Veliparib, Bendamustine Hydrochloride, and Rituximab in Treating Patients With Relapsed or Refractory Lymphoma, Multiple Myeloma, or Solid Tumors

• Sponsor: National Cancer Institute (NCI) (NIH)
• Overall Status: Completed
• CT.gov ID: NCT01326702
• Collaborator: (none)
• Enrollment: 43
• Location: 1
• Arm: 1
• Duration (Months): 45
• Patients Per Site Per Month: 1

Study Details

Study Description

Brief Summary

This phase I/II trial studies the side effects and the best dose of veliparib when given together with bendamustine hydrochloride and rituximab and to see how well they work in treating patients with lymphoma, multiple myeloma, or solid tumors that have come back or have not responded to treatment. Veliparib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as bendamustine hydrochloride, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Monoclonal antibodies, such as rituximab, can block cancer growth in different ways. Some find cancer cells and help kill them or carry cancer-killing substances to them. Others interfere with the ability of cancer cells to grow and spread. Giving veliparib together with bendamustine hydrochloride and rituximab may kill more cancer cells.

Condition or Disease	Intervention/Treatment	Phase
Adult B Acute Lymphoblastic Leukemia; Adult Nasal Type Extranodal NK/T-Cell Lymphoma; Adult Solid Neoplasm; Anaplastic Large Cell Lymphoma; Angioimmunoblastic T-Cell Lymphoma; Chronic Lymphocytic Leukemia; Cutaneous B-Cell Non-Hodgkin Lymphoma; Extranodal Marginal Zone Lymphoma of Mucosa-Associated Lymphoid Tissue; Hepatosplenic T-Cell Lymphoma; Intraocular Lymphoma; Lymphomatous Involvement of Non-Cutaneous Extranodal Site; Mature T-Cell and NK-Cell Non-Hodgkin Lymphoma; Nodal Marginal Zone Lymphoma; Recurrent Adult Acute Lymphoblastic Leukemia; Recurrent Adult Burkitt Lymphoma; Recurrent Adult Diffuse Large Cell Lymphoma; Recurrent Adult Diffuse Mixed Cell Lymphoma; Recurrent Adult Diffuse Small Cleaved Cell Lymphoma; Recurrent Adult Grade III Lymphomatoid Granulomatosis; Recurrent Adult Hodgkin Lymphoma; Recurrent Adult Immunoblastic Lymphoma; Recurrent Adult Lymphoblastic Lymphoma; Recurrent Adult T-Cell Leukemia/Lymphoma; Recurrent Cutaneous T-Cell Non-Hodgkin Lymphoma; Recurrent Grade 1 Follicular Lymphoma; Recurrent Grade 2 Follicular Lymphoma; Recurrent Grade 3 Follicular Lymphoma; Recurrent Mantle Cell Lymphoma; Recurrent Marginal Zone Lymphoma; Recurrent Mycosis Fungoides and Sezary Syndrome; Recurrent Small Lymphocytic Lymphoma; Refractory Chronic Lymphocytic Leukemia; Refractory Hairy Cell Leukemia; Refractory Plasma Cell Myeloma; Small Intestinal Lymphoma; Splenic Marginal Zone Lymphoma; Testicular Lymphoma; Waldenstrom Macroglobulinemia	Drug: Bendamustine Hydrochloride; Other: Pharmacological Study; Biological: Rituximab; Drug: Veliparib	Phase 1/Phase 2

Detailed Description

PRIMARY OBJECTIVES:

1. To determine the maximum-tolerated dose (MTD) of ABT-888 (veliparib) in combination with bendamustine (bendamustine hydrochloride) in patients with solid tumors, lymphoma, or multiple myeloma. (Phase Ib) II. To establish the safety of ABT-888 in combination with bendamustine and rituximab in an expansion cohort of patients with non-Hodgkin lymphoma (NHL). (Phase Ib) III. To assess the toxicity profile of this regimen in the above patients. (Phase Ib) IV. To determine the complete response (CR) rate in patients with indolent NHL or mantle cell lymphoma (MCL) treated with ABT-888 + bendamustine + rituximab. (Phase IIa)

SECONDARY OBJECTIVES:

1. To assess response rates and survival parameters of patients treated with ABT-888 + bendamustine +/- rituximab. (Phase Ib) II. To assess pharmacokinetic parameters of ABT-888 in this regimen. (Phase Ib) III. To assess progression-free survival, overall survival, and duration of remission of patients with indolent NHL and MCL treated with ABT-888 + bendamustine + rituximab. (Phase IIa)

OUTLINE: This is a phase I, dose-escalation study of veliparib followed by a phase II study.

Patients receive veliparib orally (PO) twice daily (BID) on days 1-7 and bendamustine hydrochloride intravenously (IV) over 30-60 minutes on days 1-2. Treatment repeats every 28 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.

Once the maximum-tolerated dose is determined, a cohort of patients receives veliparib and bendamustine hydrochloride as above and rituximab IV on day 1. Treatment repeats every 28 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed up for 30 days.

