: Data for participants with PD-L1 positive status in the SAF population are presented.

ArmMeasureValue (NUMBER)
Niraparib+Dostarlimab (TSR-042)DCR in Participants With PROC Who Have PD-L 1 Positive Status38.5 Percentage of Participants
Secondary

DCR in Participants With PROC Who Have PD-L 1 Positive Status Based on IRC Assessment

DCR is defined as the percentage of participants who have achieved BOR of CR, PR, or SD per RECIST v.1.1 based on Independent Review Committee Assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.

Time frame: Up to approximately 22 months

Population: Data was not collected as IRC assessment was not utilized due to study termination

Secondary

Disease Control Rate (DCR) in Participants With PROC

DCR is defined as the percentage of participants who have achieved best overall response (BOR) of CR, PR, or stable disease (SD) per RECIST v.1.1 based on the investigator's assessment.

Time frame: Up to approximately 22 months

Population: SAF Population

ArmMeasureValue (NUMBER)
Niraparib+Dostarlimab (TSR-042)Disease Control Rate (DCR) in Participants With PROC29.3 Percentage of Participants
Secondary

DOR in Participants With PROC Based on IRC Assessment

DOR is defined as the time from first documentation of response (CR or PR) until the time of first documentation of disease progression or death by any cause in the absence of progression by RECIST v.1.1 based on Independent Review Committee assessment.

Time frame: Up to approximately 22 months

Population: Data was not collected as IRC assessment was not utilized due to study termination

Secondary

DOR in Participants With PROC Who Have PD-L 1 Positive Status

DOR is defined as the time from first documentation of response (CR or PR) until the time of first documentation of disease progression or death by any cause in the absence of progression by RECIST v.1.1 based on Investigator assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.

Time frame: Up to approximately 22 months

Population: Data for participants with PD-L1 positive status in the SAF population are presented. DOR has been summarized only for responders.

ArmMeasureValue (MEDIAN)
Niraparib+Dostarlimab (TSR-042)DOR in Participants With PROC Who Have PD-L 1 Positive StatusNA Months
Secondary

DOR in Participants With PROC Who Have PD-L 1 Positive Status Based on IRC Assessment

DOR is defined as the time from first documentation of response (CR or PR) until the time of first documentation of disease progression or death by any cause in the absence of progression by RECIST v.1.1 based on Independent Review Committee assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with a vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.

Time frame: Up to approximately 22 months

Population: Data was not collected as IRC assessment was not utilized due to study termination

Secondary

Duration of Response (DOR) in Participants With PROC

DOR is defined as the time from first documentation of response (CR or PR) until the time of first documentation of disease progression or death by any cause in the absence of progression by RECIST v.1.1 based on Investigator assessment.

Time frame: Up to approximately 22 months

Population: SAF Population. DOR has been summarized only for responders.

ArmMeasureValue (MEDIAN)
Niraparib+Dostarlimab (TSR-042)Duration of Response (DOR) in Participants With PROC3.8 Months
Secondary

Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Treatment-emergent Adverse Events (TEAEs) and Adverse Event of Special Interest (AESI)

An AE is any untoward medical occurrence in a patient administered with a medicinal product and that does which may or may not have a causal relationship with this treatment. A SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect or any other situation according to medical or scientific judgment. TEAEs are any event that occurred between first dose of study drug up to 22 months, which were absent before treatment or that had worsened relative to pretreatment state. AESI were any AE (serious or non-serious) that is of scientific and medical concern specific to the study treatment, for which ongoing monitoring and rapid communication by the Investigator to the Sponsor was done.

Time frame: Up to approximately 27 months

Population: SAF Population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Niraparib+Dostarlimab (TSR-042)Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Treatment-emergent Adverse Events (TEAEs) and Adverse Event of Special Interest (AESI)AEs41 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Treatment-emergent Adverse Events (TEAEs) and Adverse Event of Special Interest (AESI)SAEs23 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Treatment-emergent Adverse Events (TEAEs) and Adverse Event of Special Interest (AESI)TEAE41 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Treatment-emergent Adverse Events (TEAEs) and Adverse Event of Special Interest (AESI)AESIs2 Participants
Secondary

Number of Participants With Grade Shift From Baseline in Hematology

Blood samples were collected for the analysis of hematology parameters and each parameter was graded according to National Cancer Institute (NCI)-Common Terminology Criteria for Adverse Events (CTCAE) version 4.3. Grade 0: Normal, Grade 1: mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences. Baseline was defined as the most recent measurement prior to the first administration of study treatment. Data has been presented for the number of participants with hematology grade shifts from baseline grade to grade 3 and 4 for each parameter.

