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Veliparib

Phase 3

Metastatic Breast Cancer | Small molecule | Oncology |AbbVie Inc.|Last Updated: Feb 19, 2025

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment807

FDA Designations

No designations recorded

Clinical trial landscape

Veliparib · 19 trials · 20 indications

Phase 3 4Phase 2 4Phase 1 11
NCT02264990Study Comparing Veliparib Plus Carboplatin and Paclitaxel Versus Investigator's Choice of Standard Chemotherapy in Adults Receiving First Cytotoxic Chemotherapy for Metastatic or Advanced Non-Squamous Non-Small Cell Lung Cancer (NSCLC) and Who Are Current or Former SmokersNon-squamous Non-small Cell Lung Cancer
COMPLETED595 Analytics
NCT02106546Study Comparing Veliparib Plus Carboplatin and Paclitaxel Versus Placebo Plus Carboplatin and Paclitaxel in Previously Untreated Advanced or Metastatic Squamous Non-Small Cell Lung CancerSquamous Non-Small Cell Lung Cancer
COMPLETED970 Analytics
NCT02163694A 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 CancerMetastatic Breast Cancer
COMPLETED513 Analytics
NCT02032277A Study Evaluating Safety and Efficacy of the Addition of ABT-888 Plus Carboplatin Versus the Addition of Carboplatin to Standard Chemotherapy Versus Standard Chemotherapy in Subjects With Early Stage Triple Negative Breast CancerTriple Negative Breast Cancer
COMPLETED634 Analytics
PHASE3COMPLETED
Study Comparing Veliparib Plus Carboplatin and Paclitaxel Versus Investigator's Choice of Standard Chemotherapy in Adults Receiving First Cytotoxic Chemotherapy for Metastatic or Advanced Non-Squamous Non-Small Cell Lung Cancer (NSCLC) and Who Are Current or Former Smokers
Non-squamous Non-small Cell Lung CancerUnlock trial analytics
PHASE3COMPLETED
Study Comparing Veliparib Plus Carboplatin and Paclitaxel Versus Placebo Plus Carboplatin and Paclitaxel in Previously Untreated Advanced or Metastatic Squamous Non-Small Cell Lung Cancer
Squamous Non-Small Cell Lung CancerUnlock trial analytics
PHASE3COMPLETED
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 CancerUnlock trial analytics
PHASE3COMPLETED
A Study Evaluating Safety and Efficacy of the Addition of ABT-888 Plus Carboplatin Versus the Addition of Carboplatin to Standard Chemotherapy Versus Standard Chemotherapy in Subjects With Early Stage Triple Negative Breast Cancer
Triple Negative Breast CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Survival (OS) in the Lung Subtype Panel Positive Subgroup
From randomization up to the data cut-off date of 15 July 2019; median follow-up time was 44.5 and 45.3 months in LSP+ participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.

Overall survival is defined as the time from the date that the participant was randomized to the date of the participant's death. Overall survival was estimated using Kaplan-Meier methodology. Participants still alive at the data cut-off date were censored at the date they were last known to be alive.

Overall Survival (OS) in current smokers
Up to 3 years from first dose of study drug

Time to death for a given subject will be defined as the number of days from the date that the subject was randomized to the date of the subject's death.

Progression-Free Survival (PFS)
From randomization until the primary analysis data cut-off date of 05 April 2019; the median duration of follow-up was 35.5 months

Time to PFS is defined as the number of days from the date the participant was randomized to the date the participant experiences radiographic disease progression (as determined by the investigators), or to the date of death (all causes of mortality) if disease progression is not reached. All events of disease progression occurring on or before the Primary Analysis Cutoff date of 05 April 2019 were to be included, regardless of whether the event occurred while the participant was still taking study drug or had previously discontinued study drug. PFS was estimated for each treatment group using Kaplan-Meier methodology.

Pathological Complete Response (pCR).
At the time of definitive surgery (approximately 24-36 weeks from first dose of study drug).

Pathological complete response (pCR) in the breast tissue and the lymph node tissue will be assessed upon completion of pre-operative systemic therapy and definitive surgery.

Progression-Free Survival (PFS): Time to Event
Every 8 weeks from Cycle 1, Day 1 until radiographic progression was observed. The maximum observed follow up duration at the progression-free survival analysis time was 579 days.

