Veliparib, Oxaliplatin, and Capecitabine in Treating Patients With Advanced Solid Tumors
Adenocarcinoma of the Pancreas, Adenocarcinoma of the Stomach, BRCA1 Mutation Carrier
About this trial
This is an interventional treatment trial for Adenocarcinoma of the Pancreas
Eligibility Criteria
Inclusion Criteria:
Histologically or cytologically confirmed solid tumors that fulfill ≥ 1 of the following criteria:
BRCA1/2 mutation and a BRCA-related malignancy
- Patients without a known BRCA mutation must have a probability of harboring a BRCA gene mutation as assessed by BRCAPRO computer program
- Patients with a probability of having genetic mutation ≥ 20% or a BRCA mutation based on a non-Myriad test, must have a formal BRCA testing by Myriad Genetic Laboratories
- Patients with known deleterious BRCA 1 or 2 mutation or a mutation of uncertain significance
- Patients who refuse BRCA testing not allowed unless they have another acceptable histology
- First- or second-line metastatic colorectal cancer
- Any-line metastatic mucinous ovarian cancer
- Any line of other metastatic gastrointestinal malignancies in which oxaliplatin has shown some activity (i.e., gastric or pancreatic adenocarcinoma)
- Patients with uncontrolled CNS metastasis are not eligible; patients with CNS metastases who have had them treated and are stable for > 3 months will be eligible; patients must be off steroid treatment prior to study enrollment
Measurable disease
- Patients with ovarian cancer who have a pre-treatment CA 125 level of at least twice the upper limit of normal allowed
- ECOG performance status (PS) 0-2 (Karnofsky 60-100%)
- Life expectancy > 3 months
- ANC ≥ 1,500/mm³
- Platelet count ≥ 100,000/mm³
- Total bilirubin ≤ 1.5 times upper limit of normal (ULN)
- AST and ALT ≤ 2.5 times ULN (≤ 5 times ULN for patients with liver metastases)
- Creatinine ≤ 1.5 times ULN OR creatinine clearance ≥ 60 mL/min
- Fertile patients must use adequate contraception (i.e., hormonal, barrier method of birth control, or abstinence)
- Not pregnant or nursing
- Negative pregnancy test
- No history of allergic reactions attributed to compounds of similar chemical or biologic composition to veliparib or other agents used in study
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 arrhythmia
- Psychiatric illness and/or social situations that would limit compliance with study requirements
- No history of positive serology for hepatitis A, B, or C, liver disease, or other forms of hepatitis or cirrhosis
- Patients who have active seizures or history of seizures are ineligible
No condition that impairs the ability to swallow and retain veliparib capsules, including any of the following:
- Gastrointestinal tract disease resulting in an inability to take oral medication or a requirement for IV alimentation
- Prior surgical procedures affecting absorption
- Active peptic ulcer disease
- No malabsorption syndrome, disease significantly affecting gastrointestinal function, resection of the stomach or small bowel, ulcerative colitis, inflammatory bowel disease, or a partial or complete small bowel obstruction
- No peripheral neuropathy ≥ grade 2
- No prolonged QTC > 450 msec (male) or QTC > 470 (female)
- No concurrent combination antiretroviral therapy for HIV-positive patients
Recovered from adverse events of prior therapy or prior surgical procedures
- Patients with chronic grade 1 or 2 adverse events that are not expected to improve are allowed at investigator's discretion
- At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin C)
- At least 4 weeks since prior radiotherapy with no > 35% of marrow irradiation
- Prior fluoropyrimidine allowed
- Prior veliparib allowed provided it was part of a single- or limited-dosing study, such as a phase 0 study
- Prior capecitabine allowed provided patient tolerated 3500 mg/m² for 7 days out of 14 days
- No other prior investigational agents
- No prior oxaliplatin
Sites / Locations
- University of Wisconsin Hospital and Clinics
Arms of the Study
Arm 1
Experimental
Treatment (veliparib, capecitabine, oxaliplatin)
Patients receive veliparib PO twice daily and capecitabine PO twice daily on 1-7 and 15-21, and oxaliplatin IV over 2 hours on days 1 and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.