Cisplatin and Etoposide With or Without Veliparib in Treating Patients With Extensive Stage Small Cell Lung Cancer or Metastatic Large Cell Neuroendocrine Non-Small Cell Lung Cancer
- Full Text View
- Tabular View
- No Study Results Posted
- Disclaimer
- How to Read a Study Record
Purpose
This randomized phase I/II trial studies the side effects and the best dose of veliparib giving together with cisplatin and etoposide and to see how well it works in treating patients with extensive stage small cell lung cancer or metastatic large cell neuroendocrine non-small cell lung cancer. Drugs used in chemotherapy, such as cisplatin and etoposide, work in different ways to stop the growth of tumor cells, either by killing the cells of by stopping them from dividing. Veliparib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
| Condition | Intervention | Phase |
|---|---|---|
|
Extensive Stage Small Cell Lung Cancer Large Cell Lung Cancer Metastatic Carcinoma of Unknown Primary Neuroendocrine Carcinoma Newly Diagnosed Carcinoma of Unknown Primary |
Drug: veliparib Other: placebo Drug: etoposide Drug: cisplatin Other: laboratory biomarker analysis Procedure: quality-of-life assessment Other: questionnaire administration |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Phase I and Randomized Phase II Double Blind Clinical Trial of Cisplatin and Etoposide in Combination With Veliparib (ABT-888) or Placebo as Frontline Therapy for Extensive Stage Small Cell Lung Cancer |
- Maximum-tolerated dose of veliparib based on the incidence of dose-limiting toxicity as assessed by the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 (Phase I) [ Time Frame: 21 days ] [ Designated as safety issue: Yes ]
- PFS (Phase II) [ Time Frame: Time from randomization to documented disease progression or death from any cause, whichever occurs first, assessed up to 3 years ] [ Designated as safety issue: No ]Estimated by the Kaplan-Meier and Cox proportional hazards models.
- OS (Phase II) [ Time Frame: Time from randomization to death from any cause, assessed up to 3 years ] [ Designated as safety issue: No ]Estimated by the Kaplan-Meier and Cox proportional hazards models.
- Best objective response evaluated via RECIST 1.1 [ Time Frame: Up to 3 years ] [ Designated as safety issue: No ]
- Toxicity will be determined using the CTCAE version 4.0 criteria [ Time Frame: Up to 3 years ] [ Designated as safety issue: Yes ]CIPN will be assessed based on standard toxicity reporting as well as validated quality-of-life tools. CTCs are defined as the number of tumor cells detected in peripheral circulating blood, and is measured as # cells per million cells counted.
| Estimated Enrollment: | 168 |
| Study Start Date: | September 2012 |
| Estimated Primary Completion Date: | January 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Arm A (veliparib, etoposide, and cisplatin)
Patients receive veliparib PO BID on days 1-7, etoposide IV over 60-120 minutes on days 1-3, and cisplatin IV over 60-120 minutes on day 1. Treatment repeats every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity.
|
Drug: veliparib
Given PO
Other Name: ABT-888
Drug: etoposide
Given IV
Other Names:
Drug: cisplatin
Given IV
Other Names:
Other: laboratory biomarker analysis
Correlative studies
Procedure: quality-of-life assessment
Ancillary studies
Other Name: quality of life assessment
Other: questionnaire administration
Ancillary studies
|
|
Active Comparator: Arm B (placebo, cisplatin, and etoposide)
Patients receive placebo PO BID on days 1-7, etoposide IV over 60-120 minutes on days 1-3, and cisplatin IV over 60-120 minutes on day 1. Treatment repeats every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity.
|
Other: placebo
Given PO
Other Name: PLCB
Drug: etoposide
Given IV
Other Names:
Drug: cisplatin
Given IV
Other Names:
Other: laboratory biomarker analysis
Correlative studies
Procedure: quality-of-life assessment
Ancillary studies
Other Name: quality of life assessment
Other: questionnaire administration
Ancillary studies
|
Detailed Description:
PRIMARY OBJECTIVES:
I. To determine the recommended phase II dose (RP2D) of veliparib to use in combination with CE. (Phase I) II. To determine whether the addition of ABT-888 (veliparib) to cisplatin etoposide (CE) results in improved progression free survival (PFS) over CE with placebo in the frontline therapy of newly diagnosed extensive stage small cell lung cancer. (Phase II)
SECONDARY OBJECTIVES:
I. To determine the overall survival (OS) associated with the combination of CE plus ABT-888. (Phase II) II. To assess the overall response rate (ORR) as well as complete response rate (CRR) associated with the combination of CE plus ABT-888. (Phase II) III. To determine the toxicity profile of the combination of ABT-888 and CE chemotherapy in this patient population. (Phase II) IV. To conduct exploratory correlative analysis of the impact of select biomarkers. (Phase II) V. To compare the overall toxicity profile and specifically the incidence and severity of chemotherapy-induced peripheral neuropathy with the addition of ABT-888 to CE. (Phase II)
OUTLINE: This is a phase I, dose-escalation study of veliparib followed by a phase II, randomized, double-blind study.
