Last year in the UK over 60,000 cancer patients enrolled on clinical trials aimed at improving cancer treatments and making them available to all.
A trial of veliparib with chemotherapy for bowel cancer that has spread
Please note - this trial is no longer recruiting patients. We hope to add results when they are available.
This trial is looking at veliparib alongside chemotherapy for bowel cancer that has spread to another part of the body (advanced bowel cancer). The trial is open to people who have not yet had treatment for their advanced bowel cancer.
More about this trial
Doctors can treat advanced bowel cancer with chemotherapy. One combination of chemotherapy drugs they use is called FOLFIRI. Sometimes doctors will also give a biological therapy called bevacizumab (Avastin) alongside FOLFIRI.
Researchers are always looking for ways to improve treatment and in this trial they are looking at a drug called veliparib.
Veliparib is a biological therapy called a PARP inhibitor. This means it blocks an
The cells in your cancer already have problems repairing damage. Doctors hope if they can also stop PARP working, the cancer cells will not be able to repair themselves and die.
In this trial half the people will have veliparib alongside FOLFIRI with or without bevacizumab. The other half will have a dummy drug (
The aim of this trial is to find out how well veliparib alongside FOLFIRI, with or without bevacizumab, works for bowel cancer that has spread.
Who can enter
You may be able to join this trial if all of the following apply. You
- Have bowel cancer that has spread to another part of your body and you haven’t had treatment for the cancer spread
- Have at least 1 area of cancer that can be seen on a scan but can’t be removed by surgery
- Are well enough to carry out all your normal activities, apart from heavy physical work (performance status of 0 or 1)
- Have satisfactory blood test results
- Are willing to use reliable contraception during treatment and for 3 months afterwards if there is any chance you or your partner could become pregnant
- Are at least 18 years old
You cannot join this trial if any of these apply. You
- Have already had treatment for your bowel cancer spread
- Had chemotherapy as a part of your initial treatment for bowel cancer and your cancer came back within a year of your last dose of chemotherapy
- Have had radiotherapy to more than a quarter of your
bone marrow(your doctor can tell you this)
- Have had
radiotherapyin the past 4 weeks
- Have had major surgery in the past 4 weeks
- Have had an experimental drug as part of a clinical trial in the past 28 days
- Have had another cancer in the past 3 years apart from some
early cancersthat have been successfully treated
- Have diarrhoea that isn’t controlled with medication
- Have had a blockage in the bowel (bowel obstruction) or a tear in your bowel tissue (perforation) in the past 28 days
- Have certain heart problems (the trial team can advise you about this)
- Have sickness that isn’t controlled with medication
- Have an infection
- Have a condition in which there is a build up of pigment called bilirubin making your skin or the whites of your eyes yellow (Gilbert’s syndrome)
- Have any other medical or mental health problem that the trial team thinks could affect you taking part in this trial
- Are allergic to any of the drugs used in this trial
- Are pregnant or breastfeeding
You may not have bevacizumab as part of your treatment if any of the following apply. You
- Have cancer spread to your brain or spinal cord
- Have had a major bleed in the past 6 months
- Have high blood pressure that isn't controlled by medication
- Have had a tear in the tissue (perforation) of your digestive system in the past year
- Have had a blood clot in the past 2 months
- Have a wound that won’t heal
- Have an ulcer or broken bone (fracture)
- Have already had bevacizumab
- Are allergic to bevacizumab or any of its ingredients
This is an international phase 2 trial. The researchers need 120 people worldwide to join.
It is a randomised trial. The people taking part are put into treatment groups by a computer. Neither you nor your doctor will be able to decide which group you are in. And you will not know which group you are in. This is called a double blind trial.
- People in one group have veliparib and FOLFIRI with or without bevacizumab
- People in the other group have a dummy drug (placebo) and FOLFIRI with or without bevacizumab
Your doctor will talk to you about having bevacizumab if they feel you will benefit from having it.
Veliparib and the dummy drug are capsules. You take them twice a day for 1 week out of every 2 weeks. Each 2 week period is called a cycle of treatment.
As long as the side effects aren’t bad and it is still helping, you can continue treatment with veliparib or the dummy drug until the end of the trial.
FOLFIRI is a combination of irinotecan and folic acid. You have these drugs through a drip in a vein. If you are having bevacizumab, you have it through a drip in a vein at the same time.
You have the 5FU as an injection through a drip into a vein, when you have the other drugs. If you are in the group having veliparib, you won’t have this dose of 5FU. You have a mixture of salt in water (saline) instead.
Everyone has continuous 5FU over 46 hours. You have the 5FU through a small pump you take home. When the 5FU is finished you need to go back to the hospital to have it disconnected.
You have these drugs every 2 weeks. Each 2 week period is called a cycle of treatment. You can have FOLFIRI with or without bevacizumab as long as it helping you.
If you agree to take part in this study, the researchers will ask for a sample of your cancer that was removed when you had a
The trial team are also doing a mini (sub) study looking at how your
You see the doctor to have some tests before you take part in the trial. These tests include
During treatment you see the trial doctor regularly for a physical examination and blood tests. You have a CT scan or MRI scan every 8 weeks.
When you finish treatment you see the doctor for the same tests you had at the start. You then see the doctor every month for a year, then every 2 months for 2 years.
The most common side effects of veliparib are
- A drop in blood cells causing an increased risk of infection, bruising and bleeding
- Feeling or being sick
- Diarrhoea or constipation
- Loss of appetite
- Stomach pain
- A change to the way your liver works
- Feeling dizzy
- An increase in the levels of sugar in your blood
- Problems sleeping
- A decrease in the levels of sodium in your blood
- Changes to taste
The trial doctor will talk to you about the possible side effects of treatment before you agree to take part.
How to join a clinical trial
Dr Vanessa Potter
NIHR Clinical Research Network: Cancer