Phase 2
N=156
Cisplatin and Etoposide With or Without Veliparib in Treating Patients With Extensive Stage Small Cell Lung Cancer
Extensive Stage Small Cell Lung Carcinoma · Large Cell Lung Carcinoma · Neuroendocrine Carcinoma · Small Cell Carcinoma · Stage IV Non-Small Cell Lung Cancer AJCC v7
Bottom Line
View on ClinicalTrials.gov: NCT01642251 ↗Enrolled (actual)
156
Serious AEs
67.4%
Results posted
Feb 2019
Primary outcome: Primary: Recommended Phase II Dose (Phase I) — 100 mg
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Cisplatin (Drug); Etoposide (Drug); Veliparib (Drug); Placebo (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- National Cancer Institute (NCI)
- Primary completion
- Dec 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Recommended Phase II Dose (Phase I) |
100 | — |
| PRIMARY Progression Free Survival (Phase II) |
6.1; 5.5; 6.2; 5.1; 6.0; 5.6 | <0.001 sig |
| SECONDARY Overall Survival (OS) |
10.3; 8.9 | 0.17 |
| SECONDARY Overall Response Rate (ORR) |
72; 66 | — |
Summary
This randomized phase I/II trial studies the side effects and best dose of veliparib when given together with or without cisplatin and etoposide and to see how well they work in treating patients with extensive stage small cell lung cancer or large cell neuroendocrine non-small cell lung cancer that has spread to other parts of the body. Drugs used in chemotherapy, such as cisplatin and etoposide, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Veliparib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Giving cisplatin and etoposide with or without veliparib may work better in treating patients with extensive stage small cell lung cancer or metastatic large cell neuroendocrine non-small cell lung cancer.
Eligibility Criteria
PHASE I
Inclusion Criteria (phase I):
- Women must not be pregnant or breastfeeding; breastfeeding must be discontinued or the subject is not eligible for the study
- All females of childbearing potential must have a blood test within 2 weeks prior to randomization to rule out pregnancy; a female of childbearing potential is any woman, regardless of sexual orientation or whether they have undergone tubal ligation, who meets the following criteria: 1) has not undergone a hysterectomy or bilateral oophorectomy; or 2) has not been naturally postmenopausal for at least 24 consecutive months (i.e., has had menses at any time in the preceding 24 consecutive months)
- Women of childbearing potential and sexually active males must be strongly advised to use an accepted and effective method of contraception
- Patients must have histologically or cytologically confirmed:
- Extensive stage small cell lung cancer (SCLC) or
- Stage IV (M1a or M1b according to American Joint Committee on Cancer [AJCC] Staging Manual, 7th edition) large cell neuroendocrine non-small cell lung cancer (NSCLC) or
- Small cell carcinoma of unknown primary or extrapulmonary origin and must be a candidate for systemic therapy
- NOTE: The extensive disease SCLC classification for this protocol includes all patients with disease sites not defined as limited stage; limited stage disease category includes patients with disease restricted to one hemithorax with regional lymph node metastases, including hilar, ipsilateral and contralateral mediastinal, and/or ipsilateral supraclavicular nodes; extensive disease patients are defined as those patients with extrathoracic metastatic disease, malignant pleural effusion, bilateral or contralateral supraclavicular adenopathy
- Patients must have measurable or non-measurable disease based on Response Evaluation Criteria in Solid Tumors (RECIST) 1.1; baseline measurements and evaluations of all sites of disease must be obtained = = 1,500/mm^3
- Platelets >= 100,000/mm^3
- Leukocytes >= 3,000/mm^3
- Hemoglobin >= 9 g/dL
- Total bilirubin = = 60 mL/min/1.73 m^2 for patients with creatinine levels > 1.5 x ULN
- Patients with central nervous system (CNS) metastases or a history of CNS metastases are ineligible
- Patients cannot have had prior chemotherapy or biologic therapy for SCLC or large cell neuroendocrine NSCLC, or small cell carcinoma of unknown primary or extrapulmonary origin; patients receiving prior radiation cannot register within 7 days after completion of radiation, and must have resolved adverse events attributed to radiation to = = 1,500/mm^3
- Platelets >= 100,000/mm^3
- Leukocytes >= 3,000/mm^3
- Hemoglobin >= 9 g/dL
- Total bilirubin = = 60 mL/min/1.73 m^2 for patients with creatinine levels > 1.5 x ULN
- Patients cannot have had prior chemotherapy or biologic therapy for small cell lung cancer; patients receiving prior radiation cannot register within 7 days after completion of radiation, and must have resolved adverse events attributed to radiation to =< grade 1; no previous irradiation to the only site of measurable or evaluable disease, unless that site had subsequent evidence of progression
- Patient must be able to swallow pills
- Patients may not be receiving any other investigational agents while on study
Exclusion Criteria (phase II):
- Patients with CNS metastases or a history of CNS metastases are ineligible
- Patients have history of allergic reactions attributed to compounds of similar chemical or biologic composition to veliparib or other agents used in the study
- Patients have active seizure(s) or history of seizure(s)
- Patients must NOT have uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, uncontrolled cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
- HIV-positive patients on combination antiretroviral therapy are inel
Data sourced from ClinicalTrials.gov (NCT01642251). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.