Veliparib, Pembrolizumab, and Combination Chemotherapy in Treating Patient With Locally Advanced Rectal Cancer
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ClinicalTrials.gov Identifier: NCT02921256 |
Recruitment Status :
Completed
First Posted : October 3, 2016
Results First Posted : June 9, 2023
Last Update Posted : April 24, 2024
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Conditions |
Rectal Adenocarcinoma Stage II Rectal Cancer AJCC v7 Stage III Rectal Cancer AJCC v7 |
Interventions |
Drug: Capecitabine Drug: Fluorouracil Radiation: Intensity-Modulated Radiation Therapy Drug: Leucovorin Drug: Oxaliplatin Biological: Pembrolizumab Drug: Veliparib |
Enrollment | 363 |
Recruitment Details | |
Pre-assignment Details |
Arm/Group Title | Arm I (mFOLFOX6, RT, Capecitabine) | Arm II (mFOLFOX6, RT, Capecitabine, Veliparib) | Arm III (mFOLFOX6, RT, Capecitabine, Pembrolizumab) |
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Arm/Group Description |
Patients receive mFOLFOX6 regimen consisting of oxaliplatin IV over 2 hours on day 1, leucovorin calcium IV over 2 hours on day 1, and fluorouracil IV continuously over 46-48 hours on days 1-2. Treatment repeats every 2 weeks for 8 cycles in the absence of disease progression or unacceptable toxicity. 3-4 weeks after last does of mFOLFOX6 patient undergo RT and receive capecitabine PO BID Monday-Friday for 5 weeks in the absence of disease progression or unacceptable toxicity. Participants assigned to Arm I concurrently with Arm II are described as Arm Ia and participants assigned to Arm I concurrently with Arm III are described as Arm Ib. Capecitabine: Given PO Fluorouracil: Given IV Intensity-Modulated Radiation Therapy: Undergo intensity modulated radiation therapy Leucovorin: Given IV Oxaliplatin: Given IV |
Patients receive mFOLFOX6 regimen consisting of oxaliplatin IV over 2 hours on day 1, leucovorin calcium IV over 2 hours on day 1, and fluorouracil IV continuously over 46-48 hours on days 1-2. Treatment repeats every 2 weeks for up to 8 cycles in the absence of disease progression or unacceptable toxicity. 3-4 weeks after last does of mFOLFOX6 patient undergo RT and receive capecitabine PO BID and veliparib PO BID Monday-Friday for 5 weeks in the absence of disease progression or unacceptable toxicity. Capecitabine: Given PO Fluorouracil: Given IV Intensity-Modulated Radiation Therapy: Undergo intensity modulated radiation therapy Leucovorin: Given IV Oxaliplatin: Given IV Veliparib: Given PO |
ARM III: Patients receive mFOLFOX6 regimen consisting of oxaliplatin IV over 2 hours, leucovorin calcium IV over 2 hours on day 1, and fluorouracil IV continuously over 46-48 hours on days 1-2. Treatment repeats every 2 weeks for 8 cycles in the absence of disease progression or unacceptable toxicity. 3-4 weeks after last does of mFOLFOX6 patient undergo RT and receive capecitabine PO BID Monday-Friday for 5 weeks. They also receive pembrolizumab IV over 30 minutes every 3 weeks beginning on day 1 of RT for up to 6 cycles in the absence of disease progression or unacceptable toxicity. Capecitabine: Given PO Fluorouracil: Given IV Intensity-Modulated Radiation Therapy: Undergo intensity modulated radiation therapy Leucovorin: Given IV Oxaliplatin: Given IV Pembrolizumab: Given IV |
Period Title: Arm 1a v. Arm II | |||
Started | 88 | 90 | 0 |
Completed | 72 | 57 | 0 |
Not Completed | 16 | 33 | 0 |
Reason Not Completed | |||
Adverse Event | 6 | 15 | 0 |
Death | 0 | 2 | 0 |
Lack of Efficacy | 2 | 0 | 0 |
Lost to Follow-up | 2 | 9 | 0 |
Physician Decision | 1 | 1 | 0 |
Withdrawal by Subject | 5 | 6 | 0 |
Period Title: Arm Ib v Arm III | |||
Started | 95 | 0 | 90 |
Completed | 71 | 0 | 75 |
Not Completed | 24 | 0 | 15 |
Reason Not Completed | |||
Adverse Event | 9 | 0 | 4 |
Death | 1 | 0 | 1 |
Lack of Efficacy | 2 | 0 | 2 |
Lost to Follow-up | 1 | 0 | 3 |
Physician Decision | 4 | 0 | 1 |
Withdrawal by Subject | 7 | 0 | 4 |
Arm/Group Title | Arm Ia (mFOLFOX6, RT, Capecitabine) | Arm II (mFOLFOX6, RT, Capecitabine, Veliparib) | Arm Ib (mFOLFOX6, RT, Capecitabine) | Arm III (mFOLFOX6, RT, Capecitabine, Pembrolizumab) | Total | |
---|---|---|---|---|---|---|
Arm/Group Description |
Participants assigned to active comparator arm concurrent to Arm II.Patients receive mFOLFOX6 regimen consisting of oxaliplatin IV over 2 hours on day 1, leucovorin calcium IV over 2 hours on day 1, and fluorouracil IV continuously over 46-48 hours on days 1-2. Treatment repeats every 2 weeks for 8 cycles in the absence of disease progression or unacceptable toxicity. 3-4 weeks after last does of mFOLFOX6 patient undergo RT and receive capecitabine PO BID Monday-Friday for 5 weeks in the absence of disease progression or unacceptable toxicity. Capecitabine: Given PO Fluorouracil: Given IV Intensity-Modulated Radiation Therapy: Undergo intensity modulated radiation therapy Leucovorin: Given IV Oxaliplatin: Given IV |
