Cervical Adenocarcinoma Clinical Trial
Official title:
A Limited Access Phase I Trial of Paclitaxel, Cisplatin and CTEP Supplied Agent ABT-888 (Veliparib) (NSC#737664) in the Treatment of Advanced, Persistent, or Recurrent Carcinoma of the Cervix
This phase I clinical trial studies the side effects and best dose of veliparib when given together with paclitaxel and cisplatin and to see how well they work in treating patients with cervical cancer that has spread to other places in the body and usually cannot be cured or controlled with treatment or that has come back. Drugs used in chemotherapy, such as paclitaxel and cisplatin, 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. Veliparib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Giving more than one drug (combination chemotherapy) and giving chemotherapy together with veliparib may kill more tumor cells.
PRIMARY OBJECTIVES:
I. To determine the maximum-tolerated dose (MTD) and dose-limiting toxicities of ABT-888
(veliparib) when combined with cisplatin and paclitaxel in women with advanced, persistent,
or recurrent cervical cancer.
II. To examine the safety of administering ABT-888 when combined with cisplatin and
paclitaxel.
III. Once the recommended phase II dose is established, to estimate the efficacy of
cisplatin, paclitaxel, and ABT-888 with respect to objective tumor response in patients with
advanced, persistent, or recurrent carcinoma of the cervix.
SECONDARY OBJECTIVES:
I. To examine the effects of this regimen on progression-free survival and overall survival.
TERTIARY OBJECTIVES:
I. To determine the proportion of patients with advanced, persistent, or recurrent cancer of
the cervix whose tumors demonstrate loss of the Fanconi anemia group D2 (FancD2) foci
formation.
III. To determine the association between loss of FancD2 foci formation and progression-free
survival, overall survival, and response in this patient population.
OUTLINE: This is a phase I, dose-escalation study of veliparib followed by a phase II study.
Patients receive paclitaxel intravenously (IV) over 3 hours on day 1, cisplatin IV over 1
hour on day 2, and veliparib orally (PO) on days 1-7. Courses repeat every 21 days in the
absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up every 3 months for 2 years and
then every 6 months for 3 years.
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