A Phase 1 Study of ABT-888 (Veliparib) in Combination With Weekly Carboplatin and Paclitaxel in Advanced Solid Tumors
PRIMARY OBJECTIVE:
I. To determine the maximum-tolerated dose (MTD) of the combination of weekly carboplatin,
paclitaxel, and veliparib.
SECONDARY OBJECTIVES:
I. To assess the safety, tolerability, and MTD of the combination of weekly carboplatin,
paclitaxel, and veliparib.
II. To assess the safety and toxicity of this combination as determined by the Common
Terminology Criteria for Adverse Events (CTCAE) v. 4.0 and to determine the dose-limiting
toxicity (DLT).
III. To determine the pharmacokinetic and pharmacodynamic effects of this combination,
including determinations of PAR in tumor specimens when available, assessment of DNA damage
as measured by gamma H2AX in skin biopsies and tumor specimens will be obtained.
IV. To assess characteristics of primary tumor specimens that may contribute to efficacy of
this combination including BRCA by immunohistochemistry, gene analysis of PARP 1, PARP 2,
BRCA, and triple negative and homologous recombination repair (HRR) deficiency gene
expression signatures.
V. To document any anti-tumor response.
OUTLINE: This is a dose-escalation study of veliparib.
DOSE-ESCALATION: Patients receive veliparib orally (PO) twice daily (BID) on days 1-5, 8-12,
and 15-19 and paclitaxel IV over 1 hour and carboplatin IV over 30 minutes in course 1 and 3
hours in subsequent courses on days 3, 10, and 17. After 4 courses, patients receive
paclitaxel and carboplatin on days 3 and 10 only. Courses repeat every 21 days in the
absence of disease progression or unacceptable toxicity. (Completed as of 12/2012)
EXPANSION COHORT: Patients receive veliparib PO BID on days 1-21 and paclitaxel IV over 1
hour and carboplatin IV over 3 hours on days 3 and 10. Courses repeat every 21 days in the
absence of disease progression or unacceptable toxicity.
After completion of study therapy, patients are followed up for 4 weeks.
Interventional
Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
MTD defined as the dose level one level below the lowest dose where greater than or equal to 2 patients experience a DLT assessed by NCI CTCAE v. 4.0
24 days
Yes
Shannon Puhalla
Principal Investigator
University of Pittsburgh
United States: Food and Drug Administration
NCI-2011-02490
NCT01281150
January 2011
Name | Location |
---|---|
Penn State Milton S Hershey Medical Center | Hershey, Pennsylvania 17033 |
Magee-Womens Hospital - University of Pittsburgh Medical Center | Pittsburgh, Pennsylvania 15213 |