Time frame: Up to approximately 27 months

Population: SAF Population.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLeukocytes, Grade 1 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLeukocytes, Grade 4 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLymphocytes, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyHemoglobin, Grade 0 to Grade 33 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyHemoglobin, Grade 1 to Grade 35 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyHemoglobin, Grade 2 to Grade 31 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyHemoglobin, Grade 3 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyHemoglobin, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyHemoglobin, Grade 0 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyHemoglobin, Grade 1 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyHemoglobin, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyHemoglobin, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyHemoglobin, Grade 4 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLeukocytes, Grade 0 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLeukocytes, Grade 2 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLeukocytes, Grade 3 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLeukocytes, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLeukocytes, Grade 0 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLeukocytes, Grade 1 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLeukocytes, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLeukocytes, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLymphocytes, Grade 0 to Grade 35 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLymphocytes, Grade 1 to Grade 33 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLymphocytes, Grade 2 to Grade 33 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLymphocytes, Grade 3 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLymphocytes, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLymphocytes, Grade 0 to Grade 41 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLymphocytes, Grade 1 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLymphocytes, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyLymphocytes, Grade 4 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyNeutrophil Count, Grade 0 to Grade 31 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyNeutrophil Count, Grade 1 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyNeutrophil Count, Grade 2 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyNeutrophil Count, Grade 3 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyNeutrophil Count, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyNeutrophil Count, Grade 0 to Grade 41 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyNeutrophil Count, Grade 1 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyNeutrophil Count, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyNeutrophil Count, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyNeutrophil Count, Grade 4 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyPlatelets, Grade 0 to Grade 34 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyPlatelets, Grade 1 to Grade 31 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyPlatelets, Grade 2 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyPlatelets, Grade 3 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyPlatelets, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyPlatelets, Grade 0 to Grade 44 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyPlatelets, Grade 1 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyPlatelets, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyPlatelets, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in HematologyPlatelets, Grade 4 to Grade 40 Participants
Secondary

Number of Participants With Grade Shift From Baseline in Plasma Chemistry

Blood samples were collected and the clinical chemistry parameters assessed were Albumin (Alb), alanine aminotransferase (ALT), amylase, aspartate aminotransferase (AST), alkaline phosphatase (ALP), sodium, total bilirubin (TB), creatinine, glucose, magnesium and potassium. The Grade shift post baseline data of each parameter from Grade 0 through Grade 4 was based on the CTCAE version 4.03, grading scale, as per intensity, namely Grade 0: Normal, Grade 1: mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences. Baseline was defined as the most recent measurement prior to the first administration of study treatment. Data has been presented for the number of participants with plasma chemistry grade shifts from baseline grade to grade 3 and 4 for each parameter.

Time frame: Up to approximately 27 months

Population: SAF Population.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryTB, Grade 4 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium high, Grade 2 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium low, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALT, Grade 0 to Grade 33 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALT, Grade 1 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALT, Grade 2 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALT, Grade 3 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALT, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALT, Grade 0 to Grade 41 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALT, Grade 1 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALT, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALT, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALT, Grade 4 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAlb, Grade 0 to Grade 31 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAlb, Grade 1 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAlb, Grade 2 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAlb, Grade 3 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAlb, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAlb, Grade 0 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAlb, Grade 1 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAlb, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAlb, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAlb, Grade 4 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALP, Grade 0 to Grade 33 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALP, Grade 1 to Grade 31 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALP, Grade 2 to Grade 31 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALP, Grade 3 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALP, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALP, Grade 0 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALP, Grade 1 to Grade 41 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALP, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALP, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryALP, Grade 4 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAmylase, Grade 0 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAmylase, Grade 1 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAmylase, Grade 2 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAmylase, Grade 3 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAmylase, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAmylase, Grade 0 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAmylase, Grade 1 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAmylase, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAmylase, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAmylase, Grade 4 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAST, Grade 0 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAST, Grade 0 to Grade 34 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAST, Grade 1 to Grade 31 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAST, Grade 2 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAST, Grade 3 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAST, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAST, Grade 1 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAST, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAST, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryAST, Grade 4 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryTB, Grade 0 to Grade 31 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryTB, Grade 1 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryTB, Grade 2 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryTB, Grade 3 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryTB, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryTB, Grade 0 to Grade 41 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryTB, Grade 1 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryTB, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryCreatinine, Grade 0 to Grade 31 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryTB, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryCreatinine, Grade 1 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryCreatinine, Grade 2 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryCreatinine, Grade 3 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryCreatinine, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryCreatinine, Grade 0 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryCreatinine, Grade 1 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryCreatinine, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryCreatinine, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryCreatinine, Grade 4 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose high, Grade 0 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose high, Grade 1 to Grade 33 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose high, Grade 2 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose high, Grade 3 to Grade 31 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose high, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose high, Grade 0 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose high, Grade 1 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose high, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose high, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose high, Grade 4 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose low, Grade 0 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose low, Grade 1 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose low, Grade 2 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose low, Grade 3 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose low, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose low, Grade 0 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose low, Grade 1 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose low, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose low, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryGlucose low, Grade 4 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium high, Grade 0 to Grade 31 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium high, Grade 1 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium high, Grade 0 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium high, Grade 3 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium high, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium high, Grade 1 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium high, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium high, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium high, Grade 4 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium low, Grade 0 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium low, Grade 1 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium low, Grade 2 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium low, Grade 3 to Grade 31 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium low, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium low, Grade 0 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium low, Grade 1 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium low, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryMagnesium low, Grade 4 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium high, Grade 0 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium high, Grade 1 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium high, Grade 2 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium high, Grade 3 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium high, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium high, Grade 0 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium high, Grade 1 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium high, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium high, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium high, Grade 4 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium low, Grade 0 to Grade 33 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium low, Grade 1 to Grade 31 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium low, Grade 2 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium low, Grade 3 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium low, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium low, Grade 0 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium low, Grade 1 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium low, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium low, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistryPotassium low, Grade 4 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium high, Grade 0 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium high, Grade 1 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium high, Grade 2 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium high, Grade 3 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium high, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium high, Grade 0 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium high, Grade 1 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium high, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium high, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium high, Grade 4 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium low, Grade 0 to Grade 34 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium low, Grade 1 to Grade 37 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium low, Grade 2 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium low, Grade 3 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium low, Grade 4 to Grade 30 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium low, Grade 0 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium low, Grade 1 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium low, Grade 2 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium low, Grade 3 to Grade 40 Participants
Niraparib+Dostarlimab (TSR-042)Number of Participants With Grade Shift From Baseline in Plasma ChemistrySodium low, Grade 4 to Grade 40 Participants
Secondary

