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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

A Randomized, Open-Label, Multicenter, Phase 3 Trial Comparing Veliparib Plus Carboplatin and Paclitaxel Versus Investigator's Choice of Standard Chemotherapy in Subjects Receiving First Cytotoxic Chemotherapy for Metastatic or Advanced Non-Squamous Non-Small Cell Lung Cancer (NSCLC) and Who Are Current or Former Smokers

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02264990
Enrollment
595
Registered
2014-10-15
Start date
2014-09-30
Completion date
2020-02-21
Last updated
2021-02-26

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

Conditions

Non-squamous Non-small Cell Lung Cancer

Keywords

veliparib, carboplatin, paclitaxel, cisplatin, pemetrexed, Poly Adenosine diphosphate (ADP)-ribose Polymerase (PARP), Metastatic, Non-squamous, Non-small cell lung cancer

Brief summary

The purpose of this study is to evaluate the safety and efficacy of veliparib plus carboplatin and paclitaxel versus the Investigator's choice of standard chemotherapy in adults with metastatic or advanced non-squamous non-small cell lung cancer.

Interventions

DRUGPaclitaxel

Administered by Intravenous infusion on Day 1 of each 21-day cycle

DRUGCarboplatin

Administered by Intravenous infusion on Day 1 of each 21-day cycle

DRUGCisplatin

Administered by Intravenous infusion on Day 1 of each 21-day cycle

DRUGVeliparib

Oral capsule, administered twice daily for 7 days in each 21-day cycle

DRUGPemetrexed

Administered by Intravenous infusion on Day 1 of each 21-day cycle

Sponsors

AbbVie
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

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 or radiation with curative intent at time of screening. * Subject must have at least 1 unidimensional measurable NSCLC lesion on a computed tomography (CT) scan as defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.

Exclusion criteria

* Subject has a known hypersensitivity to paclitaxel or to other drugs formulated with polyethoxylated castor oil (Cremophor). * Subject has a known hypersensitivity to platinum compounds. * Subject has peripheral neuropathy ≥ grade 2. * Subject has squamous NSCLC, or an untreated known epidermal growth factor receptor (EGFR) mutation of exon 19 deletion or L858R mutation in exon 21, or a known anaplastic lymphoma kinase (ALK) gene rearrangement. * Subject has received prior cytotoxic chemotherapy or chemoradiotherapy for NSCLC.

Design outcomes

Primary

MeasureTime frameDescription
Overall Survival (OS) in the Lung Subtype Panel Positive SubgroupFrom 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.

Secondary

MeasureTime frameDescription
Progression Free Survival (PFS) in the Lung Subtype Panel Positive SubgroupFrom 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.Progression-free survival is defined as the time from the date of randomization to the date of disease progression (PD) per Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1 or death (all causes of mortality), whichever occurred first. PD: At least a 20% increase in the size of target lesions, taking as reference the smallest size recorded since the treatment started (Baseline or after) with an absolute increase of at least 5 mm, the appearance of one or more new lesions, or unequivocal progression of existing non-target lesions. PFS was estimated using Kaplan-Meier methodology. Participants who did not have an event of disease progression or had not died on or before the cutoff date were censored at the date of their last disease progression assessment on or before the cut-off date. Any PD and death occurring \> 26 weeks and \> 12 weeks after the previous assessment, respectively, were excluded and patients were censored at last assessment before PD or death.
Objective Response Rate (ORR) in the Lung Subtype Panel Positive SubgroupAssessed 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.Objective response rate is defined as the percentage of participants with a complete response (CR) or partial response (PR) per Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1 criteria. Response must have been confirmed at a consecutive assessment 28 days or more after the assessment at which response was first observed. CR: The disappearance of all target and non-target lesions and no new lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the Baseline sum diameters, persistence of one or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits, or any new lesions.
Overall Survival in All ParticipantsFrom 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.Overall survival is defined as the time from the date that the participant was randomized to the date of the participant's death. OS 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.
Progression Free Survival (PFS) in All ParticipantsFrom randomization up to the data cut-off date of 15 July 2019; the median 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.Progression-free survival is defined as the time from the date of randomization to the date of disease progression (PD) per RECIST version 1.1 or death (all causes of mortality), whichever occurred first. PD: At least a 20% increase in the size of target lesions, taking as reference the smallest size recorded since the treatment started (Baseline or after) with an absolute increase of at least 5 mm, the appearance of one or more new lesions, or unequivocal progression of existing non-target lesions. PFS was estimated using Kaplan-Meier methodology. Participants who did not have an event of disease progression or had not died on or before the cut-off date were censored at the date of their last disease progression assessment on or before the cut-off date. Any PD and death occurring \> 26 weeks and \> 12 weeks after the previous assessment, respectively, were excluded and patients were censored at last assessment before PD or death.
Objective Response Rate (ORR) in All ParticipantsAssessed 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 6.7 and 5.9 months in each group, respectively.Objective response rate is defined as the percentage of participants with a complete response (CR) or partial response (PR) per RECIST version 1.1 criteria. Response must have been confirmed at a consecutive assessment 28 days or more after the assessment at which response was first observed. CR: The disappearance of all target and non-target lesions and no new lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the Baseline sum diameters, persistence of one or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits, or any new lesions.

Countries

Argentina, Australia, Canada, Czechia, Denmark, Finland, Germany, Hungary, Israel, Japan, Netherlands, New Zealand, Russia, South Africa, South Korea, Spain, Taiwan, Turkey (Türkiye), United Kingdom, United States

Participant flow

Recruitment details

Participants were enrolled at 131 sites in 20 countries (Argentina, Australia, Canada, Czech Republic, Denmark, Finland, Germany, Hungary, Israel, Japan, South Korea, Netherlands, New Zealand, Russian Federation, South Africa, Spain, Taiwan, Turkey, United Kingdom, and United States).

Pre-assignment details

Participants were randomized in a 1:1 ratio to veliparib in combination with carboplatin and paclitaxel (C/P) or investigator's choice of platinum doublet chemotherapy. Randomization was stratified by smoking status (current versus former), by the investigators' preferred platinum doublet therapy (carboplatin/paclitaxel versus cisplatin/pemetrexed versus carboplatin/pemetrexed), by gender (male versus female) and by Eastern Cooperative Oncology Group (ECOG) performance status (0 versus 1).

Participants by arm

ArmCount
Investigator's Choice Chemotherapy
Participants 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.
297
Veliparib + Carboplatin + Paclitaxel
Participants received 120 mg veliparib BID on Days -2 to 5 (7 days), carboplatin at an 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.
298
Total595

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyDeath255250
Overall StudyLost to Follow-up13
Overall StudyOther01
Overall StudyWithdrawal by Subject45

Baseline characteristics

CharacteristicInvestigator's Choice ChemotherapyVeliparib + Carboplatin + PaclitaxelTotal
Age, Continuous63.1 years
STANDARD_DEVIATION 8.99
62.7 years
STANDARD_DEVIATION 9.02
62.9 years
STANDARD_DEVIATION 9
Age, Customized
< 65 years
153 Participants163 Participants316 Participants
Age, Customized
≥ 65 years
144 Participants135 Participants279 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
Grade 0 (fully active)
113 Participants116 Participants229 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
Grade 1 (restricted but ambulatory)
184 Participants182 Participants366 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
22 Participants26 Participants48 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
275 Participants272 Participants547 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Investigators' Preferred Platinum Doublet Therapy
Carboplatin/paclitaxel
71 Participants70 Participants141 Participants
Investigators' Preferred Platinum Doublet Therapy
Carboplatin/pemetrexed
131 Participants128 Participants259 Participants
Investigators' Preferred Platinum Doublet Therapy
Cisplatin/pemetrexed
95 Participants100 Participants195 Participants
Lung Subtype Panel (LSP) Assay Results
LSP negative
53 Participants74 Participants127 Participants
Lung Subtype Panel (LSP) Assay Results
LSP positive
40 Participants40 Participants80 Participants
Race/Ethnicity, Customized
Asian
53 Participants57 Participants110 Participants
Race/Ethnicity, Customized
Black
11 Participants11 Participants22 Participants
Race/Ethnicity, Customized
Other
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
White
233 Participants229 Participants462 Participants
Region
Eastern Europe/Russia
68 Participants88 Participants156 Participants
Region
Japan
37 Participants35 Participants72 Participants
Region
Other Asian
15 Participants18 Participants33 Participants
Region
US and Western Europe and Australia and Canada
177 Participants157 Participants334 Participants
Sex: Female, Male
Female
90 Participants92 Participants182 Participants
Sex: Female, Male
Male
207 Participants206 Participants413 Participants
Smoking Status
Current smoker
153 Participants152 Participants305 Participants
Smoking Status
Past smoker
144 Participants146 Participants290 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
255 / 297250 / 298
other
Total, other adverse events
269 / 288275 / 293
serious
Total, serious adverse events
98 / 288121 / 293

Outcome results

Primary

Overall Survival (OS) in the Lung Subtype Panel Positive Subgroup

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.

Time frame: 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.

Population: Participants in the ITT population who were LSP positive (LSP+)

ArmMeasureValue (MEDIAN)
Investigator's Choice ChemotherapyOverall Survival (OS) in the Lung Subtype Panel Positive Subgroup9.2 months
Veliparib + Carboplatin + PaclitaxelOverall Survival (OS) in the Lung Subtype Panel Positive Subgroup11.2 months
p-value: 0.11395% CI: [0.396, 1.048]Log Rank
Secondary

Objective Response Rate (ORR) in All Participants

Objective response rate is defined as the percentage of participants with a complete response (CR) or partial response (PR) per RECIST version 1.1 criteria. Response must have been confirmed at a consecutive assessment 28 days or more after the assessment at which response was first observed. CR: The disappearance of all target and non-target lesions and no new lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the Baseline sum diameters, persistence of one or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits, or any new lesions.

