Metastatic Breast CancerPhase 2NCT01506609
Study Evaluating Efficacy And Tolerability Of Veliparib in Combination With Temozolomide (TMZ) or In Combination With Carboplatin and Paclitaxel Versus Placebo in Participants With Breast Cancer Gene (BRCA)1 and BRCA2 Mutation and Metastatic Breast Cancer
A Phase 2 study testing Veliparib, Carboplatin and Temozolomide in people with Metastatic Breast Cancer, run by AbbVie at 120 sites in 20 countries.
Trial summary
The primary objective of the study is to assess the progression-free survival (PFS) of oral veliparib in combination with TMZ or in combination with carboplatin and paclitaxel compared to placebo plus carboplatin and paclitaxel in subjects with BRCA1 or BRCA2 mutation and locally recurrent or metastatic breast cancer. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Metastatic Breast Cancer
- What is being tested?
- Veliparib, Carboplatin and Temozolomide
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 294 participants
- Where
- 120 sitesin 20 countries
- Study dates
- 23 Jan 2012to 2 Sep 2020
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically or cytologically confirmed breast cancer that is either locally recurrent or metastatic.
- Locally recurrent disease must not be amenable to surgical resection or radiation with curative intent.
- Must have a documented deleterious Breast Cancer Gene BRCA1 or BRCA2 germline mutation.
- If Human Epidermal Growth Factor Receptor (HER2) positive, subjects must have received and progressed on at least one prior standard HER2 directed therapy or the subject must be ineligible to receive anti-HER2 therapy.
- Measurable or non-measurable (but radiologically evaluable) disease by RECIST (Response Evaluation Criteria in Solid Tumors) criteria 1.1.
- Eastern Cooperative Oncology Group (ECOG) Performance Score of 0-2.
- Subject must have adequate bone marrow, renal and hepatic function.
- Subject must not be pregnant or plan to conceive a child.
Who cannot join
- Received anticancer agent(s) or an investigational agent within 21 days prior to C1D1, or radiotherapy within 28 days prior Cycle 1 Day 1.
- More than 2 prior lines of cytotoxic chemotherapy.
- Prior treatment of breast cancer with temozolomide, a platinum agent, or a Poly (ADP ribose) Polymerase (PARP) inhibitor.
- Prior taxane therapy for metastatic breast cancer.
- A history of or evidence of brain metastases or leptomeningeal disease.
- A history of uncontrolled seizure disorder.
Show all 10Show fewer
- Pre-existing neuropathy from any cause in excess of Grade 1.
- Known history of allergic reaction to cremophor/paclitaxel.
- Clinical significant uncontrolled conditions, active infection, myocardial infarction, stroke, or transient ischemic attack, psychiatric illness/social situations that would limit compliance.
- Pregnant or breastfeeding.
Trial locations and contacts
120 sites in 20 countries.