Phase I: Patients receive veliparib orally (PO) twice daily (BID) on days 1-7, etoposide intravenously (IV) over 60-120 minutes on days 1-3, and cisplatin IV over 60-120 minutes on day 1. Treatment repeats every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity.
Phase II: Patients are stratified according to gender (male vs female) and lactate dehydrogenase (LDH) (=< ULN vs > ULN. Patients are randomized to 1 of 2 treatment arms.
Arm A: Patients receive veliparib PO BID on days 1-7, etoposide IV over 60-120 minutes on days 1-3, and cisplatin IV over 60-120 minutes on day 1. Treatment repeats every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity.
Arm B: Patients receive placebo PO BID on days 1-7, etoposide IV over 60-120 minutes on days 1-3, and cisplatin IV over 60-120 minutes on day 1. Treatment repeats every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity.
Peripheral blood mononuclear cells and tumor tissue samples may be collected periodically for correlative studies.
After completion of study treatment, patients are followed up periodically for 3 years.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Women must not be pregnant or breastfeeding
All females of childbearing potential must have a blood test within 2 weeks prior to registration to rule out pregnancy
- A female of childbearing potential is any woman, regardless of sexual orientation or whether they have undergone tubal ligation, who meets the following criteria: 1) has not undergone a hysterectomy or bilateral oophorectomy; or 2) has not been naturally postmenopausal for at least 24 consecutive months (i.e., has had menses at any time in the preceding 24 consecutive months)
- Women of childbearing potential and sexually active males must be strongly advised to use an accepted and effective method of contraception
Patients must have histologically or cytologically confirmed:
Extensive stage small cell lung cancer (SCLC) (Phase I and II)
The extensive disease SCLC classification for this protocol includes all patients with disease sites not defined as limited stage
- Limited-stage disease category includes patients with disease restricted to one hemithorax with regional lymph node metastases, including hilar, ipsilateral and contralateral mediastinal, and/or ipsilateral supraclavicular nodes
- Extensive-disease patients are defined as those patients with extrathoracic metastatic disease, malignant pleural effusion, or bilateral or contralateral supraclavicular adenopathy
- Stage IV (M1a or M1b according to American Joint Committee on Cancer [AJCC] Staging Manual, 7th edition) large cell neuroendocrine non-small cell lung cancer (NSCLC) (Phase I only)
- Small cell carcinoma of unknown primary or extrapulmonary origin and must be a candidate for systemic therapy (phase I only)
- Patients must have measurable or non-measurable disease based on Response Evaluation Criteria in Solid Tumors(RECIST) 1.1; baseline measurements and evaluations of all sites of disease must be obtained =< 4 weeks prior to registration (phase I)
- Patients must have measurable disease based on RECIST 1.1; baseline measurements and evaluations of all sites of disease must be obtained =< 4 weeks prior to registration (phase II)
- Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
- Absolute neutrophil count >= 1,500/mm^3
- Platelets >= 100,000/mm^3
- Leukocytes >= 3,000/mm^3
- Hemoglobin >= 9 g/dL
- Total bilirubin =< 1.5 times institutional upper limit of normal (ULN)
- Aspartate aminotransferase (AST) (serum glutamic oxaloacetic transaminase [SGOT]) and alanine aminotransferase (ALT) (serum glutamic pyruvate transaminase[SGPT]) =< 3 times institutional ULN (=< 5 times if liver function test [LFT] elevations due to known liver metastases)
- Creatinine =< 1.5 X ULN OR creatinine clearance >= 60 mL/min/1.73 m^2 for patients with creatinine levels > 1.5 x ULN
- Patients with central nervous system (CNS) metastases or a history of CNS metastases are ineligible
- Patients cannot have had prior chemotherapy or biologic therapy for SCLC (phase I and II) or large cell neuroendocrine NSCLC (phase I only), or small cell carcinoma of unknown primary or extrapulmonary origin (phase I only)
- Patients receiving prior radiation cannot register within 7 days after completion of radiation, and must have resolved adverse events attributed to radiation to =< grade 1; no previous irradiation to the only site of measurable or evaluable disease, unless that site had subsequent evidence of progression
- Patients may not be receiving any other investigational agents while on study
- Patients must NOT have active seizure(s) or history of seizure(s)
- Patients must NOT have history of allergic reactions attributed to compounds of similar chemical or biologic composition to veliparib or other agents used in the study
