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A Study Evaluating Efficacy of ABT-888 in Combination With Temozolomide in Metastatic Melanoma

A Randomized, Double-Blind, Placebo-Controlled, Phase 2 Study Evaluating the Efficacy of ABT-888 in Combination With Temozolomide Versus Temozolomide Alone in Subjects With Metastatic Melanoma

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00804908
Enrollment
346
Registered
2008-12-09
Start date
2009-02-28
Completion date
2016-01-31
Last updated
2018-06-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Melanoma, Metastatic Melanoma, Skin Cancer

Keywords

Temozolomide, Skin cancer, Melanoma, Metastatic Melanoma, ABT-888, MM

Brief summary

The purpose of this study is to evaluate the efficacy of ABT-888 in combination with temozolomide versus temozolomide alone in subjects with metastatic melanoma.

Interventions

ABT-888 capsule administered orally twice daily for 7 days every 28 days

DRUGtemozolomide

temozolomide capsule administered orally once daily for 5 days every 28 days

OTHERPlacebo

Placebo for ABT-888 capsule administered orally twice daily for 7 days every 28 days

Sponsors

AbbVie (prior sponsor, Abbott)
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Histologically (or cytologically) confirmed metastatic melanoma. * Unresectable Stage III or Stage IV metastatic melanoma. * Measurable disease by Response Evaluation Criteria in Solid Tumors (RECIST) criteria. * Subjects with no history of brain metastases demonstrated by a baseline MRI, or subjects with a history of previously treated brain metastases who have history of operable/SRS treatable brain metastases and completed surgical resection/stereotactic radiosurgery with or without adjuvant whole brain radiation at least 28 days prior to Day 1; have baseline MRI that shows no evidence of active intercranial disease; have discontinued taking medications for symptom management of brain metastases at least 7 days prior to Day 1 * 28 days since prior anti-cancer therapy. * Eastern Cooperative Oncology Group (ECOG) Performance Score of 0-1. * Adequate hematologic, renal and hepatic function. * Partial Thromboplastin Time (PTT) is \<= 1.5 x upper normal limit of institution's normal range and international normalized ratio (INR) \< 1.5. * Subject's with significant fluid retention may be allowed at the discretion of the investigator. * Life expectancy \> 12 weeks. * Females must not be pregnant. * Voluntarily signed informed consent.

Exclusion criteria

* Lactate Dehydrogenase (LDH) \> 2 x Upper Limit of Normal (ULN). * Ocular malignant melanoma. * History of central nervous system metastases or leptomeningeal disease. * Prior treatment with Dacarbazine (DTIC) or Temozolomide (TMZ). * Prior DNA damaging agents or cytotoxic chemotherapy. * Prior Whole Brain Radiation Therapy (with exceptions). * Received an investigational agent within 28 days of study. * History of seizure disorder and/or taking medication for seizure disorder. * Active malignancy within the past 5 years, except cervical cancer in situ, in situ carcinoma of the bladder or non-melanoma carcinoma of the skin. * Medical condition that would cause a high risk for toxicities.

Design outcomes

Primary

MeasureTime frameDescription
Progression-Free Survival (PFS): Time to EventEvery Cycle (28 Days) until disease progression was observed or another reason for discontinuation of assessments was identified by the investigator. The maximum observed followup duration at the progression-free survival analysis time was 9.7 months.PFS: the number of days from the date that the participant was randomized to the date the participant experienced a confirmed event of disease progression (radiological, as determined by the central imaging center; or clinical, as determined by the investigator), or to the date of death (all causes of mortality) if disease progression was not reached. All events were included whether the participant was still taking or had discontinued study drug. Events of death were included for participants who had not experienced a confirmed event of disease progression, provided the death occurred within 8 weeks of the last available disease progression assessment. The distribution of PFS, as determined by the central imaging center (radiological)/ investigator (clinical), was estimated for each treatment group using Kaplan-Meier methodology. Point estimates and 95% confidence intervals (95% CIs) for the quartiles for the PFS distribution are provided.