ORR in Participants With PROC Based on Independent Review Committee (IRC) Assessment

ORR is defined as the percentage of participants who have achieved confirmed CR or PR per RECIST v1.1 based on the independent review committee assessment.

Time frame: Up to approximately 22 months

Population: Data was not collected as IRC assessment was not utilized due to study termination.

Secondary

ORR in Participants With PROC Who Have PD-L 1 Positive Status Based on IRC Assessment

ORR is defined as the percentage of participants who have achieved confirmed CR or PR per RECIST v1.1 based on the independent review committee assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with a vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.

Time frame: Up to approximately 22 months

Population: Data was not collected as IRC assessment was not utilized due to study termination

Secondary

OS in Participants With PROC Who Have PD-L 1 Positive Status

OS is defined as the time from the date of the first dose of study treatment to the date of death by any cause. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.

Time frame: Up to approximately 22 months

Population: Data for participants with PD-L1 positive status in the SAF population are presented.

ArmMeasureValue (MEDIAN)
Niraparib+Dostarlimab (TSR-042)OS in Participants With PROC Who Have PD-L 1 Positive StatusNA Months
Secondary

Overall Survival (OS) in Participants With PROC

OS is defined as the time from the date of the first dose of study treatment to the date of death by any cause.

Time frame: Up to approximately 22 months

Population: SAF Population

ArmMeasureValue (MEDIAN)
Niraparib+Dostarlimab (TSR-042)Overall Survival (OS) in Participants With PROC10.61 Months
Secondary

PFS in Participants With PROC Based on IRC Assessment

PFS is defined as the time from the date of the first dose of study treatment to the earlier date of assessment of progression or death by any cause in the absence of progression by RECIST v.1.1 based on Independent Review Committee Assessment.

Time frame: Up to approximately 22 months

Population: Data was not collected as IRC assessment was not utilized due to study termination

Secondary

PFS in Participants With PROC Who Have PD-L 1 Positive Status

PFS is defined as the time from the date of the first dose of study treatment to the earlier date of assessment of progression or death by any cause in the absence of progression by RECIST v.1.1 based on Investigator assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with a vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.

Time frame: Up to approximately 22 months

Population: Data for participants with PD-L1 positive status in the SAF population are presented.

ArmMeasureValue (MEDIAN)
Niraparib+Dostarlimab (TSR-042)PFS in Participants With PROC Who Have PD-L 1 Positive Status2.22 Months
Secondary

PFS in Participants With PROC Who Have PD-L 1 Positive Status Based on IRC Assessment

PFS is defined as the time from the date of the first dose of study treatment to the earlier date of assessment of progression or death by any cause in the absence of progression by RECIST v.1.1 based on IRC Assessment. PD-L1 is a ligand that binds to PD-L1 protein on tumor infiltrating T cells and renders the T cells inactive. Any PD-L1 positive tissue sample with a vCPS \>=5% was used as specified cut-point for the assessment of PD-L1 positive patient subset with PROC. vCPS was defined as the percentage of tumor cells and immune cells staining positive within the total tumor area.

Time frame: Up to approximately 22 months

Population: Data was not collected as IRC assessment was not utilized due to study termination

Secondary

Progression-free Survival (PFS) in Participants With PROC

PFS is defined as the time from the date of the first dose of study treatment to the earlier date of assessment of progression or death by any cause in the absence of progression by RECIST v.1.1 based on Investigator assessment.

Time frame: Up to approximately 22 months

Population: SAF Population

ArmMeasureValue (MEDIAN)
Niraparib+Dostarlimab (TSR-042)Progression-free Survival (PFS) in Participants With PROC2.1 Months

Source: ClinicalTrials.gov · Data processed: Feb 18, 2026