Veliparib With Carboplatin and Paclitaxel and as Continuation Maintenance Therapy in Adults With Newly Diagnosed Stage III or IV, High-grade Serous, Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer (VELIA)
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ClinicalTrials.gov Identifier: NCT02470585 |
Recruitment Status :
Terminated
(Business decision not related to patient safety)
First Posted : June 12, 2015
Results First Posted : September 14, 2020
Last Update Posted : October 30, 2023
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Double (Participant, Investigator); Primary Purpose: Treatment |
Conditions |
Ovarian Cancer Ovarian Neoplasm |
Interventions |
Drug: Veliparib Drug: Paclitaxel Drug: Carboplatin Other: Placebo to Veliparib |
Enrollment | 1140 |
Recruitment Details | This trial was conducted at 188 sites in 10 countries (Australia, Brazil, Denmark, Israel, Japan, Poland, Republic of Korea, Spain, United Kingdom, and United States). The study is currently ongoing; the data-cutoff date for the primary analysis results reported below was May 3, 2019. |
Pre-assignment Details | Participants were randomized in a 1:1:1 ratio to one of three treatment groups. Randomization was stratified according to the timing of surgery and residual disease after primary surgery, the paclitaxel schedule, stage of disease, geographic region, and germline breast cancer susceptibility gene (BRCA) status. |
Arm/Group Title | Placebo + Carboplatin + Paclitaxel -> Placebo | Veliparib + Carboplatin + Paclitaxel -> Placebo | Veliparib + Carboplatin + Paclitaxel -> Veliparib |
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Arm/Group Description |
Participants received placebo to veliparib orally twice a day in combination with carboplatin given at an area under the curve (AUC) of 6 milligrams per milliliter per minute (mg/mL/min) every 3 weeks, and paclitaxel 175 mg per square meter (mg/m²) of body-surface area (BSA), administered every 3 weeks, or 80 mg/m² administered weekly, for six 21-day cycles. Participants who completed chemotherapy without disease progression received matching placebo twice daily for an additional thirty 21-day cycles of maintenance therapy. |
Participants received 150 mg veliparib orally twice a day in combination with carboplatin given at an AUC of 6 mg/mL/min every 3 weeks and paclitaxel 175 mg/m² of BSA administered every 3 weeks, or 80 mg/m² administered weekly, for six 21-day cycles. Participants who completed chemotherapy without disease progression received matching placebo twice daily for an additional thirty 21-day cycles of maintenance therapy. |
Participants received 150 mg veliparib orally twice a day in combination with carboplatin given at an AUC of 6 mg/mL/min every 3 weeks and paclitaxel 175 mg/m² of BSA administered every 3 weeks, or 80 mg/m² administered weekly, for six 21-day cycles. Participants who completed chemotherapy without disease progression received single-agent veliparib at a dose of 300 mg twice daily for 2 weeks (transition period) and then 400 mg veliparib twice daily if the dose in the transition period was not associated with limiting side effects for an additional thirty 21-day cycles of maintenance therapy. |
Period Title: Overall Study | |||
Started [1] | 375 | 383 | 382 |
Received Study Drug | 371 | 376 | 377 |
Completed [2] | 268 | 266 | 257 |
Not Completed | 107 | 117 | 125 |
Reason Not Completed | |||
Death | 82 | 87 | 86 |
Withdrawal by Subject | 19 | 21 | 29 |
Lost to Follow-up | 2 | 5 | 4 |
Other | 4 | 4 | 6 |
[1]
Started indicates the number of participants randomized.
[2]
Completed indicates participants remaining on study.
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Arm/Group Title | Placebo + Carboplatin + Paclitaxel -> Placebo | Veliparib + Carboplatin + Paclitaxel -> Placebo | Veliparib + Carboplatin + Paclitaxel -> Veliparib | Total | |
---|---|---|---|---|---|
Arm/Group Description |
Participants received placebo to veliparib orally twice a day in combination with carboplatin given at an area under the curve [AUC] of 6 mg per milliliter per minute (mg/mL/min), every 3 weeks, and paclitaxel 175 mg per square meter (mg/m²) of body-surface area (BSA), administered every 3 weeks, or 80 mg/m² administered weekly, for six 21-day cycles. Participants who completed chemotherapy without disease progression received matching placebo twice daily for an additional thirty 21-day cycles of maintenance therapy. |
Participants received 150 mg veliparib orally twice a day in combination with carboplatin given at an AUC of 6 mg/mL/min every 3 weeks and paclitaxel 175 mg/m² of BSA administered every 3 weeks, or 80 mg/m² administered weekly, for six 21-day cycles. Participants who completed chemotherapy without disease progression received matching placebo twice daily for an additional thirty 21-day cycles of maintenance therapy. |
Participants received 150 mg veliparib orally twice a day in combination with carboplatin given at an AUC of 6 mg/mL/min every 3 weeks and paclitaxel 175 mg/m² of BSA administered every 3 weeks, or 80 mg/m² administered weekly, for six 21-day cycles. Participants who completed chemotherapy without disease progression received single-agent veliparib at a dose of 300 mg twice daily for 2 weeks (transition period) and then 400 mg veliparib twice daily if the dose in the transition period was not associated with limiting side effects for an additional thirty 21-day cycles of maintenance therapy. |
Total of all reporting groups | |
Overall Number of Baseline Participants | 375 | 383 | 382 | 1140 | |
Baseline Analysis Population Description |
The intention-to-treat (ITT) population consisted of all randomized participants.