Secondary

MeasureTime frameDescription
12-Month Overall Survival (OS) RatePer protocol, survival was to be assessed every 4 weeks or as needed after participant is registered as off-study for up to 18 months. The maximum observed follow-up at the overall survival analysis time was 21.0 months.The 12-month overall survival rate was defined as the percentage of participants surviving at 12 months. The distribution of 12-month OS rate was estimated using Kaplan-Meier methodology. Point estimates and 95% CIs for the quartiles for the PFS distribution are provided. Per protocol, because neither the ABT-888 20 mg BID + TMZ nor ABT-888 40 mg BID + TMZ treatment groups were statistically significantly better than the Placebo + TMZ treatment group for the primary endpoint of PFS, confirmatory statistical testing was not continued for any secondary endpoints, regardless of the observed P values.
6-month Progression-Free Survival RateEvery Cycle (28 Days) until disease progression was observed or another reason for discontinuation of assessments was identified by the investigator. The maximum observed followup duration at the progression-free survival analysis time was 9.7 months.The 6-month progression-free survival rate was defined as the percentage of participants without disease progression at 6 months.The distribution of 6-month progression-free survival rate, as determined by the central imaging center (radiological)/ investigator (clinical), was estimated using Kaplan-Meier methodology. Point estimates and 95% CIs for the quartiles for the PFS distribution are provided. Per protocol, because neither the ABT-888 20 mg BID + TMZ nor ABT-888 40 mg BID + TMZ treatment groups were statistically significantly better than the Placebo + TMZ treatment group for the primary endpoint of PFS, confirmatory statistical testing was not continued for any secondary endpoints, regardless of the observed P values.
Objective Response RateEvery 2 cycles (8 weeks) until disease progression was observed or another reason for discontinuation of assessments was identified by the investigator. The maximum observed followup duration at the progression-free survival analysis time was 9.7 months.The objective response rate was defined as the percentage of participants with a confirmed CR or PR per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by computed tomography (CT) scan: complete response (CR), disappearance of all target lesions; partial response (PR), ≥30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. Per protocol, because neither the ABT-888 20 mg BID + TMZ nor ABT-888 40 mg BID + TMZ treatment groups were statistically significantly better than the Placebo + TMZ treatment group for the primary endpoint of PFS, confirmatory statistical testing was not continued for any secondary endpoints, regardless of the observed P values.
Overall Survival (OS): Time to EventPer protocol, survival follow-up information was to be obtained every 3 months for up to 18 months after the final visit for the subject. The maximum observed follow-up at the overall survival analysis time was 21.0 months.OS was defined as the number of days from the date the participant was randomized to the date of death. All deaths were included, whether the participant was still taking or had discontinued study drug. If a participant had not died and was lost to follow-up, then data were censored at the last study visit or contact date, or date the participant was last known to be alive, whichever was later; if the participant was not lost to follow-up, then data were censored at the last study visit or contact date, whichever was later. The distribution of OS was estimated for each treatment group using Kaplan-Meier methodology. Point estimates and 95% CIs for the quartiles for the OS distribution are provided. Per protocol, because neither the ABT-888 20 mg BID + TMZ nor ABT-888 40 mg BID + TMZ groups were statistically significantly better than the Placebo + TMZ group for the primary endpoint of PFS, confirmatory statistical testing was not continued for any secondary endpoints.
Disease Control RateWeek 8The disease control rate was defined as the percentage of participants who had at least stable disease (complete response, partial response, or stable disease) through the end of Week 8. Per protocol, because neither the ABT-888 20 mg BID + TMZ nor ABT-888 40 mg BID + TMZ treatment groups were statistically significantly better than the Placebo + TMZ treatment group for the primary endpoint of PFS, confirmatory statistical testing was not continued for any secondary endpoints, regardless of the observed P values.
Time to Neurological/Brain Metastases ProgressionEvery 2 cycles (8 weeks) until disease progression was observed or another reason for discontinuation of assessments was identified by the investigator. The maximum observed followup duration at the progression-free survival analysis time was 9.7 months.Time to neurological/brain metastases progression, defined as the number of days from the date of randomization to the date the participant experienced an event of neurological/brain metastases progression, was estimated using Kaplan-Meier methodology. Point estimates and 95% CIs for the quartiles for the distribution are provided. All events of progression were included, regardless of whether the event occurred while the participant was still taking study drug. If a participant did not experience an event, data were censored at the date of the last available brain CT scan. For participants with no postbaseline brain CT scans, data were censored at randomization. Per protocol, because neither the ABT-888 20 mg BID + TMZ nor ABT-888 40 mg BID + TMZ groups were statistically significantly better than the Placebo + TMZ group for the primary endpoint of PFS, confirmatory statistical testing was not continued for any secondary endpoints, regardless of the observed P values.
Time to Disease ProgressionEvery Cycle (28 Days), until disease progression was observed or another reason for discontinuation of assessments was identified by the investigator. The maximum observed followup duration at the progression-free survival analysis time was 9.7 months.The distribution of time to disease progression, as determined by the central imaging center (radiological)/ investigator (clinical), was estimated for each treatment group using Kaplan-Meier methodology. Point estimates and 95% CIs for the quartiles for the PFS distribution are provided. Per protocol, because neither the ABT-888 20 mg BID + TMZ nor ABT-888 40 mg BID + TMZ treatment groups were statistically significantly better than the Placebo + TMZ treatment group for the primary endpoint of PFS, confirmatory statistical testing was not continued for any secondary endpoints, regardless of the observed P values.

Participant flow

Pre-assignment details

A total of 346 subjects were randomized; 2 subjects did not receive study drug and were excluded from the safety analysis.

Participants by arm

ArmCount
Placebo for ABT-888 BID + TMZ QD
Placebo for ABT-888 twice daily (BID) for 7 days every 28 days plus temozolomide (TMZ; by body surface area) 150 mg/m2 once daily (QD) for 5 days every 28 days.
115
ABT-888 20 mg BID + TMZ QD
ABT-888 20 mg twice daily (BID) for 7 days every 28 days plus temozolomide (TMZ; by body surface area) 150 mg/m2 once daily (QD) for 5 days every 28 days.
116
ABT-888 40 mg BID + TMZ QD
ABT-888 40 mg twice daily (BID) for 7 days every 28 days plus temozolomide (TMZ; by body surface area) 150 mg/m2 once daily (QD) for 5 days every 28 days.
115
Total346

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyOther115116114

Baseline characteristics

CharacteristicPlacebo for ABT-888 BID + TMZ QDABT-888 20 mg BID + TMZ QDABT-888 40 mg BID + TMZ QDTotal
Age, Continuous58.4 years
STANDARD_DEVIATION 14.13
58.6 years
STANDARD_DEVIATION 12.55
62.3 years
STANDARD_DEVIATION 13.5
59.8 years
STANDARD_DEVIATION 13.49
Sex: Female, Male
Female
36 Participants45 Participants38 Participants119 Participants
Sex: Female, Male
Male
79 Participants71 Participants77 Participants227 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
112 / 113116 / 116113 / 115
serious
Total, serious adverse events
28 / 11327 / 11631 / 115

Outcome results

Primary

Progression-Free Survival (PFS): Time to Event

PFS: the number of days from the date that the participant was randomized to the date the participant experienced a confirmed event of disease progression (radiological, as determined by the central imaging center; or clinical, as determined by the investigator), or to the date of death (all causes of mortality) if disease progression was not reached. All events were included whether the participant was still taking or had discontinued study drug. Events of death were included for participants who had not experienced a confirmed event of disease progression, provided the death occurred within 8 weeks of the last available disease progression assessment. The distribution of PFS, as determined by the central imaging center (radiological)/ investigator (clinical), was estimated for each treatment group using Kaplan-Meier methodology. Point estimates and 95% confidence intervals (95% CIs) for the quartiles for the PFS distribution are provided.

Time frame: Every Cycle (28 Days) until disease progression was observed or another reason for discontinuation of assessments was identified by the investigator. The maximum observed followup duration at the progression-free survival analysis time was 9.7 months.

Population: ITT population defined as all randomized participants.

ArmMeasureGroupValue (NUMBER)
Placebo for ABT-888 BID + TMZ QDProgression-Free Survival (PFS): Time to Event50th Percentile60 days
Placebo for ABT-888 BID + TMZ QDProgression-Free Survival (PFS): Time to Event25th Percentile54 days
Placebo for ABT-888 BID + TMZ QDProgression-Free Survival (PFS): Time to Event75th Percentile163 days
ABT-888 20 mg BID + TMZ QDProgression-Free Survival (PFS): Time to Event50th Percentile113 days
ABT-888 20 mg BID + TMZ QDProgression-Free Survival (PFS): Time to Event25th Percentile56 days
ABT-888 20 mg BID + TMZ QDProgression-Free Survival (PFS): Time to Event75th Percentile225 days
ABT-888 40 mg BID + TMZ QDProgression-Free Survival (PFS): Time to Event25th Percentile53 days
ABT-888 40 mg BID + TMZ QDProgression-Free Survival (PFS): Time to Event75th Percentile226 days
ABT-888 40 mg BID + TMZ QDProgression-Free Survival (PFS): Time to Event50th Percentile110 days
Comparison: Comparisons between treatment groups were performed using a Comparisons between treatment groups were performed using a log-rank test stratified by baseline lactate dehydrogenase (LDH) status (0 to 1 ULN; \>1 to ≤ 2 ULN) and history of previously treated brain metastases (with, without). Hochberg testing procedure for multiplicity adjustment.p-value: =0.071Stratified log-rank
Comparison: Comparisons between treatment groups were performed using a Comparisons between treatment groups were performed using a log-rank test stratified by baseline lactate dehydrogenase (LDH) status (0 to 1 ULN; \>1 to ≤ 2 ULN) and history of previously treated brain metastases (with, without). Hochberg testing procedure for multiplicity adjustment.p-value: =0.233Stratified log-rank
Secondary

12-Month Overall Survival (OS) Rate

The 12-month overall survival rate was defined as the percentage of participants surviving at 12 months. The distribution of 12-month OS rate was estimated using Kaplan-Meier methodology. Point estimates and 95% CIs for the quartiles for the PFS distribution are provided. Per protocol, because neither the ABT-888 20 mg BID + TMZ nor ABT-888 40 mg BID + TMZ treatment groups were statistically significantly better than the Placebo + TMZ treatment group for the primary endpoint of PFS, confirmatory statistical testing was not continued for any secondary endpoints, regardless of the observed P values.

Time frame: Per protocol, survival was to be assessed every 4 weeks or as needed after participant is registered as off-study for up to 18 months. The maximum observed follow-up at the overall survival analysis time was 21.0 months.

Population: ITT population defined as all randomized participants.

ArmMeasureValue (NUMBER)
Placebo for ABT-888 BID + TMZ QD12-Month Overall Survival (OS) Rate52.6 percentage of participants
ABT-888 20 mg BID + TMZ QD12-Month Overall Survival (OS) Rate43.5 percentage of participants
ABT-888 40 mg BID + TMZ QD12-Month Overall Survival (OS) Rate54.1 percentage of participants
Secondary

6-month Progression-Free Survival Rate

The 6-month progression-free survival rate was defined as the percentage of participants without disease progression at 6 months.The distribution of 6-month progression-free survival rate, as determined by the central imaging center (radiological)/ investigator (clinical), was estimated using Kaplan-Meier methodology. Point estimates and 95% CIs for the quartiles for the PFS distribution are provided. Per protocol, because neither the ABT-888 20 mg BID + TMZ nor ABT-888 40 mg BID + TMZ treatment groups were statistically significantly better than the Placebo + TMZ treatment group for the primary endpoint of PFS, confirmatory statistical testing was not continued for any secondary endpoints, regardless of the observed P values.

Time frame: Every Cycle (28 Days) until disease progression was observed or another reason for discontinuation of assessments was identified by the investigator. The maximum observed followup duration at the progression-free survival analysis time was 9.7 months.

Population: ITT population defined as all randomized participants.

