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A Phase 1 Study of ABT-767 in BRCA1 or BRCA2 Mutation Carriers With Advanced Solid Tumors and in Subjects With High Grade Serous Ovarian, Fallopian Tube, or Primary Peritoneal Cancer


Phase 1
18 Years
N/A
Open (Enrolling)
Both
Fallopian Tube, Primary Peritoneal Cancer, Solid Tumors (e.g. Breast, Ovarian, Prostate, or Pancreatic) and Ovarian,

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Trial Information

A Phase 1 Study of ABT-767 in BRCA1 or BRCA2 Mutation Carriers With Advanced Solid Tumors and in Subjects With High Grade Serous Ovarian, Fallopian Tube, or Primary Peritoneal Cancer


This is a Phase 1, dose escalation trial evaluating the tolerability, pharmacokinetics, and
pharmacodynamics of ABT-767 in subjects with advanced BRCA1 or BRCA2-mutated solid tumors
and high grade serous ovarian, fallopian tube, or primary peritoneal cancer. ABT-767 is a
potent oral inhibitor of the enzymes poly (ADP-ribose) polymerase 1 and 2 (PARP-1 and
PARP-2). Malignancies with deficiencies in homologous repair, such as BRCA-1 and BRCA-2
deficient tumors, are more dependent on PARP for deoxyribonucleic acid (DNA) repair than
normal cells and, thus, are thought to be more sensitive to PARP inhibition. The study
design is a single-arm dose escalation study to determine dose-limiting toxicities, maximum
tolerated dose and the recommended Phase 2 dose (RPTD) of orally administered ABT-767 in
subjects with BRCA mutations and malignancies. In order to further evaluate the safety and
tolerability of ABT-767 at the RPTD, 20 additional subjects will be enrolled in an expanded
safety cohort consisting of BRCA1- or BRCA2-mutated Breast cancer and Ovarian cancer.


Inclusion Criteria:



1. Subject must be ≥ 18 years of age.

2. Subjects must have histological or cytological confirmation of locally advanced or
metastatic solid tumor, and a documented Breast Cancer Gene 1 or 2 mutation, or
high grade serous ovarian, fallopian tube, or primary peritoneal cancer.

3. Subject has an Eastern Cooperative Oncology Group (ECOG) Performance status of 0 to 2

4. Subjects must have adequate hematologic, renal, and hepatic function as follows:
a. Bone Marrow: Absolute neutrophil count (ANC ≥ 1,500/mm3 (1.5 ≥ 109/L); Platelets
≥ 100,000/mm3 (100 ≥ 109/L); Hemoglobin ≥ 9.0 g/dL (1.4 mmol/L) (hemoglobin
unsupported by transfusion b. Subject has adequate renal function as demonstrated
by serum creatinine value of ≤ 1.5 x the upper limit of normal (ULN) and either an
estimated creatinine clearance value of ≥ 50 mL/min as determined by the
Cockcroft-Gault formula or a creatinine clearance value of ≥ 50 mL/min/1.73 m2 based
on a 24-hour urine collections c. Subject has adequate liver function as
demonstrated by serum bilirubin ≤ 1.5 x ULN and Aspartate Aminotransferase (AST) and
Alanine Transaminase (ALT) ≤ 2.5 ULN. For subjects with liver metastasis, AST and
ALT < 5 x ULN. Partial Thromboplastin Time (PTT) must be ≤ ULN and INR < 1.5. -
Subjects on anticoagulant (such as Coumadin) are allowed on study and will have PTT
and International Normalize Ratio (INR) as determined by the Investigator.

5. Women of childbearing potential must agree to use adequate contraception prior to
study entry, for the duration of the study participation, and for 90 days following
completion of therapy. Women of childbearing potential must have a negative serum
pregnancy test within 21 days prior to initiation of treatment and a negative urine
pregnancy test on the first day of study drug administration. Post-menopausal women
must be amenorrheic for at least 12 months to be considered of non-childbearing
potential.

Exclusion Criteria:

1. Expanded cohort only: Subject has previously received a poly (ADP-ribose) polymerase
(PARP) inhibitor.

2. -Subject has received anti-cancer therapy including chemotherapy, immunotherapy,
radiotherapy, biologic or any investigational therapy within a period of 28 days or 5
half lives (whichever is shorter) prior to Study Day 1.

3. Subject has known Central Nervous System (CNS) metastases.

4. Subject has unresolved toxicities from prior anti-cancer therapy, defined as any
Common Terminology Criteria for Adverse Events (CTCAE v 4.0) grade 2 or higher
clinically significant toxicity (excluding alopecia).

5. Subject has had major surgery within 28 days prior to Study Day 1.

6. Clinically significant uncontrolled condition(s) or any medical condition which in
the opinion of the study investigator places the subject at an unacceptably high risk
for toxicities.

7. Psychiatric illness/social situation that would limit compliance with study
requirements.

8. Lactating or pregnant female.

Type of Study:

Interventional

Study Design:

Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Factorial Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Pharmacokinetic profile

Outcome Description:

Blood samples for pharmacokinetics of ABT-767 will be collected at designated time points

Outcome Time Frame:

Various time points from Cycle 1 Day -4 to Day 8

Safety Issue:

No

Principal Investigator

Stacie Shepherd, MD

Investigator Role:

Study Director

Investigator Affiliation:

AbbVie

Authority:

Netherlands: The Central Committee on Research Involving Human Subjects (CCMO)

Study ID:

M10-976

NCT ID:

NCT01339650

Start Date:

May 2011

Completion Date:

September 2014

Related Keywords:

  • Fallopian Tube
  • Primary Peritoneal Cancer
  • Solid Tumors (e.g. Breast, Ovarian, Prostate, or Pancreatic) and Ovarian,
  • Solid Tumor
  • BRCA 1 and BRCA 2 Mutations
  • Breast Cancer 1
  • Breast Cancer 2
  • High Grade Serous Ovarian, Fallopian Tube, or Primary Peritoneal Cancers
  • Solid Tumors
  • Breast Neoplasms
  • Peritoneal Neoplasms
  • Neoplasms

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