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Age, Continuous
Median (Full Range) Unit of measure: Years |
|||||
Number Analyzed | 375 participants | 383 participants | 382 participants | 1140 participants | |
62.0
(33.0 to 86.0)
|
62.0
(22.0 to 88.0)
|
62.0
(30.0 to 85.0)
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62.0
(22.0 to 88.0)
|
||
Age, Customized
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 375 participants | 383 participants | 382 participants | 1140 participants | |
< 65 years |
233 62.1%
|
226 59.0%
|
228 59.7%
|
687 60.3%
|
|
≥ 65 years |
142 37.9%
|
157 41.0%
|
154 40.3%
|
453 39.7%
|
|
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
|||||
Number Analyzed | 375 participants | 383 participants | 382 participants | 1140 participants | |
Female |
375 100.0%
|
383 100.0%
|
382 100.0%
|
1140 100.0%
|
|
Male |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
|||||
Number Analyzed | 375 participants | 383 participants | 382 participants | 1140 participants | |
Hispanic or Latino |
28 7.5%
|
27 7.0%
|
26 6.8%
|
81 7.1%
|
|
Not Hispanic or Latino |
347 92.5%
|
356 93.0%
|
356 93.2%
|
1059 92.9%
|
|
Unknown or Not Reported |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Race/Ethnicity, Customized
Measure Type: Count of Participants Unit of measure: Participants |
|||||
Number Analyzed | 375 participants | 383 participants | 382 participants | 1140 participants | |
White |
299 79.7%
|
297 77.5%
|
300 78.5%
|
896 78.6%
|
|
Black or African American |
10 2.7%
|
13 3.4%
|
20 5.2%
|
43 3.8%
|
|
Asian |
59 15.7%
|
69 18.0%
|
56 14.7%
|
184 16.1%
|
|
American Indian or Alaska Native |
1 0.3%
|
1 0.3%
|
1 0.3%
|
3 0.3%
|
|
Native Hawaiian or other Pacific Islander |
1 0.3%
|
0 0.0%
|
2 0.5%
|
3 0.3%
|
|
Multi-race |
3 0.8%
|
0 0.0%
|
0 0.0%
|
3 0.3%
|
|
Missing |
2 0.5%
|
3 0.8%
|
3 0.8%
|
8 0.7%
|
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Geographic Region
Measure Type: Count of Participants Unit of measure: Participants |
|||||
Number Analyzed | 375 participants | 383 participants | 382 participants | 1140 participants | |
North America |
266 70.9%
|
261 68.1%
|
267 69.9%
|
794 69.6%
|
|
Japan |
23 6.1%
|
30 7.8%
|
25 6.5%
|
78 6.8%
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|
Rest of World |
86 22.9%
|
92 24.0%
|
90 23.6%
|
268 23.5%
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|
BRCA-Deficient Status
[1] Measure Type: Count of Participants Unit of measure: Participants |
|||||
Number Analyzed | 375 participants | 383 participants | 382 participants | 1140 participants | |
Germline or tissue BRCA1/2 mutation |
92 24.5%
|
98 25.6%
|
108 28.3%
|
298 26.1%
|
|
Germline or tissue BRCA1/2 wildtype |
254 67.7%
|
243 63.4%
|
245 64.1%
|
742 65.1%
|
|
Missing |
29 7.7%
|
42 11.0%
|
29 7.6%
|
100 8.8%
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|
[1]
Measure Description: The BRCA-mutation cohort was defined as participants who had deleterious or suspected deleterious germline (gBRCA) or tissue-based (tBRCA) mutations as determined by the Myriad BRACAnalysis® companion diagnostic (CDx) or myChoice® HRD CDx assay, respectively, in BRCA1 or BRCA2.
|
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Homologous Recombination Deficiency (HRD) Status
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 375 participants | 383 participants | 382 participants | 1140 participants | |
HRD |
207 55.2%
|
206 53.8%
|
214 56.0%
|
627 55.0%
|
|
Non-HRD |
124 33.1%
|
123 32.1%
|
125 32.7%
|
372 32.6%
|
|
Missing |
44 11.7%
|
54 14.1%
|
43 11.3%
|
141 12.4%
|
|
[1]
Measure Description: The HRD cohort consisted of participants who had tumors that were BRCA-mutated or had HRD according to the Myriad myChoice® assay, on which a score of ≥ 33 was considered to indicate HRD status, and a score of < 33 was considered to indicate non-HRD status.