- Patients must NOT have uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, uncontrolled cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
- Human immunodeficiency virus (HIV)-positive patients on combination antiretroviral therapy are ineligible
- Patient must be able to swallow pills
Contacts and Locations| United States, Georgia | |
| Emory University | Recruiting |
| Atlanta, Georgia, United States, 30322 | |
| Contact: Taofeek K. Owonikoko 404-489-9164 | |
| Principal Investigator: Taofeek K. Owonikoko | |
| United States, Illinois | |
| Ingalls Memorial Hospital | Recruiting |
| Harvey, Illinois, United States, 60426 | |
| Contact: Mark F. Kozloff 708-915-4673 clinicaltrials@ingalls.org | |
| Principal Investigator: Mark F. Kozloff | |
| Trinity Medical Center | Recruiting |
| Moline, Illinois, United States, 61265 | |
| Contact: Costas L. Constantinou 319-363-2690 | |
| Principal Investigator: Costas L. Constantinou | |
| United States, Maryland | |
| Johns Hopkins University | Recruiting |
| Baltimore, Maryland, United States, 21287-8936 | |
| Contact: Christine L. Hann 410-955-8804 jhcccro@jhmi.edu | |
| Principal Investigator: Christine L. Hann | |
| United States, Massachusetts | |
| Eastern Cooperative Oncology Group | Recruiting |
| Boston, Massachusetts, United States, 02215 | |
| Contact: Taofeek K. Owonikoko 404-778-5575 towonik@emory.edu | |
| Principal Investigator: Taofeek K. Owonikoko | |
| United States, New Jersey | |
| Cancer Institute of New Jersey At Hamilton | Recruiting |
| Hamilton, New Jersey, United States, 08690 | |
| Contact: Joseph Aisner 732-235-8675 | |
| Principal Investigator: Joseph Aisner | |
| Cancer Institute of New Jersey | Recruiting |
| New Brunswick, New Jersey, United States, 08903 | |
| Contact: Joseph Aisner 732-235-8675 | |
| Principal Investigator: Joseph Aisner | |
| United States, Pennsylvania | |
| Bryn Mawr Hospital | Recruiting |
| Bryn Mawr, Pennsylvania, United States, 19010 | |
| Contact: Paul B. Gilman 484-476-2649 wellenbachj@mlhs.org | |
| Principal Investigator: Paul B. Gilman | |
| Penn State Milton S Hershey Medical Center | Recruiting |
| Hershey, Pennsylvania, United States, 17033-0850 | |
| Contact: Chandra P. Belani 717-531-3779 CTO@hmc.psu.edu | |
| Principal Investigator: Chandra P. Belani | |
| Paoli Memorial Hospital | Recruiting |
| Paoli, Pennsylvania, United States, 19301 | |
| Contact: Paul B. Gilman 484-476-2649 wellenbachj@mlhs.org | |
| Principal Investigator: Paul B. Gilman | |
| Abramson Cancer Center of The University of Pennsylvania | Recruiting |
| Philadelphia, Pennsylvania, United States, 19104 | |
| Contact: Charu Aggarwal 800-474-9892 | |
| Principal Investigator: Charu Aggarwal | |
| Fox Chase Cancer Center | Recruiting |
| Philadelphia, Pennsylvania, United States, 19111-2497 | |
| Contact: Ranee Mehra 215-728-4790 | |
| Principal Investigator: Ranee Mehra | |
| Lankenau Hospital | Recruiting |
| Wynnewood, Pennsylvania, United States, 19096 | |
| Contact: Paul B. Gilman 484-476-2649 wellenbachj@mlhs.org | |
| Principal Investigator: Paul B. Gilman | |
| Mainline Health CCOP | Recruiting |
| Wynnewood, Pennsylvania, United States, 19096 | |
| Contact: Paul B. Gilman 484-476-2649 wellenbachj@mlhs.org | |
| Principal Investigator: Paul B. Gilman | |
| United States, Texas | |
| Parkland Memorial Hospital | Recruiting |
| Dallas, Texas, United States, 75235 | |
| Contact: David E. Gerber 214-648-7097 | |
| Principal Investigator: David E. Gerber | |
| University of Texas Southwestern Medical Center | Recruiting |
| Dallas, Texas, United States, 75390 | |
| Contact: David E. Gerber 214-648-7097 | |
| Principal Investigator: David E. Gerber | |
| Principal Investigator: | Taofeek Owonikoko | Eastern Cooperative Oncology Group |
More Information
No publications provided
| Responsible Party: | National Cancer Institute (NCI) |
| ClinicalTrials.gov Identifier: | NCT01642251 History of Changes |
| Other Study ID Numbers: | NCI-2012-01985, E2511, ECOG-E2511, CDR0000736704, U10CA021115 |
| Study First Received: | July 13, 2012 |
| Last Updated: | May 6, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Lung Neoplasms Small Cell Lung Carcinoma Carcinoma Carcinoma, Non-Small-Cell Lung Carcinoma, Neuroendocrine Neoplasms, Unknown Primary Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Neoplasms Carcinoma, Bronchogenic Bronchial Neoplasms Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site Lung Diseases |
Respiratory Tract Diseases Neuroendocrine Tumors Neuroectodermal Tumors Neoplasms, Germ Cell and Embryonal Adenocarcinoma Neoplasms, Nerve Tissue Neoplasm Metastasis Neoplastic Processes Pathologic Processes Etoposide phosphate Cisplatin Etoposide Antineoplastic Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 19, 2013