Non-squamous Non-small Cell Lung CancerPhase 3NCT02264990
Study Comparing Veliparib Plus Carboplatin and Paclitaxel Versus Investigator's Choice of Standard Chemotherapy in Adults Receiving First Cytotoxic Chemotherapy for Metastatic or Advanced Non-Squamous Non-Small Cell Lung Cancer (NSCLC) and Who Are Current or Former Smokers
A Phase 3 study testing Paclitaxel, Carboplatin and Cisplatin in people with Non-squamous Non-small Cell Lung Cancer, run by AbbVie at 140 sites in 20 countries.
Trial summary
The purpose of this study is to evaluate the safety and efficacy of veliparib plus carboplatin and paclitaxel versus the Investigator's choice of standard chemotherapy in adults with metastatic or advanced non-squamous non-small cell lung cancer. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Non-squamous Non-small Cell Lung Cancer
- What is being tested?
- Paclitaxel, Carboplatin and Cisplatin
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 595 participants
- Where
- 140 sitesin 20 countries
- Study dates
- 30 Sep 2014to 21 Feb 2020
- Phase
- Phase 3
- 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
- Subject must be ≥ 18 years of age with life expectancy > 12 weeks.
- Subject must have cytologically or histologically confirmed advanced or metastatic non-squamous NSCLC and are current or former smokers.
- Subject must have NSCLC that is not amenable to surgical resection or radiation with curative intent at time of screening.
- Subject must have at least 1 unidimensional measurable NSCLC lesion on a computed tomography (CT) scan as defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
Who cannot join
- Subject has a known hypersensitivity to paclitaxel or to other drugs formulated with polyethoxylated castor oil (Cremophor).
- Subject has a known hypersensitivity to platinum compounds.
- Subject has peripheral neuropathy ≥ grade 2.
- Subject has squamous NSCLC, or an untreated known epidermal growth factor receptor (EGFR) mutation of exon 19 deletion or L858R mutation in exon 21, or a known anaplastic lymphoma kinase (ALK) gene rearrangement.
- Subject has received prior cytotoxic chemotherapy or chemoradiotherapy for NSCLC.
Trial locations and contacts
140 sites in 20 countries.
140 sites in 20 countries
United States25 sites
CBCC Global Research, Inc. at /ID# 132709
Bakersfield, California, 93309
MD Anderson Cancer Center at Cooper - Camden /ID# 131490
Camden, New Jersey, 08103
Gabrail Cancer Center Research /ID# 130205
Canton, Ohio, 44718
UT Southwestern Medical Center /ID# 130236
Dallas, Texas, 75390-7208
Henry Ford Health System /ID# 130234
Detroit, Michigan, 48202
California Cancer Assoc. R&E /ID# 131392
Encinitas, California, 92024
California Cancer Assoc. R&E /ID# 131949
Encinitas, California, 92024
NorthShore University HealthSystem - Evanston Hospital /ID# 130200
Evanston, Illinois, 60201
University of Florida - Archer /ID# 132408
Gainesville, Florida, 32610
The Jones Clinic, PC /ID# 130215
Germantown, Tennessee, 38138
Goshen Center for Cancer Care /ID# 130216
Goshen, Indiana, 46526
