A Phase 3 Randomized, Placebo-controlled Trial of Carboplatin and Paclitaxel With or Without Veliparib (ABT-888) in HER2-negative Metastatic or Locally Advanced Unresectable BRCA-associated Breast Cancer
Metastatic Breast Cancer

About this trial
This is an interventional treatment trial for Metastatic Breast Cancer focused on measuring PARP Inhibitor, Veliparib, BRCA1, BRCA2, HER2-negative, Locally recurrent, Breast Cancer, Metastatic Breast Cancer, ABT-888, Genetic breast cancer, Paclitaxel, BRCA Mutation, PARP, Carboplatin, BROCADE3
Eligibility Criteria
Inclusion Criteria:
- Histologically or cytologically confirmed breast cancer that is either locally advanced or metastatic. Locally advanced breast cancer must not be amenable to surgical resection or radiation with curative intent.
- Suspected deleterious or deleterious Breast Cancer Gene 1 (BRCA1) and/or Breast Cancer Gene 2 (BRCA2) germline mutation.
- Breast cancer must be Human Epidermal Growth Factor Receptor 2 (HER2)-negative.
- Measurable or non-measurable (but radiologically evaluable) disease per Response Evaluation Criteria In Solid Tumors (RECIST), version 1.1 on computed tomography (CT) scan (within 28 days of randomization) with at least one lesion outside previously irradiated areas.
- Eastern Cooperative Oncology Group (ECOG) Performance status of 0 to 2.
- Adequate hematologic, renal, and hepatic function (within 28 days of randomization).
Exclusion Criteria:
More than two prior lines of cytotoxic chemotherapy (e.g., gemcitabine, doxorubicin, capecitabine) for metastatic disease.
- Regimens received in the adjuvant/neoadjuvant setting or for locally advanced breast cancer within the past 6 months will also be considered toward the maximum of 2 prior lines of therapy. Adjuvant/neoadjuvant chemotherapy for one cancer event will count as one prior line of therapy, if received within the past 6 months.
- Previous treatments with hormonal therapy (tamoxifen, aromatase inhibitors) and signal transduction agents (e.g., erlotinib, gefitinib, everolimus, bevacizumab) are allowed and are not counted towards the prior line of therapy.
- Progressed or recurred within 12 months of completing platinum therapy or received > 1 prior line of platinum therapy for breast cancer in any setting (adjuvant, neoadjuvant, or metastatic).
- Prior therapy with Poly(ADP-ribose)-Polymerase (PARP) inhibitors.
Prior taxane therapy administered for the treatment of metastatic breast cancer with the below exceptions.
- Prior taxane therapy for metastatic breast cancer is allowed if the patient received ≤ 1 full cycle (i.e., therapy discontinued within 4 weeks for subjects receiving weekly paclitaxel or Abraxane; therapy discontinued within 3 weeks for subjects receiving paclitaxel or docetaxel every 3 weeks) in the absence of progression or if taxane therapy for metastatic disease was > 12 months prior to Cycle 1 Day-2 (C1D-2).
- Use of taxanes as adjuvant therapy or to treat locally advanced disease is permitted, if given more than 6 months prior to C1D-2
- Known history of allergic reaction to cremophor-paclitaxel, carboplatin, Azo-Colourant Tartrazine (also known as FD&C Yellow 5 or E102), Azo-Colourant Orange Yellow-S (also known as FD&C Yellow 6 or E110) or known contraindications to any study supplied drug.
- Active CNS metastases or leptomeningeal disease.