PFS was defined as the number of days from the date the participant was randomized to the date the participant experienced an event of disease progression or death, whichever occurred first. All events of disease progression were included, whether the participant was still taking or had discontinued study drug. Events of death were included for participants who had not experienced an event of disease progression, if the death occurred within 8 weeks of the last evaluable disease progression assessment. If the participant did not have an event of disease progression and the participant had not died as defined above, data were censored at the date of the participant's last evaluable disease progression assessment. The PFS distribution was estimated using Kaplan-Meier methodology. Point estimates and 95% confidence intervals (95% CIs) for the PFS distribution quartiles are provided.

Overall Survival
From randomization up to 36 months

Overall survival was defined as the number of days from the date of randomization to the date of death. All events of death were included, regardless of whether the event occurred while the participant was still taking study treatment or after treatment was discontinued. If a participant had not died, the data were censored at the date the participant was last known to be alive.

Progression Free Survival (PFS)
Radiographic evaluation starting from the third day of study treatment and on average every 6 weeks until documented progression or date of death from any cause, whichever came first, until patient is registered as off study.
Number of participants with Dose-limiting toxicities
During the first cycle (21 days) of veliparib administration
Phase 1: Number of Participants With Dose-limiting Toxicities (DLTs)
Cycle 1 Day -2 to pre-dose on Cycle 2 Day 1 (23 days)

A DLT was defined as any of the following drug-related toxicities, graded according to the Common Toxicity Criteria for Adverse Events (CTCAE), V.4.0: 1. Events associated with treatment delay \>14 days in initiating Cycle 2 therapy: Grade 4 thrombocytopenia, neutropenia, or febrile neutropenia, or Grade 3 febrile neutropenia with fever for \> 7 days 2. Grade ≥ 3 non-hematologic toxicity with ≥ 2 grade increase from baseline and attributed to veliparib treatment, excluding nausea or vomiting for ≤ 48 hours or inadequately treated, electrolyte abnormalities resolving in ≤ 24 hours, hypersensitivity reactions or alopecia 3. Grade 2 non-hematologic toxicity of ≥ 2 grade increase from baseline, attributed to veliparib treatment requiring delay of \>14 days in initiation of Cycle 2 4. Any toxicity of ≥ 2-grade increase from baseline, attributed to veliparib and requiring a dose modification in Cycle 1 or omission of carboplatin, \>1 daily etoposide dose, or \>30% veliparib doses in Cycle 1

Phase 1: Maximum Observed Plasma Concentration (Cmax) of Veliparib
Cycle 1 Day 1 predose and at 1, 2, 3, 5, 8, and 24 hours post-dose

Plasma concentrations of veliparib were determined using a validated online solid-phase extraction followed by high-performance liquid chromatography with tandem mass spectrometric detection (HPLC LC-MS/MS). The lower limit of quantitation (LLOQ) for veliparib was established at ≥ 1.05 ng/mL.

Phase 1: Time to Maximum Observed Plasma Concentration (Tmax) of Veliparib
Cycle 1 Day 1 predose and at 1, 2, 3, 5, 8, and 24 hours post-dose

Plasma concentrations of veliparib were determined using a validated online solid-phase extraction followed by high-performance liquid chromatography with tandem mass spectrometric detection (HPLC LC-MS/MS). The lower limit of quantitation (LLOQ) for veliparib was established at ≥ 1.05 ng/mL.

Phase 1: Area Under the Plasma Concentration-time Curve From Time 0 to 8 Hours Post-dose (AUC[0-8]) of Veliparib
Cycle 1 Day 1 predose and at 1, 2, 3, 5, 8, and 24 hours post-dose

The area under the plasma concentration-time curve from time 0 to 8 hours post-dose for veliparib was estimated using non-compartmental methods.

Phase 1: Area Under the Plasma Concentration-time Curve From Time 0 to 12 Hours Post-dose (AUC[0-12]) of Veliparib
Cycle 1 Day 1 predose and at 1, 2, 3, 5, 8, and 24 hours post-dose

The area under the plasma concentration-time curve from time 0 to 12 hours post-dose for veliparib was estimated using non-compartmental methods. AUC(0-12) was calculated by assuming the concentration at 12 hours post-dose was the same as the pre-dose concentration.

Phase 1: Dose-normalized Maximum Observed Plasma Concentration of Veliparib
Cycle 1 Day 1 predose and at 1, 2, 3, 5, 8, and 24 hours post-dose

Plasma concentrations of veliparib were determined using a validated online solid-phase extraction followed by high-performance liquid chromatography with tandem mass spectrometric detection (HPLC LC-MS/MS). The lower limit of quantitation (LLOQ) for veliparib was established at ≥ 1.05 ng/mL. Dose normalized Cmax is calculated as Cmax / veliparib dose in mg.

Phase 1: Dose-normalized Area Under the Plasma Concentration-time Curve From Time 0 to 8 Hours Post-dose of Veliparib
Cycle 1 Day 1 predose and at 1, 2, 3, 5, 8, and 24 hours post-dose

The area under the plasma concentration-time curve from time 0 to 8 hours post-dose for veliparib was estimated using non-compartmental methods. Dose normalized AUC(0-8) is calculated as AUC(0-8) / veliparib dose in mg.

Phase 1: Dose-normalized Area Under the Plasma Concentration-time Curve From Time 0 to 12 Hours Post-dose of Veliparib
Cycle 1 Day 1 predose and at 1, 2, 3, 5, 8, and 24 hours post-dose

The area under the plasma concentration-time curve from time 0 to 12 hours post-dose for veliparib was estimated using non-compartmental methods. AUC(0-12) was calculated by assuming the concentration at 12 hours post-dose was the same as the pre-dose concentration. Dose normalized AUC(0-12) is calculated as AUC(0-12) / veliparib dose in mg.

Phase 1: Maximum Observed Plasma Concentration (Cmax) of Etoposide With and Without Veliparib
Cycle 1 Day 1 (coadministered with veliparib and carboplatin), and on Cycle 2 Day 1 (co-administered with carboplatin but in the absence of veliparib) at 55 minutes (5 minutes before the end of infusion) and 3, 5, 8, and 24 hours post-dose.

Etoposide plasma concentrations were determined using liquid chromatography with tandem mass spectrometric detection with a lower limit of quantitation 160 ng/mL.

Phase 1: Time to Maximum Observed Plasma Concentration (Tmax) of Etoposide With and Without Veliparib
Cycle 1 Day 1 (coadministered with veliparib and carboplatin), and on Cycle 2 Day 1 (co-administered with carboplatin but in the absence of veliparib) at 55 minutes (5 minutes before the end of infusion) and 3, 5, 8, and 24 hours post-dose.

Etoposide plasma concentrations were determined using liquid chromatography with tandem mass spectrometric detection with a lower limit of quantitation 160 ng/mL.

Phase 1: Area Under the Concentration-time Curve From Time 0 to Time of Last Measurable Concentration (AUC[0-t]) of Etoposide With and Without Veliparib
Cycle 1 Day 1 (coadministered with veliparib and carboplatin), and on Cycle 2 Day 1 (co-administered with carboplatin but in the absence of veliparib) at 55 minutes (5 minutes before the end of infusion) and 3, 5, 8, and 24 hours post-dose.

The area under the plasma concentration-time curve from 0 to the last measurable concentration (24 hours) of etoposide was estimated using using non-compartmental methods.

Phase 1: Area Under the Concentration-time Curve From Time 0 to Infinity (AUC[0-∞]) of Etoposide With and Without Veliparib
Cycle 1 Day 1 (coadministered with veliparib and carboplatin), and on Cycle 2 Day 1 (co-administered with carboplatin but in the absence of veliparib) at 55 minutes (5 minutes before the end of infusion) and 3, 5, 8, and 24 hours post-dose.

The area under the plasma concentration-time curve from 0 to infinity for etoposide was estimated using using non-compartmental methods.

Phase 1: Terminal Phase Elimination Half-life (t1/2) of Etoposide With and Without Veliparib
Cycle 1 Day 1 (coadministered with veliparib and carboplatin), and on Cycle 2 Day 1 (co-administered with carboplatin but in the absence of veliparib) at 55 minutes (5 minutes before the end of infusion) and 3, 5, 8, and 24 hours post-dose.

The terminal half-life of etoposide was estimated using using non-compartmental methods. Values reported represent the harmonic mean ± pseudo-standard deviation.

Phase 1: Dose-normalized Maximum Observed Plasma Concentration (Cmax) of Etoposide With and Without Veliparib
Cycle 1 Day 1 (coadministered with veliparib and carboplatin), and on Cycle 2 Day 1 (co-administered with carboplatin but in the absence of veliparib) at 55 minutes (5 minutes before the end of infusion) and 3, 5, 8, and 24 hours post-dose.