Clearview Cancer Institute /ID# 131434
Huntsville, Alabama, 35805
Cancer Center of Acadiana /ID# 133611
Lafayette, Louisiana, 70503
Herbert Herman Cancer Center /ID# 130239
Lansing, Michigan, 48912
LA Hem-Oncology Med Group /ID# 131639
Los Angeles, California, 90017
University of Louisville /ID# 130217
Louisville, Kentucky, 40202
University of South Alabama /ID# 131518
Mobile, Alabama, 36617
Univ Oklahoma HSC /ID# 132888
Oklahoma City, Oklahoma, 73104
Albert Einstein Medical Center /ID# 134498
Philadelphia, Pennsylvania, 19141
Allegheny General Hospital /ID# 134049
Pittsburgh, Pennsylvania, 15212
Univ Texas HSC San Antonio /ID# 132972
San Antonio, Texas, 78229
St Jude Hospital dba St Joseph /ID# 132943
Santa Rosa, California, 95403
Highlands Oncology Group /ID# 131250
Springdale, Arkansas, 72762
Washington University-School of Medicine /ID# 131651
St Louis, Missouri, 63110
Icri /Id# 132942
Whittier, California, 90603
United Kingdom16 sites
Royal United Hospitals Bath /ID# 132851
Bath, BA1 3NG
Belfast City Hospital /ID# 132858
Belfast, BT9 7AB
Heart of England NHS Foundation Trust /ID# 132855
Birmingham, B9 5SS
Royal Blackburn Hospital /ID# 132853
Blackburn, BB2 3HH
Cheltenham General Hospital /ID# 131951
Cheltenham, Gloucestershire, GL53 7AN
Colchester General Hospital /ID# 133929
Colchester, CO4 5JL
Castle Hill Hospital /ID# 135489
Cottingham, HU16 5JQ
Scunthorpe General Hospital /ID# 133931
Doncaster, DN15 7BH
James Paget University Hosp /ID# 131954
Great Yarmouth, NR31 6LA
Royal Gwent Hospital /ID# 133935
Gwent, NP20 2UB
Huddersfield Royal Infirmary /ID# 132854
Huddersfield, HD3 3EA
Leicester Royal Infirmary /ID# 133930
Leicester, England, LE1 5WW
Charing Cross Hospital /ID# 131959
London, W6 8RF
The Newcastle Upon Tyne Hospitals NHS Foundation Trust Freeman Hospital /ID# 131661
Newcastle upon Tyne, NE7 7DN
Norfolk and Norwich Univ Hosp /ID# 131953
Norwich, Norfolk, NR4 7UY
York Hospital /ID# 132859
York, YO31 8HE
Japan12 sites
National Cancer Center Hospital /ID# 135129
Chuo-ku, Tokyo, 104-0045
Hiroshima Citizens Hospital /ID# 135130
Hiroshima, 730-8518
Kishiwada City Hospital /ID# 136548
Kishiwada, 596-8501
The Cancer Institute Hospital Of JFCR /ID# 135492
Koto-ku, Tokyo, 135-8550
Kurume University Hospital /ID# 134117
Kurume-shi, Fukuoka, 830-0011
Aichi Cancer Center Hospital /ID# 134129
Nagoya, Aichi-ken, 464-8681
Osaka City General Hospital /ID# 134115
Osaka, Osaka, 534-0021
Kindai University Hospital /ID# 134112
Osaka-sayama-shi, Osaka, 589-8511
Hokkaido University Hospital /ID# 134123
Sapporo, Hokkaido, 060-8648
Sendai Kousei Hospital /ID# 135491
Sendai, Miyagi, 980-0873
Yamaguchi - Ube Medical Center /ID# 135284
Ube-shi, Yamaguchi, 755-0241
Kanagawa Cardiovascular and Respiratory Center /ID# 134127
Yokohama, Kanagawa, 236-0051
Russia12 sites
archangel Clinical Oncology /ID# 132376
Arkhangelsk, 163045
Moscow Regional Onc Dispensary /ID# 132381
Balashikha, 143900
Belgorod Oncology Dispensary /ID# 142638
Belgorod, 308010
Federal State Budgetary Scientific Institution N.N. Blokhin Russian Cancer Resea /ID# 137085
