How does ZEJULA work?
Poly(ADP-ribose) polymerase (PARP) is a protein that plays a fundamental role in the detection and repair of DNA damage in cells,1 including damage induced by chemotherapy.2 ZEJULA is a PARP inhibitor, which works by inhibiting the repair of damaged DNA and inducing cell death.¹
Figure adapted from Konecny G, et al. 2016.3
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ZEJULA is indicated:1
- as monotherapy for the maintenance treatment of adult patients with advanced epithelial (FIGO Stages III and IV) high-grade ovarian, fallopian tube or primary peritoneal cancer who are in response (complete or partial) following completion of first-line platinum-based chemotherapy.
- as monotherapy for the maintenance treatment of adult patients with platinum- based relapsed high grade serous epithelial ovarian, fallopian tube, or primary peritoneal cancer who are in response (complete or partial) to platinum-based chemotherapy.
References
- ZEJULA (niraparib) Summary of Product Characteristics. September 2025.
- Lei S, et al. Photodiagnosis Photodyn Ther. 2022;40:103058.
- Konecyny G, Kristeleit R. Br J Cancer. 2016;115(10):1157–1173.
- González Martín A, et al. N Engl J Med. 2019;381(25):2391–2402.
- Monk B, et al. Ann Oncol. 2024;35(11):981–992.
- Li N, et al. JAMA Oncol. 2023;9(9):1230–1237.
Abbreviations
1L, first-line; AOC, advanced ovarian cancer; DNA, deoxyribonucleic acid; FIGO, Federation of Gynaecology and Obstetrics; MoA, mechanism of action; PARPi, poly(ADP-ribose) polymerase inhibitor.
Adverse events should be reported. Reporting forms and information can be found at https://yellowcard.mhra.gov.uk or search for MHRA Yellowcard in the Google Play or Apple App store. Adverse events should also be reported to GlaxoSmithKline on 0800 221 4411 or UKSafety@gsk.com
February 2026 | PM-GB-NRP-WCNT-240007