Time frame: 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 6.7 and 5.9 months in each group, respectively.

Population: Participants in the ITT population

ArmMeasureValue (NUMBER)
Investigator's Choice ChemotherapyObjective Response Rate (ORR) in All Participants29.0 percentage of participants
Veliparib + Carboplatin + PaclitaxelObjective Response Rate (ORR) in All Participants26.2 percentage of participants
p-value: 0.40995% CI: [0.59, 1.24]Regression, Logistic
Secondary

Objective Response Rate (ORR) in the Lung Subtype Panel Positive Subgroup

Objective response rate is defined as the percentage of participants with a complete response (CR) or partial response (PR) per Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1 criteria. Response must have been confirmed at a consecutive assessment 28 days or more after the assessment at which response was first observed. CR: The disappearance of all target and non-target lesions and no new lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \< 10 mm. PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the Baseline sum diameters, persistence of one or more non-target lesion(s) and/or maintenance of tumor marker level above the normal limits, or any new lesions.

Time frame: 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.

Population: Participants in the ITT population who were LSP positive

ArmMeasureValue (NUMBER)
Investigator's Choice ChemotherapyObjective Response Rate (ORR) in the Lung Subtype Panel Positive Subgroup30.0 percentage of participants
Veliparib + Carboplatin + PaclitaxelObjective Response Rate (ORR) in the Lung Subtype Panel Positive Subgroup22.5 percentage of participants
p-value: 0.45595% CI: [0.23, 1.9]Regression, Logistic
Secondary

Overall Survival in All Participants

Overall survival is defined as the time from the date that the participant was randomized to the date of the participant's death. OS 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.

Time frame: 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.

Population: Participants in the ITT population

ArmMeasureValue (MEDIAN)
Investigator's Choice ChemotherapyOverall Survival in All Participants12.1 months
Veliparib + Carboplatin + PaclitaxelOverall Survival in All Participants12.1 months
p-value: 0.84695% CI: [0.827, 1.176]Log Rank
Secondary

Progression Free Survival (PFS) in All Participants

Progression-free survival is defined as the time from the date of randomization to the date of disease progression (PD) per RECIST version 1.1 or death (all causes of mortality), whichever occurred first. PD: At least a 20% increase in the size of target lesions, taking as reference the smallest size recorded since the treatment started (Baseline or after) with an absolute increase of at least 5 mm, the appearance of one or more new lesions, or unequivocal progression of existing non-target lesions. PFS was estimated using Kaplan-Meier methodology. Participants who did not have an event of disease progression or had not died on or before the cut-off date were censored at the date of their last disease progression assessment on or before the cut-off date. Any PD and death occurring \> 26 weeks and \> 12 weeks after the previous assessment, respectively, were excluded and patients were censored at last assessment before PD or death.

Time frame: From randomization up to the data cut-off date of 15 July 2019; the median 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.

Population: Participants in the ITT population

ArmMeasureValue (MEDIAN)
Investigator's Choice ChemotherapyProgression Free Survival (PFS) in All Participants6.7 months
Veliparib + Carboplatin + PaclitaxelProgression Free Survival (PFS) in All Participants5.9 months
p-value: 0.47395% CI: [0.867, 1.235]Log Rank
Secondary

Progression Free Survival (PFS) in the Lung Subtype Panel Positive Subgroup

Progression-free survival is defined as the time from the date of randomization to the date of disease progression (PD) per Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1 or death (all causes of mortality), whichever occurred first. PD: At least a 20% increase in the size of target lesions, taking as reference the smallest size recorded since the treatment started (Baseline or after) with an absolute increase of at least 5 mm, the appearance of one or more new lesions, or unequivocal progression of existing non-target lesions. PFS was estimated using Kaplan-Meier methodology. Participants who did not have an event of disease progression or had not died on or before the cutoff date were censored at the date of their last disease progression assessment on or before the cut-off date. Any PD and death occurring \> 26 weeks and \> 12 weeks after the previous assessment, respectively, were excluded and patients were censored at last assessment before PD or death.

Time frame: 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.

Population: Participants in the ITT population who were LSP positive

ArmMeasureValue (MEDIAN)
Investigator's Choice ChemotherapyProgression Free Survival (PFS) in the Lung Subtype Panel Positive Subgroup5.2 months
Veliparib + Carboplatin + PaclitaxelProgression Free Survival (PFS) in the Lung Subtype Panel Positive Subgroup6.3 months
p-value: 0.2695% CI: [0.388, 1.08]Log Rank

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