Moscow, Moscow, 115478
Moscow Res Onc Inst Hertsen /ID# 132370
Moscow, 125284
State Regional Budgetary Healthcare Institution " Murmansk Regional Oncology Dis /ID# 137087
Murmansk, 183047
Orenburg Regional Clinical Onc /ID# 132371
Orenburg, 460021
Strategic medical systems LLC /ID# 206383
Saint Petersburg, 192148
LLC BioEq Ltd. /ID# 132372
Saint Petersburg, 197342
N.N. Petrov Research Inst Onc /ID# 137084
Saint Petersburg, 197758
Ogarev Mordovia State Univ /ID# 132377
Saransk, 430005
Sverdlovsk Regional Oncology Center Dispensary /ID# 132375
Yekaterinburg, Sverdlovsk Oblast, 620043
Spain9 sites
Hospital Universitario Fundacion Alcorcon /ID# 132909
Alcorcón, 28922
Hospital General Universitario Alicante /ID# 132881
Alicante, 03010
Hospital Universitario Dexeus - Grupo Quironsalud /ID# 132876
Barcelona, 08028
Hospital Universitario Vall d'Hebron /ID# 132871
Barcelona, 08035
Hospital Duran i Reynals /ID# 132879
L'Hospitalet de Llobregat, Barcelona, 08907
MD Anderson Madrid /ID# 132905
Madrid, 28033
Hospital Universitario La Paz /ID# 132870
Madrid, 28046
Hospital Universitario HM Sanchinarro /ID# 132869
Madrid, 28050
Hospital Clinico Universitario de Valencia /ID# 132873
Valencia, 46010
South Africa8 sites
Netcare Oncology Intervent Ctr /ID# 131777
Cape Town, Western Cape, 7460
Cape Town Oncology Trials /ID# 132734
Cape Town, Western Cape, 7570
GVI Rondebosch Oncology Centre /ID# 132732
Cape Town, Western Cape, 7700
The Oncology Centre /ID# 131773
Durban, KwaZulu-Natal, 4091
Sandton Oncology Medical Group /ID# 131774
Johannesburg, 2196
GVI Oncology /ID# 133268
Port Elizabeth, Eastern Cape, 6006
Dr Albert, Bouwer and Jordaan Incorporated /ID# 131775
Pretoria, Gauteng, 0044
Mary Potter Oncology Centre /ID# 131776
Pretoria, Gauteng, 0181
Hungary7 sites
Orszagos Koranyi Pulmonologiai Intezet /ID# 132738
Budapest XII, Budapest, 1122
Debreceni Egyetem Klinikai Kozpont /ID# 132742
Debrecen, 4032
Koch Robert Hospital /ID# 133440
Edelény, 3780
Veszprem Megyei Tudogyogyintez /ID# 132739
Farkasgyepű, 8582
Petz Aladar Megyei Oktato Korh /ID# 132741
Győr, 9023
Matrahaza Gyogyintezet /ID# 132743
Kékesteto, 3233
CRU Hungary Egeszsegugyi és Szolgaltato Kft. /ID# 133441
Miskolc, Borsod-Abauj Zemplen county, 3529
Turkey (Türkiye)7 sites
Hacettepe University Medical Faculty /ID# 131913
Ankara, 06100
Ankara Univ Medical Faculty /ID# 131914
Ankara, 06590
Uludag University Medical Faculty /ID# 131915
Bursa, 16059
Dicle Universitesi Tip /ID# 136570
Diyarbakır, 21200
Gaziantep Universitesi Med /ID# 131917
Gaziantep, 27310
Dr. Suat Seren Gogus Has /ID# 136568
Izmir, 35110
Inonu University /ID# 136569
Malatya, 44280
South Korea6 sites
Dong-A University Hospital /ID# 131609
Busan, Busan Gwang Yeogsi, 49201
Chungbuk National Univ Hosp /ID# 131611
Cheongju-si, 28644
Chonnam National University Hospital /ID# 131612
Gwangju, Jeonranamdo, 61469
Inha University Hospital /ID# 147924
Junggu, Incheon Gwang Yeogsi, 22332
Seoul National Univ Bundang ho /ID# 131610
Seongnam, Gyeonggido, 13620
Samsung Medical Center /ID# 132471
Seoul, Seoul Teugbyeolsi, 06351
