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Updated: Jan 12, 2026

Intramucosal Inoculation of Squamous Cell Carcinoma Cells in Mice for Tumor Immune Profiling and Treatment Response Assessment
Published on: April 22, 2019
Phase 2 study of dostarlimab plus niraparib in stage III-IV recurrent or refractory Penile squamous cell carcinoma
Firas Hatoum1, Gabriel Roman Souza1, Jeff Johnson1
1Genitourinary Oncology Department, H. Lee Moffitt Cancer Center, Tampa, FL, USA.
Abstract:
Management of penile squamous cell carcinoma (PSCC) remains challenging, with limited effective treatment options. Preclinical studies have shown that combining a PD-1 inhibitor with a PARP inhibitor may produce synergistic antitumor activity. This phase II trial will evaluate the combination of niraparib (PARP inhibitor) with dostarlimab (PD-1 inhibitor) in patients with recurrent or refractory stage III or IV PSCC. The primary endpoint will be the objective response rate (ORR) assessed using iRECIST. Progression-free survival (PFS), overall survival (OS), and safety will be included as secondary endpoints. A first stage cohort of 15 patients will be enrolled; if the ORR exceeds 13%, enrollment will be expanded to include an additional 10 patients in the second stage. If successful, this combination could represent a novel therapeutic strategy for advanced platinum refractory PSCC.Clinical trial registration: www.clinicaltrials.gov identifier is NCT05526989.
Insights
This trial investigates combining PARP inhibitor niraparib with PD-1 inhibitor dostarlimab for advanced penile squamous cell carcinoma. The combination shows potential as a novel treatment strategy for refractory cases.
Area of Science:
- Oncology
- Immunotherapy
- Genitourinary Cancers
Background:
- Penile squamous cell carcinoma (PSCC) management is challenging with limited options.
- Preclinical data suggest synergistic antitumor effects from combining PD-1 and PARP inhibitors.
Purpose of the Study:
- To evaluate the efficacy and safety of niraparib plus dostarlimab in patients with recurrent or refractory stage III-IV PSCC.
- To determine the objective response rate (ORR) as the primary endpoint.
Main Methods:
- Phase II clinical trial enrolling patients with advanced PSCC.
- Combination therapy with niraparib (PARP inhibitor) and dostarlimab (PD-1 inhibitor).
- Primary endpoint: ORR by iRECIST; Secondary endpoints: PFS, OS, safety.
Main Results:
- The study is currently enrolling patients in two stages.
- The first stage will enroll 15 patients, with expansion to 10 more if ORR exceeds 13%.
Conclusions:
- This combination therapy may offer a new treatment approach for advanced, platinum-refractory PSCC.
- Further results are pending patient enrollment and data collection.
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