Study Design

• Study Type: Interventional
• Actual Enrollment: 43 participants
• Intervention Model: Sequential Assignment
• Masking: None (Open Label)
• Primary Purpose: Treatment
• Official Title: A Phase 1b/2a Study of ABT-888 in Combination With Bendamustine +/- Rituximab in Lymphoma, Multiple Myeloma and Solid Tumors
• Study Start Date: Jul 1, 2011
• Actual Primary Completion Date: Apr 1, 2015
• Actual Study Completion Date: Apr 1, 2015

Arms and Interventions

Arm

Intervention/Treatment

Experimental: Treatment (veliparib, bendamustine hydrochloride, rituximab) Patients receive veliparib PO BID on days 1-7 and bendamustine hydrochloride IV over 30-60 minutes on days 1-2. Treatment repeats every 28 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. Once the maximum-tolerated dose is determined, a cohort of patients receives veliparib and bendamustine hydrochloride as above and rituximab IV on day 1. Treatment repeats every 28 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.

Drug: Bendamustine Hydrochloride; Given IV; Other Names: Bendamustin Hydrochloride Cytostasan Hydrochloride Levact Ribomustin SyB L-0501 Treanda ; Other: Pharmacological Study; Correlative studies; Biological: Rituximab; Given IV; Other Names: BI 695500 C2B8 Monoclonal Antibody Chimeric Anti-CD20 Antibody IDEC-102 IDEC-C2B8 IDEC-C2B8 Monoclonal Antibody MabThera Monoclonal Antibody IDEC-C2B8 PF-05280586 Rituxan Rituximab Biosimilar BI 695500 Rituximab Biosimilar PF-05280586 Rituximab Biosimilar RTXM83 RTXM83 ; Drug: Veliparib; Given PO; Other Names: ABT-888 PARP-1 inhibitor ABT-888

Outcome Measures

Primary Outcome Measures

1. Maximum Tolerated Dose of Veliparib When Combined With Bendamustine Hydrochloride [28 days]

   Maximum Tolerated Dose (MTD) reflects the highest dose of Veliparib when combined with Bendamustine Hydrochloride that did not cause a DLT. The maximum tolerated dose (MTD) was defined as the highest dose level at which 33% of patients experienced DLT.

2. Response Rate [2 years]

   Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI and/or CT: Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for a Partial Response nor sufficient increase to qualify for Progression of Disease (POD); POD, 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions; Complete Response (CR), Disappearance of all target lesions.

3. Number of Participants With Adverse Events [2 years]

   Adverse events assessed by NCI CTCAE version 4.0 (Phase Ib) See adverse events section.

Secondary Outcome Measures

1. Complete Response (CR) to Study Treatment (Phase IIa) [2 years]

   Summary statistics will be used for CR. Responses will be evaluated by the International Uniform Response Criteria for Multiple Myeloma.

2. Duration of Remission (Phase IIa) [From the first documented response to the first documented progression or death, assessed up to 30 days post-treatment]

3. Overall Survival (Phase IIa) [Up to 30 days post-treatment]

   Kaplan-Meier estimates will be calculated and log-rank tests will be employed when certain comparisons are needed.

4. Pharmacokinetic Parameters of Veliparib (Phase Ib) [From time zero to 12 hours on day 2 of course 1]

   Area Under the Curve from time zero to 12 hours following Veliparib administration

5. Progression-free Survival Using RECIST Version 1.1 (Phase IIa) [2 years]

   Kaplan-Meier estimates will be calculated and log-rank tests will be employed when certain comparisons are needed. Changes in the largest diameter (unidimensional measurement) of the tumor lesions and the shortest diameter in the case of malignant lymph nodes are used in the RECIST criteria.

6. Participants With Dose Limiting Toxicities [28 days]

Eligibility Criteria

Criteria

• Ages Eligible for Study: 18 Years and Older
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Inclusion Criteria:

• Phase 1b: Patients must have a histologically confirmed solid malignancy, lymphoma or multiple myeloma for which standard curative or palliative measures do not exist, are no longer effective, or for which the patient is not eligible or refuses; phase 1b cohort expansion: patients must have a histologically confirmed cluster of differentiation (CD)-20 positive B-cell non-Hodgkin lymphoma for which standard curative or palliative measures do not exist, are no longer effective, or for which the patient is not eligible or refuses; phase 2a: patients must have histologically or cytologically confirmed marginal zone B-cell lymphoma, small lymphocytic lymphoma, lymphoplasmacytic lymphoma or mantle cell lymphoma, and must have at least one measureable site of disease

• For lymphoma and multiple myeloma patients: patients who have relapsed or are refractory to at least one prior chemotherapeutic regimen or biologic agent; patients must either be ineligible for or have refused curative options for treatment, including stem cell transplant, if applicable