Netherlands5 sites
Jeroen Bosch Ziekenhuis /ID# 131968
's-Hertogenbosch, 5223 GZ
Vrije Universiteit Medisch Centrum /ID# 131967
Amsterdam, 1081 HV
Catharina Ziekenhuis /ID# 131966
Eindhoven, 5623 EJ
Ziekenhuis St. Jansdal /ID# 131965
Harderwijk, 3844 DG
St. Antonius Ziekenhuis /ID# 133635
Nieuwegein, 3435 CM
Argentina4 sites
Coiba /Id# 132153
Berazategui, Buenos Aires, 1884
Centro Investigacion Pergamino /ID# 132152
Pergamino, 2700
Hospital Britanico /ID# 134874
Rosario, Santa FE, 2000
Instituto de Oncologia de Rosa /ID# 132150
Rosario, Santa FE, 2000
Australia4 sites
Flinders Centre for Innovation /ID# 134288
Bedford Park, South Australia, 5042
Royal Hobart Hospital /ID# 132477
Hobart, Tasmania, 7000
St George Hospital /ID# 132481
Kogarah, New South Wales, 2217
Southern Medical Day Care Ctr /ID# 132482
Wollongong, New South Wales, 2500
Canada4 sites
Qe Ii Hsc /Id# 133408
Halifax, Nova Scotia, B3H 1V7
Victoria Hospital /ID# 132161
London, Ontario, N6A 4L6
CSSS Alphonse-Desjardins, CHAU de Levis /ID# 132155
Québec, Quebec, G6V 3Z1
Windsor Regional Hospital /ID# 135989
Windsor, Ontario, N9C 3Z4
Czechia4 sites
Krajska nemocnice Liberec a.s. /ID# 132694
Liberec, 602 00
Univ Hosp Ostrava-Poruba /ID# 132690
Ostrava, 708 52
Multiscan s.r.o. /ID# 132689
Pardubice, 532 03
Vseobecna Fakultni Nemocnice /ID# 135118
Prague, 128 08
Germany4 sites
Charite-Univ. Berlin, Benjamin-Franklin /ID# 131927
Berlin, 12203
Lungen Clinic Grosshansdorf /ID# 131928
Großhansdorf, 22927
Univ Klinik Eppendorf Hamburg /ID# 131926
Hamburg, 20246
Klinik Loewenstein GmbH /ID# 131925
Löwenstein, 74245
Israel4 sites
Assaf Harofeh Medical Center /ID# 132830
Be’er Ya‘aqov, 70300
Shaare Zedek Medical Center /ID# 132834
Jerusalem, 91031
Meir Medical Center /ID# 132832
Kfar Saba, 4428164
Sheba Medical Center /ID# 132833
Ramat Gan, 5239424
Taiwan4 sites
Dalin Tzu Chi General Hospital /ID# 131872
Dalin Township, 622
China Medical University Hosp /ID# 131870
Taichung, Taichung, 40447
Taipei Medical University Hospital /ID# 133817
Taipei, 11031
Taipei Veterans General Hosp /ID# 131871
Taipei, 11217
Finland2 sites
Satakunnan Sairaanhoitopiiri /ID# 133632
Pori, 28500
Vaasa Central Hospital /ID# 131930
Vaasa, 65130
New Zealand2 sites
Canterbury District Health Boa /ID# 132469
Christchurch, 8011
Wellington Hospital (Capital and Coast District Health Board) /ID# 132470
Wellington, 6021
Denmark1 site
Odense Universitets Hospital /ID# 131912
Odense C, Region Syddanmark, 5000
About this study
Official title: A Randomized, Open-Label, Multicenter, Phase 3 Trial Comparing Veliparib Plus Carboplatin and Paclitaxel Versus Investigator's Choice of Standard Chemotherapy in Subjects Receiving First Cytotoxic Chemotherapy for Metastatic or Advanced Non-Squamous Non-Small Cell Lung Cancer (NSCLC) and Who Are Current or Former Smokers
The purpose of this study is to evaluate the safety and efficacy of veliparib plus carboplatin and paclitaxel versus the Investigator's choice of standard chemotherapy in adults with metastatic or advanced non-squamous non-small cell lung cancer.
