A Phase I Study of ABT-888 in Combination With Temozolomide in Cancer Patients

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Abbott
ClinicalTrials.gov Identifier:
NCT00526617
First received: September 5, 2007
Last updated: January 12, 2012
Last verified: January 2012
  Purpose

This Phase I clinical trial is studying the side effects and best dose of ABT-888 when given together with Temozolomide (chemotherapy) in treating patients with solid tumors, including metastatic melanoma (MM), BRCA deficient breast, ovarian, primary peritoneal, or fallopian tube cancer, and hepatocellular carcinoma (HCC).


Condition Intervention Phase
Non-hematologic Malignancies
Metastatic Melanoma
Breast Cancer
Ovarian Cancer
Primary Peritoneal Cancer
Fallopian Tube Cancer
Hepatocellular Carcinoma
Drug: ABT-888
Drug: Temozolomide
Phase 1

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Safety Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase I Study of ABT-888 in Combination With Temozolomide (TMZ) in Subjects With Non-Hematologic Malignancies (NHM) and Metastatic Melanoma (MM)

Resource links provided by NLM:


Further study details as provided by Abbott:

Primary Outcome Measures:
  • Maximum Tolerated Dose [ Time Frame: Duration of Study ] [ Designated as safety issue: Yes ]
  • Safety and Tolerability [ Time Frame: Duration of Study ] [ Designated as safety issue: Yes ]
  • Pharmacokinetic Profile [ Time Frame: Duration of Study ] [ Designated as safety issue: Yes ]

Enrollment: 41
Study Start Date: August 2007
Primary Completion Date: June 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Open Label
Within each dose level, subjects are treated with the same regimen/doses of ABT-888 and TMZ.
Drug: ABT-888
Oral capsules
Other Name: ABT-888
Drug: Temozolomide
Oral capsules
Other Names:
  • Temozolomide
  • Temodar
  • TMZ

Detailed Description:

A Phase 1, multicenter, dose-escalation study evaluating the safety and tolerability of the PARP inhibitor ABT-888 in combination with Temozolomide (TMZ) in subjects with non-hematologic malignancies (NHM), including metastatic melanoma (MM), BRCA deficient breast, ovarian, primary peritoneal, or fallopian tube cancer, and hepatocellular carcinoma (HCC).

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Dose escalation and expanded safety cohorts

  • Evaluable disease, histologically confirmed malignancy (metastatic or unresectable) and standard curative measures or other therapy that may provide clinical benefit do not exist or are no longer effective
  • ECOG Performance Score less than or equal to 2
  • Adequate hematologic, renal and hepatic function
  • Normal sodium, calcium and magnesium levels
  • Voluntarily signed informed consent

Expanded Safety Cohorts Only

  • Population:
  • Metastatic melanoma (MM)
  • Hepatocellular carcinoma (HCC) Child Pugh Category A and B classification only
  • BRCA deficient tumor status*: advanced breast cancer (with soft tissue disease), or advanced ovarian cancer, or advanced primary peritoneal cancer, or advanced fallopian tube cancer*

    *Patients must have histologically or cytologically confirmed solid tumors with a positive genetic test result documenting BRCA 1 or BRCA 2 mutation status, to be considered eligible.

  • Serial tumor biopsies: Required for all subjects enrolled in one of the Expanded Low Dose Safety Cohorts.

Exclusion Criteria:

Dose Escalation and Expanded Safety Cohorts

  • Known central nervous system (CNS) metastases or CNS primary cancer.
  • Previous or current malignancies at other sites, except: adequately treated in situ carcinoma of cervix uteri; basal/squamous cell carcinoma of skin; previous malignancy considered cured.
  • Previous history or current seizure disorder.
  • Clinically significant and uncontrolled major medical condition(s) or any medical condition that places the subject at an unacceptably high risk for toxicities.
  • Transplant recipients and patients receiving combination anti-retroviral therapy for HIV due to the use of immunosuppressant therapies.
  • Lactating or pregnant female.
  • Chemotherapy, immunotherapy, radiotherapy, biologic or any investigational therapy will not be allowed within either 4 weeks, or 5 half lives of a targeted therapy prior to study drug administration (Study Day 1).
  • Prior therapy with regimens containing dacarbazine (DTIC) or TMZ is not permitted.
  • Anti-cancer therapy is not permitted during the treatment portion of the study.
  • Hormone therapy, bisphosphonates or LHRH-agonists for prostate cancer are permitted prior to and during the study.
  • Significant adverse event or toxicity due to previous anti-cancer treatment that has not recovered to within one grade level (not to exceed Grade 2) of baseline.

Expanded Safety Cohorts Only:

  • MM Only: Prior treatment with DNA damaging agents or cytotoxic chemotherapy including carboplatin, cisplatin, fotemustine, paclitaxel, vincristine, TMZ and DTIC.
  • Prior therapy with biologic agents (including IL-2, interferon, bevacizumab, vaccines and immunostimulants) and signal transduction inhibitors (including sorafenib, erlotinib, sutent and elesclomol) are allowed.

Lower Dose Expanded Safety Cohorts Only

  • Anti-coagulant restrictions for subjects that have tumor biopsies.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00526617

Locations
United States, Arizona
Site Ref # / Investigator 7571
Scottsdale, Arizona, United States, 85259
United States, Illinois
Site Ref # / Investigator 13321
Chicago, Illinois, United States, 60637
United States, Minnesota
Site Ref # / Investigator 5239
Rochester, Minnesota, United States, 55905
United States, Pennsylvania
Site Ref # / Investigator 18301
Philadelphia, Pennsylvania, United States, 19111
Sponsors and Collaborators
Abbott
Investigators
Study Director: Bhardwaj Desai, MD Abbott
  More Information

No publications provided

Responsible Party: Abbott
ClinicalTrials.gov Identifier: NCT00526617     History of Changes
Other Study ID Numbers: M06-862
Study First Received: September 5, 2007
Last Updated: January 12, 2012
Health Authority: United States: Food and Drug Administration

Keywords provided by Abbott:
Solid Tumor
Melanoma
Breast cancer
Ovarian cancer
Primary peritoneal cancer
Fallopian tube cancer
Hepatocellular carcinoma
HCC
BRCA deficient
BRCA mutation
Temozolomide
Temodar
TMZ
ABT-888
PARP inhibitor

Additional relevant MeSH terms:
Breast Neoplasms
Neoplasms
Carcinoma
Melanoma
Ovarian Neoplasms
Peritoneal Neoplasms
Fallopian Tube Neoplasms
Carcinoma, Hepatocellular
Neoplasms by Site
Breast Diseases
Skin Diseases
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neuroendocrine Tumors
Neuroectodermal Tumors
Neoplasms, Germ Cell and Embryonal
Neoplasms, Nerve Tissue
Nevi and Melanomas
Endocrine Gland Neoplasms
Ovarian Diseases
Adnexal Diseases
Genital Diseases, Female
Genital Neoplasms, Female
Urogenital Neoplasms
Endocrine System Diseases
Gonadal Disorders
Abdominal Neoplasms
Digestive System Neoplasms
Digestive System Diseases
Peritoneal Diseases

ClinicalTrials.gov processed this record on July 22, 2014