• For solid tumor patients: relapsed or refractory to at least one prior chemotherapeutic regimen or biologic agent; patients must either be ineligible for or have refused curative options for treatment

• Patients must have had a rest period of at least 3 weeks since prior chemotherapy or radiation therapy, 6 weeks if the last regimen included carmustine (BCNU) or mitomycin C; there must be a rest period of at least 3 months if the last therapy was immunotherapy or radioimmunotherapy (unless the disease has progressed since treatment)

• Eastern Cooperative Oncology Group (ECOG) performance status =< 2 (Karnofsky >= 60%)

• Life expectancy of greater than 3 months

• Absolute neutrophil count (ANC) >= 1,000/mcL

• Platelets >= 100,000/mcL unsupported by transfusion within the prior 2 weeks

• Hemoglobin >= 8.0 g/dL unsupported by transfusion within the prior 2 weeks

• Total bilirubin =< 2 x upper normal institutional limits; in patients with Gilbert's disease or documented liver metastases, total bilirubin up to 3 x upper limits of normal (ULN) will be allowed

• Aspartate aminotransferase (AST) (serum glutamic oxaloacetic transaminase [SGOT])/alanine aminotransferase (ALT) (serum glutamate pyruvate transaminase [SGPT]) =< 2.5 X institutional upper limit of normal

• Creatinine within normal institutional limits OR creatinine clearance >= 60 mL/min for patients with creatinine levels above institutional normal

• Patients with prior stem cell transplant will be eligible as long as they have not relapsed or progressed within 100 days post-transplant and they meet the above inclusion criteria

• Women of child-bearing potential and men must agree to use adequate contraception (hormonal, barrier method of birth control, or abstinence) prior to study entry and for the duration of study participation; should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately

• Ability to understand and the willingness to sign a written informed consent document

• Toxicities from prior therapies must have resolved to baseline, or be =< grade 2 and stable for at least one month

• Patient must be able to swallow pills

• Patients with central nervous system (CNS) metastases must be stable after therapy for

3 months and off steroid treatment prior to study enrollment

Exclusion Criteria:

• Patients who have had chemotherapy or radiotherapy within 3 weeks (6 weeks for nitrosoureas or mitomycin C) prior to entering the study or those who have not recovered to baseline (or are not at stable grade =< 2) from adverse events due to agents administered more than 3 weeks earlier; patients who have received immunotherapy or radioimmunotherapy within 3 months, unless disease has progressed since treatment; patients who have been administered ABT-888 as part of a single or limited dosing study, such as a phase 0 study, will not be excluded from participating in this study solely because of receiving prior ABT-888

• Patients may not be receiving any other investigational agents

• History of allergic reactions attributed to compounds of similar chemical or biologic composition to ABT-888, bendamustine or mannitol; patients enrolling in the cohort expansion or phase 2 portions of the study who have been intolerant of repeated doses of rituximab in the past will be excluded (patients who have had infusion reactions to their initial dose of rituximab will not be excluded)

• Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements

• Pregnant women are excluded from this study; breastfeeding should be discontinued if the mother is treated with ABT-888

• Human immunodeficiency virus (HIV)-positive patients on combination antiretroviral therapy are eligible if their HIV is under adequate control with an antiretroviral regimen that has been stable for >= 4 weeks, as long as the CD4 count is > 300; appropriate studies will be undertaken in patients receiving combination antiretroviral therapy when indicated; patients on zidovudine or stavudine would not be eligible

• Patients with active seizure or a history of seizure are not eligible

• Patients with uncontrolled CNS metastasis are not eligible

• Patients with unrelated prior malignancies must have undergone potentially curative therapy for their prior malignancy, have no evidence of that disease for three years, or be deemed at low risk for recurrence of their prior malignancy by her/his treating physician; patients with dermal squamous cell carcinoma, basal cell carcinoma or melanoma in situ that has been completely excised will be eligible following excision

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Memorial Sloan-Kettering Cancer Center	New York	New York	United States	10065

Sponsors and Collaborators

• National Cancer Institute (NCI)

Investigators

• Principal Investigator: John Gerecitano, Memorial Sloan Kettering Cancer Center

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: National Cancer Institute (NCI)
• ClinicalTrials.gov Identifier: NCT01326702
• Other Study ID Numbers: NCI-2011-02583; NCI-2011-02583; CDR0000697580; 10-174; 8818; P30CA008748; U01CA069856
• First Posted: Mar 31, 2011
• Last Update Posted: Dec 16, 2019
• Last Verified: Nov 1, 2019