- Conditions
- Non-squamous Non-small Cell Lung Cancer
- Being tested
- Paclitaxel, Carboplatin, Cisplatin, Veliparib, Pemetrexed
- Keywords
- veliparib, carboplatin, paclitaxel, cisplatin, pemetrexed, Poly Adenosine diphosphate (ADP)-ribose Polymerase (PARP), Metastatic, Non-squamous, Non-small cell lung cancer
- Medical subject headings
- Neoplasm Metastasis, Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PaclitaxelDrug
Administered by Intravenous infusion on Day 1 of each 21-day cycle
CarboplatinDrug
Administered by Intravenous infusion on Day 1 of each 21-day cycle
CisplatinDrug
Administered by Intravenous infusion on Day 1 of each 21-day cycle
VeliparibDrug
Also called ABT-888
Oral capsule, administered twice daily for 7 days in each 21-day cycle
PemetrexedDrug
Also called Alimta
Administered by Intravenous infusion on Day 1 of each 21-day cycle
| Study group | Role | What they receive |
|---|---|---|
| Veliparib + Carboplatin + Paclitaxel | Experimental | Participants received 120 mg veliparib twice a day (BID) on Days -2 to 5 (7 days), carboplatin at an area under the curve (AUC) of 6 mg/mL*min on Day 1 and paclitaxel 200 mg/m² on Day 1 of each 21-day cycle for a maximum of 6 cycles.
After completion of up to 6 cycles, optional maintenance pemetrexed was administered as 500 mg/m² on Day 1 of each 21-day cycle until toxicity required cessation of therapy, or radiographic progression occurred. Receives: Drug: Paclitaxel; Drug: Carboplatin; Drug: Veliparib; Drug: Pemetrexed |
| Investigator's Choice Chemotherapy | Active comparator | Participants received Investigator's choice of standard doublet chemotherapy consisting of 1 of the following 3 options, administered on Day 1 of each 21-day cycle for a maximum of 6 cycles:
* Carboplatin AUC 6 mg/mL*min + paclitaxel 200 mg/m²
* Cisplatin 75 mg/m² + pemetrexed 500 mg/m²
* Carboplatin AUC 6 or AUC 5 mg/mL*min + pemetrexed 500 mg/m²
After completion of up to 6 cycles, optional maintenance pemetrexed was administered as 500 mg/m² on Day 1 of each 21-day cycle until toxicity required cessation of therapy, or radiographic progression occurred. Receives: Drug: Paclitaxel; Drug: Carboplatin; Drug: Cisplatin; Drug: Pemetrexed |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS) in the Lung Subtype Panel Positive Subgroup
Overall survival is defined as the time from the date that the participant was randomized to the date of the participant's death. Overall survival was estimated using Kaplan-Meier methodology. Participants still alive at the data cut-off date were censored at the date they were last known to be alive.
Measured: From randomization up to the data cut-off date of 15 July 2019; median follow-up time was 44.5 and 45.3 months in LSP+ participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.
Secondary outcomes (5)
Progression Free Survival (PFS) in the Lung Subtype Panel Positive Subgroup
Progression-free survival is defined as the time from the date of randomization to the date of disease progression (PD) per Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1 or death (all causes of mortality), whichever occurred first.
PD: At least a 20% increase in the size of target lesions, taking as reference the smallest size recorded since the treatment started (Baseline or after) with an absolute increase of at least 5 mm, the appearance of one or more new lesions, or unequivocal progression of existing non-target lesions.
PFS was estimated using Kaplan-Meier methodology. Participants who did not have an event of disease progression or had not died on or before the cutoff date were censored at the date of their last disease progression assessment on or before the cut-off date. Any PD and death occurring > 26 weeks and > 12 weeks after the previous assessment, respectively, were excluded and patients were censored at last assessment before PD or death.
Measured: From randomization up to the data cut-off date of 15 July 2019; the median follow-up time was 44.5 and 45.3 months in LSP+ participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.
Objective Response Rate (ORR) in the Lung Subtype Panel Positive Subgroup
Objective response rate is defined as the percentage of participants with a complete response (CR) or partial response (PR) per Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1 criteria. Response must have been confirmed at a consecutive assessment 28 days or more after the assessment at which response was first observed.
CR: The disappearance of all target and non-target lesions and no new lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the Baseline sum diameters, persistence of one or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits, or any new lesions.
Measured: Assessed on Day 1 of Cycles 3 and 5 then every 9 weeks for 1 year or until maintenance therapy was discontinued, then every 12 weeks until radiographic progression or death; median time on follow-up was 5.2 and 6.3 months in each group, respectively.
Overall Survival in All Participants
Overall survival is defined as the time from the date that the participant was randomized to the date of the participant's death. OS was estimated using Kaplan-Meier methodology. Participants still alive at the data cut-off date were censored at the date they were last known to be alive.
Measured: From randomization up to the data cut-off date of 15 July 2019; the median OS follow-up time was 45.4 and 44.6 months in all participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.
Progression Free Survival (PFS) in All Participants
Progression-free survival is defined as the time from the date of randomization to the date of disease progression (PD) per RECIST version 1.1 or death (all causes of mortality), whichever occurred first.
PD: At least a 20% increase in the size of target lesions, taking as reference the smallest size recorded since the treatment started (Baseline or after) with an absolute increase of at least 5 mm, the appearance of one or more new lesions, or unequivocal progression of existing non-target lesions.
PFS was estimated using Kaplan-Meier methodology. Participants who did not have an event of disease progression or had not died on or before the cut-off date were censored at the date of their last disease progression assessment on or before the cut-off date. Any PD and death occurring > 26 weeks and > 12 weeks after the previous assessment, respectively, were excluded and patients were censored at last assessment before PD or death.
Measured: From randomization up to the data cut-off date of 15 July 2019; the median follow-up time was 45.4 and 44.6 months in all participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.
Objective Response Rate (ORR) in All Participants
Objective response rate is defined as the percentage of participants with a complete response (CR) or partial response (PR) per RECIST version 1.1 criteria. Response must have been confirmed at a consecutive assessment 28 days or more after the assessment at which response was first observed.
CR: The disappearance of all target and non-target lesions and no new lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the Baseline sum diameters, persistence of one or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits, or any new lesions.
Measured: Assessed on Day 1 of Cycles 3 and 5 then every 9 weeks for 1 year or until maintenance therapy was discontinued, then every 12 weeks until radiographic progression or death; median time on follow-up was 6.7 and 5.9 months in each group, respectively.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Oct 2014 (estimated)
- Study start30 Sep 2014
- Primary completion14 Nov 2019
- Study completion21 Feb 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 (1)Papers the sponsor has linked to this study.
- Other trials for Non-squamous Non-small Cell Lung 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 595 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
- NCT02264990
- Sponsor's protocol ID
- M14-359
- Other IDs
- 2014-002565-30, 2014
- Status last verified
- Feb 2021
- First submitted
- 9 Oct 2014
- Last updated
- 26 Feb 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- 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.
Publications
Govindan R, Lind M, Insa A, Khan SA, Uskov D, Tafreshi A, Guclu S, Bar J, Kato T, Lee KH, Nakagawa K, Hansen O, Biesma B, Kundu MG, Dunbar M, He L, Ansell P, Sehgal V, Huang X, Glasgow J, Bach BA. Veliparib Plus Carboplatin and Paclitaxel Versus Investigator's Choice of Standard Chemotherapy in Patients With Advanced Non-Squamous Non-Small Cell Lung Cancer. Clin Lung Cancer. 2022 May;23(3):214-225. doi: 10.1016/j.cllc.2022.01.005. Epub 2022 Feb 4.