120 sites in 20 countries
United States34 sites
Univ of Colorado Cancer Center /ID# 60751
Aurora, Colorado, 80045
Johns Hopkins University /ID# 60759
Baltimore, Maryland, 21287
University of Alabama at Birmingham - Main /ID# 62994
Birmingham, Alabama, 35233
Lynn Cancer Institute, Boca /ID# 60749
Boca Raton, Florida, 33486
Massachusetts General Hospital /ID# 64582
Boston, Massachusetts, 02114
Dana-Farber Cancer Institute /ID# 93833
Boston, Massachusetts, 02215
Medical University of South Carolina /ID# 60752
Charleston, South Carolina, 29425
University of Illinois - Chicago /ID# 106175
Chicago, Illinois, 60607
Northwestern University Feinberg School of Medicine /ID# 60755
Chicago, Illinois, 60611-2927
Rush University Medical Center /ID# 65489
Chicago, Illinois, 60612
UT Southwestern Medical Center /ID# 60745
Dallas, Texas, 75390-7208
Duke University Medical Center /ID# 60747
Durham, North Carolina, 27710-3000
Holy Cross Hospital /ID# 62995
Fort Lauderdale, Florida, 33308
Banner MD Anderson Cancer Ctr /ID# 118695
Gilbert, Arizona, 85234
Penn State University and Milton S. Hershey Medical Center /ID# 62723
Hershey, Pennsylvania, 17033
Houston Methodist Hospital - Scurlock Tower /ID# 60742
Houston, Texas, 77030
Moore UC San Diego Cancer Center /ID# 60754
La Jolla, California, 92093
University of Arkansas for Medical Sciences /ID# 60750
Little Rock, Arkansas, 72205
The Angeles Clinic and Researc /ID# 60743
Los Angeles, California, 90025
The West Clinic /ID# 65487
Memphis, Tennessee, 38120
The West Clinic /ID# 94599
Memphis, Tennessee, 38120
The West Clinic /ID# 94600
Memphis, Tennessee, 38120
Beth Israel Medical Center /ID# 87993
New York, New York, 10003
Memorial Sloan Kettering Cancer Center-Koch Center /ID# 63222
New York, New York, 10065-6007
University of Pennsylvania /ID# 60753
Philadelphia, Pennsylvania, 19104-5502
University of Pittsburgh MC /ID# 60758
Pittsburgh, Pennsylvania, 15260
University of Pittsburgh MC /ID# 65486
Pittsburgh, Pennsylvania, 15260
William Beaumont Hospital /ID# 95417
Royal Oak, Michigan, 48073-6710
Washington University-School of Medicine /ID# 62724
St Louis, Missouri, 63110
Stanford University School of Med /ID# 65488
Stanford, California, 94305-2200
Moffitt Cancer Center /ID# 60746
Tampa, Florida, 33612-9416
Cedars-Sinai Medical Center - West Hollywood /ID# 60760
West Hollywood, California, 90048
Florida Cancer Specialists - East /ID# 60762
West Palm Beach, Florida, 33401
Midwestern Regional CTC /ID# 60744
Zion, Illinois, 60099
Russia9 sites
Chelyabinsk Reg Clin Oncology /ID# 63938
Chelyabinsk, 454087
Federal State Budgetary Scientific Institution N.N. Blokhin Russian Cancer Resea /ID# 65263
Moscow, Moscow, 115478
State Regional Budgetary Healthcare Institution " Murmansk Regional Oncology Dis /ID# 102415
Murmansk, 183047
City Clinical Hospital 1 /ID# 102416
Novosibirsk, 630075
Pyatigorsk Oncology Dispensary /ID# 65264
Pyatigorsk, 357502
Birch A Healthcare /ID# 65265
Saint Petersburg, 197183
N.N. Petrov Research Inst Onc /ID# 65269
Saint Petersburg, 197758
N.N. Petrov Research Inst Onc /ID# 78973
Saint Petersburg, 197758
Volgograd Reg Onc Disp #3 /ID# 98035
Volzhsky, 404130
Australia8 sites
Royal Adelaide Hospital /ID# 63280
Adelaide, South Australia, 5000
Royal Hobart Hospital /ID# 63279
Hobart, Tasmania, 7000
Peter MacCallum Cancer Ctr /ID# 63272
Melbourne, Victoria, 3000
Royal Melbourne Hospital /ID# 63278
Parkville, Victoria, 3050
Mount Hospital /ID# 65262
Perth, Western Australia, 6000
The Prince of Wales Hospital /ID# 63271