Etoposide plasma concentrations were determined using liquid chromatography with tandem mass spectrometric detection with a lower limit of quantitation 160 ng/mL. Dose normalized Cmax is calculated as Cmax / etoposide dose in mg/m².

Phase 1: Dose-normalized Area Under the Concentration-time Curve From Time 0 to Time of Last Measurable Concentration (AUC[0-t]) of Etoposide With and Without Veliparib
Cycle 1 Day 1 (coadministered with veliparib and carboplatin), and on Cycle 2 Day 1 (co-administered with carboplatin but in the absence of veliparib) at 55 minutes (5 minutes before the end of infusion) and 3, 5, 8, and 24 hours post-dose.

The area under the plasma concentration-time curve from 0 to the last measurable concentration (24 hours) of etoposide was estimated using using non-compartmental methods. Dose normalized AUC(0-t) is calculated as AUC(0-t) / etoposide dose in mg/m².

Phase 1: Dose-normalized Area Under the Concentration-time Curve From Time 0 to Infinity (AUC[0-∞]) of Etoposide With and Without Veliparib
Cycle 1 Day 1 (coadministered with veliparib and carboplatin), and on Cycle 2 Day 1 (co-administered with carboplatin but in the absence of veliparib) at 55 minutes (5 minutes before the end of infusion) and 3, 5, 8, and 24 hours post-dose.

The area under the plasma concentration-time curve from 0 to infinity for etoposide was estimated using using non-compartmental methods. Dose normalized AUC(0-∞) is calculated as AUC(0-∞) / etoposide dose in mg/m².

Phase 2: Progression-free Survival
From randomization up to the date the 126th PFS event was reached; Median time on follow-up was 7.3, 7.1, and 8.9 months in each treatment group respectively.

Progression-free survival (PFS) is defined as the time from the date of randomization to the date of earliest radiographic disease progression or death provided no radiographic disease progression occurred. If a participant did not have an event of disease progression and had not died on or prior to the cutoff for PFS analysis, the participant's data was censored at the date of their last disease assessment or randomization date provided participant did not have any post-baseline disease assessment. Disease assessments were performed using computed tomography according to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1. Progressive Disease (PD) was defined as at least a 20% increase in the size of target lesions and an absolute increase of at least 5 mm taking as reference the smallest lesion size recorded since the treatment started (baseline or after), or the appearance of one or more new lesions.

Dose-limiting toxicities of veliparib
During the first cycle (28 days) of veliparib administration
Number of subjects with adverse events
Measured up to 30 days after the last dose of study drug.
To evaluate the effect of Veliparib on corrected QT interval calculated by Fridericia's formula (QTcF)
Electrocardiograms (ECGs) will be done at Screening, 6 time points on Day 1 of Periods 1, 2 and 3 in triplicate, 1 time point on Day 2 of Periods 1, 2, and 3 and 1 time point on Day 3 of Period 3.
Part 2 - Dose Escalation Cohort: Pharmacokinetic testing
Up to 36 months

Cmax, Tmax ,and AUC, and safety parameters

Part 1 - Pharmacokinetic profile
Up to Day 6

The following pharmacokinetic parameters will be analyzed: Tmax, the terminal phase elimination rate constant (β), the natural logarithms of Cmax, AUCt and AUC∞.

Part 3 - Safety Expanded Cohort: Number of subjects with adverse events
Up to 36 months
Part 3 - Safety Expanded Cohort: Vital signs
Up to 36 months

Blood pressure, Heart rate

Part 3 - Safety Expanded Cohort: Laboratory tests
Up to 36 months

Hematology, Chemistry, Urinalysis

Determine the maximum tolerated dose (MTD) and/or establish the recommended phase two dose (RPTD)
From first study drug dose and at each weekly treatment visit until dose-limiting toxicities (DLT) observed or completion of dosing period (anticipated to be approximately 5 weeks).
Determine the maximum tolerated dose and recommended Phase two dose
During the first cycle (21 days from first dose of veliparib)
Assess the oral bioavailability of veliparib
Up to 4 weeks.

Assess the relative bioavailability of Formulation A, Formulation B and Formulation C with or without food measured using area under the plasma concentration-time curve (AUC), the maximum observed plasma concentration (Cmax), and time to Cmax (Tmax).

Determine the MTD and establish the recommended phase 2 dose of Veliparib in combination with two different FOLFIRI regimens that include a reduced regimen (150 mg/m2 irinotecan) and the standard regimen (180 mg/m2) in subjects with advanced solid tumors
Screening to follow up visit
Determine the maximum tolerated dose and recommended Phase 2 dose
ABT-888 will be dose escalated until the largest dose is reached based on the probability of dose, limiting toxicities is based per continual reassessment method (CRM).

Secondary Endpoints

Progression Free Survival (PFS) in the Lung Subtype Panel Positive Subgroup
From randomization up to the data cut-off date of 15 July 2019; the median follow-up time was 44.5 and 45.3 months in LSP+ participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.
Objective Response Rate (ORR) in the Lung Subtype Panel Positive Subgroup
Assessed on Day 1 of Cycles 3 and 5 then every 9 weeks for 1 year or until maintenance therapy was discontinued, then every 12 weeks until radiographic progression or death; median time on follow-up was 5.2 and 6.3 months in each group, respectively.
Overall Survival in All Participants
From randomization up to the data cut-off date of 15 July 2019; the median OS follow-up time was 45.4 and 44.6 months in all participants for the investigator's choice chemotherapy and veliparib + C/P arms, respectively.
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Veliparib + Carboplatin + PaclitaxelEXPERIMENTALParticipants received 120 mg veliparib twice a day (BID) on Days -2 to 5 (7 days), carboplatin at an area under the curve (AUC) of 6 mg/mL\*min on Day 1 and paclitaxel 200 mg/m² on Day 1 of each 21-day cycle for a maximum of 6 cycles. After completion of up to 6 cycles, optional maintenance pemetrexed was administered as 500 mg/m² on Day 1 of each 21-day cycle until toxicity required cessation of therapy, or radiographic progression occurred.
Investigator's Choice ChemotherapyACTIVE_COMPARATORParticipants received Investigator's choice of standard doublet chemotherapy consisting of 1 of the following 3 options, administered on Day 1 of each 21-day cycle for a maximum of 6 cycles: * Carboplatin AUC 6 mg/mL\*min + paclitaxel 200 mg/m² * Cisplatin 75 mg/m² + pemetrexed 500 mg/m² * Carboplatin AUC 6 or AUC 5 mg/mL\*min + pemetrexed 500 mg/m² After completion of up to 6 cycles, optional maintenance pemetrexed was administered as 500 mg/m² on Day 1 of each 21-day cycle until toxicity required cessation of therapy, or radiographic progression occurred.
Placebo + Carboplatin + PaclitaxelPLACEBO_COMPARATORParticipants received placebo orally BID on Days -2 to 5 (7 consecutive days) of each 21-day cycle and carboplatin at an AUC 6 mg/mL/min and paclitaxel 200 mg/m² by IV infusion on Day 1 of each 21-day cycle for up to a maximum 6 cycles of treatment, until treatment toxicity which, in the Investigator's opinion, prohibited further therapy, or until radiographic progression.
Veliparib Placebo with Carboplatin and PaclitaxelACTIVE_COMPARATORPlacebo 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 with Carboplatin and PaclitaxelEXPERIMENTALVeliparib 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.
Arm AACTIVE_COMPARATORVeliparib + carboplatin + paclitaxel followed by doxorubicin/cyclophosphamide (AC)
Arm CPLACEBO_COMPARATORPlacebo + placebo + paclitaxel followed by AC.
Arm BPLACEBO_COMPARATORPlacebo + carboplatin + paclitaxel followed by AC
Veliparib + modified FOLFIRI ± bevacizumabEXPERIMENTALDosing of oral veliparib (200 mg) began 2 days prior to the start of FOLFIRI and continued twice a day (BID) for a total of 7 consecutive days. At the discretion of the Investigator, bevacizumab (5 mg/kg) could be administered intravenously (IV) immediately preceding FOLFIRI. Modified FOLFIRI was administered as irinotecan 180 mg/m\^2 (90-minute infusion ± 30 minutes); leucovorin 400 mg/m\^2 (90-minute infusion ± 30 minutes); and saline bolus (up to 15-minute infusion) immediately followed by fluorouracil 2400 mg/m\^2 (46-hour continuous infusion ± 4 hours) starting on Day 1 of each 14-day cycle.
Placebo + FOLFIRI ± bevacizumabPLACEBO_COMPARATORDosing of oral placebo (200 mg) began 2 days prior to the start of FOLFIRI and continued twice a day (BID) for a total of 7 consecutive days. At the discretion of the Investigator, bevacizumab (5 mg/kg) could be administered intravenously (IV) immediately preceding FOLFIRI. Standard FOLFIRI was administered as irinotecan 180 mg/m\^2 (90-minute infusion ± 30 minutes); leucovorin 400 mg/m\^2 (90-minute infusion ± 30 minutes); and fluorouracil bolus 400 mg/m\^2 (up to 15-minute infusion) immediately followed by fluorouracil 2400 mg/m\^2 (46-hour continuous infusion ± 4 hours) on Day 1 of each 14-day cycle.
Veliparib 200 mg BID + WBRTEXPERIMENTALParticipants received veliparib 200 mg twice a day (BID) orally concomitantly with whole brain radiation therapy (WBRT). Participants received a total of 30.0 Gy of WBRT given in 10 daily fractions of 3.0 Gy, excluding weekends and holidays.
Veliparib 50 mg BID + WBRTEXPERIMENTALParticipants received veliparib 50 mg twice a day (BID) orally concomitantly with whole brain radiation therapy (WBRT). Participants received a total of 30.0 Gy of WBRT given in 10 daily fractions of 3.0 Gy, excluding weekends and holidays.
Placebo BID + WBRTPLACEBO_COMPARATORParticipants received placebo twice a day (BID) orally concomitantly with whole brain radiation therapy (WBRT). Participants received a total of 30.0 Gy of WBRT given in 10 daily fractions of 3.0 Gy, excluding weekends and holidays.
veliparib and carboplatin and paclitaxelEXPERIMENTALVeliparib on Days 1-7 and carboplatin and paclitaxel on Day 3 of a 21 day cycle
placebo and carboplatin and paclitaxelPLACEBO_COMPARATORPlacebo on Days 1-7 and carboplatin and paclitaxel on Day 3 of a 21 day cycle
Veliparib with TemozolomideEXPERIMENTALVeliparib 40 mg twice daily (BID) Days 1 through 7 plus TMZ 150 to 200 mg/m\^2 QD Days 1 through 5 in each 28-day cycle.
Placebo with Carboplatin and PaclitaxelPLACEBO_COMPARATORPlacebo BID Days 1 through 7 plus carboplatin target area under the curve (mg•min/mL) (AUC) 6 administered on Day 3 of each 21-day cycle and paclitaxel 175 mg/m\^2 administered on Day 3 of each 21-day cycle.
veliparib (ABT-888)EXPERIMENTAL -
Phase 1: Veliparib + Carboplatin + EtoposideEXPERIMENTALParticipants in Phase 1 will be sequentially assigned to ascending dose levels of veliparib in combination with carboplatin/etoposide for up to four 21-day cycles. Participants without evidence of disease progression will continue on veliparib monotherapy at 400 mg BID continuous dosing (21-day cycles) until disease progression or unacceptable toxicity.
Phase 2: Veliparib + Carboplatin + Etoposide -> VeliparibEXPERIMENTALParticipants will receive veliparib 240 mg in combination with carboplatin/etoposide for four to six 21-day cycles followed by veliparib monotherapy at 400 mg BID continuous dosing (21-day cycles) until disease progression or unacceptable toxicity.
Phase 2: Veliparib + Carboplatin + Etoposide -> PlaceboEXPERIMENTALParticipants will receive veliparib 240 mg in combination with carboplatin/etoposide for four to six 21-day cycles followed by placebo monotherapy continuous dosing (21-day cycles) until disease progression or unacceptable toxicity occurs.
Phase 2: Placebo + Carboplatin + Etoposide -> PlaceboACTIVE_COMPARATORParticipants will receive placebo in combination with carboplatin/etoposide for four to six 21-day cycles followed by placebo monotherapy continuous dosing (21-day cycles) until disease progression or unacceptable toxicity occurs.
Arm A - Veliparib MonotherapyEXPERIMENTALSubjects in this arm will be dosed with Veliparib continuous dosing.
Arm B - Veliparib in Combination with Carboplatin & PaclitaxelEXPERIMENTALSubjects enrolled will receive Veliparib in combination with Carboplatin and Paclitaxel and have an option to move to Veliparib monotherapy.
Arm C Veliparib in Combination with Modified FOLFIRIEXPERIMENTALSubjects will be given Veliparib in combination with modified FOLFIRI. The subject will have the opportunity to receive Veliparib as monotherapy.
Sequence Group AEXPERIMENTAL200 mg Veliparib
Sequence Group BEXPERIMENTAL400 mg Veliparib
Sequence Group CPLACEBO_COMPARATORPlacebo
Veliparib formulation AEXPERIMENTALveliparib formulation A
Veliparib formulation BEXPERIMENTALVeliparib formulation B
Veliparib formulation CEXPERIMENTALveliparib formulation C
veliparib and capecitabine and radiationEXPERIMENTALVeliparib on days 1-7, capecitabine and radiation on days 1-5
Arm DEXPERIMENTAL -
Veliparib and FOLFIRIEXPERIMENTALVeliparib in combination with FOLFIRI regimen.
Arm 1EXPERIMENTAL -

Interventions

NameTypeDescription
PaclitaxelDRUGAdministered by Intravenous infusion on Day 1 of each 21-day cycle
CarboplatinDRUGAdministered by Intravenous infusion on Day 1 of each 21-day cycle
CisplatinDRUGAdministered by Intravenous infusion on Day 1 of each 21-day cycle
VeliparibDRUGOral capsule, administered twice daily for 7 days in each 21-day cycle
PemetrexedDRUGAdministered by Intravenous infusion on Day 1 of each 21-day cycle
Placebo to veliparibDRUGCapsules taken orally twice a day, 12 hours apart.
Veliparib PlaceboDRUGSupplied as 40 mg, 50 mg, or 100 mg capsules for oral administration twice daily (BID) on Days -2 through 5 of a 21-day cycle.
CyclophosphamideDRUGCyclophosphamide
PlaceboDRUGPlacebo for Carboplatin
DoxorubicinDRUGDoxorubicin
Modified FOLFIRIDRUGIrinotecan 180 mg/m\^2 (90-minute infusion ± 30 minutes); leucovorin 400 mg/m\^2 (90-minute infusion ± 30 minutes); and saline bolus (up to 15-minute infusion) on Day 1 of each 14-day cycle
FOLFIRIDRUGIrinotecan 180 mg/m\^2 (90-minute infusion ± 30 minutes); leucovorin 400 mg/m\^2 (90-minute infusion ± 30 minutes); and fluorouracil bolus 400 mg/m\^2 (up to 15-minute infusion) on Day 1 of each 14-day cycle
BevacizumabDRUGAt the discretion of the Investigator, 5 mg/kg may be administered intravenously immediately preceding FOLFIRI dosing
Fluorouracil infusionDRUG2400 mg/m\^2 (46-hour continuous infusion ± 4 hours) starting on Day 1 of each 14-day cycle
Whole brain radiation therapyRADIATION30.0 grays (Gy) of WBRT given in 10 daily fractions of 3.0 Gy each, excluding weekends and holidays
TemozolomideDRUG -
EtoposideDRUGAdministered by intravenous infusion on Days 1 to 3 of every 21-day cycle over approximately 60 minutes at 100 mg/m².
veliparib (ABT-888)DRUGSubjects will be given veliparib twice daily on Days 1-28 every 28 days orally.
capecitabineDRUGsee arm description
radiationRADIATIONsee arm description
gemcitabineDRUGDosing on Days 1 and 8 of each Cycle, intravenously.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites140

Inclusion Criteria: * Subject must be ≥ 18 years of age with life expectancy \> 12 weeks. * Subject must have cytologically or histologically confirmed advanced or metastatic non-squamous NSCLC and are current or former smokers. * Subject must have NSCLC that is not amenable to surgical resection o...