PubMed 35331641
Study at a glance
From the registry record, last updated by the sponsor on 26 Feb 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Open-Label, Multicenter, Phase 3 Trial Comparing Veliparib Plus Carboplatin and Paclitaxel Versus Investigator's Choice of Standard Chemotherapy in Subjects Receiving First Cytotoxic Chemotherapy for Metastatic or Advanced Non-Squamous Non-Small Cell Lung Cancer (NSCLC) and Who Are Current or Former Smokers
- ClinicalTrials.gov ID
- NCT02264990
- Acronym / sponsor ID
- M14-359
- Conditions
- Non-squamous Non-small Cell Lung Cancer
- Keywords
- veliparib, carboplatin, paclitaxel, cisplatin, pemetrexed, Poly Adenosine diphosphate (ADP)-ribose Polymerase (PARP), Metastatic, Non-squamous
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 595 participants (actual)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Study start
- 30 Sep 2014 (actual)
- Primary completion
- 14 Nov 2019 (actual)
- Study completion
- 21 Feb 2020 (actual)
- First posted
- 15 Oct 2014 (estimated)
- Results
- Posted 26 Feb 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to evaluate the safety and efficacy of veliparib plus carboplatin and paclitaxel versus the Investigator's choice of standard chemotherapy in adults with metastatic or advanced non-squamous non-small cell lung cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Veliparib + Carboplatin + Paclitaxel | Experimental | Drug: Paclitaxel, Drug: Carboplatin, Drug: Veliparib, Drug: PemetrexedParticipants received 120 mg veliparib twice a day (BID) on Days -2 to 5 (7 days), carboplatin at an area under the curve (AUC) of 6 mg/mL*min on Day 1 and paclitaxel 200 mg/m² on Day 1 of each 21-day cycle for a maximum of 6 cycles. After completion of up to 6 cycles, optional maintenance pemetrexed was administered as 500 mg/m² on Day 1 of each 21-day cycle until toxicity required cessation of therapy, or radiographic progression occurred. |
| Investigator's Choice Chemotherapy | Active comparator | Drug: Paclitaxel, Drug: Carboplatin, Drug: Cisplatin, Drug: PemetrexedParticipants received Investigator's choice of standard doublet chemotherapy consisting of 1 of the following 3 options, administered on Day 1 of each 21-day cycle for a maximum of 6 cycles: * Carboplatin AUC 6 mg/mL*min + paclitaxel 200 mg/m² * Cisplatin 75 mg/m² + pemetrexed 500 mg/m² * Carboplatin AUC 6 or AUC 5 mg/mL*min + pemetrexed 500 mg/m² After completion of up to 6 cycles, optional maintenance pemetrexed was administered as 500 mg/m² on Day 1 of each 21-day cycle until toxicity required cessation of therapy, or radiographic progression occurred. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Subject must be ≥ 18 years of age with life expectancy > 12 weeks.
- Subject must have cytologically or histologically confirmed advanced or metastatic non-squamous NSCLC and are current or former smokers.
- Subject must have NSCLC that is not amenable to surgical resection or radiation with curative intent at time of screening.
- Subject must have at least 1 unidimensional measurable NSCLC lesion on a computed tomography (CT) scan as defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
Key exclusion criteria (5 listed)
- Subject has a known hypersensitivity to paclitaxel or to other drugs formulated with polyethoxylated castor oil (Cremophor).
- Subject has a known hypersensitivity to platinum compounds.
- Subject has peripheral neuropathy ≥ grade 2.
- Subject has squamous NSCLC, or an untreated known epidermal growth factor receptor (EGFR) mutation of exon 19 deletion or L858R mutation in exon 21, or a known anaplastic lymphoma kinase (ALK) gene rearrangement.
- Subject has received prior cytotoxic chemotherapy or chemoradiotherapy for NSCLC.
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 |
|---|---|---|
| PaclitaxelAdministered by Intravenous infusion on Day 1 of each 21-day cycle | Drug | Investigator's Choice Chemotherapy, Veliparib + Carboplatin + Paclitaxel |
| CarboplatinAdministered by Intravenous infusion on Day 1 of each 21-day cycle | Drug | Investigator's Choice Chemotherapy, Veliparib + Carboplatin + Paclitaxel |
| CisplatinAdministered by Intravenous infusion on Day 1 of each 21-day cycle | Drug | Investigator's Choice Chemotherapy |
| VeliparibAlso: ABT-888Oral capsule, administered twice daily for 7 days in each 21-day cycle | Drug | Veliparib + Carboplatin + Paclitaxel |
| PemetrexedAlso: AlimtaAdministered by Intravenous infusion on Day 1 of each 21-day cycle | Drug | Investigator's Choice Chemotherapy, Veliparib + Carboplatin + Paclitaxel |
Primary outcome
Overall Survival (OS) in the Lung Subtype Panel Positive Subgroup
Time frame: From randomization up to the data cut-off date of 15 July 2019; median follow-up time was 44.5 and 45.3 months in LSP+ participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.