Randwick, New South Wales, 2031
Mater Misericordiae Limited /ID# 63276
South Brisbane, Queensland, 4101
Southern Medical Day Care Ctr /ID# 63274
Wollongong, New South Wales, 2500
France8 sites
Pays-Basque Ctr Oncology/Radio /ID# 65176
Bayonne, 64100
Centre Leon Berard /ID# 106675
Lyon, Rhone, 69373
Institut Paoli-Calmettes /ID# 65175
Marseille, 13273
Institut Curie /ID# 63926
Paris, Île-de-France Region, 75248
Hopital Rene Huguenin /ID# 65177
Saint-Cloud, 92210
Institut de Cancer de l'Ouest /ID# 63927
Saint-Herblain, Loire-Atlantique, 44805
Centre Paul Strauss /ID# 100275
Strasbourg, 67065
Hopital Universitaire Purpan /ID# 98815
Toulouse, Haute-Garonne, 31059
Israel8 sites
Assaf Harofeh Medical Center /ID# 65181
Be’er Ya‘aqov, 70300
Soroka University Medical Center /ID# 65180
Beersheba, 84101
Rambam Health Care Campus /ID# 63930
Haifa, 3109601
Shaare Zedek Medical Center /ID# 116575
Jerusalem, 91031
Gastroenterology Institute, Division of Medicine /ID# 63931
Jerusalem, 91120
Rabin Medical Center /ID# 63929
Petakh Tikva, Tel Aviv, 4941492
Sheba Medical Center /ID# 63932
Ramat Gan, 5239424
Kaplan Medical Center /ID# 63933
Rehovot, 76100
Ukraine7 sites
Cherkassy Regional Onc Ctr /ID# 97698
Cherkasy, 18000
Municipal Non-Profit Enterprise City Clinical Hospital No.4 of Dnipro City Counc /ID# 63940
Dnipro, 49102
Communal non-profit enterprise Regional Center of Oncology /ID# 97696
Kharkiv, 61070
Lviv Oncological Regional Therapeutical and Diagnostic Centre /ID# 63941
Lviv, 79031
Odessa National Medical Univ /ID# 65278
Odesa, 65026
Poltava Regional Clinical Oncology Centre of Poltava Regional Council /ID# 97697
Poltava, 36011
Municipal Non-Profit Enterprise of Sumy Regional Council Sumy Regional Clinical /ID# 65280
Sumy, 40022
Belgium6 sites
AZ St-Jan Brugge-Oostende AV /ID# 107315
Bruges, West-Vlaanderen, 8000
Grand Hôpital de Charleroi /ID# 96136
Charleroi, Hainaut, 6000
UZ Antwerp /ID# 96945
Edegem, 2650
UZ Leuven /ID# 96138
Leuven, 3000
CHU UCL Namur /ID# 110595
Namur, 5000
Cliniques Universitaires Saint Luc /ID# 96135
Woluwe-Saint-Lambert, Brussels Capital, 1200
Spain6 sites
Hospital Universitario Vall d'Hebron /ID# 97415
Barcelona, 08035
Hospital Santa Creu i Sant Pau /ID# 97418
Barcelona, 08041
Hospital General Universitario Gregorio Maranon /ID# 97417
Madrid, 28007
Hospital Universitario HM Sanchinarro /ID# 97416
Madrid, 28050
Hospital Universitario Virgen de la Victoria /ID# 97976
Málaga, 29010
Hospital Clinico Universitario de Valencia /ID# 97975
Valencia, 46010
Poland5 sites
Centrum Onkologii Lukaszczyka /ID# 73393
Bydgoszcz, 85-796
Olsztynski Osrodek Onkologi /ID# 71060
Olsztyn, 10-513
NZOZ Centrum Medyczne HCP /ID# 68102
Poznan, 61-485
Wielkopolskie Centrum Onkologi /ID# 71061
Poznan, 61-866
Mrukmed. Lekarz Beata Madej Mruk i Partner /ID# 94975
Rzeszów, Podkarpackie Voivodeship, 35-021
Romania5 sites
S.C. lanuli Med Consult SRL /ID# 106955
Bucharest, 020962
lnstitutul Oncologic Trestiore /ID# 96742
Bucharest, 022328
Spitalul Clinic Judetean de Urgenta /ID# 96741
Cluj-Napoca, 400006
Inst Oncology Prof. Chiricuta /ID# 96740
Cluj-Napoca, 400010
Sc Oncolab Srl /Id# 96745
Craiova, 200385
Canada4 sites
CHUM - Notre-Dame Hospital /ID# 67862
Montreal, Quebec, H2X 0A9
Jewish General Hospital /ID# 69893
Montreal, Quebec, H3T 1E2
CHUQ-Hospital St. Sacrement /ID# 68902
Québec, Quebec, G1S 4L8
Sunnybrook Health Sciences Ctr /ID# 77373
Toronto, Ontario, M4N 3M5
Brazil3 sites
Hospital Bruno Born / Sociedade Beneficencia e Caridade de Lajeado /ID# 65247
Lajeado, Rio Grande do Sul, 95900-000