• Additional relevant MeSH terms: Burkitt Lymphoma; Mycoses; Lymphoma; Leukemia; Multiple Myeloma; Neoplasms, Plasma Cell; Lymphoma, Follicular; Lymphoma, Non-Hodgkin; Precursor Cell Lymphoblastic Leukemia-Lymphoma; Leukemia, Lymphoid; Leukemia, Lymphocytic, Chronic, B-Cell; Hodgkin Disease; Lymphoma, Mantle-Cell; Lymphoma, B-Cell, Marginal Zone; Lymphoma, T-Cell; Lymphoma, T-Cell, Peripheral; Lymphoma, Large B-Cell, Diffuse; Mycosis Fungoides; Sezary Syndrome; Lymphoma, B-Cell; Leukemia, T-Cell; Lymphoma, T-Cell, Cutaneous; Leukemia-Lymphoma, Adult T-Cell; Waldenstrom Macroglobulinemia; Lymphoma, Large-Cell, Anaplastic; Leukemia, Hairy Cell; Lymphomatoid Granulomatosis; Lymphoma, Extranodal NK-T-Cell; Intraocular Lymphoma; Plasmablastic Lymphoma; Lymphoma, Large-Cell, Immunoblastic; Immunoblastic Lymphadenopathy; Recurrence; Rituximab; Antineoplastic Agents, Immunological; Bendamustine Hydrochloride; Veliparib; Antibodies; Immunoglobulins; Antibodies, Monoclonal

Study Results

Participant Flow

Arm/Group Title	Dose Level 1-Bendamustine 70 mg/m2, ABT-888 50 mg	Dose Level 2: Bendamustine 90 mg/m2, ABT-888 50 mg	Dose Level 3: Bendamustine 90 mg/m2, ABT-888 100 mg BID	Dose Level 4: Bendamustine 90 mg/m2, ABT-888 150 mg BID	Dose Level 5: Bendamustine 90 mg/m2, ABT-888 200 mg BID	Dose Level 6: Bendamustine 90 mg/m2, ABT-888 300 mg BID	Dose Level 7: Bendamustine 90 mg/m2, ABT-888 400 mg BID
Arm/Group Description	Bendamustine 70 mg/m2, ABT-888 50 mg	Bendamustine 90 mg/m2, ABT-888 50 mg	Bendamustine 90 mg/m2, ABT-888 100 mg BID	Bendamustine 90 mg/m2, ABT-888 150 mg BID	Bendamustine 90 mg/m2, ABT-888 200 mg BID	Bendamustine 90 mg/m2, ABT-888 300 mg BID	Bendamustine 90 mg/m2, ABT-888 400 mg BID
Period Title: Overall Study
STARTED	3	3	6	4	5	15	7
COMPLETED	1	1	1	1	1	7	0
NOT COMPLETED	2	2	5	3	4	8	7

Baseline Characteristics

Arm/Group Title	Dose Level 1: Bendamustine 70 mg/m2, ABT-888 50 mg	Dose Level 2: Bendamustine 90 mg/m2, ABT-888 50 mg	Dose Level 3: Bendamustine 90 mg/m2, ABT-888 100 mg BID	Dose Level 4: Bendamustine 90 mg/m2, ABT-888 150 mg BID	Dose Level 5: Bendamustine 90 mg/m2, ABT-888 200 mg BID	Dose Level 6: Bendamustine 90 mg/m2, ABT-888 300 mg BID	Dose Level 7: Bendamustine 90 mg/m2, ABT-888 400 mg BID	Total
Arm/Group Description	Dose Level 1: Bendamustine 70 mg/m2, ABT-888 50 mg	Dose Level 2: Bendamustine 90 mg/m2, ABT-888 50 mg	Dose Level 3: Bendamustine 90 mg/m2, ABT-888 100 mg BID	Dose Level 4: Bendamustine 90 mg/m2, ABT-888 150 mg BID	Dose Level 5: Bendamustine 90 mg/m2, ABT-888 200 mg BID	Dose Level 6: Bendamustine 90 mg/m2, ABT-888 300 mg BID	Bendamustine 90 mg/m2, ABT-888 400 mg BID	Total of all reporting groups
Overall Participants	3	3	6	4	5	15	7	43
Age (Count of Participants)
<=18 years	0 0%	0 0%	0 0%	0 0%	0 0%	0 0%	0 0%	0 0%
Between 18 and 65 years	1 33.3%	1 33.3%	4 66.7%	4 100%	1 20%	8 53.3%	3 42.9%	22 51.2%
>=65 years	2 66.7%	2 66.7%	2 33.3%	0 0%	4 80%	7 46.7%	4 57.1%	21 48.8%
Sex: Female, Male (Count of Participants)
Female	1 33.3%	2 66.7%	5 83.3%	2 50%	2 40%	8 53.3%	6 85.7%	26 60.5%
Male	2 66.7%	1 33.3%	1 16.7%	2 50%	3 60%	7 46.7%	1 14.3%	17 39.5%
Region of Enrollment (participants) [Number]
United States	3 100%	3 100%	6 100%	4 100%	5 100%	15 100%	7 100%	43 100%

Outcome Measures

1. Primary Outcome

Title	Maximum Tolerated Dose of Veliparib When Combined With Bendamustine Hydrochloride
Description	Maximum Tolerated Dose (MTD) reflects the highest dose of Veliparib when combined with Bendamustine Hydrochloride that did not cause a DLT. The maximum tolerated dose (MTD) was defined as the highest dose level at which 33% of patients experienced DLT.
Time Frame	28 days