Overall survival is defined as the time from the date that the participant was randomized to the date of the participant's death. Overall survival was estimated using Kaplan-Meier methodology. Participants still alive at the data cut-off date were censored at the date they were last known to be alive.
5 secondary outcomes
Progression Free Survival (PFS) in the Lung Subtype Panel Positive Subgroup
Time frame: From randomization up to the data cut-off date of 15 July 2019; the median follow-up time was 44.5 and 45.3 months in LSP+ participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.
Objective Response Rate (ORR) in the Lung Subtype Panel Positive Subgroup
Time frame: Assessed on Day 1 of Cycles 3 and 5 then every 9 weeks for 1 year or until maintenance therapy was discontinued, then every 12 weeks until radiographic progression or death; median time on follow-up was 5.2 and 6.3 months in each group, respectively.
Overall Survival in All Participants
Time frame: From randomization up to the data cut-off date of 15 July 2019; the median OS follow-up time was 45.4 and 44.6 months in all participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.
Progression Free Survival (PFS) in All Participants
Time frame: From randomization up to the data cut-off date of 15 July 2019; the median follow-up time was 45.4 and 44.6 months in all participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.
Objective Response Rate (ORR) in All Participants
Time frame: Assessed on Day 1 of Cycles 3 and 5 then every 9 weeks for 1 year or until maintenance therapy was discontinued, then every 12 weeks until radiographic progression or death; median time on follow-up was 6.7 and 5.9 months in each group, respectively.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Feb 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 35331641Govindan R, Lind M, Insa A, Khan SA, Uskov D, Tafreshi A, Guclu S, Bar J, Kato T, Lee KH, Nakagawa K, Hansen O, Biesma B, Kundu MG, Dunbar M, He L, Ansell P, Sehgal V, Huang X, Glasgow J, Bach BA. Veliparib Plus Carboplatin and Paclitaxel Versus Investigator's Choice of Standard Chemotherapy in Patients With Advanced Non-Squamous Non-Small Cell Lung Cancer. Clin Lung Cancer. 2022 May;23(3):214-225. doi: 10.1016/j.cllc.2022.01.005. Epub 2022 Feb 4.
- 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.
Related trials for Non-squamous Non-small Cell Lung Cancer
RecruitingPhase 1/2
Study of INBRX-106 and INBRX-106 in Combination With Pembrolizumab (Keytruda®) in Subjects With Locally Advanced or Metastatic Solid Tumors (Hexavalent OX40 Agonist)
Solid Tumor, Non-Small Cell Lung Cancer
RecruitingObservational study
A Prospective ,Multicenter ,Non-interventional ,Real-world Study Observing Changes in Molecular Markers Osimertinib Targeted Therapy in EGFRm NSCLC
Non Small Cell Lung Cancer
Not yet recruitingPhase 2
Phase II Study to Evaluate Telisotuzumab Adizutecan in Combination With RC148(ABBV-1480) as First-Line Treatment for Patients With Non-Squamous Non-Small-Cell Lung Cancer
Patients With Locally Advanced or Metastatic Non-Squamous NSCLC Requiring First-Line Treatment and no Driver Gene Alterations Confirmed by Histology or Cytology
Active, not recruitingPhase 2
Carboplatin, Taxane And Ramucirumab for Patients With NSCLC After Pemetrexed or Pembrolizumab Maintenance
Non-small Cell Lung Cancer
RecruitingPhase 1
A Study to Learn About the Study Medicine Called PF-08046876 in People With Advanced Solid Tumors
Advanced/Metastatic Solid Tumors, Bladder Cancer
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
140 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Paclitaxel, Carboplatin and Cisplatin in people with Non-squamous Non-small Cell Lung Cancer, run by AbbVie at 140 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 4 inclusion and 5 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 26 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 140 sites in United States, United Kingdom, Japan, Russia, Spain 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 26 Feb 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?
Overall Survival (OS) in the Lung Subtype Panel Positive Subgroup (time frame: From randomization up to the data cut-off date of 15 July 2019; median follow-up time was 44.5 and 45.3 months in LSP+ participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.). 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 NCT02264990, which also lists 1 linked publication.
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 26 Feb 2021.