A Phase 2 Study of Veliparib (ABT-888) and Local Irradiation, Followed by Maintenance Veliparib and Temozolomide, in Patients With Newly Diagnosed High-Grade Glioma (HGG) Without H3 K27M or BRAFV600 Mutations

Who is this study for? Patients with Glioblastoma, Glioma, Anaplastic Astrocytoma
What treatments are being studied? Radiation Therapy+Temozolomide+Veliparib
Status: Active_not_recruiting
Location: See all (163) locations...
Intervention Type: Drug, Radiation
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

This phase II trial studies how well veliparib, radiation therapy, and temozolomide work in treating patients with newly diagnosed malignant glioma without H3 K27M or BRAFV600 mutations. Poly adenosine diphosphate (ADP) ribose polymerases (PARPs) are proteins that help repair DNA mutations. PARP inhibitors, such as veliparib, can keep PARP from working, so tumor cells can't repair themselves, and they may stop growing. Radiation therapy uses high energy x-rays to kill tumor cells and shrink tumors. Drugs used in chemotherapy, such as temozolomide, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving veliparib, radiation therapy, and temozolomide may work better in treating patients with newly diagnosed malignant glioma without H3 K27M or BRAFV600 mutations compared to radiation therapy and temozolomide alone.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 3
Maximum Age: 25
Healthy Volunteers: f
View:

• Stratum 1 (IDH wild-type): Patients must be \>= 3 years of age and =\< 21 years of age at the time of enrollment

‣ Please note Stratum 1 was closed to accrual on January 24, 2020

• Stratum 2 (IDH mutant): Patients must be \>= 3 years of age and =\< 25 years of age at the time of enrollment

• Patients must have eligibility confirmed by rapid central pathology and central molecular screening reviews performed on APEC14B1:

‣ Newly-diagnosed high-grade glioma such as anaplastic astrocytoma or glioblastoma

⁃ Negative results for H3 K27M by immunohistochemistry (IHC)

⁃ Negative results for BRAFV600 mutation by next-generation sequencing (NGS)

• Patients must have histological verification of diagnosis. Patients with M+ disease (defined as evidence of neuraxis dissemination) are not eligible. Cerebrospinal fluid (CSF) cytology is not required but may be obtained if clinically indicated prior to study enrollment. If cytology is positive, the patient would be considered to have metastatic disease and would, therefore, be ineligible

• Pre-operative and post-operative brain magnetic resonance imaging (MRI) with and without contrast must be obtained. The requirement for a post-operative MRI is waived for patients who undergo biopsy only. A spine MRI is not required, but may be obtained if clinically indicated. If the spine MRI is positive, the patient would be considered to have M+ disease (defined as neuraxis dissemination) and would be ineligible

• Patients must have a performance status corresponding to Eastern Cooperative Oncology Group (ECOG) scores of 0, 1, or 2. Use Karnofsky for patients \> 16 years of age and Lansky for patients =\< 16 years of age

• Peripheral absolute neutrophil count (ANC) \>= 1,000/uL (within 7 days prior to enrollment)

• Platelet count \>= 100,000/uL (transfusion independent) (within 7 days prior to enrollment)

• Hemoglobin \>= 8.0 gm/dL (can be transfused) (within 7 days prior to enrollment)

• Creatinine clearance or radioisotope glomerular filtration rate (GFR) \>= 70 mL/min/1.73 m\^2 OR a serum creatinine based on age/gender as follows (within 7 days prior to enrollment):

‣ 3 to \< 6 years: 0.8 (male and female) maximum serum creatinine (mg/dL)

⁃ 13 to \< 16 years: 1.5 (male), 1.4 (female) maximum serum creatinine (mg/dL)

⁃ \>= 16 years: 1.7 (male), 1.4 (female) maximum serum creatinine (mg/dL)

• Total bilirubin =\< 1.5 x upper limit of normal (ULN) for age (within 7 days prior to enrollment)