Sites / Locations
- Banner MD Anderson Cancer Ctr /ID# 125011
- University of Arkansas for Medical Sciences /ID# 124992
- City of Hope /ID# 127117
- California Cancer Associates for Research & Excellence (cCARE) /ID# 136078
- Moores Cancer Center at UC San Diego /ID# 124991
- Hematology and Oncology Assoc /ID# 130058
- Cancer Research Collaboration /ID# 128860
- Icri /Id# 128520
- Univ of Colorado Cancer Center /ID# 124983
- Saint Joseph Hospital /ID# 131768
- Norwalk Hospital /ID# 133509
- Lynn Cancer Institute, Boca /ID# 125013
- Holy Cross Hospital /ID# 125012
- Sacred Heart Hospital /ID# 128279
- Moffitt Cancer Center /ID# 124990
- Florida Cancer Specialists - East /ID# 125007
- Emory Midtown Infectious Disease Clinic /ID# 133192
- The Cancer Ctr at DeKalb Med C /ID# 125024
- University of Illinois - Chicago /ID# 127576
- NorthShore University HealthSystem /ID# 124996
- Midwestern Regional CTC /ID# 124986
- McFarland Clinic, PC /ID# 129904
- Johns Hopkins University /ID# 125015
- Baystate Medical Center /ID# 139461
- UMass Chan Medical School /ID# 129067
- Henry Ford Health System /ID# 134497
- Spectrum Health Medical Group /ID# 133568
- Spectrum Health Medical Group /ID# 148471
- William Beaumont Hospital /ID# 125019
- Univ of Mississippi Med Ctr,US /ID# 131352
- St. Lukes Cancer Institute /ID# 125023
- Washington University-School of Medicine /ID# 127575
- Nebraska Hematology Oncology /ID# 132711
- Rutgers Cancer Institute of New Jersey /ID# 125017
- University of New Mexico /ID# 125349
- Beth Israel Medical Center /ID# 125001
- Mount Sinai St. Luke's /ID# 125003
- Mission Cancer Center /ID# 134248
- Duke Cancer Center /ID# 124999
- The Ohio State University /ID# 125022
- University of Toledo /ID# 134849
- Oregon Health and Science University /ID# 134229
- Lehigh Valley Health Network /ID# 130059
- Lehigh Valley Hosp/Muhlenberg /ID# 130277
- Penn State University and Milton S. Hershey Medical Center /ID# 124997
- Allegheny General Hospital /ID# 135094
- University of Pittsburgh MC /ID# 125005
- Texas Health Physicians Group /ID# 137740
- University of Texas Southwestern Medical Center /ID# 124989
- University of Texas MD Anderson Cancer Center /ID# 125353
- University of Vermont Medical Center /ID# 125350
- Swedish Cancer Institute - Issaquah /ID# 131534
- Swedish Cancer Institute - Edmonds /ID# 131549
- Swedish Medical Center /ID# 125021
- Swedish Cancer Insititute - Ballard /ID# 131548
- Northwest Medical Specialties - Tacoma /ID# 125344
- COIBA Centro de Oncologia e Investigacion de Buenos Aires /ID# 124839
- Clinica Pergamino /ID# 127158
- Instituto de Oncoloia de Rosario /ID# 127157
- Centro Oncologico Riojano Integral /ID# 127938
- St George Hospital /ID# 129416
- Duplicate_The Prince of Wales Hospital /ID# 124845
- Southern Medical Day Care Centre /ID# 124844
- Townsville University Hospital /ID# 126731
- Duplicate_Flinders Centre for Innovation /ID# 127535
- Royal Hobart Hospital /ID# 124849
- The Royal Melbourne Hospital /ID# 124846
- Hollywood Private Hospital /ID# 124843
- Ordensklinikum Linz GmbH Elisabethinen /ID# 126185
- Medizinische Universitaet Graz /ID# 126450
- Medizinische Universitaet Wien /ID# 126184
- Landeskrankenhaus Salzburg-Universitätsklinikum der PMU (LKH) /ID# 126449
- Bobruysk Interdistrict Onco. /ID# 137729
- State Institution Republican Scientific Practical Center of Oncology and Medical /ID# 125223
- Duplicate_Mogilev Reg Clin Oncology Dis /ID# 137728
- Vitebsk Regional Clinical Oncology Dispensary /ID# 125219
- Universitair Ziekenhuis Antwerpen /ID# 124977
- UCL Saint-Luc /ID# 124976
- Grand Hôpital de Charleroi /ID# 124981
- Universitair Ziekenhuis Leuven /ID# 124980
- Duplicate_AZ St-Jan Brugge-Oostende AV /ID# 124975
- ZNA Middelheim /ID# 124978
- CHU UCL Namur - Sainte Elisabeth /ID# 124979
- Duplicate_Sunnybrook Health Sciences Ctr /ID# 124882
- Duplicate_Jewish General Hospital /ID# 124880
