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NCT01540565

Veliparib in Treating Patients With Persistent or Recurrent Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer

Completed Phase 2 Results posted Last updated 23 July 2019
What this trial tests

Phase 2 trial testing Laboratory Biomarker Analysis in BRCA1 Mutation Carrier in 52 participants. Completed in 27 January 2018.

Timeline
9 April 2012
Primary endpoint
27 January 2018
27 January 2018

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment52
Start date9 April 2012
Primary completion27 January 2018
Estimated completion27 January 2018
Sites153 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

18 and older, female only, with BRCA1 Mutation Carrier or BRCA2 Mutation Carrier. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Proportion of Patients With Complete and Partial Tumor Response Primary · CT scan/MRI if used to follow lesion for measurable disease every other cycle for the first 6 months, then every 3 months until progression. Repeat at other times if clinically indicated.Responses require confirmation at >= 4 wks from first documentation.

Patients with complete and partial tumor response by RECIST V1.1 (per response evaluation criteria in Solid Tumors Criteria (RECIST V1.1) for target lesions and assessed by MRI (CT scan): Complete Response (CR), disappearance of all target lesions (confirmed at \>= 4 weeks); Partial Response (PR) \>= 30% decrease in the sum of the longest diameter of target lesions (confirmed at \>= 4 weeks); Overall Response = CR + PR.

GroupValue95% CI
Treatment (Veliparib)0.260.146 – 0.403
Proportion of Patients With Adverse Events as Assessed by CTCAE v4.0 Primary · After every cycle while on study therapy. Followed for late adverse events up to 30 days after completing therapy.

Patients with grade 3 or greater Adverse Events (AEs) occurring during treatment and up to 30 days after stopping the study treatment are reported.

GroupValue95% CI
Treatment (Veliparib)0.320.195 – 0.467
Duration of PFS Secondary · CT scan/MRI if used to follow lesion for measurable disease every other cycle for the first 6 months, then every 3 months until progression. Patients who begin subsequent therapy without progression will be monitored for PFS for 5 years.

The time from randomization until disease progression, death, or date of last contact. Endpoints are progression or death. Patients who are not observed with an endpoint are censored. Progression is defined using Response Evaluation Criteria in Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions (and \>= 5 mm increase of target lesions), or a measurable increase in a non-target lesion, or the appearance of new lesions.

GroupValue95% CI
Treatment (Veliparib)8.185.45 – 9.63
Duration of OS Secondary · Every cycle while patient is receiving protocol therapy. Patients will be monitored for survival after going off therapy for a 5 year period, every 3 months for the first 2 years, then every 6 months for the last 3 years.

Overall survival

GroupValue95% CI
Treatment (Veliparib)NA13.4 – NA
The Proportion of Patients Who Survive Progression-free for at Least 6 Months Secondary · 6 months

This outcome captures whether or not the patient survived progression-free for at least 6 months, and is displayed as a proportion.

GroupValue95% CI
Treatment (Veliparib)0.540.393 – 0.682

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events are collected from study enrollment until 30 days after the last treatment, up to 5 years from enrollment.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (Veliparib)
Serious: 10/50 (20%)
Deaths: 21/50

Serious adverse events (10 terms)

ReactionSystemTreatment (Veliparib)
Small Intestinal ObstructionGastrointestinal disorders
Abdominal PainGastrointestinal disorders
NauseaGastrointestinal disorders
AscitesGastrointestinal disorders
Hepatobiliary Disorders - OtherHepatobiliary disorders
Alanine Aminotransferase IncreasedInvestigations
DehydrationMetabolism and nutrition disorders
Pleural EffusionRespiratory, thoracic and mediastinal disorders
Adult Respiratory Distress SyndromeRespiratory, thoracic and mediastinal disorders
Thromboembolic EventVascular disorders
Other adverse events (133 terms — click to expand)

