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Updated 2026-09-25 · reconstructed by TrialCurve from a CC BY-licensed publication

Niraparib and abiraterone acetate plus prednisone for HRR-deficient metastatic castration-sensitive prostate cancer: a randomized phase 3 trial. Curves rebuilt as patient-level data (Guyot 2012) and checked against the statistics printed on the figure.

PublicationNat Med. 2025 Oct 7;31(12):4109–18. doi: 10.1038/s41591-025-03961-8
DOI10.1038/s41591-025-03961-8
RegistryNCT04497844
PhasePhase 3
ConditionsProstatic Neoplasms
InterventionsNiraparib+ Abiraterone acetate fixed dose combination (FDC), Abiraterone acetate (AA), Prednisone, Placebo FDC, Placebo AA
SponsorJanssen Research & Development, LLC
Enrolment696
Source licenceFigure published under CC BY 4.0

Investigator-assessed radiographic progression-free survival — BRCA subgroup (n = 387)

From figure panel a · validated against the values printed on the figure · curve source: pixel measurement confirmed by vision model

Reconstructed from the published curve. Median: Niraparib + abiraterone not reached; Abiraterone 26.0 months. Survival at 12 months: Niraparib + abiraterone 87%; Abiraterone 76%. Hazard ratio Niraparib + abiraterone vs Abiraterone 0.51 (95% CI 0.37–0.71).

0%20%40%60%80%100%06121824303642MonthsNiraparib + abirateroneAbiraterone
ArmNEventsMedian (Months)
Niraparib + abiraterone19157not reached
Abiraterone1969426.0

Landmark survival (reconstructed)

TimeNiraparib + abirateroneAbiraterone
6 mo96.8%92.6%
12 mo86.9%75.9%
18 mo80.2%63.9%
24 mo73.3%56.0%
36 mo64.4%43.5%

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Investigator-assessed radiographic progression-free survival — HRR effector subgroup (n = 456)

From figure panel b · validated against the values printed on the figure · curve source: pixel measurement confirmed by vision model

Reconstructed from the published curve. Median: Niraparib + abiraterone not reached; Abiraterone 27.4 months. Survival at 12 months: Niraparib + abiraterone 86%; Abiraterone 77%. Hazard ratio Niraparib + abiraterone vs Abiraterone 0.58 (95% CI 0.43–0.78).

0%20%40%60%80%100%06121824303642MonthsNiraparib + abirateroneAbiraterone
ArmNEventsMedian (Months)
Niraparib + abiraterone23071not reached
Abiraterone22610327.4

Landmark survival (reconstructed)

TimeNiraparib + abirateroneAbiraterone
6 mo96.9%93.6%
12 mo85.9%77.0%
18 mo78.4%66.1%
24 mo71.8%58.3%
36 mo63.1%45.4%

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Investigator-assessed radiographic progression-free survival — Intention-to-treat population (n = 696)

From figure panel c · validated against the values printed on the figure · curve source: vision model

Reconstructed from the published curve. Median: Niraparib + abiraterone not reached; Abiraterone 29.3 months. Survival at 12 months: Niraparib + abiraterone 85%; Abiraterone 77%. Hazard ratio Niraparib + abiraterone vs Abiraterone 0.65 (95% CI 0.51–0.83).

0%20%40%60%80%100%06121824303642MonthsNiraparib + abirateroneAbiraterone
ArmNEventsMedian (Months)
Niraparib + abiraterone348115not reached
Abiraterone34815229.3

Landmark survival (reconstructed)

TimeNiraparib + abirateroneAbiraterone
6 mo97.3%93.2%
12 mo85.5%76.6%
18 mo77.3%66.7%
24 mo70.3%59.5%
36 mo59.6%47.1%

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Time to symptomatic progression — BRCA subgroup (n = 387)

From figure panel a · validated against the values printed on the figure · curve source: pixel measurement confirmed by vision model

Reconstructed from the published curve. Median: Niraparib + abiraterone not reached; Abiraterone not reached. Survival at 12 months: Niraparib + abiraterone 96%; Abiraterone 83%. Hazard ratio Niraparib + abiraterone vs Abiraterone 0.45 (95% CI 0.29–0.68).