Countries:United StatesArgentinaAustraliaCanadaCzechiaDenmarkFinlandGermanyHungaryIsraelJapanNetherlandsNew ZealandRussiaSouth AfricaSouth KoreaSpainTaiwanTurkey (Türkiye)United KingdomAustriaBelarusBrazilCroatiaEgyptEstoniaFranceGreeceIrelandItalyLatviaLithuaniaMexicoNorwayPolandPortugalPuerto RicoSerbiaSlovakiaSwedenSwitzerlandUkraineBelgiumChileColombiaRomaniaSingapore
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Competitive Landscape -Breast Cancer 402 trials (matched to "Metastatic Breast Cancer")

Top 20 of 92 competitors

CompanyTickerTrialsLead PhaseDrugs
AstraZeneca PLCAZN47PHASE3Fulvestrant, Capivasertib
Merck & Co., Inc.MRK12PHASE3Pembrolizumab, Paclitaxel, Doxorubicin, Epirubicin, Cyclophosphamide
Eli Lilly and CompanyLLY27PHASE3Abemaciclib, Standard Adjuvant Endocrine Therapy
BioNTech SE Sponsored ADRBNTX7PHASE3DB-1303/BNT323, T-DM1
Gilead Sciences, Inc.GILD13PHASE3Sacituzumab Govitecan-hziy, Eribulin, Capecitabine Product, Gemcitabine, Vinorelbine
Novartis AG Sponsored ADRNVS30PHASE3Ribociclib
Pfizer Inc.PFE34PHASE3ARV-471, Fulvestrant
BeOne Medicines Ltd. Sponsored ADRONC5PHASE3BGB-43395, Letrozole, Abemaciclib, Palbociclib, Ribociclib
Olema Pharmaceuticals, Inc.OLMA5PHASE3Palazestrant, Fulvestrant, Anastrozole, Letrozole, Exemestane
Jazz Pharmaceuticals Public Limited CompanyJAZZ3PHASE3Zanidatamab, Trastuzumab, Eribulin, Vinorelbine, Gemcitabine
Celcuity Inc.CELC3PHASE3Gedatolisib, Palbociclib, Fulvestrant, Alpelisib
Relay Therapeutics, Inc.RLAY2PHASE3Zovegalisib, Capivasertib, Fulvestrant
GSK plc Sponsored ADRGSK2PHASE3Niraparib
Greenwich LifeSciences, Inc.GLSI1PHASE3GLSI-100
Bristol-Myers Squibb CompanyBMY5PHASE2Iza-bren, Nab-paclitaxel, Paclitaxel, Capecitabine, Carboplatin
BriaCell Therapeutics CorpBCTX2PHASE3SV-BR-1-GM, Cyclophosphamide, Interferon infiltration of the inoculation site, Retifanlimab, Treatment of Physician's Choice
Incyte CorporationINCY4PHASE2Ruxolitinib, Capecitabine, Regorafenib
Natera, Inc.NTRA3PHASE2Discontinuation of the anti-HER2 maintenance therapy
Puma Biotechnology, Inc.PBYI3PHASE2Neratinib, Loperamide, Colesevelam
Atossa Therapeutics, Inc.ATOS1PHASE2endoxifen, goserelin
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Frequently asked questions about Veliparib

What is Veliparib used for?

Veliparib is an investigational small molecule being studied for multiple oncology indications, including breast cancer, squamous non-small cell lung cancer, small cell lung cancer, untreated metastatic colorectal cancer, brain metastases from non-small cell lung cancer, and non-squamous non-small cell lung cancer. It is being developed by AbbVie Inc. (ABBV).

What does Veliparib target?

Veliparib is a poly-ADP ribose polymerase (PARP) inhibitor. It is being studied in combination with chemotherapy regimens such as FOLFIRI, carboplatin and paclitaxel, and carboplatin and etoposide across various solid tumors.

Who makes Veliparib?

Veliparib is being developed by AbbVie Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker ABBV. The drug is currently in clinical development and has not been approved for any indication.

What phase is Veliparib in?

Veliparib is in Phase 2 clinical development. It has completed two trials, including a Phase 3 study in non-squamous non-small cell lung cancer and a Phase 2 study in untreated metastatic colorectal cancer. The drug remains investigational and is not FDA approved.

What clinical trials is Veliparib in?

Veliparib has completed several clinical trials, including NCT01123876 (Phase 1, solid tumors), NCT02264990 (Phase 3, non-squamous NSCLC), NCT02289690 (Phase 1, small cell lung cancer), and NCT02305758 (Phase 2, metastatic colorectal cancer). All trials are completed with a total enrollment of 970 participants.

Is Veliparib the same as ABT-888?

Veliparib is also known by the code name ABT-888. It is a PARP inhibitor being studied for various cancers. The drug is not yet approved and is in clinical development by AbbVie.