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NCT02264990

Study Comparing Veliparib Plus Carboplatin and Paclitaxel Versus Investigator's Choice of Standard Chemotherapy in Adults Receiving First Cytotoxic Chemotherapy for Metastatic or Advanced Non-Squamous Non-Small Cell Lung Cancer (NSCLC) and Who Are Current or Former Smokers

Completed Phase 3 Results posted Last updated 26 February 2021
What this trial tests

Phase 3 trial testing Paclitaxel in Non-squamous Non-small Cell Lung Cancer in 595 participants. Completed in 21 February 2020.

Timeline
30 September 2014
Primary endpoint
14 November 2019
21 February 2020

Quick facts

Lead sponsorAbbVie
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment595
Start date30 September 2014
Primary completion14 November 2019
Estimated completion21 February 2020
Sites140 locations across Finland, Japan, Taiwan, South Korea, Denmark, New Zealand, Netherlands, Russia

Drugs / interventions tested

Conditions studied

Sponsor

AbbVie — full company profile →

Who can join

18 and older, any sex, with Non-squamous Non-small Cell Lung Cancer. 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.

Overall Survival (OS) in the Lung Subtype Panel Positive Subgroup Primary · From randomization up to the data cut-off date of 15 July 2019; median follow-up time was 44.5 and 45.3 months in LSP+ participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.

Overall survival is defined as the time from the date that the participant was randomized to the date of the participant's death. Overall survival was estimated using Kaplan-Meier methodology. Participants still alive at the data cut-off date were censored at the date they were last known to be alive.

GroupValue95% CI
Investigator's Choice Chemotherapy9.25.1 – 11.7
Veliparib + Carboplatin + Paclitaxel11.27.5 – 15.8
Progression Free Survival (PFS) in the Lung Subtype Panel Positive Subgroup Secondary · From randomization up to the data cut-off date of 15 July 2019; the median follow-up time was 44.5 and 45.3 months in LSP+ participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.

Progression-free survival is defined as the time from the date of randomization to the date of disease progression (PD) per Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1 or death (all causes of mortality), whichever occurred first. PD: At least a 20% increase in the size of target lesions, taking as reference the smallest size recorded since the treatment started (Baseline or after) with an absolute increase of at least 5 mm, the appearance of one or more new lesions, or unequivocal progression of existing non-target lesions. PFS was estimated using Kaplan-Meier methodolo

GroupValue95% CI
Investigator's Choice Chemotherapy5.22.8 – 6.2
Veliparib + Carboplatin + Paclitaxel6.33.5 – 7.4
Objective Response Rate (ORR) in the Lung Subtype Panel Positive Subgroup Secondary · Assessed on Day 1 of Cycles 3 and 5 then every 9 weeks for 1 year or until maintenance therapy was discontinued, then every 12 weeks until radiographic progression or death; median time on follow-up was 5.2 and 6.3 months in each group, respectively.

Objective response rate is defined as the percentage of participants with a complete response (CR) or partial response (PR) per Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1 criteria. Response must have been confirmed at a consecutive assessment 28 days or more after the assessment at which response was first observed. CR: The disappearance of all target and non-target lesions and no new lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR: At least a 30% decrease in the sum of diameters of target lesions,

GroupValue95% CI
Investigator's Choice Chemotherapy30.016.6 – 46.5
Veliparib + Carboplatin + Paclitaxel22.510.8 – 38.5
Overall Survival in All Participants Secondary · From randomization up to the data cut-off date of 15 July 2019; the median OS follow-up time was 45.4 and 44.6 months in all participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.

Overall survival is defined as the time from the date that the participant was randomized to the date of the participant's death. OS was estimated using Kaplan-Meier methodology. Participants still alive at the data cut-off date were censored at the date they were last known to be alive.

GroupValue95% CI
Investigator's Choice Chemotherapy12.110.0 – 13.7
Veliparib + Carboplatin + Paclitaxel12.110.4 – 14.9
Progression Free Survival (PFS) in All Participants Secondary · From randomization up to the data cut-off date of 15 July 2019; the median follow-up time was 45.4 and 44.6 months in all participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.

Progression-free survival is defined as the time from the date of randomization to the date of disease progression (PD) per RECIST version 1.1 or death (all causes of mortality), whichever occurred first. PD: At least a 20% increase in the size of target lesions, taking as reference the smallest size recorded since the treatment started (Baseline or after) with an absolute increase of at least 5 mm, the appearance of one or more new lesions, or unequivocal progression of existing non-target lesions. PFS was estimated using Kaplan-Meier methodology. Participants who did not have an event of d

GroupValue95% CI
Investigator's Choice Chemotherapy6.75.6 – 7.2
Veliparib + Carboplatin + Paclitaxel5.95.0 – 6.5
Objective Response Rate (ORR) in All Participants Secondary · Assessed on Day 1 of Cycles 3 and 5 then every 9 weeks for 1 year or until maintenance therapy was discontinued, then every 12 weeks until radiographic progression or death; median time on follow-up was 6.7 and 5.9 months in each group, respectively.

Objective response rate is defined as the percentage of participants with a complete response (CR) or partial response (PR) per RECIST version 1.1 criteria. Response must have been confirmed at a consecutive assessment 28 days or more after the assessment at which response was first observed. CR: The disappearance of all target and non-target lesions and no new lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the Baseline sum diameters,

GroupValue95% CI
Investigator's Choice Chemotherapy29.023.9 – 34.5
Veliparib + Carboplatin + Paclitaxel26.221.3 – 31.6

Adverse events — posted to ClinicalTrials.gov

Time frame: All-cause mortality: From randomization until the end of study; the median follow-up time was 45.4 and 44.6 months in each treatment group, respectively. Adverse events: From first dose of study drug until 30 days after last dose of study drug (veliparib or investigators' choice of standard chemotherapy); median duration of treatment ranged from 86 to 111 days for each treatment.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Investigator's Choice Chemotherapy
Serious: 98/288 (34%)
Deaths: 255/297
Veliparib + Carboplatin + Paclitaxel
Serious: 121/293 (41%)
Deaths: 250/298

Serious adverse events (151 terms)

ReactionSystemInvestigator's Choice Chem…Veliparib + Carboplatin + …
PNEUMONIAInfections and infestations
ANAEMIABlood and lymphatic system disorders
MALIGNANT NEOPLASM PROGRESSIONNeoplasms benign, malignant and unspecified (incl cysts and polyps)
FEBRILE NEUTROPENIABlood and lymphatic system disorders
DYSPNOEARespiratory, thoracic and mediastinal disorders
PERICARDIAL EFFUSIONCardiac disorders
NEUTROPENIABlood and lymphatic system disorders
THROMBOCYTOPENIABlood and lymphatic system disorders
VOMITINGGastrointestinal disorders
DEHYDRATIONMetabolism and nutrition disorders
PLEURAL EFFUSIONRespiratory, thoracic and mediastinal disorders
PULMONARY EMBOLISMRespiratory, thoracic and mediastinal disorders
ATRIAL FIBRILLATIONCardiac disorders
LOWER RESPIRATORY TRACT INFECTIONInfections and infestations
SEPSISInfections and infestations
METASTASES TO CENTRAL NERVOUS SYSTEMNeoplasms benign, malignant and unspecified (incl cysts and polyps)
NAUSEAGastrointestinal disorders
MALAISEGeneral disorders
DRUG HYPERSENSITIVITYImmune system disorders
BACK PAINMusculoskeletal and connective tissue disorders
HAEMOPTYSISRespiratory, thoracic and mediastinal disorders
LEUKOPENIABlood and lymphatic system disorders
CARDIAC ARRESTCardiac disorders
CARDIOPULMONARY FAILURECardiac disorders
ABDOMINAL PAINGastrointestinal disorders
Other adverse events (33 terms — click to expand)