• Serum glutamate pyruvate transaminase (SGPT) (alanine aminotransferase \[ALT\]) =\< 135 U/L. For the purpose of this study, the ULN for SGPT is 45 U/L

• Patients with seizure disorder may be enrolled if seizures are well-controlled (i.e., patients must not have required rescue medications for uncontrolled seizures within 14 days prior to enrollment)

• Patients must be enrolled and protocol therapy must be projected to begin no later than 31 days after definitive surgery (Day 0). If a biopsy only was performed, the biopsy date will be considered the date of definitive surgery. For patients who have a biopsy or incomplete resection at diagnosis followed by additional surgery, the date of the last resection will be considered the date of definitive surgery

• All patients and/or their parents or legal guardians must sign a written informed consent

• All institutional, Food and Drug Administration (FDA), and National Cancer Institute (NCI) requirements for human studies must be met

Locations
United States
Alabama
Children's Hospital of Alabama
Birmingham
USA Health Strada Patient Care Center
Mobile
Arkansas
Arkansas Children's Hospital
Little Rock
Arizona
Banner Children's at Desert
Mesa
Phoenix Childrens Hospital
Phoenix
California
Kaiser Permanente Downey Medical Center
Downey
Loma Linda University Medical Center
Loma Linda
Miller Children's and Women's Hospital Long Beach
Long Beach
Cedars Sinai Medical Center
Los Angeles
Children's Hospital Los Angeles
Los Angeles
Mattel Children's Hospital UCLA
Los Angeles
Valley Children's Hospital
Madera
Kaiser Permanente-Oakland
Oakland
UCSF Benioff Children's Hospital Oakland
Oakland
Children's Hospital of Orange County
Orange
Lucile Packard Children's Hospital Stanford University
Palo Alto
Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
Torrance
Colorado
Children's Hospital Colorado
Aurora
Connecticut
Connecticut Children's Medical Center
Hartford
Yale University
New Haven
Washington, D.c.
Children's National Medical Center
Washington
MedStar Georgetown University Hospital
Washington
Delaware
Alfred I duPont Hospital for Children
Wilmington
Florida
Golisano Children's Hospital of Southwest Florida
Fort Myers
Memorial Regional Hospital/Joe DiMaggio Children's Hospital
Hollywood
Nemours Children's Clinic-Jacksonville
Jacksonville
Nicklaus Children's Hospital
Miami
University of Miami Miller School of Medicine-Sylvester Cancer Center
Miami
AdventHealth Orlando
Orlando
Arnold Palmer Hospital for Children
Orlando
Nemours Children's Hospital
Orlando
Johns Hopkins All Children's Hospital
Saint Petersburg
Saint Joseph's Hospital/Children's Hospital-Tampa
Tampa
Tampa General Hospital
Tampa
Saint Mary's Medical Center
West Palm Beach
Georgia
Children's Healthcare of Atlanta - Arthur M Blank Hospital
Atlanta
Memorial Health University Medical Center
Savannah
Hawaii
Kapiolani Medical Center for Women and Children
Honolulu
Iowa
Blank Children's Hospital
Des Moines
University of Iowa/Holden Comprehensive Cancer Center
Iowa City
Idaho
Saint Luke's Cancer Institute - Boise
Boise
Illinois
Lurie Children's Hospital-Chicago
Chicago
University of Chicago Comprehensive Cancer Center
Chicago
University of Illinois
Chicago
Loyola University Medical Center
Maywood
Saint Jude Midwest Affiliate
Peoria
Indiana
Ascension Saint Vincent Indianapolis Hospital
Indianapolis
Riley Hospital for Children
Indianapolis
Kentucky
University of Kentucky/Markey Cancer Center
Lexington
Norton Children's Hospital
Louisville
Louisiana
Children's Hospital New Orleans
New Orleans
Ochsner Medical Center Jefferson
New Orleans
Massachusetts
Dana-Farber Cancer Institute
Boston
Massachusetts General Hospital Cancer Center
Boston
UMass Memorial Medical Center - University Campus
Worcester
Maryland
Johns Hopkins University/Sidney Kimmel Cancer Center
Baltimore
Walter Reed National Military Medical Center
Bethesda
Maine
Eastern Maine Medical Center
Bangor
Michigan
C S Mott Children's Hospital
Ann Arbor
Henry Ford Health Saint John Hospital
Detroit
Wayne State University/Karmanos Cancer Institute
Detroit
Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
Grand Rapids
Bronson Methodist Hospital
Kalamazoo
Corewell Health Children's
Royal Oak
Minnesota
Children's Hospitals and Clinics of Minnesota - Minneapolis
Minneapolis
University of Minnesota/Masonic Cancer Center
Minneapolis
Mayo Clinic in Rochester
Rochester
Missouri
Children's Mercy Hospitals and Clinics
Kansas City
Cardinal Glennon Children's Medical Center
Saint Louis
Mercy Hospital Saint Louis
Saint Louis
Washington University School of Medicine
Saint Louis
Mississippi
University of Mississippi Medical Center
Jackson
North Carolina
Mission Hospital
Asheville
UNC Lineberger Comprehensive Cancer Center
Chapel Hill
Carolinas Medical Center/Levine Cancer Institute
Charlotte
Duke University Medical Center
Durham
East Carolina University
Greenville
Wake Forest University Health Sciences
Winston-salem
North Dakota
Sanford Broadway Medical Center
Fargo
Nebraska
Children's Hospital and Medical Center of Omaha
Omaha
University of Nebraska Medical Center
Omaha
New Hampshire
Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
Lebanon
New Jersey
Morristown Medical Center
Morristown
Saint Peter's University Hospital
New Brunswick
Nevada
Alliance for Childhood Diseases/Cure 4 the Kids Foundation
Las Vegas
Summerlin Hospital Medical Center
Las Vegas
Sunrise Hospital and Medical Center
Las Vegas
University Medical Center of Southern Nevada
Las Vegas
Renown Regional Medical Center
Reno
New York
Albany Medical Center
Albany
Montefiore Medical Center - Moses Campus
Bronx
Roswell Park Cancer Institute
Buffalo
Laura and Isaac Perlmutter Cancer Center at NYU Langone
New York
Memorial Sloan Kettering Cancer Center
New York
NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
New York
University of Rochester
Rochester
State University of New York Upstate Medical University
Syracuse
New York Medical College
Valhalla
Ohio
Children's Hospital Medical Center of Akron
Akron
Cincinnati Children's Hospital Medical Center
Cincinnati
Cleveland Clinic Foundation
Cleveland
Rainbow Babies and Childrens Hospital
Cleveland
Nationwide Children's Hospital
Columbus
Dayton Children's Hospital
Dayton
ProMedica Toledo Hospital/Russell J Ebeid Children's Hospital
Toledo
Oklahoma
University of Oklahoma Health Sciences Center
Oklahoma City
Oregon
Legacy Emanuel Children's Hospital
Portland
Oregon Health and Science University
Portland
Pennsylvania
Lehigh Valley Hospital-Cedar Crest
Allentown
Geisinger Medical Center
Danville
Children's Hospital of Philadelphia
Philadelphia
Children's Hospital of Pittsburgh of UPMC
Pittsburgh
Rhode Island
Rhode Island Hospital
Providence
South Carolina
Medical University of South Carolina
Charleston
Prisma Health Richland Hospital
Columbia
BI-LO Charities Children's Cancer Center
Greenville
South Dakota
Sanford USD Medical Center - Sioux Falls
Sioux Falls
Tennessee
T C Thompson Children's Hospital
Chattanooga
East Tennessee Childrens Hospital
Knoxville
Saint Jude Children's Research Hospital
Memphis
The Children's Hospital at TriStar Centennial
Nashville
Vanderbilt University/Ingram Cancer Center
Nashville
Texas
Dell Children's Medical Center of Central Texas
Austin
Driscoll Children's Hospital
Corpus Christi
Medical City Dallas Hospital
Dallas
UT Southwestern/Simmons Cancer Center-Dallas
Dallas
Cook Children's Medical Center
Fort Worth
Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
Houston
M D Anderson Cancer Center
Houston
Children's Hospital of San Antonio
San Antonio
Methodist Children's Hospital of South Texas
San Antonio
University of Texas Health Science Center at San Antonio
San Antonio
Scott and White Memorial Hospital
Temple
Utah
Primary Children's Hospital
Salt Lake City
Virginia
Children's Hospital of The King's Daughters
Norfolk
Naval Medical Center - Portsmouth
Portsmouth
Virginia Commonwealth University/Massey Cancer Center
Richmond
Washington
Seattle Children's Hospital
Seattle
Providence Sacred Heart Medical Center and Children's Hospital
Spokane
Madigan Army Medical Center
Tacoma
Mary Bridge Children's Hospital and Health Center
Tacoma
Wisconsin
University of Wisconsin Carbone Cancer Center - University Hospital
Madison
Marshfield Medical Center-Marshfield
Marshfield
Children's Hospital of Wisconsin
Milwaukee
West Virginia
West Virginia University Healthcare
Morgantown
Other Locations
Australia
Monash Medical Center-Clayton Campus
Clayton
John Hunter Children's Hospital
Hunter Regional Mail Centre
Royal Children's Hospital
Parkville
Perth Children's Hospital
Perth
Sydney Children's Hospital
Randwick
Queensland Children's Hospital
South Brisbane
The Children's Hospital at Westmead
Westmead
Canada
Alberta Children's Hospital
Calgary
IWK Health Centre
Halifax
McMaster Children's Hospital at Hamilton Health Sciences
Hamilton
Centre Hospitalier Universitaire Sainte-Justine
Montreal
The Montreal Children's Hospital of the MUHC
Montreal
CHU de Quebec-Centre Hospitalier de l'Universite Laval (CHUL)
Quebec
Janeway Child Health Centre
Saint John's
British Columbia Children's Hospital
Vancouver
New Zealand
Christchurch Hospital
Christchurch
Starship Children's Hospital
Grafton
Puerto Rico
HIMA San Pablo Oncologic Hospital
Caguas
Time Frame
Start Date: 2018-11-06
Completion Date: 2025-10-16
Participants
Target number of participants: 38
Treatments
Experimental: Treatment (radiation therapy, veliparib, temozolomide)
CHEMORADIOTHERAPY PHASE: Patients receive veliparib PO BID and undergo 30 daily fractions of radiation therapy 5 days per week for 6-7 weeks in the absence of disease progression or unacceptable toxicity.~MAINTENANCE CHEMOTHERAPY: Beginning 4 weeks after chemoradiotherapy phase, patients receive veliparib PO BID and temozolomide PO QD on days 1-5. Treatment repeats every 28 days for up to 10 cycles in the absence of disease progression or unacceptable toxicity.
