Veliparib, Cisplatin, and Vinorelbine Ditartrate in Treating Patients With Recurrent and/or Metastatic Breast Cancer
This phase I trial studies the side effects and best dose of veliparib (ABT-888) when given together with cisplatin and vinorelbine ditartrate in treating patients with recurrent and/or metastatic breast cancer. Veliparib may stop the growth of some tumor cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as cisplatin and vinorelbine ditartrate, work in different ways to stop the growth of tumor cells, either by killing them or stopping them from dividing. Giving veliparib together with combination chemotherapy may kill more tumor cells
Estrogen Receptor-negative Breast Cancer
Hereditary Breast/Ovarian Cancer - BRCA1
Hereditary Breast/Ovarian Cancer - BRCA2
Male Breast Cancer
Progesterone Receptor-negative Breast Cancer
Recurrent Breast Cancer
Stage IV Breast Cancer
Triple-negative Breast Cancer
Other: immunohistochemistry staining method
Genetic: gene expression analysis
Drug: vinorelbine tartrate
Other: pharmacological study
Other: laboratory biomarker analysis
|Study Design:||Endpoint Classification: Safety Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||Phase I Study of ABT-888 in Combination With Cisplatin and Vinorelbine for Patients With Advanced Triple Negative Breast Cancer and/or BRCA-Mutation Associated Breast Cancer|
- Dose-limiting toxicity (DLT) and MTD of veliparib in combination with cisplatin and vinorelbine ditartrate [ Time Frame: Course 1 ] [ Designated as safety issue: Yes ]Defined as the highest dose tested in which fewer than 33% of patients experienced DLT attributable to the study regimen, when at least 6 patients were treated at that dose and were evaluable for toxicity.
- Toxicity profile as assessed by National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v4.0 [ Time Frame: Up to 30 days post-treatment ] [ Designated as safety issue: Yes ]
- Pharmacokinetic (PK) parameters of veliparib and cisplatin in plasma and urine samples [ Time Frame: Baseline and day 1 of courses 1 and 4 ] [ Designated as safety issue: No ]The PK parameters determined will be: AUC0-t (the area under the concentration-time curve over a dosing interval), Cmax (maximal concentration), Tmax (time to maximal concentration), Vd (volume of distribution), CL/F (oral clearance for veliparib), CL (clearance for cisplatin), and t1/2 (elimination half-life). To improve understanding of systemic bioavailability, the amount of veliparib excreted in the urine for each collection interval will be calculated by the product of urinary drug concentration and urine volume.
- Pharmacodynamic (PD) parameters of PARP inhibition [ Time Frame: Baseline and day 1 of courses 1 and 4 ] [ Designated as safety issue: No ]Assessed by measuring changes in PAR levels in peripheral blood mononuclear cells (PBMCs) and in tumor tissue (if available).
- Progression-free survival (Exploratory) [ Time Frame: Up to 3 years ] [ Designated as safety issue: No ]Estimated using Kaplan-Meier methodology and 95% confidence interval and defined as the number of days from the date the subject started study drug to the date the subject experiences an event of disease progression, or to the date of death if disease progression is not reached.
- Time to disease progression (Exploratory) [ Time Frame: Up to 3 years ] [ Designated as safety issue: No ]Estimated using Kaplan-Meier methodology and 95% confidence interval and defined as the number of days from the date the subject started study drug to the date of the subject's disease progression.
- Proportion of patients achieving a complete (CR) or partial response (PR) (objective response rate) [ Time Frame: Up to 3 years ] [ Designated as safety issue: No ]Assessed by Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1 and estimated with 95% confidence interval.
- Duration of overall response (Exploratory) [ Time Frame: Up to 3 years ] [ Designated as safety issue: No ]Defined as the number of days from the day the criteria are met for CR or PR (whichever is recorded first) to the date that PD is objectively documented.
- ECOG performance status [ Time Frame: Up to 3 years ] [ Designated as safety issue: No ]
|Study Start Date:||July 2010|
|Estimated Primary Completion Date:||June 2013 (Final data collection date for primary outcome measure)|
Experimental: Treatment (veliparib with cisplatin and vinorelbine tartrate)
Patients receive veliparib PO BID on days 1-14 (days 0-13 of course 1 only). Patients also receive cisplatin IV over 1 hour on day 1 and vinorelbine ditartrate IV over 10-20 minutes on days 1 and 8. Treatment repeats every 21 days for 6-10 courses in the absence of disease progression or unacceptable toxicity. Treatment with veliparib alone may continue in the absence of disease progression or unacceptable toxicity.
Other: immunohistochemistry staining method
Other Name: immunohistochemistryGenetic: gene expression analysis
Correlative studiesDrug: veliparib
Other Name: ABT-888Drug: cisplatin
Other Names:Drug: vinorelbine tartrate
Other Names:Other: pharmacological study
Other Name: pharmacological studiesOther: laboratory biomarker analysis
I. To determine the maximum tolerated dose (MTD) of ABT-888 (veliparib) when administered daily for 14 days out of a 21 day cycle in combination with cisplatin and vinorelbine (vinorelbine ditartrate) in subjects with metastatic triple negative breast cancer (TNBC) and breast cancer (BRCA) mutation associated breast cancer.
I. Assess the pharmacokinetic profile of ABT-888 when combined with cisplatin and vinorelbine and the safety/tolerability profile of the combination.
II. Evaluate the level of poly ADP ribose polymerase (PARP) inhibition at each dose level to determine whether maximal PARP inhibition is achieved.
III. Identify the subgroup of triple negative breast cancer patients who will potentially derive the most benefits from PARP inhibition combined with platinum-based chemotherapy.
OUTLINE: This is a dose-escalation study of veliparib.
Patients receive veliparib orally (PO) twice daily (BID) on days 1-14 (days 0-13 of course 1 only). Patients also receive cisplatin intravenously (IV) over 1 hour on day 1 and vinorelbine ditartrate IV over 10-20 minutes on days 1 and 8. Treatment repeats every 21 days for 6-10 courses in the absence of disease progression or unacceptable toxicity. Treatment with veliparib alone may continue in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed for up to 30 days.
|United States, Washington|
|Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium||Recruiting|
|Seattle, Washington, United States, 98109|
|Contact: Phase I Program 206-288-7551 firstname.lastname@example.org|
|Principal Investigator: John A. Thompson|
|Principal Investigator:||John Thompson||Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium|