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A Phase 0 Pharmacokinetic, Pharmacodynamic Study of ABT-888, an Inhibitor of Poly (ADP-ribose) Polymerase (PARP), in Refractory Solid Tumors and Lymphoid Malignancies


Phase 1
18 Years
N/A
Not Enrolling
Both
Leukemia, Lymphoma, Unspecified Adult Solid Tumor, Protocol Specific

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Trial Information

A Phase 0 Pharmacokinetic, Pharmacodynamic Study of ABT-888, an Inhibitor of Poly (ADP-ribose) Polymerase (PARP), in Refractory Solid Tumors and Lymphoid Malignancies


OBJECTIVES:

Primary

- Determine the dose-range at which ABT-888 inhibits poly (ADP-ribose) polymerase (PARP)
in tumor samples and in peripheral blood mononuclear cells (PBMCs) in patients with
refractory solid tumors or lymphoid malignancies.

- Determine the pharmacokinetics of ABT-888.

- Determine the time course of PARP inhibition in PBMCs by ABT-888.

Secondary

- Determine the safety of administering 1 dose of ABT-888 in these patients.

OUTLINE: This is a dose-finding study.

Patients receive oral ABT-888 once on day 1.

Cohorts of 3 patients receive escalating doses of ABT-888 until significant tumor poly
(ADP-ribose) polymerase (PARP) inhibition is observed in 3 of 3 patients at 2 dose levels.
Significant PARP inhibition is defined as ≥ 0.69 reduction on the log scale in poly
(ADP-ribose) level from baseline to 3-6 hours after ABT-888 administration (with 90%
confidence that it is not due to chance variation).

Patients undergo peripheral blood collection at baseline and periodically after ABT-888
administration for PARP inhibition, pharmacokinetic, and pharmacodynamic studies. Once
significant PARP inhibition is observed in 1 of 3 patients, subsequently enrolled patients
also undergo tumor biopsy* at baseline and 3-6 hours or 21-27 hours after ABT-888
administration to determine PARP inhibition in tumor tissue.

NOTE: *Patients with chronic lymphocytic leukemia undergo peripheral blood collection
instead of biopsy.

After completion of ABT-888 administration, patients are followed for 7 days.

PROJECTED ACCRUAL: A total of 23 patients will be accrued for this study.

Inclusion Criteria


DISEASE CHARACTERISTICS:

- Histologically confirmed malignancy, meeting 1 of the following criteria:

- Solid tumor that is refractory to ≥ 1 line of standard treatment OR for which no
standard therapy is available

- Must have ≥ 1 lesion amenable to percutaneous biopsy (for solid tumor
patients enrolled after the initial phase of the study)

- Chronic lymphocytic leukemia (CLL) or follicular lymphoma with no current
indication for standard therapy OR disease that has failed ≥ 1 line of standard
therapy

- No disease-associated symptoms requiring immediate therapy or other interventions

- Must be willing to undergo tumor biopsies* after the initial phase of the study NOTE:
*Patients with CLL undergo peripheral blood collection instead of biopsy

- No primary brain tumors, brain metastases, or leptomeningeal disease

PATIENT CHARACTERISTICS:

- ECOG performance status (PS) 0-2 or Karnofsky PS 60-100%

- Life expectancy ≥ 3 months

- Absolute neutrophil count ≥ 1,500/mm³

- Platelet count ≥ 100,000/mm³

- Hemoglobin ≥ 9 g/dL

- Bilirubin < 1.5 times upper limit of normal (ULN)

- AST and ALT ≤ 2.5 times ULN

- Creatinine < 1.5 times ULN OR creatinine clearance ≥ 60 mL/min

- INR ≤ 1.4

- PTT ≤ 36 seconds

- Calcium (corrected) normal

- Magnesium < 1.5 times ULN

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception during and for 30 days after study
completion

- No history of seizures

- No evidence of bleeding diathesis

- No uncontrolled intercurrent illness including, but not limited to, any of the
following:

- Ongoing or active infection

- Symptomatic congestive heart failure

- Unstable angina pectoris

- Cardiac arrhythmias

- No psychiatric illness or social situations that would limit study compliance

PRIOR CONCURRENT THERAPY:

- At least 2 weeks since prior radiation therapy or surgery and recovered

- At least 2 weeks since other prior therapy and recovered

- No concurrent antiretroviral therapy for HIV-positive patients

- No concurrent lung, liver, or mediastinal lymph node biopsies

- No other concurrent investigational agents

Type of Study:

Interventional

Study Design:

Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Change in tumor poly (ADP-ribose) (PAR) levels from baseline to 3-6 hours after ABT-888 administration

Safety Issue:

No

Principal Investigator

Shivaani Kummar, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

NCI - Medical Oncology Branch

Authority:

United States: Food and Drug Administration

Study ID:

060172

NCT ID:

NCT00387608

Start Date:

June 2006

Completion Date:

April 2009

Related Keywords:

  • Leukemia
  • Lymphoma
  • Unspecified Adult Solid Tumor, Protocol Specific
  • unspecified adult solid tumor, protocol specific
  • refractory chronic lymphocytic leukemia
  • stage III chronic lymphocytic leukemia
  • stage IV chronic lymphocytic leukemia
  • stage III grade 1 follicular lymphoma
  • stage III grade 2 follicular lymphoma
  • stage IV grade 1 follicular lymphoma
  • stage IV grade 2 follicular lymphoma
  • recurrent grade 1 follicular lymphoma
  • recurrent grade 2 follicular lymphoma
  • recurrent grade 3 follicular lymphoma
  • stage III grade 3 follicular lymphoma
  • stage IV grade 3 follicular lymphoma
  • Leukemia
  • Lymphoma
  • Neoplasms

Name

Location

Warren Grant Magnuson Clinical Center - NCI Clinical Trials Referral Office Bethesda, Maryland  20892-1182