A Randomized Phase I/II Study of ABT-888 in Combination With Temozolomide in Recurrent (Temozolomide Resistant) Glioblastoma
OBJECTIVES:
Primary
- To define the maximum-tolerated dose of the combination of temozolomide and veliparib
in patients with recurrent glioblastoma previously or not treated with temozolomide.
(Phase I*)
- To determine the efficacy of the combination of temozolomide and veliparib (using a
5-day vs 21-day schedule) as measured by the 6-month progression-free survival rate in
patients with recurrent glioblastoma previously treated with temozolomide. (Phase II*)
Secondary
- To characterize the safety profile of the combination of temozolomide and veliparib.
(Phase I*)
- To determine the adverse event profile and tolerability of the combination of
temozolomide and veliparib (using a 5-day vs 21-day schedule) in patients with
recurrent glioblastoma. (Phase II*)
- To determine the efficacy of the combination of temozolomide and veliparib (using a
5-day vs 21-day schedule) as measured by objective response in patients with measurable
disease. (Phase II*)
- To determine the overall survival of patients with measurable disease treated with the
combination of temozolomide and veliparib (using a 5-day vs 21-day schedule). (Phase
II*) NOTE: *Phase I was closed and phase II was opened on 3/6/12.
OUTLINE: This is a multicenter, phase I* dose-escalation study followed by a phase II*
randomized study. Patients enrolled in the phase II portion are stratified according to
bevacizumab status (bevacizumab-naive vs bevacizumab-failure), age (< 50 years vs ≥ 50
years), Karnofsky performance status (70-80% vs 90-100%), and recent resection (yes vs
no/biopsy only).
- Phase I:* Patients receive oral temozolomide once daily and oral veliparib twice daily
on days 1-21. Courses repeat every 28 days in the absence of disease progression or
unacceptable toxicity.
- Phase II:* Patients are randomized to 1 of 2 treatment arms.
- Arm I: Patients receive temozolomide and veliparib as in phase I.
- Arm II: Patients receive oral temozolomide once daily and oral veliparib twice
daily on days 1-5. Courses repeat every 28 days in the absence of disease
progression or unacceptable toxicity.
After completion of study treatment, patients are followed up every 12 weeks for 1 year,
every 26 weeks for 2 years, and then annually thereafter.
NOTE: *Phase I was closed and phase II was opened on 3/6/12.
PROJECTED ACCRUAL: A total of 240 patients (28 for phase I* and 212 for phase II*) will be
accrued for this study.
NOTE: *Phase I was closed and phase II was opened on 3/6/12.
Interventional
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Dose-limiting toxicity (Phase I)
The first 8 weeks.
Yes
H. I. Robins, MD, PhD
Study Chair
University of Wisconsin, Madison
United States: Food and Drug Administration
RTOG-0929
NCT01026493
July 2010
Name | Location |
---|---|
University of Chicago Cancer Research Center | Chicago, Illinois 60637 |
Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center | Lebanon, New Hampshire 03756-0002 |
Cedars-Sinai Medical Center | Los Angeles, California 90048 |
Cancer Research Center of Hawaii | Honolulu, Hawaii 96813 |
Rebecca and John Moores UCSD Cancer Center | La Jolla, California 92093-0658 |
Central Baptist Hospital | Lexington, Kentucky 40503 |
James P. Wilmot Cancer Center at University of Rochester Medical Center | Rochester, New York 14642 |
Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School | New Brunswick, New Jersey 08903 |
Highland Hospital of Rochester | Rochester, New York 14620 |
Regional Cancer Center at Singing River Hospital | Pascagoula, Mississippi 39581 |
Legacy Good Samaritan Hospital & Comprehensive Cancer Center | Portland, Oregon 97210 |
Queen's Cancer Institute at Queen's Medical Center | Honolulu, Hawaii 96813 |
Louisville Oncology at Norton Cancer Institute - Louisville | Louisville, Kentucky 40202 |
Hawaii Medical Center - East | Honolulu, Hawaii 96817 |
CCOP - Kansas City | Prairie Village, Kansas 66208 |
Renown Institute for Cancer at Renown Regional Medical Center | Reno, Nevada 89502 |
Leeward Radiation Oncology | Ewa Beach, Hawaii 96706 |