- CHUM - Notre-Dame Hospital /ID# 124879
- Duplicate_CHUQ-Hospital St. Sacrement /ID# 124881
- Hospital Clinico Vina del Mar /ID# 130100
- Hospital Clinico Vina del Mar /ID# 148502
- Instituto Nacional del Cancer /ID# 129343
- ICOS - Inst Clinic Oncology /ID# 125236
- Hospital Pablo Tobon Uribe /ID# 126657
- Instituto Medico de Alta Tecnologia Oncomédica S.A /ID# 129211
- Administradora del Country_S.A-Clinica Del Country /ID# 125255
- Hospital Univ San Ignacio /ID# 126655
- Centro Medico Imbanaco de Cali /ID# 126656
- Fakultni Nemocnice Brno /ID# 128176
- Masarykuv onkologicky ustav /ID# 124886
- Duplicate_FN Hradec Kralove /ID# 127080
- Fakultni nemocnice Olomouc /ID# 124885
- Vseobecna fakultni nemocnice v Praze /ID# 124887
- Rigshospitalet /ID# 124891
- Sygehus Lillebælt, Vejle /ID# 124892
- East Tallinn Central Hospital /ID# 126475
- Docrates Cancer Center /ID# 124896
- Duplicate_Helsinki Univ Central Hospital /ID# 124897
- Duplicate_Tampere University Hospital /ID# 124898
- Vaasa Central Hospital /ID# 132548
- Institut Paoli-Calmettes /ID# 124903
- Institut Curie /ID# 124902
- Institut de Cancérologie de l'Ouest René Gauducheau /ID# 137726
- Institut Curie - site CLCC René Huguenin /ID# 124904
- Universitaetsklinik Heidelberg /ID# 126664
- Universitaetsklinimum Tuebingen /ID# 129968
- Universitaetsklinikum Ulm /ID# 135230
- Universitaetsklinikum Koeln /ID# 126905
- Universitaetsklinikum Carl Gustav Carus an der TU Dresden /ID# 127180
- Klinikum rechts der Isar - Technische Universitaet Muenchen /ID# 125256
- Sana Klinikum Offenbach /ID# 126733
- Semmelweis Egyetem /ID# 132485
- Pecsi Tudomanyegyetem Klinikai Kozpont /ID# 125259
- Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz /ID# 124911
- Duplicate_Zala Megyei Korhaz /ID# 131341
- The Chaim Sheba Medical Center /ID# 124918
- Tel Aviv Sourasky Medical Center /ID# 130276
- Duplicate_Soroka University Medical Center /ID# 124917
- Assaf Harofeh Medical Center /ID# 124915
- Rambam Health Care Campus /ID# 124916
- Shaare Zedek Medical Center /ID# 130275
- Gastroenterology Institute, Division of Medicine /ID# 124919
- Kaplan Medical Center /ID# 124914
- Ospedale San Raffaele IRCCS /ID# 125261
- IEO -Istituto Europeo di Oncologia /ID# 125260
- IRCCS Ospedale Sacro Cuore Don Calabria /ID# 125262
- Centro di Riferimento Oncologico /ID# 126738
- Grande Ospedale Metropolitano Bianchi Melacrino Morelli /ID# 125263
- National Cancer Center /ID# 125602
- Yonsei University Health System Severance Hospital /ID# 125599
- Korea University Anam Hospital /ID# 128968
- Seoul National University Hospital /ID# 125600
- Asan Medical Center /ID# 125601
- Samsung Medical Center /ID# 125598
- Pauls Stradins Clinical University Hospital /ID# 125264
- Riga East Clinical University Hospital /ID# 125265
- Hospital of Lithuanian University of Health Sciences Kaunas Clinics /ID# 125266
- National Cancer Institute /ID# 125267
- Centro de Estudios Clínicos Especializados /ID# 128680
- Centro Oncologico de Chihuahua /ID# 128679
- Instituto Nacional de Cancerología INCAN /ID# 128676
- Erasmus Medisch Centrum /ID# 124935
- Universitair Medisch Centrum Groningen /ID# 129069
- Maastricht Universitair Medisch Centrum /ID# 129068
- Haukeland University Hospital /ID# 150177
- Wojewodzki Szpital Specjalistyczny /ID# 127258
- Centrum Onkologii Lukaszczyka /ID# 124938
- Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. M. Kopern /ID# 126999
- MRUK-MED I Spolka z ograniczona odpowiedzialnoscia /ID# 124939
- Wojewodzki Szpital Zespolony /ID# 126998
- Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE /ID# 126510
- Centro Hospitalar Universitário do Algarve, EPE - Hospital Faro /ID# 125298
- Centro Hospitalar Universitário de Lisboa Norte, EPE - Hospital de Santa Maria /ID# 125299
- Unidade Local de Saúde de Matosinhos, EPE /ID# 126511
- IPO Porto FG, EPE /ID# 125297
- Centro Hospitalar Universitario de Sao Joao, EPE /ID# 126508