ReactionSystemInvestigator's Choice Chem…Veliparib + Carboplatin + …
ALOPECIASkin and subcutaneous tissue disorders
NAUSEAGastrointestinal disorders
PERIPHERAL SENSORY NEUROPATHYNervous system disorders
ANAEMIABlood and lymphatic system disorders
NEUTROPENIABlood and lymphatic system disorders
CONSTIPATIONGastrointestinal disorders
FATIGUEGeneral disorders
DECREASED APPETITEMetabolism and nutrition disorders
THROMBOCYTOPENIABlood and lymphatic system disorders
VOMITINGGastrointestinal disorders
DIARRHOEAGastrointestinal disorders
LEUKOPENIABlood and lymphatic system disorders
DYSPNOEARespiratory, thoracic and mediastinal disorders
ARTHRALGIAMusculoskeletal and connective tissue disorders
MYALGIAMusculoskeletal and connective tissue disorders
INSOMNIAPsychiatric disorders
STOMATITISGastrointestinal disorders
ASTHENIAGeneral disorders
DYSGEUSIANervous system disorders
COUGHRespiratory, thoracic and mediastinal disorders
RASHSkin and subcutaneous tissue disorders
OEDEMA PERIPHERALGeneral disorders
WEIGHT DECREASEDInvestigations
HYPERGLYCAEMIAMetabolism and nutrition disorders
BACK PAINMusculoskeletal and connective tissue disorders
DIZZINESSNervous system disorders
HYPOMAGNESAEMIAMetabolism and nutrition disorders
HICCUPSRespiratory, thoracic and mediastinal disorders
PYREXIAGeneral disorders
HYPONATRAEMIAMetabolism and nutrition disorders
BONE PAINMusculoskeletal and connective tissue disorders
PAIN IN EXTREMITYMusculoskeletal and connective tissue disorders
OROPHARYNGEAL PAINRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: PNEUMONIA, ANAEMIA, MALIGNANT NEOPLASM PROGRESSION, FEBRILE NEUTROPENIA, DYSPNOEA, PERICARDIAL EFFUSION, NEUTROPENIA, THROMBOCYTOPENIA.

Data from ClinicalTrials.gov NCT02264990 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the safety and efficacy of veliparib plus carboplatin and paclitaxel versus the Investigator's choice of standard chemotherapy in adults with metastatic or advanced non-squamous non-small cell lung cancer.

Publications & conference data

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

  1. Leveraging NKG2D Ligands in Immuno-Oncology.
    Fuertes MB, Domaica CI, Zwirner NW. · · 2021 · cited 110× · PMID 34394116 · DOI 10.3389/fimmu.2021.713158
  2. Combination Platinum-based and DNA Damage Response-targeting Cancer Therapy: Evolution and Future Directions.
    Basourakos SP, Li L, Aparicio AM, Corn PG, et al · · 2017 · cited 91× · PMID 27978798 · DOI 10.2174/0929867323666161214114948
  3. Advances and perspectives of PARP inhibitors.
    Yi M, Dong B, Qin S, Chu Q, et al · · 2019 · cited 83× · PMID 31737426 · DOI 10.1186/s40164-019-0154-9
  4. Targeting DNA repair in cancer: current state and novel approaches.
    Klinakis A, Karagiannis D, Rampias T. · · 2020 · cited 69× · PMID 31612241 · DOI 10.1007/s00018-019-03299-8
  5. Profile of veliparib and its potential in the treatment of solid tumors.
    Wagner LM. · · 2015 · cited 59× · PMID 26251615 · DOI 10.2147/ott.s69935
  6. Olaparib significantly delays photoreceptor loss in a model for hereditary retinal degeneration.
    Sahaboglu A, Barth M, Secer E, Amo EM, et al · · 2016 · cited 48× · PMID 28004814 · DOI 10.1038/srep39537
  7. Smart Nanotherapeutics and Lung Cancer.
    Doroudian M, Azhdari MH, Goodarzi N, O'Sullivan D, et al · · 2021 · cited 41× · PMID 34834387 · DOI 10.3390/pharmaceutics13111972
  8. Veliparib in combination with radiotherapy for the treatment of MGMT unmethylated glioblastoma.
    Jue TR, Nozue K, Lester AJ, Joshi S, et al · · 2017 · cited 31× · PMID 28314386 · DOI 10.1186/s12967-017-1164-1

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02264990.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing