A Phase 1/2 interventional study of Laboratory Biomarker Analysis and Pharmacological Study in Adult Solid Neoplasm, Childhood Solid Neoplasm and Recurrent Childhood Central Nervous System Neoplasm, sponsored by National Cancer Institute (NCI). Completed at 22 sites in United States. Open to participants aged 13 Months to 30 Years. Per ClinicalTrials.gov, last updated 2021-03-26.
Sponsored by National Cancer Institute (NCI) · Phase 1/2, Interventional, and Treatment
This phase I/II trial studies the side effects and best dose of talazoparib and temozolomide and to see how well they work in treating younger patients with tumors that have not responded to previous treatment (refractory) or have come back (recurrent). Talazoparib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as temozolomide, work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving talazoparib together with temozolomide may work better in treating younger patients with refractory or recurrent malignancies.
PRIMARY OBJECTIVES:
I. To estimate the maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D) of temozolomide when combined with a dose of talazoparib (BMN 673) given once daily for 5 days after a one day dose of BMN 673 administered orally (either once daily or twice daily), every 28 days to children with refractory or recurrent solid tumors. (Phase I) II. To define and describe the toxicities of BMN 673 given with temozolomide administered on this schedule. (Phase I) III. To characterize the pharmacokinetics of BMN 673 and temozolomide when given in combination to children with refractory or recurrent cancer. (Phase I) IV. To define the antitumor activity of BMN 673 when given with temozolomide in recurrent/refractory Ewing sarcoma.(Phase II)
SECONDARY OBJECTIVES:
I. To preliminarily define the antitumor activity of BMN 673 and temozolomide in pediatric patients with recurrent or refractory solid tumors within the confines of a phase I study.
II. To explore possible predictive biomarkers in archival tumor tissue from Ewing sarcoma patients in Phase II.
OUTLINE: This is a phase I, dose-escalation study followed by a phase II study.
Patients receive talazoparib orally (PO) once daily (QD) or twice daily (BID) on days 1-6 and temozolomide PO QD on days 2-6. Treatment repeats every 28 days for up to 24 courses in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up at 30 days.
699 studies on the registry are indexed under Central Nervous System Neoplasms; 66 are open to participants now.
This study's enrollment of 40 is above the median of 35 across 487 interventional studies indexed under Central Nervous System Neoplasms.
Browse Central Nervous System Neoplasms studies →National Cancer Institute (NCI) is the lead sponsor of 3,556 studies on the registry; 336 are open to participants now.
Of its 411 completed or terminated interventional studies of FDA-regulated products, 373 (91%) have results posted.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Age:
Phase 1 (Part A)
Phase 2 (Part B)
Body surface area (for Parts A and B):
Diagnosis:
Phase 1 (Part A)
Phase 2 (Part B)
Disease status:
Phase 1 (Part A):
Phase 2 (Part B):
Patients must have fully recovered from the acute toxic effects of all prior anti-cancer chemotherapy
Myelosuppressive chemotherapy:
PARP inhibitor exposure:
or radioisotope (GFR) >= 70 ml/min/1.73 m\^2 or a maximum serum creatinine (mg/dL) based on age/gender as follows:
Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.
Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.
Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.
The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.
The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.
A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.
Studies often ask for 60 or 70 and above. Your doctor gives the score.
The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.
It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.
Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.
The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).
Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.
How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.
GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².
Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.
A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.
Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.
The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.
“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.
Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.
Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.
Criteria about it usually ask for contraception during the study and for a time after it.
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.
Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.
A drug or device being studied in a clinical trial.
It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.
After a transplant from a donor, the donor’s immune cells attack the recipient’s body, often the skin, gut or liver.
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
Relapsed and refractory
Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Cancer (malignancy)
Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.
Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Measurable disease
The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.
The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Karnofsky performance status (KPS)
A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.
Studies often ask for 60 or 70 and above. Your doctor gives the score.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Absolute neutrophil count (ANC)
The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.
It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Platelets
Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Hemoglobin (Hb)
The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Metastases
Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Creatinine clearance (CrCl)
How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
GFR and eGFR (kidney filtering)
GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².
Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Bilirubin
A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.
Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
ULN (upper limit of normal)
The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.
“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
ALT and AST (liver enzymes)
Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.
Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Reproductive potential
Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.
Criteria about it usually ask for contraception during the study and for a time after it.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Contraception
Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.
Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Corticosteroids (steroids)
Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.
Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Investigational drug or device
A drug or device being studied in a clinical trial.
It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
GVHD (graft-versus-host disease)
After a transplant from a donor, the donor’s immune cells attack the recipient’s body, often the skin, gut or liver.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Hypersensitivity
An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
(Part A): Patients receive talazoparib PO QD or BID on days 1-6 and temozolomide PO QD on days 2-6. Treatment repeats every 28 days for up to 24 courses in the absence of disease progression or unacceptable toxicity.
Other: Laboratory Biomarker Analysis · Other: Pharmacological Study · Drug: Talazoparib · Drug: Temozolomide
(Part B): Relapse/Refractory EWS or PNET Patients receive MTD from Phase 1 portion of study. Treatment repeats every 28 days for up to 24 courses in the absence of disease progression or unacceptable toxicity.
Other: Laboratory Biomarker Analysis · Other: Pharmacological Study · Drug: Talazoparib · Drug: Temozolomide
Correlative studies
Correlative studies
Given PO
Also known as: BMN 673, BMN-673
Given PO
Also known as: CCRG-81045, Imidazo[5,1-d]-1,2,3,5-tetrazine-8-carboxamide, 3, 4-dihydro-3-methyl-4-oxo-, M & B 39831, M and B 39831, Methazolastone, RP-46161, SCH 52365, Temcad, Temodal, Temodar, Temomedac, TMZ
The Number of Participants With Dose Limiting Toxicities to Determine the Maximum Tolerated Dose of Temozolomide and Talazoparib Combination Therapy
The Maximum Tolerated Dose (MTD) reflects the highest dose of Talazoparib (BMN 673) when combined with a dose of temozolomide that did not cause a Grade 3 or higher toxicity in children with refractory or recurrent solid tumors.
Time frame: 28 days
All Cycle 1 Toxicities >=Grade 3
The number of patients with at least one toxicity (DLT or non-DLT) in cycle 1 that is at least possibly attributable to study agent
Time frame: Up to 28 days
T Max of Talazoparib
Median with minimum and maximum for the time at which the maximum (peak) serum concentration occurs.
Time frame: Cycle 1 Day 1 pre-dose, and 1, 2, 4, 8 and 24 hours after the first talazoparib dose.
C Max of Talazoparib
Median with minimum and maximum for the time at which the maximum (peak) serum concentration occurs.
Time frame: Cycle 1 Day 1 pre-dose, and 1, 2, 4, 8 and 24 hours after the first talazoparib dose.
AUC of Talazoparib
Median with minimum and maximum for the area under the drug concentration over time curve.
Time frame: Cycle 1 Day 1 pre-dose, and 1, 2, 4 and 8 hours after the first talazoparib dose
Accumulation Half-life of Talazoparib in Combination With Temozolomide.
Median with minimum and maximum for the time required for the serum concentration to fall to 50% of its starting dose.
Time frame: Cycle 1 Day 1 pre-dose, and 1, 2, 4 and 8 hours after the first talazoparib dose. Day 5 or 6 pre-dose, and 1, 2, 4 and 8 hours after the talazoparib dose
T Max of Talazoparib in Combination With Temozolomide
Median with minimum and maximum for the time at which the maximum (peak) serum concentration occurs.
Time frame: Cycle 1 Day 5 or 6 pre-dose, and 1, 2, 4 and 8 hours after the talazoparib dose
C Max of Talazoparib in Combination With Temozolomide
Median with minimum and maximum for the time at which the maximum (peak) serum concentration occurs.
Time frame: Cycle 1 Day 5 or 6 pre-dose, and 1, 2, 4 and 8 hours after the talazoparib dose
AUC of Talazoparib in Combination With Temozolomide
Median with minimum and maximum area under the drug concentration over time curve
Time frame: Cycle 1 Day 5 or 6 pre-dose, and 1, 2, 4 and 8 hours after the talazoparib dose
Clearance of Talazoparib in Combination With Temozolomide
Median with minimum and maximum for the rate of elimination of the drug.
Time frame: Cycle 1 Day 5 or 6 pre-dose, and 1, 2, 4 and 8 hours after the talazoparib dose
Accumulation Ratio of Talazoparib in Combination With Temozolomide
Median with minimum and maximum of the accumulation ratio.
Time frame: Cycle 1 Day 1 pre-dose, and 1, 2, 4 and 8 hours after the first talazoparib dose. Day 5 or 6 pre-dose, and 1, 2, 4 and 8 hours after the talazoparib dose
Half-life of Temozolomide in Combination With Talazoparib
Median with minimum and maximum for the time required for the serum concentration to fall to 50% of its starting dose.
Time frame: Cycle 1 Day 5 or 6 pre-dose, and 1, 2, 4 and 8 hours after the temozolomide dose
T Max of Temozolomide in Combination With Talazoparib
Median with minimum and maximum for the time at which the maximum (peak) serum concentration occurs.
Time frame: Cycle 1 Day 5 or 6 pre-dose, and 1, 2, 4 and 8 hours after the temozolomide dose
C Max of Temozolomide in Combination With Talazoparib
Median with minimum and maximum for the maximum (peak) serum concentration.
Time frame: Cycle 1 Day 5 or 6 pre-dose, and 1, 2, 4 and 8 hours after the temozolomide dose
AUC of Temozolomide in Combination With Talazoparib
Median with minimum and maximum for the area under the drug concentration over time curve.
Time frame: Cycle 1 Day 5 or 6 pre-dose, and 1, 2, 4 and 8 hours after the temozolomide dose.
Clearance of Temozolomide in Combination With Talazoparib
Median with minimum and maximum for the rate of elimination of the drug.
Time frame: Cycle 1 Day 5 or 6 pre-dose, and 1, 2, 4 and 8 hours after the temozolomide dose
Number of Ewing/Peripheral PNET Participants in Phase 2 With Complete Response (CR) or Partial Response (PR)
Frequency of Ewing sarcoma and peripheral PNET participants with Complete Response (CR) or Partial Response (PR) per the Response Evaluation Criteria In Solid Tumors (RECIST)
Time frame: Up to 24 months
Number of Solid Tumor Patients With Complete Response (CR) or Partial Response (PR)
Frequency of solid tumor participants with Complete Response (CR) or Partial Response (PR) per the Response Evaluation Criteria In Solid Tumors (RECIST)
Time frame: Up to 24 months
| Milestone | 400 mcg/m²/Dose BMN 673 QD+20mg/m²/Dose TEM,Max 800 mcg/Day | 400 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 800 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+40mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/doseBMN 673 BID+55mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM,Max 1000 mcg/Day |
|---|---|---|---|---|---|---|---|
| Started | 3 | 3 | 3 | 13 | 6 | 3 | 9 |
| Completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Not completed | 3 | 3 | 3 | 13 | 6 | 3 | 9 |
| Withdrew: Adverse event | 0 | 0 | 0 | 0 | 2 | 2 | 0 |
| Withdrew: Death | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
| Withdrew: Lack of efficacy | 3 | 3 | 3 | 8 | 4 | 1 | 9 |
| Withdrew: Physician decision | 0 | 0 | 0 | 2 | 0 | 0 | 0 |
| Withdrew: Protocol violation | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
| Withdrew: Withdrawal by subject | 0 | 0 | 0 | 1 | 0 | 0 | 0 |
The Maximum Tolerated Dose (MTD) reflects the highest dose of Talazoparib (BMN 673) when combined with a dose of temozolomide that did not cause a Grade 3 or higher toxicity in children with refractory or recurrent solid tumors.
| Participants | 400 mcg/m²/Dose BMN 673 QD+20mg/m²/Dose TEM,Max 800 mcg/Day | 400 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 800 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+40mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/doseBMN 673 BID+55mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30 mg/m²/Dose TEM,Max 1000 mcg/Day |
|---|---|---|---|---|---|---|---|
| The Number of Participants With Dose Limiting Toxicities to Determine the Maximum Tolerated Dose of Temozolomide and Talazoparib Combination Therapy | 0 | 0 | 1 | 2 | 2 | 2 | 0 |
The number of patients with at least one toxicity (DLT or non-DLT) in cycle 1 that is at least possibly attributable to study agent
| Participants | 400 mcg/m²/Dose BMN 673 QD+20mg/m²/Dose TEM,Max 800 mcg/Day | 400 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 800 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+40mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/doseBMN 673 BID+55mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM,Max 1000 mcg/Day |
|---|---|---|---|---|---|---|---|
| All Cycle 1 Toxicities >=Grade 3 | 0 | 0 | 2 | 7 | 5 | 3 | 5 |
Median with minimum and maximum for the time at which the maximum (peak) serum concentration occurs.
| Hours | Treatment (Talazoparib, Temozolomide): Phase 1 |
|---|---|
| T Max of Talazoparib | 2 (1 to 24) |
Median with minimum and maximum for the time at which the maximum (peak) serum concentration occurs.
| ng/mL | Treatment (Talazoparib, Temozolomide): Phase 1 |
|---|---|
| C Max of Talazoparib | 4670 (708 to 19300) |
Median with minimum and maximum for the area under the drug concentration over time curve.
| h•µg/L | Treatment (Talazoparib, Temozolomide): Phase 1 |
|---|---|
| AUC of Talazoparib | 17.55 (2.15 to 63.14) |
Median with minimum and maximum for the time required for the serum concentration to fall to 50% of its starting dose.
| Hours | Treatment (Talazoparib, Temozolomide): Phase 1 |
|---|---|
| Accumulation Half-life of Talazoparib in Combination With Temozolomide. | 46.8 (18.20 to 253.27) |
Median with minimum and maximum for the time at which the maximum (peak) serum concentration occurs.
| Hours | Treatment (Talazoparib, Temozolomide): Phase 1 |
|---|---|
| T Max of Talazoparib in Combination With Temozolomide | 1.04 (1 to 8) |
Median with minimum and maximum for the time at which the maximum (peak) serum concentration occurs.
| pg/ml | Treatment (Talazoparib, Temozolomide): Phase 1 |
|---|---|
| C Max of Talazoparib in Combination With Temozolomide | 16450 (7070 to 56300) |
Median with minimum and maximum area under the drug concentration over time curve
| h•µg/L | Treatment (Talazoparib, Temozolomide): Phase 1 |
|---|---|
| AUC of Talazoparib in Combination With Temozolomide | 82.08 (41.92 to 226.70) |
Median with minimum and maximum area under the drug concentration over time curve
| h•µg/L | Treatment (Talazoparib, Temozolomide): Phase 1 |
|---|---|
| AUC of Talazoparib in Combination With Temozolomide | 173.08 (83.61 to 456.28) |
Median with minimum and maximum for the rate of elimination of the drug.
| L/hr/m² | Treatment (Talazoparib, Temozolomide): Phase 1 |
|---|---|
| Clearance of Talazoparib in Combination With Temozolomide | 3.08 (1.34 to 6.19) |
Median with minimum and maximum of the accumulation ratio.
| Ratio | Treatment (Talazoparib, Temozolomide): Phase 1 |
|---|---|
| Accumulation Ratio of Talazoparib in Combination With Temozolomide | 3.34 (1.67 to 15.73) |
Median with minimum and maximum for the time required for the serum concentration to fall to 50% of its starting dose.
| Hours | Treatment (Talazoparib, Temozolomide): Phase 1 |
|---|---|
| Half-life of Temozolomide in Combination With Talazoparib | 1.74 (1.33 to 4.92) |
Median with minimum and maximum for the time at which the maximum (peak) serum concentration occurs.
| Hours | Treatment (Talazoparib, Temozolomide): Phase 1 |
|---|---|
| T Max of Temozolomide in Combination With Talazoparib | 1.03 (1 to 4) |
Median with minimum and maximum for the maximum (peak) serum concentration.
| ng/mL | Treatment (Talazoparib, Temozolomide): Phase 1 |
|---|---|
| C Max of Temozolomide in Combination With Talazoparib | 1234.1 (346.56 to 6593.17) |
Median with minimum and maximum for the area under the drug concentration over time curve.
| h•µg/L | Treatment (Talazoparib, Temozolomide): Phase 1 |
|---|---|
| AUC of Temozolomide in Combination With Talazoparib | 4352.16 (1174.08 to 21653.96) |
Median with minimum and maximum for the rate of elimination of the drug.
| L/hr/m² | Treatment (Talazoparib, Temozolomide): Phase 1 |
|---|---|
| Clearance of Temozolomide in Combination With Talazoparib | 6.49 (2.59 to 30.08) |
Frequency of Ewing sarcoma and peripheral PNET participants with Complete Response (CR) or Partial Response (PR) per the Response Evaluation Criteria In Solid Tumors (RECIST)
| Participants | Treatment (Talazoparib, Temozolomide): Phase 2 |
|---|---|
| Number of Ewing/Peripheral PNET Participants in Phase 2 With Complete Response (CR) or Partial Response (PR) | 0 |
Frequency of solid tumor participants with Complete Response (CR) or Partial Response (PR) per the Response Evaluation Criteria In Solid Tumors (RECIST)
| Participants | Treatment (Talazoparib, Temozolomide): Phase 1 |
|---|---|
| Number of Solid Tumor Patients With Complete Response (CR) or Partial Response (PR) | 1 |
Collected over Up to 24 months. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| 400 mcg/m²/Dose BMN 673 QD+20mg/m²/Dose TEM,Max 800 mcg/Day | 0/3 (0%) | 2/3 (66.7%) | 3/3 (100%) |
| 400 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 800 mcg/Day | 0/3 (0%) | 2/3 (66.7%) | 3/3 (100%) |
| 600 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 1000 mcg/Day | 0/3 (0%) | 2/3 (66.7%) | 3/3 (100%) |
| 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM, Max 1000 mcg/Day | 2/13 (15.4%) | 11/13 (84.6%) | 13/13 (100%) |
| 600 mcg/m²/Dose BMN 673 BID+40mg/m²/Dose TEM, Max 1000 mcg/Day | 1/6 (16.7%) | 6/6 (100%) | 6/6 (100%) |
| 600 mcg/m²/doseBMN 673 BID+55mg/m²/Dose TEM, Max 1000 mcg/Day | 0/3 (0%) | 3/3 (100%) | 3/3 (100%) |
| 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM,Max 1000 mcg/Day | 0/9 (0%) | 8/9 (88.9%) | 9/9 (100%) |
| Event | 400 mcg/m²/Dose BMN 673 QD+20mg/m²/Dose TEM,Max 800 mcg/Day | 400 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 800 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+40mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/doseBMN 673 BID+55mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM,Max 1000 mcg/Day |
|---|---|---|---|---|---|---|---|
| Neutrophil count decreasedInvestigations | 0/3 | 0/3 | 1/3 | 8/13 | 5/6 | 3/3 | 5/9 |
| AnemiaBlood and lymphatic system disorders | 0/3 | 0/3 | 0/3 | 3/13 | 1/6 | 2/3 | 5/9 |
| Lymphocyte count decreasedInvestigations | 0/3 | 2/3 | 0/3 | 4/13 | 2/6 | 2/3 | 6/9 |
| Platelet count decreasedInvestigations | 0/3 | 0/3 | 0/3 | 4/13 | 3/6 | 2/3 | 5/9 |
| White blood cell decreasedInvestigations | 0/3 | 0/3 | 0/3 | 3/13 | 2/6 | 2/3 | 5/9 |
| AnorexiaMetabolism and nutrition disorders | 1/3 | 0/3 | 0/3 | 1/13 | 1/6 | 1/3 | 1/9 |
| AtaxiaNervous system disorders | 0/3 | 0/3 | 1/3 | 0/13 | 0/6 | 0/3 | 0/9 |
| Catheter related infectionInfections and infestations | 0/3 | 0/3 | 0/3 | 0/13 | 1/6 | 1/3 | 0/9 |
| DysphagiaGastrointestinal disorders | 0/3 | 0/3 | 1/3 | 1/13 | 0/6 | 0/3 | 0/9 |
| DysphasiaNervous system disorders | 0/3 | 0/3 | 1/3 | 0/13 | 0/6 | 0/3 | 0/9 |
| Event | 400 mcg/m²/Dose BMN 673 QD+20mg/m²/Dose TEM,Max 800 mcg/Day | 400 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 800 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+40mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/doseBMN 673 BID+55mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM,Max 1000 mcg/Day |
|---|---|---|---|---|---|---|---|
| AnemiaBlood and lymphatic system disorders | 2/3 | 2/3 | 2/3 | 12/13 | 6/6 | 3/3 | 8/9 |
| FatigueGeneral disorders | 3/3 | 1/3 | 0/3 | 10/13 | 5/6 | 3/3 | 6/9 |
| HeadacheNervous system disorders | 3/3 | 1/3 | 1/3 | 3/13 | 0/6 | 3/3 | 5/9 |
| NauseaGastrointestinal disorders | 1/3 | 1/3 | 3/3 | 6/13 | 4/6 | 2/3 | 7/9 |
| Sinus tachycardiaCardiac disorders | 0/3 | 1/3 | 1/3 | 5/13 | 2/6 | 3/3 | 3/9 |
| VomitingGastrointestinal disorders | 0/3 | 1/3 | 1/3 | 5/13 | 4/6 | 3/3 | 3/9 |
| White blood cell decreasedInvestigations | 1/3 | 2/3 | 2/3 | 10/13 | 5/6 | 3/3 | 7/9 |
| Alkaline phosphatase increasedInvestigations | 1/3 | 1/3 | 1/3 | 2/13 | 1/6 | 1/3 | 7/9 |
| Lymphocyte count decreasedInvestigations | 1/3 | 2/3 | 2/3 | 10/13 | 4/6 | 1/3 | 4/9 |
| Platelet count decreasedInvestigations | 2/3 | 1/3 | 1/3 | 9/13 | 4/6 | 2/3 | 5/9 |
| Age, Categorical(Participants) | 400 mcg/m²/Dose BMN 673 QD+20mg/m²/Dose TEM,Max 800 mcg/Day | 400 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 800 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+40mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/doseBMN 673 BID+55mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM,Max 1000 mcg/Day | Total |
|---|---|---|---|---|---|---|---|---|
| <=18 years | 2 | 2 | 3 | 12 | 5 | 3 | 3 | 30 |
| Between 18 and 65 years | 1 | 1 | 0 | 1 | 1 | 0 | 6 | 10 |
| >=65 years | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Age, Continuous(Years) | 400 mcg/m²/Dose BMN 673 QD+20mg/m²/Dose TEM,Max 800 mcg/Day | 400 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 800 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+40mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/doseBMN 673 BID+55mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM,Max 1000 mcg/Day | Total |
|---|---|---|---|---|---|---|---|---|
| Median | 18 (16 to 19) | 16 (7 to 19) | 14 (13 to 14) | 13 (5 to 19) | 13.5 (4 to 20) | 12 (6 to 15) | 22 (16 to 25) | 15.5 (4 to 25) |
| Sex: Female, Male(Participants) | 400 mcg/m²/Dose BMN 673 QD+20mg/m²/Dose TEM,Max 800 mcg/Day | 400 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 800 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+40mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/doseBMN 673 BID+55mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM,Max 1000 mcg/Day | Total |
|---|---|---|---|---|---|---|---|---|
| Female | 1 | 1 | 1 | 3 | 4 | 2 | 4 | 16 |
| Male | 2 | 2 | 2 | 10 | 2 | 1 | 5 | 24 |
| Ethnicity (NIH/OMB)(Participants) | 400 mcg/m²/Dose BMN 673 QD+20mg/m²/Dose TEM,Max 800 mcg/Day | 400 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 800 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+40mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/doseBMN 673 BID+55mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM,Max 1000 mcg/Day | Total |
|---|---|---|---|---|---|---|---|---|
| Hispanic or Latino | 0 | 2 | 1 | 2 | 0 | 0 | 1 | 6 |
| Not Hispanic or Latino | 3 | 1 | 2 | 11 | 6 | 2 | 7 | 32 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 2 |
| Race (NIH/OMB)(Participants) | 400 mcg/m²/Dose BMN 673 QD+20mg/m²/Dose TEM,Max 800 mcg/Day | 400 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 800 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+20mg/m²/Dose TEM,Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+40mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/doseBMN 673 BID+55mg/m²/Dose TEM, Max 1000 mcg/Day | 600 mcg/m²/Dose BMN 673 BID+30mg/m²/Dose TEM,Max 1000 mcg/Day | Total |
|---|---|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Asian | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 2 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 1 | 0 | 0 | 2 | 1 | 0 | 0 | 4 |
| White | 2 | 3 | 2 | 7 | 5 | 2 | 8 | 29 |
| More than one race | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 0 | 0 | 3 | 0 | 1 | 1 | 5 |
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Studies of the drug tested here: Talazoparib
Central Nervous System Neoplasms →
National Cancer Institute (NCI) →