Patients receive mFOLFOX6 regimen consisting of oxaliplatin IV over 2 hours on day 1, leucovorin calcium IV over 2 hours on day 1, and fluorouracil IV continuously over 46-48 hours on days 1-2. Treatment repeats every 2 weeks for up to 8 cycles in the absence of disease progression or unacceptable toxicity. 3-4 weeks after last does of mFOLFOX6 patient undergo RT and receive capecitabine PO BID and veliparib PO BID Monday-Friday for 5 weeks in the absence of disease progression or unacceptable toxicity. Capecitabine: Given PO Fluorouracil: Given IV Intensity-Modulated Radiation Therapy: Undergo intensity modulated radiation therapy Leucovorin: Given IV Oxaliplatin: Given IV Veliparib: Given PO |
Participants assigned to active comparator arm concurrent to Arm III. Patients receive mFOLFOX6 regimen consisting of oxaliplatin IV over 2 hours on day 1, leucovorin calcium IV over 2 hours on day 1, and fluorouracil IV continuously over 46-48 hours on days 1-2. Treatment repeats every 2 weeks for 8 cycles in the absence of disease progression or unacceptable toxicity. 3-4 weeks after last does of mFOLFOX6 patient undergo RT and receive capecitabine PO BID Monday-Friday for 5 weeks in the absence of disease progression or unacceptable toxicity. Capecitabine: Given PO Fluorouracil: Given IV Intensity-Modulated Radiation Therapy: Undergo intensity modulated radiation therapy Leucovorin: Given IV Oxaliplatin: Given IV |
ARM III: Patients receive mFOLFOX6 regimen consisting of oxaliplatin IV over 2 hours, leucovorin calcium IV over 2 hours on day 1, and fluorouracil IV continuously over 46-48 hours on days 1-2. Treatment repeats every 2 weeks for 8 cycles in the absence of disease progression or unacceptable toxicity. 3-4 weeks after last does of mFOLFOX6 patient undergo RT and receive capecitabine PO BID Monday-Friday for 5 weeks. They also receive pembrolizumab IV over 30 minutes every 3 weeks beginning on day 1 of RT for up to 6 cycles in the absence of disease progression or unacceptable toxicity. Capecitabine: Given PO Fluorouracil: Given IV Intensity-Modulated Radiation Therapy: Undergo intensity modulated radiation therapy Leucovorin: Given IV Oxaliplatin: Given IV Pembrolizumab: Given IV |
Total of all reporting groups | |
Overall Number of Baseline Participants | 88 | 90 | 95 | 90 | 363 | |
Baseline Analysis Population Description |
[Not Specified]
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
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Number Analyzed | 88 participants | 90 participants | 95 participants | 90 participants | 363 participants | |
55.5 (10.9) | 56.0 (9.8) | 55.7 (11.2) | 55.5 (11.1) | 55.6 (10.7) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
||||||
Number Analyzed | 88 participants | 90 participants | 95 participants | 90 participants | 363 participants | |
Female |
29 33.0%
|
29 32.2%
|
29 30.5%
|
30 33.3%
|
117 32.2%
|
|
Male |
59 67.0%
|
61 67.8%
|
66 69.5%
|
60 66.7%
|
246 67.8%
|
|
Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
||||||
Number Analyzed | 88 participants | 90 participants | 95 participants | 90 participants | 363 participants | |
Hispanic or Latino |
3 3.4%
|
1 1.1%
|
5 5.3%
|
9 10.0%
|
18 5.0%
|
|
Not Hispanic or Latino |
84 95.5%
|
86 95.6%
|
83 87.4%
|
78 86.7%
|
331 91.2%
|
|
Unknown or Not Reported |
1 1.1%
|
3 3.3%
|
7 7.4%
|
3 3.3%
|
14 3.9%
|
|
Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
||||||
Number Analyzed | 88 participants | 90 participants | 95 participants | 90 participants | 363 participants | |
American Indian or Alaska Native |
1 1.1%
|
0 0.0%
|
2 2.1%
|
1 1.1%
|
4 1.1%
|
|
Asian |
2 2.3%
|
8 8.9%
|
4 4.2%
|
3 3.3%
|
17 4.7%
|
|
Native Hawaiian or Other Pacific Islander |
0 0.0%
|
1 1.1%
|
0 0.0%
|
0 0.0%
|
1 0.3%
|
|
Black or African American |
4 4.5%
|
7 7.8%
|
6 6.3%
|
2 2.2%
|
19 5.2%
|
|
White |
76 86.4%
|
71 78.9%
|
77 81.1%
|
77 85.6%
|
301 82.9%
|
|
More than one race |
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 1.1%
|
1 0.3%
|
|
Unknown or Not Reported |
5 5.7%
|
3 3.3%
|
6 6.3%
|
6 6.7%
|
20 5.5%
|
Name/Title: | Director, Department of Regulatory Affairs |
Organization: | NRG Oncology |
Phone: | 412-339-5261 |
EMail: | langerj@nrgoncology.org |
Responsible Party: | National Cancer Institute (NCI) |
ClinicalTrials.gov Identifier: | NCT02921256 |
Other Study ID Numbers: |
NCI-2016-00222 NCI-2016-00222 ( Registry Identifier: CTRP (Clinical Trial Reporting Program) ) NRG-GI002 s17-00197 NRG-GI002 ( Other Identifier: NRG Oncology ) NRG-GI002 ( Other Identifier: CTEP ) U10CA180868 ( U.S. NIH Grant/Contract ) |
First Submitted: | September 30, 2016 |
First Posted: | October 3, 2016 |
Results First Submitted: | March 8, 2023 |
Results First Posted: | June 9, 2023 |
Last Update Posted: | April 24, 2024 |