Javelin BRCA/ATM: Avelumab Plus Talazoparib in Patients With BRCA or ATM Mutant Solid Tumors
NCT ID: NCT03565991
Last Updated: 2023-09-25
Study Results
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View full resultsBasic Information
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TERMINATED
PHASE2
202 participants
INTERVENTIONAL
2018-06-18
2023-02-03
Brief Summary
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Detailed Description
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Talazoparib is a potent, orally bioavailable poly (adenosine diphosphate \[ADP\] ribose) polymerase (PARP) inhibitor, which is cytotoxic to human cancer cell lines harboring gene mutations that compromise deoxyribonucleic acid (DNA) repair, an effect referred to as synthetic lethality, and by trapping PARP protein on DNA thereby preventing DNA repair, replication, and transcription.
Avelumab in combination with talazoparib will be investigated in patients with locally advanced (primary or recurrent) or metastatic solid tumors with a BReast CAncer susceptibility gene (BRCA)1, or BRCA2, or ataxia telangiectasia mutated (ATM) gene defect.
Conditions
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Study Design
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NA
SINGLE_GROUP
* Cohort 1 will enroll patients with locally advanced or metastatic solid tumors with one or more defects in the BRCA1 or BRCA2 genes
* Cohort 2 will enroll patients with locally advanced or metastatic solid tumors with one or more defects in the ATM gene
TREATMENT
NONE
Study Groups
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Combination of avelumab and talazoparib
Single arm open label
Avelumab
IV treatment
Talazoparib
Oral treatment
Interventions
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Avelumab
IV treatment
Talazoparib
Oral treatment
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Histological diagnosis of locally advanced (primary or recurrent) or metastatic solid tumors that are not amenable for treatment with curative intent
* Availability a tumor tissue sample from a diagnostic biopsy/surgery or a metastatic tumor biopsy.
* Progressive disease at study enrollment.
* Minimum age 18 years (in Japan, minimum age 20 years).
* ECOG performance status 0 or 1.
* Adequate bone marrow, renal and liver function.
* For childbearing female patients, negative serum or urine pregnancy test at screening
* Signed and dated informed consent document.
Exclusion Criteria
* Major surgery within 4 weeks prior to study enrollment.
* Current use of immunosuppressive medication at the time of study enrollment.
* Known prior severe hypersensitivity to investigational products or any component in their formulations
* Known history of immune-mediated colitis, inflammatory bowel disease, pneumonitis, pulmonary fibrosis.
* Active or prior autoimmune disease that might deteriorate when receiving an immunostimulatory agent.
* Prior organ transplantation including allogenic stem-cell transplantation.
* Administration of live attenuated vaccines within 4 weeks of study enrollment.
* Diagnosis of myelodysplastic syndrome.
* Known symptomatic brain metastases requiring steroids.
* Persisting toxicity related to prior therapy Grade \>1.
* Known history of HIV or AIDS.
* Positive HBV or HCV test indicating acute or chronic infection.
* Active infection requiring systemic therapy.
* Clinically significant (active) cardiovascular disease: cerebral vascular accident/stroke or myocardial infarction within 6 months prior to study enrollment; unstable angina, congestive heart failure or a serious cardiac arrhythmia requiring medication.
* Diagnosis of any other malignancy within 2 years prior to study enrollment, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ of the breast, bladder, or cervix, or low-grade prostate cancer or other early-stage low-risk cancers.
* Pregnant or breastfeeding female patients; female or male patients who are able to have children who are unable or unwilling to use contraception as outlined in the protocol.