Irmandade da Santa Casa de /ID# 65244
Porto Alegre, Rio Grande do Sul, 90020-090
Hospital de Clinicas de Porto Alegre /ID# 65242
Porto Alegre, Rio Grande do Sul, 90035-903
Czechia3 sites
Masarykuv onkologicky ustav /ID# 65170
Brno, 656 53
Palacky University /ID# 63923
Olomouc, 779 00
Vseobecna Fakultni Nemocnice /ID# 65172
Prague, 128 08
Hungary3 sites
Bajcsy-Zsilinszky Korhaz /ID# 65179
Budapest, 1106
Debreceni Egyetem Klinikai Kozpont /ID# 65178
Debrecen, 4032
Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz /ID# 63928
Szolnok, 5004
Sweden3 sites
Sahlgrenska University Hosp /ID# 97715
Gothenburg, 413 45
Skanes Universitetssjukhus /ID# 96475
Malmö, Skåne County, 214 28
Karolinska Univ Sjukhuset /ID# 98037
Solna, 17176
Argentina2 sites
Coiba /Id# 65219
Berazategui, Buenos Aires, 1884
ISIS Centro Especializado /ID# 65226
Santa Fe, 3000
Denmark2 sites
Rigshospitalet, Finsen Centre /ID# 67822
Copenhagen, 2100
Vejle Sygehus /ID# 65173
Vejle, Region Syddanmark, 7100
Finland2 sites
Docrates Cancer Center /ID# 63924
Helsinki, 00180
Tampere University Hospital /ID# 102417
Tampere, 33521
About this study
Official title: A Randomized, Phase 2 Study of the Efficacy and Tolerability of Veliparib in Combination With Temozolomide or Veliparib in Combination With Carboplatin and Paclitaxel Versus Placebo Plus Carboplatin and Paclitaxel in Subjects With BRCA1 or BRCA2 Mutation and Metastatic Breast Cancer
The primary objective of the study is to assess the progression-free survival (PFS) of oral veliparib in combination with TMZ or in combination with carboplatin and paclitaxel compared to placebo plus carboplatin and paclitaxel in subjects with BRCA1 or BRCA2 mutation and locally recurrent or metastatic breast cancer.
- Conditions
- Metastatic Breast Cancer
- Being tested
- Placebo, Veliparib, Carboplatin, Temozolomide, Paclitaxel
- Keywords
- PARP, TMZ, Temodal, Carboplatin, veliparib, BRCA2 mutation carrier, Breast cancer, Metastatic breast cancer, temozolomide, BRCA1 mutation carrier, ABT-888, Paclitaxel, Recurrent breast cancer, Temodar, Locally recurrent
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboDrug
VeliparibDrug
Also called ABT-888
CarboplatinDrug
TemozolomideDrug
Also called Temodal
PaclitaxelDrug
Also called Taxol
| Study group | Role | What they receive |
|---|---|---|
| Veliparib with Temozolomide | Experimental | Veliparib 40 mg twice daily (BID) Days 1 through 7 plus TMZ 150 to 200 mg/m^2 QD Days 1 through 5 in each 28-day cycle. Receives: Drug: Veliparib; Drug: Temozolomide |
| Placebo with Carboplatin and Paclitaxel | Placebo comparator | Placebo BID Days 1 through 7 plus carboplatin target area under the curve (mg•min/mL) (AUC) 6 administered on Day 3 of each 21-day cycle and paclitaxel 175 mg/m^2 administered on Day 3 of each 21-day cycle. Receives: Drug: Placebo; Drug: Carboplatin; Drug: Paclitaxel |
| Veliparib with Carboplatin and Paclitaxel | Experimental | Veliparib 80 mg BID Days 1 through 7 plus carboplatin target AUC 6 administered on Day 3 of each 21-day cycle and paclitaxel 175 mg/m^2 administered on Day 3 of each 21-day cycle. Receives: Drug: Veliparib; Drug: Carboplatin; Drug: Paclitaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival (PFS)
PFS is defined as the number of months from the date the participant was randomized to the date of radiographic progression as determined by the central imaging center, or to the date of all cause deaths within 63 days of last tumor assessment if disease progression was not reached.