Outcome Measure Data

Analysis Population Description

The MTD was established at Dose Level 6 Veliparib 300mg PO BID plus Bendamustine 90 mg/m2

Arm/Group Title	All Study Participants
Arm/Group Description	All Study Participants
Measure Participants	43
Number [mg]	300

2. Primary Outcome

Title	Response Rate
Description	Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI and/or CT: Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for a Partial Response nor sufficient increase to qualify for Progression of Disease (POD); POD, 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions; Complete Response (CR), Disappearance of all target lesions.
Time Frame	2 years

Outcome Measure Data

Analysis Population Description

[Not Specified]

Arm/Group Title	Dose Level 1-Bendamustine 70 mg/m2, ABT-888 50 mg	Dose Level 2: Bendamustine 90 mg/m2, ABT-888 50 mg	Dose Level 3: Bendamustine 90 mg/m2, ABT-888 100 mg BID	Dose Level 4: Bendamustine 90 mg/m2, ABT-888 150 mg BID	Dose Level 5: Bendamustine 90 mg/m2, ABT-888 200 mg BID	Dose Level 6: Bendamustine 90 mg/m2, ABT-888 300 mg BID	Dose Level 7: Bendamustine 90 mg/m2, ABT-888 400 mg BID
Arm/Group Description	Bendamustine 70 mg/m2, ABT-888 50 mg	Bendamustine 90 mg/m2, ABT-888 50 mg	Bendamustine 90 mg/m2, ABT-888 100 mg BID	Bendamustine 90 mg/m2, ABT-888 150 mg BID	Bendamustine 90 mg/m2, ABT-888 200 mg BID	Bendamustine 90 mg/m2, ABT-888 300 mg BID	Bendamustine 90 mg/m2, ABT-888 400 mg BID
Measure Participants	3	3	5	2	3	14	2
Complete Response	0 0%	0 0%	1 16.7%	0 0%	0 0%	4 26.7%	0 0%
Partial Response	1 33.3%	1 33.3%	0 0%	0 0%	1 20%	4 26.7%	0 0%
Stable Disease	1 33.3%	2 66.7%	2 33.3%	2 50%	0 0%	5 33.3%	0 0%
Progression of Disease	1 33.3%	0 0%	2 33.3%	0 0%	2 40%	1 6.7%	2 28.6%

3. Primary Outcome

Title	Number of Participants With Adverse Events
Description	Adverse events assessed by NCI CTCAE version 4.0 (Phase Ib) See adverse events section.
Time Frame	2 years

Outcome Measure Data

Analysis Population Description

[Not Specified]

Arm/Group Title	Dose Level 1-Bendamustine 70 mg/m2, ABT-888 50 mg	Dose Level 2: Bendamustine 90 mg/m2, ABT-888 50 mg	Dose Level 3: Bendamustine 90 mg/m2, ABT-888 100 mg BID	Dose Level 4: Bendamustine 90 mg/m2, ABT-888 150 mg BID	Dose Level 5: Bendamustine 90 mg/m2, ABT-888 200 mg BID	Dose Level 6: Bendamustine 90 mg/m2, ABT-888 300 mg BID	Dose Level 7: Bendamustine 90 mg/m2, ABT-888 400 mg BID
Arm/Group Description	Bendamustine 70 mg/m2, ABT-888 50 mg	Bendamustine 90 mg/m2, ABT-888 50 mg	Bendamustine 90 mg/m2, ABT-888 100 mg BID	Bendamustine 90 mg/m2, ABT-888 150 mg BID	Bendamustine 90 mg/m2, ABT-888 200 mg BID	Bendamustine 90 mg/m2, ABT-888 300 mg BID	Bendamustine 90 mg/m2, ABT-888 400 mg BID
Measure Participants	3	3	6	4	5	15	7
Number [participants]	3 100%	3 100%	4 66.7%	2 50%	2 40%	5 33.3%	3 42.9%

4. Secondary Outcome

Title	Complete Response (CR) to Study Treatment (Phase IIa)
Description	Summary statistics will be used for CR. Responses will be evaluated by the International Uniform Response Criteria for Multiple Myeloma.
Time Frame	2 years

Outcome Measure Data

Analysis Population Description

Dose Level 7; Bendamustine 90mg/m2, ABT-888 400mg BID Participants treated on Dose Level 7 make up the cohort expansion of VBR in participants with CD20+ B-cell lymphoma.

