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A Phase I Study of ABT-888 in Combination With Conventional Whole Brain Radiation Therapy (WBRT) in Cancer Patients With Brain Metastases
This study is currently recruiting participants.
Verified September 2011 by Abbott

First Received on March 28, 2008.   Last Updated on October 28, 2011   History of Changes
Sponsor: Abbott
Information provided by (Responsible Party): Abbott
ClinicalTrials.gov Identifier: NCT00649207
  Purpose

This Phase I clinical trial is studying the side effects and best dose of ABT-888 when given together with Whole Brain Radiation Therapy (WBRT) in treating patients with brain metastases.


Condition Intervention Phase
Nervous System Neoplasms
Brain Diseases
Central Nervous System Diseases
Neoplasm Metastasis
Brain Neoplasms
Drug: ABT-888
Radiation: Whole Brain Radiation Therapy
Phase I

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase 1 Study Evaluating the Safety, Tolerability and Pharmacokinetics of ABT-888 in Combination With Whole Brain Radiation Therapy in Subjects With Brain Metastases

Resource links provided by NLM:


Further study details as provided by Abbott:

Primary Outcome Measures:
  • Maximum Tolerated Dose [ Time Frame: 12 Months ] [ Designated as safety issue: Yes ]
  • Safety and Tolerability [ Time Frame: Duration of Study ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 90
Study Start Date: March 2008
Estimated Study Completion Date: November 2012
Estimated Primary Completion Date: November 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1

This is an open label study; therefore, there are no numbered/labeled study arms.

This is a dose escalation study, ABT-888 dose will be escalated in conjunction with two schedules of whole brain radiation therapy (WBRT). Subjects may be treated WBRT for 3 weeks (15 consecutive days) or 2 weeks (10 consecutive days).

Drug: ABT-888
Oral Capsules
Other Name: veliparib
Radiation: Whole Brain Radiation Therapy
15 fractions of 2.5 Gy over 3 weeks to a total dose of 37.5 GY or 10 fractions of 3 Gy over 2 weeks to a total dose of 30 Gy
Other Name: WBRT

Detailed Description:

This is a Phase 1, multicenter, dose-escalation study evaluating the safety, tolerability and pharmacokinetics of the PARP inhibitor ABT-888 in combination with conventional whole brain radiation therapy (WBRT) in the treatment of subjects with solid tumors metastatic to the brain.

  Eligibility

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

Inclusion Criteria

  • Age is greater than or equal to 18 years.
  • Histologically or cytologically confirmed non-CNS primary solid malignancy.
  • Pathologically or radiographically confirmed metastatic disease in the brain. Subjects with non-measurable lesions, including leptomeningeal carcinomatosis, are eligible.
  • WBRT is clinically indicated, with the exception of prophylactic treatment.
  • Karnofsky Performance Status (KPS) greater than or equal to a score of 70.
  • Adequate hematologic, renal and hepatic function.
  • Both men and women of childbearing potential must agree to use adequate contraception (one of the following listed below) prior to study entry, for the duration of study participation and up to 2 months following completion of protocol therapy.

    • Total abstinence from sexual intercourse (minimum one complete menstrual cycle)
    • A vasectomized partner
    • Hormonal contraceptives (oral, parenteral or transdermal) for at least 3 months prior to study drug administration
    • Double-barrier method (condoms, contraceptive sponge, diaphragm or vaginal ring with spermicidal jellies or cream)
  • Subject is capable of understanding and complying with parameters as outlined in the protocol.
  • Subject or the subject's legally acceptable representative has voluntarily signed and dated the informed consent, approved by an Independent Ethics Committee (IEC)/Institutional Review Board (IRB), prior to the initiation of any screening or study-specific procedures.

Exclusion Criteria

  • Brain metastases secondary to germ cell tumor or lymphoma malignancy.
  • Primary central nervous system (CNS) neoplasm.
  • Prior or concurrent administration of the following therapies or treatments:

    • Prior treatment with WBRT
    • SRS performed less than 14 days prior to WBRT D1, or is scheduled to occur within 30 days of the last WBRT session
    • Last dose of chemotherapy, immunotherapy, biologic therapy, or investigational therapy was less than 14 days prior to WBRT D1. Bisphosphonates, hormone modification therapy, and trastuzumab are permitted without restriction
  • Unresolved or unstable, serious toxicity from prior administration of another investigational drug and/or prior anti-cancer treatment.
  • Known seizure disorder (status epileptics) that is uncontrolled, or seizures occurring greater than or equal to 3 times a week over the past month.
  • If female, subject is pregnant or breast-feeding.
  • Clinically significant and uncontrolled major cardiac, respiratory, renal, hepatic, gastrointestinal, hematologic or neurological/psychiatric disease or disorder, including but not limited to:

    • Active uncontrolled infection
    • Symptomatic congestive heart failure, unstable angina pectoris, or cardiac arrhythmia
    • Any other illness condition(s) that could exacerbate potential toxicities, confound safety assessments, require excluded therapy for management, or limit compliance with study requirements
  • Unable to swallow and retain oral medications.
  • Known contraindication to enhanced MRI and CT, including but not limited to:

    • Presence of metal objects within the body such as a cardiac pacemaker, implanted cardiac defibrillator, brain aneurysm clips, cochlear implant, ocular foreign body, or shrapnel
    • History of immediate or delayed hypersensitivity reaction or other contraindication to contrast agents including but not limited to gadolinium and iodine
  • Previous enrollment in this study or another study involving the investigation of ABT-888, with the exception of receiving a single dose of study drug.
  • Consideration by the investigator, for any reason, that the subject is an unsuitable candidate to receive ABT-888 and/or WBRT.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00649207

Contacts
Contact: Diane Medina (Abbott), BA 847-935-3868 diane.medina@abbott.com
Contact: Betsy Gamlin, MS 847-938-3630 betsy.gamlin@abbott.com

Locations
United States, Georgia
Site Reference ID/Investigator# 8334 Recruiting
Atlanta, Georgia, United States, 30322
Principal Investigator: Site Reference ID/Investigator# 8334            
United States, Illinois
Site Reference ID/Investigator# 52462 Not yet recruiting
Chicago, Illinois, United States, 60611
Principal Investigator: Site Reference ID/Investigator# 52462            
United States, Kansas
Site Reference ID/Investigator# 24483 Not yet recruiting
Kansas City, Kansas, United States, 66160
Principal Investigator: Site Reference ID/Investigator# 24483            
United States, Maryland
Site Reference ID/Investigator# 7180 Recruiting
Baltimore, Maryland, United States, 21231-2410
Principal Investigator: Site Reference ID/Investigator# 7180            
United States, Michigan
Site Reference ID/Investigator# 19021 Recruiting
Detroit, Michigan, United States, 48202-2689
Principal Investigator: Site Reference ID/Investigator# 19021            
United States, Pennsylvania
Site Reference ID/Investigator# 6344 Recruiting
Philadelphia, Pennsylvania, United States, 19111
Principal Investigator: Site Reference ID/Investigator# 6344            
Site Reference ID/Investigator# 6654 Withdrawn
Philadelphia, Pennsylvania, United States, 19107
United States, Wisconsin
Site Reference ID/Investigator# 6653 Recruiting
Madison, Wisconsin, United States, 53792
Principal Investigator: Site Reference ID/Investigator# 6653            
Canada
Site Reference ID/Investigator# 18542 Recruiting
Toronto, Canada, M5G 2M9
Principal Investigator: Site Reference ID/Investigator# 18542            
Puerto Rico
Site Reference ID/Investigator# 46322 Recruiting
Ponce, Puerto Rico, 00716
Principal Investigator: Site Reference ID/Investigator# 46322            
Site Reference ID/Investigator# 46222 Withdrawn
San Juan, Puerto Rico, 00936-5067
Sponsors and Collaborators
Abbott
Investigators
Study Director: Bhardwaj Desai bhardwaj.desai@abbott.com, MD Abbott
  More Information

No publications provided

Responsible Party: Abbott
ClinicalTrials.gov Identifier: NCT00649207     History of Changes
Other Study ID Numbers: M10-128
Study First Received: March 28, 2008
Last Updated: October 28, 2011
Health Authority: United States: Food and Drug Administration

Keywords provided by Abbott:
Radiation
WBRT
ABT-888
Brain Metastases
PARP

Additional relevant MeSH terms:
Brain Diseases
Brain Neoplasms
Neoplasms
Central Nervous System Diseases
Neoplasm Metastasis
Neoplasms, Second Primary
Nervous System Diseases
Nervous System Neoplasms
Central Nervous System Neoplasms
Neoplasms by Site
Neoplastic Processes
Pathologic Processes

ClinicalTrials.gov processed this record on February 09, 2012