Measured: Radiographic evaluation every 9 weeks, clinical evaluation every cycle (data cutoff date: 04 March 2016); maximum duration of follow up for PFS was 34 months.
Secondary outcomes (4)
Overall Survival (OS)
Time to death for a given participant was defined as the number of months from the day the participant is randomized to the date of the participant's death. All events of death were included, regardless of whether the event occurs while the participant was still taking study drug, or after the participant discontinued study drug. If a participant had not died, then the data will be censored at the date when the participant was last known to be alive.
Measured: From Cycle 1 Day 1 until participant's death or 3 years post discontinuation (data cutoff date: 04 March 2016); maximum duration of follow up for OS was 72 months.
Clinical Benefit Rate (CBR) at Week 18
CBR: percentage of participants who were progression-free at 18 weeks, defined as complete response (CR), partial response (PR), stable disease (SD) or non-CR/non-disease progression (PD) per Response Evaluation Criteria in Solid Tumors [RECIST] 1.1.
CR: The disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 0 mm. PR: >= 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters (SOD). PD: >= 20% increase in the SOD of target lesions, taking as reference the smallest SOD recorded since the treatment started (baseline or after) or the appearance of >=1 new lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest SOD since the treatment started (baseline or after).
Measured: Week 18
Objective Response Rate (ORR)
The objective response rate, defined as percentage of participants with a confirmed CR or PR based on RECIST 1.1 criteria. CR: The disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 0 mm. PR: >= 30% decrease in the sum of diameters of target lesions, taking as reference the baseline SODs.
Measured: Radiographic evaluation every 9 weeks, clinical evaluation every cycle (data cutoff date: 04 March 2016); maximum duration of follow up for ORR was 34 months.
Change From Baseline at Week 18 in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Chemotherapy-Induced Peripheral Neuropathy Module (EORTC QLQ-CIPN20) Sensory Subscale Score
EORTC QLQ-CIPN20 sensory subscale score was calculated following the standard scoring algorithm, transformed to a 0 (low quality of life) to 100 (best quality of life) scale. A positive change from baseline indicates improvement.
Measured: Baseline, Week 18
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Jan 2012 (estimated)
- Study start23 Jan 2012
- Primary completion13 Dec 2018
- Study completion2 Sep 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Metastatic Breast CancerStudies of the same condition, open and under way.
- More trials run by AbbVieThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 294 participants (actual)
Sponsor and investigators
- Lead sponsor
- AbbVie
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- AbbVie Inc., Study director, AbbVie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01506609
- Sponsor's protocol ID
- M12-895
- Other IDs
- 2011-002913-12
- Status last verified
- Sep 2021
- First submitted
- 6 Jan 2012
- Last updated
- 25 Oct 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
- Expanded access
- Available
Publications
Han HS, Dieras V, Robson M, Palacova M, Marcom PK, Jager A, Bondarenko I, Citrin D, Campone M, Telli ML, Domchek SM, Friedlander M, Kaufman B, Garber JE, Shparyk Y, Chmielowska E, Jakobsen EH, Kaklamani V, Gradishar W, Ratajczak CK, Nickner C, Qin Q, Qian J, Shepherd SP, Isakoff SJ, Puhalla S. Veliparib with temozolomide or carboplatin/paclitaxel versus placebo with carboplatin/paclitaxel in patients with BRCA1/2 locally recurrent/metastatic breast cancer: randomized phase II study. Ann Oncol. 2018 Jan 1;29(1):154-161. doi: 10.1093/annonc/mdx505.
PubMed 29045554Isakoff SJ, Puhalla S, Domchek SM, Friedlander M, Kaufman B, Robson M, Telli ML, Dieras V, Han HS, Garber JE, Johnson EF, Maag D, Qin Q, Giranda VL, Shepherd SP. A randomized Phase II study of veliparib with temozolomide or carboplatin/paclitaxel versus placebo with carboplatin/paclitaxel in BRCA1/2 metastatic breast cancer: design and rationale. Future Oncol. 2017 Feb;13(4):307-320. doi: 10.2217/fon-2016-0412. Epub 2016 Oct 14.
PubMed 27739325
Study at a glance
From the registry record, last updated by the sponsor on 25 Oct 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Phase 2 Study of the Efficacy and Tolerability of Veliparib in Combination With Temozolomide or Veliparib in Combination With Carboplatin and Paclitaxel Versus Placebo Plus Carboplatin and Paclitaxel in Subjects With BRCA1 or BRCA2 Mutation and Metastatic Breast Cancer
- ClinicalTrials.gov ID
- NCT01506609
- Acronym / sponsor ID
- M12-895
- Conditions
- Metastatic Breast Cancer
- Keywords
- PARP, TMZ, Temodal, Carboplatin, veliparib, BRCA2 mutation carrier, Breast cancer, Metastatic breast cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 294 participants (actual)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Study start
- 23 Jan 2012 (actual)
- Primary completion
- 13 Dec 2018 (actual)
- Study completion
- 2 Sep 2020 (actual)
- First posted
- 10 Jan 2012 (estimated)
- Results
- Posted 25 Oct 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of the study is to assess the progression-free survival (PFS) of oral veliparib in combination with TMZ or in combination with carboplatin and paclitaxel compared to placebo plus carboplatin and paclitaxel in subjects with BRCA1 or BRCA2 mutation and locally recurrent or metastatic breast cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Veliparib with Temozolomide | Experimental | Drug: Veliparib, Drug: TemozolomideVeliparib 40 mg twice daily (BID) Days 1 through 7 plus TMZ 150 to 200 mg/m^2 QD Days 1 through 5 in each 28-day cycle. |
| Placebo with Carboplatin and Paclitaxel | Placebo comparator | Drug: Placebo, Drug: Carboplatin, Drug: PaclitaxelPlacebo BID Days 1 through 7 plus carboplatin target area under the curve (mg•min/mL) (AUC) 6 administered on Day 3 of each 21-day cycle and paclitaxel 175 mg/m^2 administered on Day 3 of each 21-day cycle. |
| Veliparib with Carboplatin and Paclitaxel | Experimental | Drug: Veliparib, Drug: Carboplatin, Drug: PaclitaxelVeliparib 80 mg BID Days 1 through 7 plus carboplatin target AUC 6 administered on Day 3 of each 21-day cycle and paclitaxel 175 mg/m^2 administered on Day 3 of each 21-day cycle. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Histologically or cytologically confirmed breast cancer that is either locally recurrent or metastatic.
- Locally recurrent disease must not be amenable to surgical resection or radiation with curative intent.
- Must have a documented deleterious Breast Cancer Gene BRCA1 or BRCA2 germline mutation.
- If Human Epidermal Growth Factor Receptor (HER2) positive, subjects must have received and progressed on at least one prior standard HER2 directed therapy or the subject must be ineligible to receive anti-HER2 therapy.
- Measurable or non-measurable (but radiologically evaluable) disease by RECIST (Response Evaluation Criteria in Solid Tumors) criteria 1.1.
Key exclusion criteria (10 listed)
- Received anticancer agent(s) or an investigational agent within 21 days prior to C1D1, or radiotherapy within 28 days prior Cycle 1 Day 1.
- More than 2 prior lines of cytotoxic chemotherapy.