Authors
Peter M. de Blank, Craig Erker, Kathleen J. Yost, Angela R. Girvin, Hamayun Imran, Kenneth J. Cohen, Elyssa M. Rubin, Haydar A. Frangoul, Zhihong J. Wang, Nina S. Kadan-Lottick, Kathryn L. Laurie, Jessica C. Hochberg, Douglas S. Hawkins, Eduard H. Panosyan, Vinod K. Gidvani-Diaz, Julio C. Barredo, Matthew A. Kutny, Rene Y. McNall-Knapp, Eric J. Lowe, Ryuma Tanaka, William A. May, Kevin F. Ginn, Nadine P. SantaCruz, Mariko Sato, Ashok B. Raj, Jeffrey C. Murray, Lindsey M. Hoffman, Daniel C. Bowers, Susan N. Chi, Stacie L. Stapleton, Lisa Gennarini, Stanton C. Goldman, Michael S. Isakoff, Justine M. Kahn, Kayelyn J. Wagner, Mukund G. Dole, Andrew S. Cluster, Adit L. Tal, Phillip E. Barnette, Cynthia Wetmore, Rabi Hanna, Hardeo K. Panchoosingh, Timothy C. Griffin, Vonda L. Crouse, Matthias A. Karajannis, Rebecca O. Clark, Jaszianne A. Tolbert, Juan F. Rico, Andrew W. Walter, Don E. Eslin, Lolie C. Yu, David E. Kram, Christopher P. Keuker, Kamnesh R. Pradhan, Iftikhar Hanif, Mark A. Ranalli, Pooja Hingorani, Jane E. Minturn, Ray C. Pais, Jamie L. Dargart, Nibal A. Zaghloul, Sheri L. Spunt, Santhosh Upadhyaya, Adonis N. Lorenzana, Duncan S. Stearns, Andrew L. Pendleton, Narayana Gowda, Jhon A. Guerra, Manoo G. Bhakta, Joseph C. Torkildson, Linda C. Stork, Tobey J. MacDonald, Michelle A. Manalang, Clare J. Twist, Craig Lotterman, Aniket Saha, Sandeep Batra, Robert M. Cooper, Meghann P. McManus, Luke D. Maese, Nicholas W. McGregor, Jacqueline M. Kraveka, Robert G. Irwin, Kellie B. Haworth, Carla B. Golden, Susan E. Spiller, Douglas J. Scothorn, James T. Badgett, Fouad M. Hajjar, Judy L. Felgenhauer, Jacob A. Troutman, Christopher L. Moertel, Pamela H. Kempert, Minnie Abromowitch, James T. Felker, Jeffrey A. Knipstein, Bethany M. Mikles, William S. Ferguson, Shannon M. Cohn, Nichole L. Bryant, Santosh S. Hanmod, Jagadeesh Ramdas, Philip M. Monteleone, Stuart L. Cramer, Andrea R. Whitfield, Jeffrey A. Toretsky, Girish Dhall, Jay Michael S. Balagtas, Joel A. Kaplan, Bassem I. Razzouk, Maryam Fouladi, Stewart Goldman, Alan K. Ikeda, Adam J. Esbenshade, Samantha L. Mallory, Enrique A. Escalon, Dana A. Obzut, Carl J. Koschmann, Nkechi I. Mba, Janice F. Olson, Laura K. Gowans, Michael K. Richards, Steven J. Kuerbitz, Wendy S. Darlington, Kellie J. Nazemi, Lauren R. Weintraub, Alicia Lenzen, Sharon L. Gardner, Julie Kim, Albert Kheradpour, Jeffrey S. Dome, Melissa A. Forouhar, Jonathan D. Schwartz, Steven L. Halpern, Stefanie R. Lowas, Kathleen M. Dorris, Farzana Pashankar, Nathan J. Robison, John J. Gregory, Emad K. Salman, Stuart H. Gold, Lars M. Wagner, Eugene Suh, Vlad C. Radulescu, David L. Becton, Eugenia Chang, Samuel O. Anim, Hamza Gorsi, Samuel J. Milanovich, Robin D. Hanson, Wade T. Kyono, Yvan Samson, Alice Lee, Douglas R. Strother, Sharon B. Abish, Victor A. Lewis, Draga Barbaric, Timothy E. Hassall, Paul J. Wood, Tom B. Davidson, Jordan R. Hansford, Marianne B. Phillips, Stephen J. Laughton, David B. Dix, Conrad V. Fernandez, Bruno Michon, Bhavna Padhye, Uma H. Athale
Sponsors
Leads: National Cancer Institute (NCI)

This content was sourced from clinicaltrials.gov

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