Breast Cancer Clinical Trial
A Phase 3 Randomized, Placebo-controlled Trial of Carboplatin and Paclitaxel With or Without Veliparib (ABT-888) in HER2-negative Metastatic or Locally Advanced Unresectable BRCA-associated Breast Cancer
Summary
The primary objective of the study is to assess the progression-free survival (PFS) of veliparib in combination with carboplatin and paclitaxel (C/P) compared to placebo plus C/P in participants with a Breast Cancer Gene 1 or 2 (BRCA1; BRCA2) mutation in Human Epidermal Growth Factor Receptor 2 (HER2)-negative metastatic or locally advanced unresectable breast cancer. The secondary objectives of the study are to assess overall survival (OS), clinical benefit rate (CBR) through the end of Week 24, objective response rate (ORR) and PFS on subsequent therapy (PFS2) in participants treated with veliparib in combination with C/P versus placebo in combination with C/P.
Full Description
This is a Phase 3, randomized, double-blind, multinational, multicenter study to evaluate the efficacy and tolerability of veliparib in combination with C/P compared to placebo in combination with C/P in participants with a BRCA1 or BRCA2 mutation, as documented by the Sponsor core laboratory, with HER2-negative metastatic or locally advanced unresectable breast cancer who received no more than 2 prior lines of cytotoxic therapy for metastatic disease. For the purposes of eligibility, HER2-negative status was based on the most recent tumor biopsy. Participants were randomized in a 2:1 ratio, with a total of approximately 500 participants planned to be randomized. Veliparib 120 mg/placebo twice a day (BID) was dosed Days -2 through 5 with carboplatin target area under the concentration-time curve (AUC) 6 administered on Day 1 and paclitaxel 80 mg/m2 administered weekly on Days 1, 8, and 15 of each 21-day cycle.
Safety and efficacy data through the prespecified primary analysis cutoff date of 05 April 2019 are included in the interim analysis.
Eligibility Criteria
Inclusion Criteria:
Histologically or cytologically confirmed breast cancer that is either locally advanced or metastatic. Locally advanced breast cancer must not be amenable to surgical resection or radiation with curative intent.
Suspected deleterious or deleterious Breast Cancer Gene 1 (BRCA1) and/or Breast Cancer Gene 2 (BRCA2) germline mutation.
Breast cancer must be Human Epidermal Growth Factor Receptor 2 (HER2)-negative.
Measurable or non-measurable (but radiologically evaluable) disease per Response Evaluation Criteria In Solid Tumors (RECIST), version 1.1 on computed tomography (CT) scan (within 28 days of randomization) with at least one lesion outside previously irradiated areas.
Eastern Cooperative Oncology Group (ECOG) Performance status of 0 to 2.
Adequate hematologic, renal, and hepatic function (within 28 days of randomization).
Exclusion Criteria:
More than two prior lines of cytotoxic chemotherapy (e.g., gemcitabine, doxorubicin, capecitabine) for metastatic disease.
Regimens received in the adjuvant/neoadjuvant setting or for locally advanced breast cancer within the past 6 months will also be considered toward the maximum of 2 prior lines of therapy. Adjuvant/neoadjuvant chemotherapy for one cancer event will count as one prior line of therapy, if received within the past 6 months.
Previous treatments with hormonal therapy (tamoxifen, aromatase inhibitors) and signal transduction agents (e.g., erlotinib, gefitinib, everolimus, bevacizumab) are allowed and are not counted towards the prior line of therapy.
Progressed or recurred within 12 months of completing platinum therapy or received > 1 prior line of platinum therapy for breast cancer in any setting (adjuvant, neoadjuvant, or metastatic).
Prior therapy with Poly(ADP-ribose)-Polymerase (PARP) inhibitors.
Prior taxane therapy administered for the treatment of metastatic breast cancer with the below exceptions.
Prior taxane therapy for metastatic breast cancer is allowed if the patient received ≤ 1 full cycle (i.e., therapy discontinued within 4 weeks for subjects receiving weekly paclitaxel or Abraxane; therapy discontinued within 3 weeks for subjects receiving paclitaxel or docetaxel every 3 weeks) in the absence of progression or if taxane therapy for metastatic disease was > 12 months prior to Cycle 1 Day-2 (C1D-2).
Use of taxanes as adjuvant therapy or to treat locally advanced disease is permitted, if given more than 6 months prior to C1D-2
Known history of allergic reaction to cremophor-paclitaxel, carboplatin, Azo-Colourant Tartrazine (also known as FD&C Yellow 5 or E102), Azo-Colourant Orange Yellow-S (also known as FD&C Yellow 6 or E110) or known contraindications to any study supplied drug.
Active CNS metastases or leptomeningeal disease.