- Prior treatment of breast cancer with temozolomide, a platinum agent, or a Poly (ADP ribose) Polymerase (PARP) inhibitor.
- Prior taxane therapy for metastatic breast cancer.
- A history of or evidence of brain metastases or leptomeningeal disease.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Placebo | Drug | Placebo with Carboplatin and Paclitaxel |
| VeliparibAlso: ABT-888 | Drug | Veliparib with Carboplatin and Paclitaxel, Veliparib with Temozolomide |
| Carboplatin | Drug | Placebo with Carboplatin and Paclitaxel, Veliparib with Carboplatin and Paclitaxel |
| TemozolomideAlso: Temodal | Drug | Veliparib with Temozolomide |
| PaclitaxelAlso: Taxol | Drug | Placebo with Carboplatin and Paclitaxel, Veliparib with Carboplatin and Paclitaxel |
Primary outcome
Progression-Free Survival (PFS)
Time frame: Radiographic evaluation every 9 weeks, clinical evaluation every cycle (data cutoff date: 04 March 2016); maximum duration of follow up for PFS was 34 months.
PFS is defined as the number of months from the date the participant was randomized to the date of radiographic progression as determined by the central imaging center, or to the date of all cause deaths within 63 days of last tumor assessment if disease progression was not reached.
4 secondary outcomes
Overall Survival (OS)
Time frame: From Cycle 1 Day 1 until participant's death or 3 years post discontinuation (data cutoff date: 04 March 2016); maximum duration of follow up for OS was 72 months.
Clinical Benefit Rate (CBR) at Week 18
Time frame: Week 18
Objective Response Rate (ORR)
Time frame: Radiographic evaluation every 9 weeks, clinical evaluation every cycle (data cutoff date: 04 March 2016); maximum duration of follow up for ORR was 34 months.
Change From Baseline at Week 18 in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Chemotherapy-Induced Peripheral Neuropathy Module (EORTC QLQ-CIPN20) Sensory Subscale Score
Time frame: Baseline, Week 18
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Oct 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 29045554Han HS, Dieras V, Robson M, Palacova M, Marcom PK, Jager A, Bondarenko I, Citrin D, Campone M, Telli ML, Domchek SM, Friedlander M, Kaufman B, Garber JE, Shparyk Y, Chmielowska E, Jakobsen EH, Kaklamani V, Gradishar W, Ratajczak CK, Nickner C, Qin Q, Qian J, Shepherd SP, Isakoff SJ, Puhalla S. Veliparib with temozolomide or carboplatin/paclitaxel versus placebo with carboplatin/paclitaxel in patients with BRCA1/2 locally recurrent/metastatic breast cancer: randomized phase II study. Ann Oncol. 2018 Jan 1;29(1):154-161. doi: 10.1093/annonc/mdx505.
- Derived from this study: PubMed 27739325Isakoff SJ, Puhalla S, Domchek SM, Friedlander M, Kaufman B, Robson M, Telli ML, Dieras V, Han HS, Garber JE, Johnson EF, Maag D, Qin Q, Giranda VL, Shepherd SP. A randomized Phase II study of veliparib with temozolomide or carboplatin/paclitaxel versus placebo with carboplatin/paclitaxel in BRCA1/2 metastatic breast cancer: design and rationale. Future Oncol. 2017 Feb;13(4):307-320. doi: 10.2217/fon-2016-0412. Epub 2016 Oct 14.
- Individual participant dataSharing planned: Yes. AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
AbbVie Inc. study director
AbbVie
120 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Veliparib, Carboplatin and Temozolomide in people with Metastatic Breast Cancer, run by AbbVie at 120 sites in 20 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 25 Oct 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 120 sites in United States, Russia, Australia, France, Israel and 15 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 25 Oct 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-Free Survival (PFS) (time frame: Radiographic evaluation every 9 weeks, clinical evaluation every cycle (data cutoff date: 04 March 2016); maximum duration of follow up for PFS was 34 months.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01506609, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Oct 2021.