- Ad-Vance Medical Research, LLC /ID# 126043
- San Juan Municipal Hospital /ID# 124695
- S.C. Centrul de Oncologie Sf. Nectarie S.R.L. /ID# 124948
- Duplicate_lnstitutul Oncologic Prof Dr Alexandru Trestioreanu /ID# 124943
- Spitalul Clinic Judetean de Urgenta Cluj -Napoca /ID# 124945
- Oncomed SRL /ID# 127598
- Sverdlovsk Regional Oncology Dispensary /ID# 130950
- Regional Oncology Dispensary /ID# 125936
- Duplicate_archangel Clinical Oncology /ID# 126031
- Altay Regional Oncological Dispesary /ID# 127160
- Belgorod Oncology Dispensary /ID# 129315
- Duplicate_Saratov State Medical University n.s. Chernyshevskiy /ID# 139395
- LLC BioEq Ltd. /ID# 134529
- Siberian State Medical University /ID# 127161
- Volgograd Regional Clinical Oncology Dispensary /ID# 124952
- National University Hospital /ID# 125315
- Johns Hopkins Singapore IMC /ID# 125316
- GVI Oncology /ID# 125321
- University of Free State, Universitas Annex (National Hospital Grounds) /ID# 128499
- Wits Clinical Research Site /ID# 125317
- Medical Oncology Ctr Rosebank /ID# 125322
- Sandton Oncology Medical Group PTY Ltd /ID# 125323
- Mary Potter Oncology Centre /ID# 133269
- The Oncology Centre /ID# 126104
- Netcare Oncology Intervent Ctr /ID# 125320
- Cancercare Outeniqua Oncology Centre /ID# 125319
- Hospital Santa Creu i Sant Pau /ID# 124963
- Hospital General Universitario Gregorio Maranon /ID# 124962
- Hospital Universitario HM Sanchinarro /ID# 124960
- Hospital Universitario Virgen de la Victoria /ID# 124961
- Hospital Clinico Universitario de Valencia /ID# 124959
- Skane University hospital /ID# 124966
- Norrlands University hospital /ID# 124967
- Sahlgrenska University Hospital /ID# 124965
- Linkoping University Hospital /ID# 126795
- Duplicate_Karolinska Univ Sjukhuset /ID# 124964
- Uppsala University Hospital /ID# 126512
- Kaohsiung Medical University Chung-Ho Memorial Hospital /ID# 125575
- National Taiwan University Hospital /ID# 125324
- Hacettepe University Faculty of Medicine /ID# 125336
- Dr. Abdurrahman Yurtaslan Ankara Onkoloji Egitim ve Arastirma Hastanesi /ID# 125337
- Duplicate_Akdeniz University Medical Fac /ID# 125339
- Bezmi Alem Univ Med Fac Hosp /ID# 127901
- Istanbul University Istanbul Medical Faculty /ID# 145144
- Municipal Non-Profit Enterprise City Clinical Hospital No.4 of Dnipro City Counc /ID# 124968
- Donetsk Regional Antitumor Ctr /ID# 124970
- Communal non-profit enterprise Regional Center of Oncology /ID# 124972
- Lviv Oncological Regional Therapeutical and Diagnostic Centre /ID# 124974
- Poltava Regional Clinical Oncology Centre of Poltava Regional Council /ID# 124969
- Zaporizhzhia Med. Academy MOH /ID# 129800
- ME Kryviy Rih Oncology Dispensary /ID# 129806
- University Hospitals Bristol /ID# 128343
- Hull University Teaching Hospitals NHS Trust /ID# 133030
- Nottingham University Hospitals NHS Trust /ID# 125340
- University Hospitals Birmingham NHS Foundation Trust /ID# 125342
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Veliparib Placebo with Carboplatin and Paclitaxel
Veliparib with Carboplatin and Paclitaxel
Placebo capsules for veliparib (120 mg) administered by mouth twice daily (BID) on Days -2 through 5 of a 21-day cycle. Carboplatin administered intravenously over approximately 15 to 30 minutes at AUC 6 mg/ml/min immediately following paclitaxel infusion on Day 1 of every cycle. Paclitaxel administered intravenously over approximately 1 hour at a dose of 80 mg/m² on Days 1, 8, and 15 of every cycle.
Veliparib capsules (120 mg) administered by mouth twice daily (BID) on Days -2 through 5 of a 21-day cycle. Carboplatin administered intravenously over approximately 15 to 30 minutes at AUC 6 mg/ml/min immediately following paclitaxel infusion on Day 1 of every cycle. Paclitaxel administered intravenously over approximately 1 hour at a dose of 80 mg/m² on Days 1, 8, and 15 of every cycle.