For anyone currently researching this drug, I found the following updated articles on the ENGOT-OV16/NOVA study:
Note: This was a study for platinum-sensitive (not platinum-resistant) ovarian cancer.
Targeted Oncology, March 2023
Final Analysis of Niraparib Does Not Show Significant OS Benefit in Recurrent Ovarian Cancer
Mar 27, 2023, Conor Killmurray
BMJ - International Journal of Gynecological Cancer, 2023
Review. Safety and Management of Niraparib Monotherapy in ovarian cancer clinical trials
Another source would be to check the ClinicalTrials.gov site to see if the results have been posted. I see that the results for this particular study were updated in April 2023. These results are very data-heavy.
Research for PLATINUM-RESISTANT, BRCA-NEGATIVE, ovarian cancer is lacking and I found a few trials that were terminated due to futility.
Journal of Clinical Oncology, 2022
MOONSTONE/GOG-3032: Interim analysis of a phase 2 study of Niraparib + Dostarlimab in patients (pts) with platinum-resistant ovarian cancer (PROC). Results may be of interest. The study not continued due to futility.
Of interest: California only, not yet recruiting (May 2023)
Niraparib and Selenium for the Treatment of Recurrent BRCA Negative Platinum-Resistant Ovarian Cancer
This is a study listed on ClinicalTrials.gov. The estimated start date is May 2023. The primary completion date is 2025.
As you can see, for those of us in the platinum-resistant, BRCA-negative, cohort, there is very little research to inform our decision of whether or not to try Niraparib (Zejula) if it is offered to us. I did try Zejula as a maintenance drug immediately following my second successful round of platinum-based chemo. Unfortunately, the drug did not work for me and my cancer recurred within six months, resulting in the platinum-resistant diagnosis. I personally, did not have any severe reaction to the drug, just fatigue, which seems to be the norm for most of us receiving any type of cancer treatment. I have also heard of a few women who have had success with the drug for extended periods of time, with very few/mild side effects.
This is a personal decision after weighing the pros and cons for yourself. Remember that each of us is unique - different types of ovarian cancer, different types of markers, different stages of the disease, etc. And, we all respond differently to the various treatments available. Researching for yourself, followed by a discussion with a medical oncologist would be very beneficial in helping inform your decision.
Caveat: I did not read all articles. I wanted to update this thread because there is new information and this drug has a few other discussions ongoing.