0%20%40%60%80%100%06121824303642MonthsNiraparib + abirateroneAbiraterone
ArmNEventsMedian (Months)
Niraparib + abiraterone19131not reached
Abiraterone19666not reached

Landmark survival (reconstructed)

TimeNiraparib + abirateroneAbiraterone
6 mo98.4%95.4%
12 mo95.7%83.4%
18 mo91.1%75.5%
24 mo83.5%69.3%
36 mo80.4%63.5%

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Time to symptomatic progression — Intention-to-treat population (n = 696)

From figure panel b · validated against the values printed on the figure · curve source: pixel measurement confirmed by vision model

Reconstructed from the published curve. Median: Niraparib + abiraterone not reached; Abiraterone not reached. Survival at 12 months: Niraparib + abiraterone 96%; Abiraterone 85%. Hazard ratio Niraparib + abiraterone vs Abiraterone 0.53 (95% CI 0.38–0.73).

0%20%40%60%80%100%06121824303642MonthsNiraparib + abirateroneAbiraterone
ArmNEventsMedian (Months)
Niraparib + abiraterone34858not reached
Abiraterone348104not reached

Landmark survival (reconstructed)

TimeNiraparib + abirateroneAbiraterone
6 mo98.8%96.5%
12 mo96.1%85.5%
18 mo90.6%77.9%
24 mo84.9%72.4%
36 mo78.6%67.0%

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Overall survival — BRCA subgroup (n = 387)

From figure panel c · validated against the values printed on the figure · curve source: pixel measurement confirmed by vision model

Reconstructed from the published curve. Median: Niraparib + abiraterone not reached; Abiraterone not reached. Survival at 12 months: Niraparib + abiraterone 95%; Abiraterone 93%. Hazard ratio Niraparib + abiraterone vs Abiraterone 0.74 (95% CI 0.50–1.09).

0%20%40%60%80%100%06121824303642MonthsNiraparib + abirateroneAbiraterone
ArmNEventsMedian (Months)
Niraparib + abiraterone19144not reached
Abiraterone19661not reached

Landmark survival (reconstructed)

TimeNiraparib + abirateroneAbiraterone
6 mo97.9%99.0%
12 mo94.7%92.8%
18 mo91.5%89.2%
24 mo86.3%79.7%
36 mo70.1%61.3%

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Overall survival — Intention-to-treat population (n = 696)

From figure panel d · validated against the values printed on the figure · curve source: pixel measurement confirmed by vision model

Reconstructed from the published curve. Median: Niraparib + abiraterone not reached; Abiraterone not reached. Survival at 12 months: Niraparib + abiraterone 95%; Abiraterone 92%. Hazard ratio Niraparib + abiraterone vs Abiraterone 0.79 (95% CI 0.59–1.05).

0%20%40%60%80%100%06121824303642MonthsNiraparib + abirateroneAbiraterone
ArmNEventsMedian (Months)
Niraparib + abiraterone34885not reached
Abiraterone348108not reached

Landmark survival (reconstructed)

TimeNiraparib + abirateroneAbiraterone
6 mo98.5%98.3%
12 mo95.3%92.5%
18 mo88.7%87.8%
24 mo83.0%79.7%
36 mo69.8%62.1%

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Radiographic progression-free survival (blinded independent central review) — BRCA subgroup (n = 387)

From figure panel a · validated against the values printed on the figure · curve source: pixel measurement confirmed by vision model

Reconstructed from the published curve. Median: Niraparib + abiraterone not reached; Abiraterone 26.2 months. Survival at 12 months: Niraparib + abiraterone 88%; Abiraterone 71%. Hazard ratio Niraparib + abiraterone vs Abiraterone 0.51 (95% CI 0.37–0.72).