ReactionSystemTreatment (Veliparib)
NauseaGastrointestinal disorders
FatigueGeneral disorders
VomitingGastrointestinal disorders
AnemiaBlood and lymphatic system disorders
White Blood Cell DecreasedInvestigations
ConstipationGastrointestinal disorders
Neutrophil Count DecreasedInvestigations
DiarrheaGastrointestinal disorders
Abdominal PainGastrointestinal disorders
HypomagnesemiaMetabolism and nutrition disorders
Peripheral Sensory NeuropathyNervous system disorders
HeadacheNervous system disorders
DizzinessNervous system disorders
InsomniaPsychiatric disorders
AnorexiaMetabolism and nutrition disorders
AnxietyPsychiatric disorders
HyponatremiaMetabolism and nutrition disorders
Platelet Count DecreasedInvestigations
HypokalemiaMetabolism and nutrition disorders
HypocalcemiaMetabolism and nutrition disorders
HyperglycemiaMetabolism and nutrition disorders
Alkaline Phosphatase IncreasedInvestigations
Alanine Aminotransferase IncreasedInvestigations
BloatingGastrointestinal disorders
Lymphocyte Count DecreasedInvestigations
Aspartate Aminotransferase IncreasedInvestigations
HypoalbuminemiaMetabolism and nutrition disorders
DepressionPsychiatric disorders
Flu Like SymptomsGeneral disorders
MyalgiaMusculoskeletal and connective tissue disorders
Rash Maculo-PapularSkin and subcutaneous tissue disorders
HypertensionVascular disorders
Hot FlashesVascular disorders
PainGeneral disorders
Urinary Tract InfectionInfections and infestations
HypophosphatemiaMetabolism and nutrition disorders
Back PainMusculoskeletal and connective tissue disorders
ArthralgiaMusculoskeletal and connective tissue disorders
DysgeusiaNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Small Intestinal Obstruction, Abdominal Pain, Nausea, Ascites, Hepatobiliary Disorders - Other, Alanine Aminotransferase Increased, Dehydration, Pleural Effusion.

Data from ClinicalTrials.gov NCT01540565 adverse events section.

Sponsor's own description

This phase II trial studies how well veliparib works in treating patients with epithelial ovarian, fallopian tube, or primary peritoneal cancer that has come back or does not respond to treatment. Veliparib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Targeting DNA damage response in cancer therapy.
    Hosoya N, Miyagawa K. · · 2014 · cited 232× · PMID 24484288 · DOI 10.1111/cas.12366
  2. A phase II evaluation of the potent, highly selective PARP inhibitor veliparib in the treatment of persistent or recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer in patients who carry a germline BRCA1 or BRCA2 mutation - An NRG Oncology/Gynecologic Oncol
    Coleman RL, Sill MW, Bell-McGuinn K, Aghajanian C, et al · · 2015 · cited 186× · PMID 25818403 · DOI 10.1016/j.ygyno.2015.03.042
  3. PARP inhibitors for BRCA1/2-mutated and sporadic ovarian cancer: current practice and future directions.
    Konecny GE, Kristeleit RS. · · 2016 · cited 155× · PMID 27736844 · DOI 10.1038/bjc.2016.311
  4. Targeting DNA repair pathways for cancer treatment: what's new?
    Kelley MR, Logsdon D, Fishel ML. · · 2014 · cited 143× · PMID 24947262 · DOI 10.2217/fon.14.60
  5. Targeted therapies in gynecological cancers: a comprehensive review of clinical evidence.
    Wang Q, Peng H, Qi X, Wu M, et al · · 2020 · cited 114× · PMID 32728057 · DOI 10.1038/s41392-020-0199-6
  6. Current status and future prospects of PARP inhibitor clinical trials in ovarian cancer.
    Jiang X, Li W, Li X, Bai H, et al · · 2019 · cited 75× · PMID 31191001 · DOI 10.2147/cmar.s200524
  7. Recent Insights into PARP and Immuno-Checkpoint Inhibitors in Epithelial Ovarian Cancer.
    Revythis A, Limbu A, Mikropoulos C, Ghose A, et al · · 2022 · cited 73× · PMID 35886427 · DOI 10.3390/ijerph19148577
  8. Evaluation of rucaparib and companion diagnostics in the PARP inhibitor landscape for recurrent ovarian cancer therapy.
    Jenner ZB, Sood AK, Coleman RL. · · 2016 · cited 60× · PMID 27087632 · DOI 10.2217/fon-2016-0002

Verify or expand the search:

Other trials of Laboratory Biomarker Analysis

Trials testing the same drug.

Other recruiting trials for BRCA1 Mutation Carrier

Currently open trials in the same condition.

Other National Cancer Institute (NCI) trials

Trials by the same sponsor.

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