Arm/Group Title	All Study Participants
Arm/Group Description	All Study Participants
Measure Participants	7
Count of Participants [Participants]	5 166.7%

5. Secondary Outcome

Title	Duration of Remission (Phase IIa)
Time Frame	From the first documented response to the first documented progression or death, assessed up to 30 days post-treatment

Outcome Measure Data

Analysis Population Description

Data were not collected

Arm/Group Title	Dose Level 1: Bendamustine 70 mg/m2, ABT-888 50 mg	Dose Level 2: Bendamustine 90 mg/m2, ABT-888 50 mg	Dose Level 3: Bendamustine 90 mg/m2, ABT-888 100 mg BID	Dose Level 4: Bendamustine 90 mg/m2, ABT-888 150 mg BID	Dose Level 5: Bendamustine 90 mg/m2, ABT-888 200 mg BID	Dose Level 6: Bendamustine 90 mg/m2, ABT-888 300 mg BID	Dose Level 7: Bendamustine 90 mg/m2, ABT-888 400 mg BID
Arm/Group Description	Bendamustine 70 mg/m2, ABT-888 50 mg	Bendamustine 90 mg/m2, ABT-888 50 mg	Bendamustine 90 mg/m2, ABT-888 100 mg BID	Bendamustine 90 mg/m2, ABT-888 150 mg BID	Bendamustine 90 mg/m2, ABT-888 200 mg BID	Bendamustine 90 mg/m2, ABT-888 300 mg BID	Bendamustine 90 mg/m2, ABT-888 400 mg BID
Measure Participants	0	0	0	0	0	0	0

6. Secondary Outcome

Title	Overall Survival (Phase IIa)
Description	Kaplan-Meier estimates will be calculated and log-rank tests will be employed when certain comparisons are needed.
Time Frame	Up to 30 days post-treatment

Outcome Measure Data

Analysis Population Description

Data were not collected

Arm/Group Title	Dose Level 1-Bendamustine 70 mg/m2, ABT-888 50 mg	Dose Level 2: Bendamustine 90 mg/m2, ABT-888 50 mg	Dose Level 3: Bendamustine 90 mg/m2, ABT-888 100 mg BID	Dose Level 4: Bendamustine 90 mg/m2, ABT-888 150 mg BID	Dose Level 5: Bendamustine 90 mg/m2, ABT-888 200 mg BID	Dose Level 6: Bendamustine 90 mg/m2, ABT-888 300 mg BID	Dose Level 7: Bendamustine 90 mg/m2, ABT-888 400 mg BID
Arm/Group Description	Bendamustine 70 mg/m2, ABT-888 50 mg	Bendamustine 90 mg/m2, ABT-888 50 mg	Bendamustine 90 mg/m2, ABT-888 100 mg BID	Bendamustine 90 mg/m2, ABT-888 150 mg BID	Bendamustine 90 mg/m2, ABT-888 200 mg BID	Bendamustine 90 mg/m2, ABT-888 300 mg BID	Bendamustine 90 mg/m2, ABT-888 400 mg BID
Measure Participants	0	0	0	0	0	0	0

7. Secondary Outcome

Title	Pharmacokinetic Parameters of Veliparib (Phase Ib)
Description	Area Under the Curve from time zero to 12 hours following Veliparib administration
Time Frame	From time zero to 12 hours on day 2 of course 1

Outcome Measure Data

Analysis Population Description

[Not Specified]

Arm/Group Title	Dose Level 1-Bendamustine 70 mg/m2, ABT-888 50 mg	Dose Level 2: Bendamustine 90 mg/m2, ABT-888 50 mg	Dose Level 3: Bendamustine 90 mg/m2, ABT-888 100 mg BID	Dose Level 4: Bendamustine 90 mg/m2, ABT-888 150 mg BID	Dose Level 5: Bendamustine 90 mg/m2, ABT-888 200 mg BID	Dose Level 6: Bendamustine 90 mg/m2, ABT-888 300 mg BID	Dose Level 7: Bendamustine 90 mg/m2, ABT-888 400 mg BID
Arm/Group Description	Bendamustine 70 mg/m2, ABT-888 50 mg	Bendamustine 90 mg/m2, ABT-888 50 mg	Bendamustine 90 mg/m2, ABT-888 100 mg BID	Bendamustine 90 mg/m2, ABT-888 150 mg BID	Bendamustine 90 mg/m2, ABT-888 200 mg BID	Bendamustine 90 mg/m2, ABT-888 300 mg BID	Bendamustine 90 mg/m2, ABT-888 400 mg BID
Measure Participants	3	2	6	3	5	6	7
Geometric Mean (Standard Deviation) [μg*h/mL]	1.79 (0.41)	3.58 (0.93)	7.93 (1.90)	12.6 (3.8)	16.9 (11.1)	19.0 (10.5)	25.0 (14.6)

8. Secondary Outcome

Title	Progression-free Survival Using RECIST Version 1.1 (Phase IIa)
Description	Kaplan-Meier estimates will be calculated and log-rank tests will be employed when certain comparisons are needed. Changes in the largest diameter (unidimensional measurement) of the tumor lesions and the shortest diameter in the case of malignant lymph nodes are used in the RECIST criteria.
Time Frame	2 years

Outcome Measure Data

Analysis Population Description

Participants treated on Dose Level 7 make up the cohort expansion of VBR in participants with CD20+ B-cell lymphoma.