0%20%40%60%80%100%06121824303642MonthsNiraparib + abirateroneAbiraterone
ArmNEventsMedian (Months)
Niraparib + abiraterone19154not reached
Abiraterone1968926.2

Landmark survival (reconstructed)

TimeNiraparib + abirateroneAbiraterone
6 mo97.3%92.1%
12 mo87.8%70.9%
18 mo81.3%64.5%
24 mo72.2%52.9%
36 mo65.7%46.5%

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Radiographic progression-free survival (blinded independent central review) — HRR effector subgroup (n = 456)

From figure panel b · validated against the values printed on the figure · curve source: pixel measurement confirmed by vision model

Reconstructed from the published curve. Median: Niraparib + abiraterone not reached; Abiraterone 29.5 months. Survival at 12 months: Niraparib + abiraterone 87%; Abiraterone 73%. Hazard ratio Niraparib + abiraterone vs Abiraterone 0.58 (95% CI 0.43–0.79).

0%20%40%60%80%100%06121824303642MonthsNiraparib + abirateroneAbiraterone
ArmNEventsMedian (Months)
Niraparib + abiraterone23069not reached
Abiraterone2269929.5

Landmark survival (reconstructed)

TimeNiraparib + abirateroneAbiraterone
6 mo96.9%92.2%
12 mo87.2%72.9%
18 mo80.0%66.4%
24 mo70.4%55.5%
36 mo64.9%47.9%

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Radiographic progression-free survival (blinded independent central review) — Intention-to-treat population (n = 696)

From figure panel c · validated against the values printed on the figure · curve source: pixel measurement confirmed by vision model

Reconstructed from the published curve. Median: Niraparib + abiraterone not reached; Abiraterone 40.2 months. Survival at 12 months: Niraparib + abiraterone 87%; Abiraterone 75%. Hazard ratio Niraparib + abiraterone vs Abiraterone 0.63 (95% CI 0.49–0.82).

0%20%40%60%80%100%06121824303642MonthsNiraparib + abirateroneAbiraterone
ArmNEventsMedian (Months)
Niraparib + abiraterone348103not reached
Abiraterone34814140.2

Landmark survival (reconstructed)

TimeNiraparib + abirateroneAbiraterone
6 mo98.2%92.6%
12 mo87.1%75.0%
18 mo78.7%68.0%
24 mo70.9%59.2%
36 mo65.3%50.8%

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Time to symptomatic progression — HRR effector subgroup (n = 456)

From figure panel a · validated against the values printed on the figure · curve source: pixel measurement confirmed by vision model

Reconstructed from the published curve. Median: Niraparib + abiraterone not reached; Abiraterone not reached. Survival at 12 months: Niraparib + abiraterone 96%; Abiraterone 85%. Hazard ratio Niraparib + abiraterone vs Abiraterone 0.50 (95% CI 0.33–0.74).

0%20%40%60%80%100%06121824303642MonthsNiraparib + abirateroneAbiraterone
ArmNEventsMedian (Months)
Niraparib + abiraterone23037not reached
Abiraterone22669not reached

Landmark survival (reconstructed)

TimeNiraparib + abirateroneAbiraterone
6 mo98.7%95.6%
12 mo95.9%84.7%
18 mo90.7%77.8%
24 mo83.7%71.9%
36 mo81.1%66.9%

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Overall survival — HRR effector subgroup (n = 456)

From figure panel b · validated against the values printed on the figure · curve source: pixel measurement confirmed by vision model

Reconstructed from the published curve. Median: Niraparib + abiraterone not reached; Abiraterone not reached. Survival at 12 months: Niraparib + abiraterone 95%; Abiraterone 93%. Hazard ratio Niraparib + abiraterone vs Abiraterone 0.81 (95% CI 0.57–1.15).

0%20%40%60%80%100%06121824303642MonthsNiraparib + abirateroneAbiraterone
ArmNEventsMedian (Months)
Niraparib + abiraterone23055not reached
Abiraterone22668not reached

Landmark survival (reconstructed)

TimeNiraparib + abirateroneAbiraterone
6 mo97.8%98.7%
12 mo95.2%92.9%
18 mo89.4%89.7%
24 mo84.2%80.2%
36 mo70.0%62.9%

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About these data

Pseudo-IPD reproduces the published curves and numbers at risk; the rows are not real patients. Cite the publication (DOI above) and TrialCurve. The source figure is © the authors (CC BY 4.0); the charts here are redrawn from the reconstruction.

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