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Clinical Trials/NCT02944396
NCT02944396CompletedPhase 1

A Phase 1 Dose-Escalation and Phase 2 Randomized, Open-Label Study of Nivolumab and Veliparib in Combination With Platinum Doublet Chemotherapy in Subjects With Metastatic or Advanced Non-Small Cell Lung Cancer (NSCLC)

AbbVie6 sites in 1 country25 target enrollmentStarted: December 23, 2016Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 1
Status
Completed
Sponsor
Enrollment
25
Locations
6
Primary Endpoint
Progression-free survival (PFS)

Study Overview

Brief Summary

This study seeks to establish the recommended Phase 2 dose (RPTD) of veliparib in combination with nivolumab and platinum doublet chemotherapy (carboplatin/paclitaxel or carboplatin/pemetrexed) (Phase 1 portion) and to assess whether the addition of nivolumab to veliparib in combination with platinum doublet chemotherapy results will improve progression free survival (PFS) compared to veliparib with platinum doublet chemotherapy alone in participants with metastatic or advanced Non-small Cell Lung Cancer (NSCLC) (Phase 2 portion).

A strategy decision was made not to proceed to Phase 2 portion of this study due to change in standard of care.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Participant must have a life expectancy greater than 12 weeks,
  • Participant must have cytologically or histologically confirmed Non-small Cell Lung Cancer (NSCLC).
  • Participant must have metastatic or advanced NSCLC (Stage IIIB or IV) that is not amenable to surgical resection or radiation or chemoradiation with curative intent at time of study screening.
  • Participant must have at least 1 unidimensional measurable NSCLC lesion on a computed tomography (CT) scan as defined by Response Evaluation Criteria in Solid Tumors (RECIST) (version 1.1).
  • Participant must have resolution to Grade 1 or lower of any toxic effects (excepting alopecia) of the most recent therapy prior to Cycle 1 Day
  • Participant must have an Eastern Cooperative Oncology Group (ECOG) Performance Score of 0 to
  • Participant must have adequate bone marrow, renal, and hepatic function.

Exclusion Criteria

  • Participant has received prior cytotoxic chemotherapy (including chemotherapy in combination with radiotherapy) for NSCLC, except for adjuvant or neoadjuvant therapy accompanied by surgery with curative intent that was completed one year prior to Cycle 1 Day -
  • Participant has received prior therapy with a Poly-(ADP-ribose)-Polymerase (PARP) inhibitor.
  • Participant has received prior treatment with any anti-programmed cell death protein-1 (anti-PD-1), or PD Ligand-1 (PD-L1) or PD Ligand-2 (PD-L2) agent or an antibody targeting other immunoregulatory receptors or mechanisms.
  • Participant has received radiation therapy to lung greater than 30 Gy within 6 months, or antineoplastic biologic therapy within 21 days, or major surgery within 21 days, or tyrosine kinase inhibitor therapy within 7 days, or palliative radiation within 7 days of the first dose of study medication.
  • Participant has untreated central nervous system (CNS) metastases.

Arms & Interventions

Veliparib and nivolumab with platinum doublet chemotherapy

Experimental

Veliparib and nivolumab in combination with platinum doublet chemotherapy (carboplatin/paclitaxel or carboplatin/pemetrexed)

Intervention: pemetrexed (Drug)

Veliparib and nivolumab with platinum doublet chemotherapy

Experimental

Veliparib and nivolumab in combination with platinum doublet chemotherapy (carboplatin/paclitaxel or carboplatin/pemetrexed)

Intervention: nivolumab (Drug)

Veliparib and nivolumab with platinum doublet chemotherapy

Experimental

Veliparib and nivolumab in combination with platinum doublet chemotherapy (carboplatin/paclitaxel or carboplatin/pemetrexed)

Intervention: paclitaxel (Drug)

Veliparib and nivolumab with platinum doublet chemotherapy

Experimental

Veliparib and nivolumab in combination with platinum doublet chemotherapy (carboplatin/paclitaxel or carboplatin/pemetrexed)

Intervention: veliparib (Drug)

Veliparib and nivolumab with platinum doublet chemotherapy

Experimental

Veliparib and nivolumab in combination with platinum doublet chemotherapy (carboplatin/paclitaxel or carboplatin/pemetrexed)

Intervention: carboplatin (Drug)

Veliparib with platinum doublet chemotherapy

Experimental

Veliparib in combination with platinum doublet chemotherapy (carboplatin/paclitaxel or carboplatin/pemetrexed)

Intervention: pemetrexed (Drug)

Veliparib with platinum doublet chemotherapy

Experimental

Veliparib in combination with platinum doublet chemotherapy (carboplatin/paclitaxel or carboplatin/pemetrexed)

Intervention: paclitaxel (Drug)

Veliparib with platinum doublet chemotherapy

Experimental

Veliparib in combination with platinum doublet chemotherapy (carboplatin/paclitaxel or carboplatin/pemetrexed)

Intervention: veliparib (Drug)

Veliparib with platinum doublet chemotherapy

Experimental

Veliparib in combination with platinum doublet chemotherapy (carboplatin/paclitaxel or carboplatin/pemetrexed)

Intervention: carboplatin (Drug)

Outcomes

Primary Outcomes

Progression-free survival (PFS)

Time Frame: Up to approximately 3.5 years

PFS is defined as the number of days from the date of randomization to the date of earliest disease progression (radiographic progression per RECIST version 1.1 or clinical disease progression) or death. If the participant does not experience disease progression or death, then the data will be censored at the date of the last disease assessment.

Recommended Phase 2 dose (RPTD) of veliparib (ABT-888) in combination with nivolumab and platinum doublet chemotherapy in participants with metastatic or advanced Non-Small Cell Lung Cancer (NSCLC).

Time Frame: Up to 6 weeks

Secondary Outcomes

  • Maximum observed plasma concentration (Cmax) for veliparib(Up to approximately 9 weeks)
  • AUC for nivolumab(Up to approximately 3.5 years)
  • Tmax for nivolumab(Up to approximately 3.5 years)
  • Time to Cmax (peak time, Tmax) for veliparib(Up to approximately 9 weeks)
  • Objective Response Rate (ORR)(Up to approximately 3.5 years)
  • Overall Survival (OS)(Up to approximately 3.5 years)
  • Duration of Overall Response (DOR)(Up to approximately 3.5 years)
  • Maximum observed plasma concentration (Cmax) for pemetrexed(Up to approximately 3 weeks)
  • Tmax for pemetrexed(Up to approximately 3 weeks)
  • Area under the plasma concentration-time curve (AUC) for veliparib(Up to approximately 9 weeks)
  • AUC for pemetrexed(Up to approximately 3 weeks)
  • Maximum observed serum concentration (Cmax) of nivolumab anti-drug antibody (ADA)(Up to approximately 3.5 years)

Investigators

Sponsor
AbbVie
Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (6)

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