Veliparib and Irinotecan Hydrochloride in Treating Patients With Cancer That Is Metastatic or Cannot Be Removed by Surgery

PRIMARY OBJECTIVES:

I. To determine the optimal biologic dose (OBD) for poly (adenosine diphosphate [ADP]-ribose)
polymerase (PARP) inhibition using irinotecan (irinotecan hydrochloride) (once weekly
intravenously in 2 of 3 weeks), in combination with ABT-888 (veliparib) (twice daily orally
for 2 of 3 weeks). (ORIGINAL DOSE ESCALATION PORTION) II. To determine the recommended phase
II dose (RP2D) for irinotecan (once weekly intravenously in 2 of 3 weeks), in combination
with ABT-888 (twice daily orally for 2 of 3 weeks), determined by evaluating the feasibility,
safety, dose limiting toxicities and the maximally tolerated dose. (ORIGINAL DOSE ESCALATION
PORTION) III. To determine the safety profile of irinotecan in combination with ABT-888: the
incidence of adverse events (AEs) and clinically significant changes in laboratory tests,
electrocardiograms (ECGs), and vital signs. (ORIGINAL DOSE ESCALATION PORTION) IV. To
determine the safety profile of irinotecan in combination with ABT-888 at the recommended
phase II dose: the incidence of adverse events (AEs) and clinically significant changes in
laboratory tests, ECGs, and vital signs. (ORIGINAL DOSE ESCALATION PORTION) V. To determine
the recommended phase II dose (RP2D) of each drug for irinotecan (once weekly intravenously
in 2 of 3 weeks), in combination with ABT-888 (twice daily orally for intermittent dosing
days 1 to 4 and days 8 to 11 of each cycle), determined by evaluating the feasibility,
safety, dose limiting toxicities and the maximally tolerated dose (MTD). (DOSE ESCALATION FOR
INTERMITTENT ABT-888 PORTION) VI. To determine the safety profile of irinotecan in
combination with ABT-888: the incidence of adverse events (AEs) and clinically significant
changes in laboratory tests, and vital signs. (DOSE ESCALATION FOR INTERMITTENT ABT-888
PORTION) VII. To determine the safety profile of irinotecan in combination with ABT-888 at
the recommended phase II dose: the incidence of adverse events (AEs) and clinically
significant changes in laboratory tests, and vital signs. (DOSE ESCALATION FOR INTERMITTENT
ABT-888 PORTION)

SECONDARY OBJECTIVES:

I. To determine the pharmacokinetic (PK) profile of ABT-888. II. To determine the PK profile
of irinotecan (CPT-11) both as a single agent and in combination with ABT-888.

III. To determine the tumor response as assessed by the Response Evaluation Criteria in Solid
Tumors (RECIST).

IV. To determine the tumor response as assessed by the Response Evaluation Criteria in Solid
Tumors (RECIST). (DOSE ESCALATION FOR INTERMITTENT ABT-888 PORTION) V. To describe response
rate (RR) in patients. (DOSE ESCALATION FOR INTERMITTENT ABT-888 PORTION)

TERTIARY OBJECTIVES:

I. Pharmacodynamic (PD) biomarker response: PARP inhibition in peripheral blood mononuclear
cells (PBMC) by measurement of PAR levels. (ORIGINAL DOSE ESCALATION PORTION) II. DNA
damaging effects of irinotecan and the combination of irinotecan with ABT-888: levels of
gamma H2A histone family, member X (gamma-H2AX) and RAD51 recombinase (Rad51) formation in
tumor tissue. (ORIGINAL DOSE ESCALATION PORTION) III. Relevance of cytochrome P450 family 2,
subfamily C, polypeptide 9 (CYP2C9) and 2C19 polymorphisms, uridine 5'-diphosphosphate (UDP)
glucuronosyltransferase 1 family, polypeptide A1 (UGT1A1) polymorphism, and ATP-binding
cassette, sub-family G (WHITE), member 2 (ABCG2) polymorphism to the pharmacokinetics of
irinotecan and/or ABT-888. (ORIGINAL DOSE ESCALATION PORTION) IV. To explore whether a
positive gamma-H2AX response in tumor tissue at 4-6 hours (hrs) is reflected in circulating
tumor cells (CTCs) between 8-24 hrs but not at 4-6 hrs, as predicted. (EXPANSION PORTION) V.
To explore whether PARP inhibition increases gamma-H2AX response of CTCs to plasma drug by
4-6 hrs after CPT-11 administration. (EXPANSION PORTION) VI. To explore whether PARP
inhibition increases gamma-H2AX response of tumor cells to tissue drug level, as indicated by
CTCs at 8-24 hrs after CPT-11. (EXPANSION PORTION) VII. To explore when the gamma-H2AX
response peak in CTCs occurs, indicating a response in tumor. (EXPANSION PORTION) VIII. To
explore whether there is a tumor switch between gamma-H2AX and excision repair
cross-complementation group 1 (ERCC1)-mediated repair in the presence of PARP inhibition,
(i.e., repeat initial PBMC and tumor findings). (EXPANSION PORTION) IX. To perform analysis
of CTCs at day 15 to help guide alteration in ABT-888 drug administration schedule
(continuous administration). (EXPANSION PORTION) X. To sequence the genome and transcriptome
from both normal and tumor tissue from each study patient in the expansion cohort to evaluate
point mutations, structural changes and copy number events. (EXPANSION PORTION) XI. To
evaluate the damaging effects of irinotecan and the combination of irinotecan with ABT-888 by
examining levels of Rad51 formation in tumors. (EXPANSION PORTION) XII. To evaluate the
percentage of breast cancer stem cells (BCSC) in serial breast tumor biopsies before and
after irinotecan alone and after 1 cycle of treatment with the combination of irinotecan and
ABT-888. (EXPANSION PORTION) XIII. To perform molecular profiling of the tumor cell and BCSC
populations before and after irinotecan alone and after 1 cycle of treatment with the
combination of irinotecan and ABT-888. (EXPANSION PORTION) XIV. To compare Rad51 foci in
aldehyde dehydrogenase-positive (ALDH+) stem cell populations to the bulk tumor cells.
(EXPANSION PORTION) XV. To develop assays to detect trapping of PARP1 and 2 in tumor biopsy
tissue in response to treatment with irinotecan plus a PARP inhibitor, in this case ABT-888.
(DOSE ESCALATION FOR INTERMITTENT ABT-888 PORTION) XVI. Additional exploratory assay to be
named later. (DOSE ESCALATION FOR INTERMITTENT ABT-888 PORTION)

OUTLINE: This is a dose-escalation study of veliparib. Patients are assigned to 1 of 3
cohorts.

DOSE ESCALATION: Patients receive irinotecan hydrochloride intravenously (IV) over 90 minutes
on days 1 and 8 and veliparib orally (PO) twice daily (BID) on days -1 to 14 (days 3-14 of
course 1 only). Courses repeat every 21 days in the absence of disease progression or
unacceptable toxicity.

EXPANSION PORTION: Patients receive irinotecan hydrochloride IV over 90 minutes on days 1 and
8 and veliparib PO BID on days 1-15 (days 2-15 of course 1 only). Courses repeat every 21
days in the absence of disease progression or unacceptable toxicity.

INTERMITTENT DOSE ESCALATION: Patients receive irinotecan hydrochloride IV over 90 minutes on
days 3 and 10 and veliparib PO BID on days 1 to 4 and 8-11. Courses repeat every 21 days in
the absence of disease progression or unacceptable toxicity.

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

Inclusion Criteria:

- Patients must have histologically or cytologically confirmed diagnosis of malignancy
that is metastatic or unresectable and for which standard curative or palliative
measures do not exist or are no longer effective or for whom CPT-11 treatment would be
a viable therapy regimen; patients with solid hematologic malignancies (Hodgkin's and
non-Hodgkin's lymphomas) may be included as long as a bone marrow has been performed
within 6 weeks of treatment

- Patients enrolled on the expansion portion of the study will consist of two cohorts:
those patients who are triple-negative, BRCA-mutant positive and those patients who
have triple-negative, non-BRCA mutated breast cancer

- Patients enrolled on the dose escalation for intermittent ABT-888 portion of the study
must histologically or cytologically confirmed diagnosis of malignancy that is
metastatic or unresectable and for which standard curative or palliative measures do
not exist or are no longer effective or for whom CPT-11 treatment would be a viable
therapy regimen; patients with solid hematologic malignancies (Hodgkin's and
non-Hodgkin's lymphomas) may be included as long as a bone marrow has been performed
within 6 weeks of treatment

- Patient must have measurable disease per Response Evaluation Criteria in Solid Tumors
(RECIST) guidelines

- Patients must have tumors determined to be easily accessible for biopsy (e.g.
pleural-based lesions, peripheral lymph nodes, soft tissue metastases, large liver
metastases, etc)

- Prior chemotherapy is allowed; patients must not have received chemotherapy for 4
weeks prior to the initiation of study treatment and must have full recovery from any
acute effects of any prior chemotherapy; patients must not have had nitrosoureas or
mitomycin C for 6 weeks prior to the initiation of study treatment

- Prior radiation therapy is allowed; patients must not have received minimal radiation
therapy (=< 5% of their total marrow volume) within 3 weeks prior to the initiation of
study treatment; otherwise, patients must not have received radiation therapy (> 5% of
their total marrow volume) within 4 weeks prior to the initiation of study treatment;
patients who have received prior radiation to 50% or more of their total marrow volume
will be excluded

- Prior experimental (non-Food and Drug Administration [FDA] approved) therapies and
immunotherapies are allowed; patients must not have received these therapies for 4
weeks prior to the initiation of study treatment and must have full recovery from any
acute effects of these therapies

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

- Life expectancy of greater than 12 weeks

- Absolute neutrophil count (ANC) >= 1,500/mcL

- Platelets (PLT) >= 100,000/mcL

- Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) =< 2.5 x upper
limit of normal (ULN); if liver metastases are present, =< 5 x ULN

- Bilirubin =< 1.5 x ULN

- Creatinine =< 1.5 x ULN OR calculated or measured creatinine clearance >= 60
mL/min/1.73 m^2 for patients with creatinine above institutional normal

- Women of child-bearing potential and men must agree to use adequate contraception
(hormonal or barrier method of birth control; abstinence) prior to study entry, for
the duration of study participation, and for three months following completion of
study therapy; 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

- All patients must provide archival tissue block or paraffin sample from archival
tissue block (approximately 10 sections) for use in pharmacodynamic correlative
studies (NOT required for patients enrolled on the dose escalation for intermittent
ABT-888 portion of the study)

Exclusion Criteria:

- Patients who have had chemotherapy or radiotherapy within 4 weeks (6 weeks for
nitrosoureas or mitomycin C) prior to entering the study or those who have not
recovered from adverse events due to agents administered more than 4 weeks earlier;
patients who have been administered ABT-888 as part of a single or limited dosing
study, such as a phase 0 study, should not necessarily be excluded from participating
in this study solely because of receiving prior ABT-888

- Patients may not have received any other investigational agents within 4 weeks of
study entry

- History of allergic reactions attributed to the following:

- Camptothecin derivatives (e.g., topotecan [topotecan hydrochloride], irinotecan,
or exatecan [exatecan mesylate])

- Any ingredients contained within the liquid irinotecan solution (e.g., sorbitol)
or

- Any antiemetics or antidiarrheals appropriate for administration with study
therapy (e.g., loperamide or dexamethasone)

- Patients must not receive any other anti-cancer therapy (cytotoxic, biologic,
radiation, or hormonal other than for replacement) while on this study except for
medications that are prescribed for supportive care but may potentially have an
anti-cancer effect (i.e. megestrol acetate, bisphosphonates); these medications must
have been started 1 month prior to enrollment on this study; in addition, men
receiving treatment for prostate cancer will be maintained at castrate levels of
testosterone by continuation of luteinizing-releasing hormone agonists

- Patients with uncontrolled seizures

- Patients with known active brain metastases should be excluded from this clinical
trial; patients with prior treated brain metastases are allowed, providing that they
were not accompanied by seizures and that a baseline brain magnetic resonance imaging
(MRI) scan prior to study entry demonstrates no current evidence of brain metastases;
all patients with central nervous system (CNS) metastases must be stable for > 3
months after treatment and off steroid treatment prior to study enrollment

- Any patient requiring chronic maintenance of white blood cell counts or granulocyte
counts through the use of growth factor support (e.g. Neulasta, Neupogen)

- Any patient requiring cytochrome P450 family 3, subfamily A, polypeptide 4 (CYP3A4)
isoform-inducing drugs (e.g. phenytoin, phenobarbital, carbamazepine, rifampin,
rifabutin, ketoconazole, St. John's wort) will be excluded; CYP3A4-inducing drugs
should be discontinued at least 2 weeks prior to the first cycle of irinotecan

- Uncontrolled intercurrent illness including, but not limited to:

- Ongoing or active infection

- Symptomatic congestive heart failure

- Unstable angina pectoris

- Cardiac arrhythmia or

- Psychiatric illness or 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

- Patients who are unable to reliably tolerate and/or receive oral medications