A Phase I/II Trial of Temozolomide and ABT-888 in Subjects With Newly Diagnosed Glioblastoma Multiforme
OBJECTIVES:
Primary
- To determine the maximum tolerated dose (MTD) of ABT-888 when administered in
combination with radiotherapy and temozolomide in patients with newly diagnosed
glioblastoma multiforme. (Phase I)
- To estimate the overall survival of patients treated with ABT-888 when administered at
the MTD in combination with radiotherapy and temozolomide. (Phase II)
Secondary
- To assess the toxicity associated with this regimen. (Phase I)
- To assess and describe the pharmacokinetics of ABT-888. (Phase I)
- To estimate the frequency of toxicity associated with this regimen. (Phase II)
OUTLINE: This is a multicenter, phase I dose-escalation study of ABT-888 followed by a phase
II study.
- Initiation therapy: Patients receive oral ABT-888 twice daily (once on day 1 only) and
oral temozolomide once daily (beginning on day 2) in weeks 1-6. Patients enrolled in
the phase I dose-escalation/phase II portion of the study also undergo concurrent
radiotherapy once daily 5 days a week (beginning on day 2) in weeks 1-6. Treatment
continues in the absence of disease progression or unacceptable toxicity.
- Maintenance therapy: Beginning 4 weeks after completion of initiation therapy, patients
receive oral ABT-888 twice daily on days 1-7 and oral temozolomide once daily on days
1-5. Treatment repeats every 28 days for up to 4 courses (6 courses for patients
enrolled in the phase I dose-escalation/phase II portion of the study) in the absence
of disease progression or unacceptable toxicity.
Blood samples are collected periodically for pharmacokinetic, pharmacogenetic, and
pharmacodynamic analysis. Samples are analyzed for concentration of ABT-888 in plasma by
reversed-phase isocratic high performance liquid chromatography with electrospray ionization
mass spectrometry; identification of novel markers of treatment response by plasma proteomic
evaluation; DNA methylation and/or mutation; and PARP inhibition by ELISA.
After completion of study therapy, patients are followed every 2 months.
Interventional
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Maximum tolerated dose of ABT-888 (Phase I)
continous
Yes
Larry Kleinberg, MD
Principal Investigator
Sidney Kimmel Comprehensive Cancer Center
United States: Food and Drug Administration
NABTT-0801 CDR0000616542
NCT00770471
June 2009
March 2012
Name | Location |
---|---|
Abramson Cancer Center of the University of Pennsylvania | Philadelphia, Pennsylvania 19104-4283 |
University of Wisconsin Comprehensive Cancer Center | Madison, Wisconsin 53792 |
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins | Baltimore, Maryland 21231-2410 |
Cleveland Clinic Taussig Cancer Center | Cleveland, Ohio 44195 |
Josephine Ford Cancer Center at Henry Ford Hospital | Detroit, Michigan 48202 |
Winship Cancer Institute of Emory University | Atlanta, Georgia 30322 |
Wake Forest University Comprehensive Cancer Center | Winston-Salem, North Carolina 27157-1096 |
UCSF Helen Diller Family Comprehensive Cancer Center | San Francisco, California 94115 |
UPMC Cancer Centers | Pittsburgh, Pennsylvania 15232 |
Massachusetts General Hospital | Boston, Massachusetts 02114-2617 |
UAB Comprehensive Cancer Center | Birmingham, Alabama 35294 |