Arm/Group Title	All Study Participants
Arm/Group Description	Dose Level 7; Bendamustine 90mg/m2, ABT-888 400mg BID
Measure Participants	7
Median (Full Range) [Months]	14.2

9. Secondary Outcome

Title	Participants With Dose Limiting Toxicities
Time Frame	28 days

Outcome Measure Data

Analysis Population Description

[Not Specified]

Arm/Group Title	Dose Level 1-Bendamustine 70 mg/m2, ABT-888 50 mg	Dose Level 2: Bendamustine 90 mg/m2, ABT-888 50 mg	Dose Level 3: Bendamustine 90 mg/m2, ABT-888 100 mg BID	Dose Level 4: Bendamustine 90 mg/m2, ABT-888 150 mg BID	Dose Level 5: Bendamustine 90 mg/m2, ABT-888 200 mg BID	Dose Level 6: Bendamustine 90 mg/m2, ABT-888 300 mg BID	Dose Level 7: Bendamustine 90 mg/m2, ABT-888 400 mg BID
Arm/Group Description	Bendamustine 70 mg/m2, ABT-888 50 mg	Bendamustine 90 mg/m2, ABT-888 50 mg	Bendamustine 90 mg/m2, ABT-888 100 mg BID	Bendamustine 90 mg/m2, ABT-888 150 mg BID	Bendamustine 90 mg/m2, ABT-888 200 mg BID	Bendamustine 90 mg/m2, ABT-888 300 mg BID	Bendamustine 90 mg/m2, ABT-888 400 mg BID
Measure Participants	3	3	6	4	5	15	7
Number [participants]	0 0%	0 0%	1 16.7%	0 0%	0 0%	1 6.7%	2 28.6%