ArmMeasureValue (NUMBER)
Placebo for ABT-888 BID + TMZ QD6-month Progression-Free Survival Rate19.1 percentage of participants
ABT-888 20 mg BID + TMZ QD6-month Progression-Free Survival Rate32.8 percentage of participants
ABT-888 40 mg BID + TMZ QD6-month Progression-Free Survival Rate30.7 percentage of participants
Secondary

Disease Control Rate

The disease control rate was defined as the percentage of participants who had at least stable disease (complete response, partial response, or stable disease) through the end of Week 8. Per protocol, because neither the ABT-888 20 mg BID + TMZ nor ABT-888 40 mg BID + TMZ treatment groups were statistically significantly better than the Placebo + TMZ treatment group for the primary endpoint of PFS, confirmatory statistical testing was not continued for any secondary endpoints, regardless of the observed P values.

Time frame: Week 8

Population: ITT population defined as all randomized participants.

ArmMeasureValue (NUMBER)
Placebo for ABT-888 BID + TMZ QDDisease Control Rate48.7 percentage of participants
ABT-888 20 mg BID + TMZ QDDisease Control Rate62.9 percentage of participants
ABT-888 40 mg BID + TMZ QDDisease Control Rate59.1 percentage of participants
Secondary

Objective Response Rate

The objective response rate was defined as the percentage of participants with a confirmed CR or PR per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by computed tomography (CT) scan: complete response (CR), disappearance of all target lesions; partial response (PR), ≥30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. Per protocol, because neither the ABT-888 20 mg BID + TMZ nor ABT-888 40 mg BID + TMZ treatment groups were statistically significantly better than the Placebo + TMZ treatment group for the primary endpoint of PFS, confirmatory statistical testing was not continued for any secondary endpoints, regardless of the observed P values.

Time frame: Every 2 cycles (8 weeks) until disease progression was observed or another reason for discontinuation of assessments was identified by the investigator. The maximum observed followup duration at the progression-free survival analysis time was 9.7 months.

Population: All subjects in the ITT population (defined as all randomized participants) with measurable disease.

ArmMeasureValue (NUMBER)
Placebo for ABT-888 BID + TMZ QDObjective Response Rate7.0 percentage of participants
ABT-888 20 mg BID + TMZ QDObjective Response Rate10.3 percentage of participants
ABT-888 40 mg BID + TMZ QDObjective Response Rate9.6 percentage of participants
Secondary

Overall Survival (OS): Time to Event

OS was defined as the number of days from the date the participant was randomized to the date of death. All deaths were included, whether the participant was still taking or had discontinued study drug. If a participant had not died and was lost to follow-up, then data were censored at the last study visit or contact date, or date the participant was last known to be alive, whichever was later; if the participant was not lost to follow-up, then data were censored at the last study visit or contact date, whichever was later. The distribution of OS was estimated for each treatment group using Kaplan-Meier methodology. Point estimates and 95% CIs for the quartiles for the OS distribution are provided. Per protocol, because neither the ABT-888 20 mg BID + TMZ nor ABT-888 40 mg BID + TMZ groups were statistically significantly better than the Placebo + TMZ group for the primary endpoint of PFS, confirmatory statistical testing was not continued for any secondary endpoints.

Time frame: Per protocol, survival follow-up information was to be obtained every 3 months for up to 18 months after the final visit for the subject. The maximum observed follow-up at the overall survival analysis time was 21.0 months.

Population: ITT population defined as all randomized participants.

ArmMeasureGroupValue (NUMBER)
Placebo for ABT-888 BID + TMZ QDOverall Survival (OS): Time to Event50th percentile390 days
Placebo for ABT-888 BID + TMZ QDOverall Survival (OS): Time to Event25th Percentile207 days
Placebo for ABT-888 BID + TMZ QDOverall Survival (OS): Time to Event75th percentile559 days
ABT-888 20 mg BID + TMZ QDOverall Survival (OS): Time to Event50th percentile327 days
ABT-888 20 mg BID + TMZ QDOverall Survival (OS): Time to Event25th Percentile204 days
ABT-888 20 mg BID + TMZ QDOverall Survival (OS): Time to Event75th percentileNA days
ABT-888 40 mg BID + TMZ QDOverall Survival (OS): Time to Event25th Percentile181 days
ABT-888 40 mg BID + TMZ QDOverall Survival (OS): Time to Event75th percentileNA days
ABT-888 40 mg BID + TMZ QDOverall Survival (OS): Time to Event50th percentile412 days
Secondary