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There are 209 Locations for this study
Gilbert Arizona, 85234, United States
Little Rock Arkansas, 72205, United States
Duarte California, 91010, United States
Fresno California, 93720, United States
La Jolla California, 92093, United States
Newport Beach California, 92663, United States
Santa Ana California, 92705, United States
Whittier California, 90603, United States
Aurora Colorado, 80045, United States
Denver Colorado, 80218, United States
Norwalk Connecticut, 06856, United States
Boca Raton Florida, 33486, United States
Fort Lauderdale Florida, 33308, United States
Pensacola Florida, 32504, United States
Tampa Florida, 33612, United States
West Palm Beach Florida, 33401, United States
Atlanta Georgia, 30322, United States
Decatur Georgia, 30033, United States
Chicago Illinois, 60607, United States
Evanston Illinois, 60201, United States
Zion Illinois, 60099, United States
Ames Iowa, 50010, United States
Baltimore Maryland, 21287, United States
Springfield Massachusetts, 01199, United States
Worcester Massachusetts, 01655, United States
Detroit Michigan, 48202, United States
Grand Rapids Michigan, 49503, United States
Grand Rapids Michigan, 49503, United States
Royal Oak Michigan, 48073, United States
Jackson Mississippi, 39216, United States
Kansas City Missouri, 64111, United States
Saint Louis Missouri, 63110, United States
Lincoln Nebraska, 68506, United States
New Brunswick New Jersey, 08901, United States
Albuquerque New Mexico, 87102, United States
New York New York, 10003, United States
New York New York, 10025, United States
Asheville North Carolina, 28801, United States
Durham North Carolina, 27710, United States
Columbus Ohio, 43210, United States
Toledo Ohio, 43614, United States
Portland Oregon, 97239, United States
Allentown Pennsylvania, 18103, United States
Bethlehem Pennsylvania, 18017, United States
Hershey Pennsylvania, 17033, United States
Pittsburgh Pennsylvania, 15212, United States
Pittsburgh Pennsylvania, 15260, United States
Arlington Texas, 76012, United States
Dallas Texas, 75390, United States
Houston Texas, 77030, United States
Burlington Vermont, 05401, United States
Issaquah Washington, 98029, United States
Seattle Washington, 98104, United States
Seattle Washington, 98104, United States
Seattle Washington, 98107, United States
Tacoma Washington, 98405, United States
Berazategui Buenos Aires, 1884, Argentina
Pergamino Buenos Aires, 2700, Argentina
Rosario Santa Fe, 2000, Argentina
La Rioja , 5300, Argentina
Kogarah New South Wales, 2217, Australia
Randwick New South Wales, 2031, Australia
Wollongong New South Wales, 2500, Australia
Douglas Queensland, 4814, Australia
Bedford Park South Australia, 5042, Australia
Hobart Tasmania, 7000, Australia
Parkville Victoria, 3050, Australia
Nedlands Western Australia, 6009, Australia
Linz Oberoesterreich, 4010, Austria
Graz Steiermark, 8036, Austria
Vienna Wien, 1090, Austria
Salzburg , 5020, Austria
Bobruisk , 21382, Belarus
Minsk , 22304, Belarus
Mogilev , 21201, Belarus
Vitebsk , 21060, Belarus
Edegem Antwerpen, 2650, Belgium
Woluwe-Saint-Lambert Bruxelles-Capitale, 1200, Belgium
Charleroi Hainaut, 6000, Belgium
Leuven Vlaams-Brabant, 3000, Belgium
Brugge West-Vlaanderen, 8000, Belgium
Antwerp , 2020, Belgium
Namur , 5000, Belgium
Toronto Ontario, M4N 3, Canada
Montreal Quebec, H3T 1, Canada
Montréal Quebec, H2X 0, Canada
Quebec City Quebec, G1S 4, Canada
Vina Del Mar ValparaÃso, 25206, Chile
Vina Del Mar ValparaÃso, 25206, Chile
Santiago , 83804, Chile
Temuco , 48104, Chile
MedellÃn Antioquia, 50034, Colombia
Monteria Cordoba, 23000, Colombia
Bogota Cundinamarca, 11022, Colombia
Bogota Cundinamarca, 11023, Colombia
Cali , , Colombia
Brno , 625 0, Czechia
Brno , 656 5, Czechia
Hradec Kralove , 500 0, Czechia
Olomouc , 779 0, Czechia
Praha , 128 0, Czechia