Adverse Events

Arm/Group Title	Dose Level 1: Bendamustine 70 mg/m2, ABT-888 50 mg		Dose Level 2: Bendamustine 90 mg/m2, ABT-888 50 mg		Dose Level 3: Bendamustine 90 mg/m2, ABT-888 100 mg BID		Dose Level 4: Bendamustine 90 mg/m2, ABT-888 150 mg BID		Dose Level 5: Bendamustine 90 mg/m2, ABT-888 200 mg BID		Dose Level 6: Bendamustine 90 mg/m2, ABT-888 300 mg BID		Dose Level 7: Bendamustine 90 mg/m2, ABT-888 400 mg BID
Arm/Group Description	Bendamustine 70 mg/m2, ABT-888 50 mg		Bendamustine 90 mg/m2, ABT-888 50 mg		Bendamustine 90 mg/m2, ABT-888 100 mg BID		Bendamustine 90 mg/m2, ABT-888 150 mg BID		Bendamustine 90 mg/m2, ABT-888 200 mg BID		Bendamustine 90 mg/m2, ABT-888 300 mg BID		Bendamustine 90 mg/m2, ABT-888 400 mg BID
All Cause Mortality
	Dose Level 1: Bendamustine 70 mg/m2, ABT-888 50 mg		Dose Level 2: Bendamustine 90 mg/m2, ABT-888 50 mg		Dose Level 3: Bendamustine 90 mg/m2, ABT-888 100 mg BID		Dose Level 4: Bendamustine 90 mg/m2, ABT-888 150 mg BID		Dose Level 5: Bendamustine 90 mg/m2, ABT-888 200 mg BID		Dose Level 6: Bendamustine 90 mg/m2, ABT-888 300 mg BID		Dose Level 7: Bendamustine 90 mg/m2, ABT-888 400 mg BID
	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events
Total	0/3 (0%)		1/3 (33.3%)		0/6 (0%)		0/4 (0%)		0/5 (0%)		0/15 (0%)		0/7 (0%)
Serious Adverse Events
	Dose Level 1: Bendamustine 70 mg/m2, ABT-888 50 mg		Dose Level 2: Bendamustine 90 mg/m2, ABT-888 50 mg		Dose Level 3: Bendamustine 90 mg/m2, ABT-888 100 mg BID		Dose Level 4: Bendamustine 90 mg/m2, ABT-888 150 mg BID		Dose Level 5: Bendamustine 90 mg/m2, ABT-888 200 mg BID		Dose Level 6: Bendamustine 90 mg/m2, ABT-888 300 mg BID		Dose Level 7: Bendamustine 90 mg/m2, ABT-888 400 mg BID
	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events
Total	1/3 (33.3%)		3/3 (100%)		3/6 (50%)		2/4 (50%)		2/5 (40%)		5/15 (33.3%)		3/7 (42.9%)
Blood and lymphatic system disorders
Anemia	0/3 (0%)	0	1/3 (33.3%)	1	1/6 (16.7%)	1	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0
Cardiac disorders
Chest pain - cardiac	0/3 (0%)	0	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	1/15 (6.7%)	1	0/7 (0%)	0
Atrial fibrillation	0/3 (0%)	0	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	1/7 (14.3%)	1
Gastrointestinal disorders
Duodenal hemorrhage	0/3 (0%)	0	1/3 (33.3%)	1	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0
Gastric hemorrhage	0/3 (0%)	0	1/3 (33.3%)	1	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0
Nausea	0/3 (0%)	0	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	1/15 (6.7%)	1	0/7 (0%)	0
Small intestinal obstruction	0/3 (0%)	0	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	1/7 (14.3%)	1
Vomiting	0/3 (0%)	0	0/3 (0%)	0	1/6 (16.7%)	1	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0
General disorders
Fatigue	0/3 (0%)	0	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	1/5 (20%)	1	0/15 (0%)	0	0/7 (0%)	0
Fever	0/3 (0%)	0	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	1/7 (14.3%)	1
Infections and infestations
Sepsis	0/3 (0%)	0	1/3 (33.3%)	1	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	1/15 (6.7%)	1	1/7 (14.3%)	1
Lung Infection	0/3 (0%)	0	0/3 (0%)	0	1/6 (16.7%)	1	1/4 (25%)	1	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0
Abdominal Infection	0/3 (0%)	0	0/3 (0%)	0	0/6 (0%)	0	1/4 (25%)	1	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0
Investigations
Alanine aminotransferase increased	0/3 (0%)	0	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	1/15 (6.7%)	1	0/7 (0%)	0
Aspartate aminotransferase increased	0/3 (0%)	0	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	1/15 (6.7%)	1	0/7 (0%)	0
Metabolism and nutrition disorders
Hyperhidrosis	0/3 (0%)	0	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	1/7 (14.3%)	1
Musculoskeletal and connective tissue disorders
Back pain	0/3 (0%)	0	1/3 (33.3%)	1	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0
Abdominal pain	0/3 (0%)	0	1/3 (33.3%)	1	0/6 (0%)	0	1/4 (25%)	1	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms ben/mal/unk (in cyst/polyp) Other, Specify	0/3 (0%)	0	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	1/5 (20%)	1	0/15 (0%)	0	0/7 (0%)	0
Nervous system disorders
Syncope	0/3 (0%)	0	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	1/15 (6.7%)	1	0/7 (0%)	0
Renal and urinary disorders
Hematuria	1/3 (33.3%)	1	1/3 (33.3%)	1	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0
Respiratory, thoracic and mediastinal disorders
Dyspnea	0/3 (0%)	0	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	1/5 (20%)	1	0/15 (0%)	0	0/7 (0%)	0
Vascular disorders
Hypertension	0/3 (0%)	0	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	1/15 (6.7%)	1	1/7 (14.3%)	1
Hemolysis	0/3 (0%)	0	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	1/15 (6.7%)	1	0/7 (0%)	0
Other (Not Including Serious) Adverse Events
	Dose Level 1: Bendamustine 70 mg/m2, ABT-888 50 mg		Dose Level 2: Bendamustine 90 mg/m2, ABT-888 50 mg		Dose Level 3: Bendamustine 90 mg/m2, ABT-888 100 mg BID		Dose Level 4: Bendamustine 90 mg/m2, ABT-888 150 mg BID		Dose Level 5: Bendamustine 90 mg/m2, ABT-888 200 mg BID		Dose Level 6: Bendamustine 90 mg/m2, ABT-888 300 mg BID		Dose Level 7: Bendamustine 90 mg/m2, ABT-888 400 mg BID
	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events	Affected / at Risk (%)	# Events
Total	2/3 (66.7%)		1/3 (33.3%)		1/6 (16.7%)		0/4 (0%)		0/5 (0%)		0/15 (0%)		0/7 (0%)
Blood and lymphatic system disorders
Anemia	1/3 (33.3%)	8	1/3 (33.3%)	2	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0
Gastrointestinal disorders
Diarrhea	1/3 (33.3%)	1	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0
Nausea	0/3 (0%)	0	1/3 (33.3%)	1	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0
General disorders
Fatigue	1/3 (33.3%)	1	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0
Investigations
Lymphocyte count decreased	2/3 (66.7%)	5	1/3 (33.3%)	4	1/6 (16.7%)	3	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0
Platelet count decreased	1/3 (33.3%)	3	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0
White blood cell decreased	1/3 (33.3%)	1	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0
Metabolism and nutrition disorders
Hypoalbuminemia	0/3 (0%)	0	1/3 (33.3%)	1	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0
Hypocalcemia	1/3 (33.3%)	1	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0
Hypophosphatemia	1/3 (33.3%)	4	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0
Renal and urinary disorders
Hematuria	1/3 (33.3%)	1	0/3 (0%)	0	0/6 (0%)	0	0/4 (0%)	0	0/5 (0%)	0	0/15 (0%)	0	0/7 (0%)	0

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 60 days. The sponsor cannot require changes to the communication and cannot extend the embargo.