Time to Disease Progression

The distribution of time to disease progression, as determined by the central imaging center (radiological)/ investigator (clinical), was estimated for each treatment group using Kaplan-Meier methodology. Point estimates and 95% CIs for the quartiles for the PFS distribution are provided. Per protocol, because neither the ABT-888 20 mg BID + TMZ nor ABT-888 40 mg BID + TMZ treatment groups were statistically significantly better than the Placebo + TMZ treatment group for the primary endpoint of PFS, confirmatory statistical testing was not continued for any secondary endpoints, regardless of the observed P values.

Time frame: Every Cycle (28 Days), until disease progression was observed or another reason for discontinuation of assessments was identified by the investigator. The maximum observed followup duration at the progression-free survival analysis time was 9.7 months.

Population: ITT population defined as all randomized participants.

ArmMeasureGroupValue (NUMBER)
Placebo for ABT-888 BID + TMZ QDTime to Disease Progression50th percentile60 days
Placebo for ABT-888 BID + TMZ QDTime to Disease Progression25th Percentile54 days
Placebo for ABT-888 BID + TMZ QDTime to Disease Progression75th percentile163 days
ABT-888 20 mg BID + TMZ QDTime to Disease Progression50th percentile113 days
ABT-888 20 mg BID + TMZ QDTime to Disease Progression25th Percentile56 days
ABT-888 20 mg BID + TMZ QDTime to Disease Progression75th percentile225 days
ABT-888 40 mg BID + TMZ QDTime to Disease Progression25th Percentile53 days
ABT-888 40 mg BID + TMZ QDTime to Disease Progression75th percentile226 days
ABT-888 40 mg BID + TMZ QDTime to Disease Progression50th percentile110 days
Secondary

Time to Neurological/Brain Metastases Progression

Time to neurological/brain metastases progression, defined as the number of days from the date of randomization to the date the participant experienced an event of neurological/brain metastases progression, was estimated using Kaplan-Meier methodology. Point estimates and 95% CIs for the quartiles for the distribution are provided. All events of progression were included, regardless of whether the event occurred while the participant was still taking study drug. If a participant did not experience an event, data were censored at the date of the last available brain CT scan. For participants with no postbaseline brain CT scans, data were censored at randomization. Per protocol, because neither the ABT-888 20 mg BID + TMZ nor ABT-888 40 mg BID + TMZ groups were statistically significantly better than the Placebo + TMZ group for the primary endpoint of PFS, confirmatory statistical testing was not continued for any secondary endpoints, regardless of the observed P values.

Time frame: Every 2 cycles (8 weeks) until disease progression was observed or another reason for discontinuation of assessments was identified by the investigator. The maximum observed followup duration at the progression-free survival analysis time was 9.7 months.

Population: ITT population defined as all randomized participants.

ArmMeasureGroupValue (NUMBER)
Placebo for ABT-888 BID + TMZ QDTime to Neurological/Brain Metastases Progression50th percentileNA days
Placebo for ABT-888 BID + TMZ QDTime to Neurological/Brain Metastases Progression25th Percentile60 days
Placebo for ABT-888 BID + TMZ QDTime to Neurological/Brain Metastases Progression75th percentileNA days
ABT-888 20 mg BID + TMZ QDTime to Neurological/Brain Metastases Progression50th percentileNA days
ABT-888 20 mg BID + TMZ QDTime to Neurological/Brain Metastases Progression25th Percentile119 days
ABT-888 20 mg BID + TMZ QDTime to Neurological/Brain Metastases Progression75th percentileNA days
ABT-888 40 mg BID + TMZ QDTime to Neurological/Brain Metastases Progression25th Percentile184 days
ABT-888 40 mg BID + TMZ QDTime to Neurological/Brain Metastases Progression75th percentileNA days
ABT-888 40 mg BID + TMZ QDTime to Neurological/Brain Metastases Progression50th percentile184 days

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026