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Stage of Disease
[1] Measure Type: Count of Participants Unit of measure: Participants |
|||||
Number Analyzed | 375 participants | 383 participants | 382 participants | 1140 participants | |
Stage III |
292 77.9%
|
288 75.2%
|
295 77.2%
|
875 76.8%
|
|
Stage IV |
82 21.9%
|
94 24.5%
|
87 22.8%
|
263 23.1%
|
|
Missing |
1 0.3%
|
1 0.3%
|
0 0.0%
|
2 0.2%
|
|
[1]
Measure Description:
Staging of primary ovarian carcinomas according to the International Federation of Gynecology and Obstetrics (FIGO) criteria, based on clinical examination, surgical exploration, histologic characteristics and cytologic testing. STAGE III: Tumor involves 1 or both ovaries with cytologically or histologically confirmed spread to the peritoneum outside the pelvis and/or metastases to the retroperitoneal lymph nodes. STAGE IV: Distant metastases excluding peritoneal metastases |
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Type of Surgery Received
[1] Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 375 participants | 383 participants | 382 participants | 1140 participants | |
Primary |
250 66.7%
|
253 66.1%
|
261 68.3%
|
764 67.0%
|
|
Interval |
107 28.5%
|
114 29.8%
|
99 25.9%
|
320 28.1%
|
|
No surgery received |
18 4.8%
|
16 4.2%
|
22 5.8%
|
56 4.9%
|
|
[1]
Measure Description: Cytoreductive surgery could be performed before randomization and the initiation of study treatment (primary) or after 3 cycles of study treatment (interval), determined at the discretion of the investigator.
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Residual Disease After Primary Surgery
[1] [2] Measure Type: Count of Participants Unit of measure: Participants |
|||||
Number Analyzed | 250 participants | 253 participants | 261 participants | 764 participants | |
No residual disease |
116 46.4%
|
118 46.6%
|
124 47.5%
|
358 46.9%
|
|
Microscopic residual disease only |
58 23.2%
|
46 18.2%
|
54 20.7%
|
158 20.7%
|
|
Any macroscopic residual disease |
76 30.4%
|
89 35.2%
|
83 31.8%
|
248 32.5%
|
|
[1]
Measure Description: Data were collected after interval surgery after cycle 3.
[2]
Measure Analysis Population Description: Participants who underwent primary surgery
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Residual Disease After Interval Surgery
[1] Measure Type: Count of Participants Unit of measure: Participants |
|||||
Number Analyzed | 107 participants | 114 participants | 99 participants | 320 participants | |
No residual disease |
50 46.7%
|
46 40.4%
|
45 45.5%
|
141 44.1%
|
|
Microscopic residual disease only |
22 20.6%
|
30 26.3%
|
24 24.2%
|
76 23.8%
|
|
Any macroscopic residual disease |
31 29.0%
|
34 29.8%
|
27 27.3%
|
92 28.7%
|
|
Missing |
4 3.7%
|
4 3.5%
|
3 3.0%
|
11 3.4%
|
|
[1]
Measure Analysis Population Description: Participants who underwent interval surgery
|
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Paclitaxel Dosing Regimen
Measure Type: Count of Participants Unit of measure: Participants |
|||||
Number Analyzed | 375 participants | 383 participants | 382 participants | 1140 participants | |
Weekly |
193 51.5%
|
203 53.0%
|
190 49.7%
|
586 51.4%
|
|
Every 3 weeks |
179 47.7%
|
178 46.5%
|
189 49.5%
|
546 47.9%
|
|
Missing |
3 0.8%
|
2 0.5%
|
3 0.8%
|
8 0.7%
|
|
Germline BRCA Status
Measure Type: Count of Participants Unit of measure: Participants |
|||||
Number Analyzed | 375 participants | 383 participants | 382 participants | 1140 participants | |
Germline BRCA1/2 mutation |
63 16.8%
|
71 18.5%
|
80 20.9%
|
214 18.8%
|
|
Germline BRCA1/2 wildtype |
305 81.3%
|
305 79.6%
|
298 78.0%
|
908 79.6%
|
|
Missing |
7 1.9%
|
7 1.8%
|
4 1.0%
|
18 1.6%
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Name/Title: | Global Medical Services |
Organization: | AbbVie |
Phone: | 1-800-633-9110 |
EMail: | abbvieclinicaltrials@abbvie.com |
Responsible Party: | AbbVie |
ClinicalTrials.gov Identifier: | NCT02470585 |
Other Study ID Numbers: |
M13-694 2014-005070-11 ( EudraCT Number ) |
First Submitted: | June 10, 2015 |
First Posted: | June 12, 2015 |
Results First Submitted: | August 4, 2020 |
Results First Posted: | September 14, 2020 |
Last Update Posted: | October 30, 2023 |