Copenhagen Ø Hovedstaden, 2100, Denmark
Vejle Syddanmark, 7100, Denmark
Kesklinna Linnaosa Harjumaa, 10138, Estonia
Helsinki , 00180, Finland
Helsinki , 00290, Finland
Tampere , 33521, Finland
Vaasa , 65130, Finland
Marseille Bouches-du-Rhone, 13009, France
Paris CEDEX 05 Ile-de-France, 75248, France
St Herblain CEDEX Loire-Atlantique, 44805, France
Saint-cloud , 92210, France
Heidelberg Baden-Wuerttemberg, 69120, Germany
Tubingen Baden-Wuerttemberg, 72076, Germany
Ulm Baden-Wuerttemberg, 89081, Germany
Köln Nordrhein-Westfalen, 50937, Germany
Dresden , 01307, Germany
Munich , 81675, Germany
Offenbach am Main , 63069, Germany
Budapest , 1085, Hungary
Pecs , 7624, Hungary
Szolnok , 5000, Hungary
Zalaegerszeg , 8900, Hungary
Ramat Gan Tel-Aviv, 52656, Israel
Tel Aviv-Yafo Tel-Aviv, 64239, Israel
Be'er Sheva , 84571, Israel
Be'Er Ya'Akov , 70300, Israel
Haifa , 31096, Israel
Jerusalem , 91031, Israel
Jerusalem , 91120, Israel
Rehovot , 76610, Israel
Milan Lombardia, 20132, Italy
Milan Milano, 20141, Italy
Negrar Verona, 37024, Italy
Aviano , 33081, Italy
Reggio Calabria , 89124, Italy
Goyang Gyeonggido, 10408, Korea, Republic of
Seoul Seoul Teugbyeolsi, 03722, Korea, Republic of
Seoul , 02841, Korea, Republic of
Seoul , 03080, Korea, Republic of
Seoul , 05505, Korea, Republic of
Seoul , 06351, Korea, Republic of
Riga , 1002, Latvia
Riga , LV-10, Latvia
Kaunas , 50161, Lithuania
Vilnius , 08660, Lithuania
Mérida Yucatan, 97133, Mexico
Chihuahua , 31217, Mexico
Ciudad de Mexico , 14080, Mexico
Rotterdam Zuid-Holland, 3015 , Netherlands
Groningen , 9713 , Netherlands
Maastricht , 6229 , Netherlands
Bergen Hordaland, 5021, Norway
Wroclaw Dolnoslaskie, 51-12, Poland
Bydgoszcz Kujawsko-pomorskie, 85-79, Poland
Lodz Lodzkie, 93-51, Poland
Rzeszow Podkarpackie, 35-02, Poland
Elblag Warminsko-mazurskie, 82-30, Poland
Vila Nova De Gaia Porto, 4434-, Portugal
Faro , 8000-, Portugal
Lisboa , 1649-, Portugal
Matosinhos , 4464-, Portugal
Porto , 4200-, Portugal
Porto , 4200-, Portugal
Ponce , 00717, Puerto Rico
San Juan , 00935, Puerto Rico
Craiova Dolj, 20034, Romania
Bucharest , 02232, Romania
Cluj-Napoca , 40000, Romania
Timisoara , 30023, Romania
Yekaterinburg Sverdlovskaya Oblast, 62004, Russian Federation
Kursk Tatarstan, Respublika, 30503, Russian Federation
Arkhangelsk , 16304, Russian Federation
Barnaul , 65604, Russian Federation
Belgorod , 30801, Russian Federation
Saratov , 41001, Russian Federation
St. Petersburg , 19734, Russian Federation
Tomsk , 63405, Russian Federation
Volzhsky , 40413, Russian Federation
Singapore , 11907, Singapore
Singapore , 30843, Singapore
Gqeberha Eastern Cape, 6006, South Africa
Bloemfontein Free State, 9301, South Africa
Johannesburg Gauteng, 2193, South Africa
Johannesburg Gauteng, 2196, South Africa
Johannesburg Gauteng, 2196, South Africa
Pretoria Gauteng, 0181, South Africa
Durban Kwazulu-Natal, 4091, South Africa
Cape Town Western Cape, 7460, South Africa
George Western Cape, 6530, South Africa
Barcelona , 08041, Spain
Madrid , 28007, Spain
Madrid , 28050, Spain
Malaga , 29010, Spain
Valencia , 46010, Spain
Malmo Skane Lan, 214 2, Sweden
Umea Vasterbottens Lan, 581 8, Sweden
Gothenburg Vastra Gotalands Lan, 413 4, Sweden
Linkoping , 581 8, Sweden
Solna , 171 6, Sweden
Uppsala , 75185, Sweden
Kaohsiung , 807, Taiwan
Taipei City , 100, Taiwan
Ankara , 06100, Turkey
Ankara , 06200, Turkey
Antalya , 07059, Turkey
Istanbul , 34093, Turkey
Istanbul , 34093, Turkey
Dnipro , 49102, Ukraine
Donetsk , 83092, Ukraine
Kharkiv , 61070, Ukraine
Lviv , 79031, Ukraine
Poltava , 36011, Ukraine
Zaporizhia , 69040, Ukraine
Кривий Ріг , 50048, Ukraine
Bristol Bristol, City Of, BS2 8, United Kingdom
Hull East Riding Of Yorkshire, HU3 2, United Kingdom
Nottingham Nottinghamshire, NG5 1, United Kingdom
Birmingham , B15 2, United Kingdom
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