18 Years
ALL
No
Sponsors
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Pfizer
INDUSTRY
Responsible Party
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Principal Investigators
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Pfizer CT.gov Call Center
Role: STUDY_DIRECTOR
Pfizer
Locations
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Stanford Cancer Center
Palo Alto, California, United States
Stanford Women's Cancer Center
Palo Alto, California, United States
Stanford Healthcare
Stanford, California, United States
Stanford University School of Medicine
Stanford, California, United States
Atlanta Cancer Care -Alpharetta
Alpharetta, Georgia, United States
Northside Hospital, Inc. - GCS/Athens
Athens, Georgia, United States
Northside Hospital, Inc. - GCS/Annex
Atlanta, Georgia, United States
Atlanta Cancer Care - Atlanta
Atlanta, Georgia, United States
Northside Hospital, Inc. - Central Research Department
Atlanta, Georgia, United States
Northside Hospital, Inc. - GCS/Northside
Atlanta, Georgia, United States
Northside Hospital, Inc. - GCS/Canton
Canton, Georgia, United States
Atlanta Cancer Care - Cumming
Cumming, Georgia, United States
Atlanta Cancer Care - Decatur
Decatur, Georgia, United States
Northside Hospital, Inc.-GCS/Stemmer
Decatur, Georgia, United States
Atlanta Cancer Care - Stockbridge
Jonesboro, Georgia, United States
Northside Hospital, Inc.-GCS/Macon
Macon, Georgia, United States
Northside Hospital, Inc.-GCS/Kennestone
Marietta, Georgia, United States
Ochsner Clinic Foundation
New Orleans, Louisiana, United States
Brigham and Women's Hospital
Boston, Massachusetts, United States
Dana Farber Cancer institute
Boston, Massachusetts, United States
Siteman Cancer Center - St.Peters
City of Saint Peters, Missouri, United States
Siteman Cancer Center - West County
Creve Coeur, Missouri, United States
Barnes-Jewish Hospital
St Louis, Missouri, United States
Washington University Infusion Center Pharmacy
St Louis, Missouri, United States
Washington University School of Medicine
St Louis, Missouri, United States
Siteman Cancer Center - South County
St Louis, Missouri, United States
Siteman Cancer Center - North County
St Louis, Missouri, United States
Memorial Sloan Kettering Cancer Center- Monmouth
Middletown, New Jersey, United States
Memorial Sloan Kettering Cancer Center- Westchester
Harrison, New York, United States
Memorial Sloan Kettering Cancer Center - Investigational Drug Service Pharmacy
Long Island City, New York, United States
Laura and Isaac Perlmutter Cancer Center at NYU Langone
New York, New York, United States
Laura and Isaac Perlmutter Cancer Center
New York, New York, United States
NY Investigational Pharmacy
New York, New York, United States
NYU Langone Medical Center
New York, New York, United States
NYU Langone Radiology - 32nd Street
New York, New York, United States
NYU Langone Radiology Ambulatory Care Center East 41st Street
New York, New York, United States
Memorial Sloan Kettering Cancer Center - David H. Koch Center for Cancer Care (74th Street).
New York, New York, United States
Rockefeller Outpatient Center
New York, New York, United States
Rockefeller Outpatient Pavilion (53rd Street)
New York, New York, United States
Evelyn H. Lauder Breast and Imaging Center
New York, New York, United States
Memorial Hospital
New York, New York, United States
Memorial Sloan Kettering Cancer Center
New York, New York, United States
White Plains Hospital
White Plains, New York, United States
The Ohio State University Wexner Medical Center
Columbus, Ohio, United States
The Ohio State University
Columbus, Ohio, United States
Stephanie Spielman Comprehensive Breast Cancer
Columbus, Ohio, United States
Martha Morehouse Medical Plaza
Columbus, Ohio, United States
OSU Gynecologic Oncology at Mill Run
Hilliard, Ohio, United States
Stephenson Cancer Center
Oklahoma City, Oklahoma, United States
Hospital of the University of Pennsylvania/Penn Investigational Drug Services
Philadelphia, Pennsylvania, United States
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, United States
Penn IDS Central
Philadelphia, Pennsylvania, United States
Magee-Women's Hospital Women's Cancer Center
Pittsburgh, Pennsylvania, United States
UPMC Hillman Cancer Center Investigational Drug Service
Pittsburgh, Pennsylvania, United States
UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, United States
Tennessee Oncology, PLLC
Chattanooga, Tennessee, United States
The Sarah Cannon Research Institute
Chattanooga, Tennessee, United States
Tennessee Oncology, PLLC
Cleveland, Tennessee, United States
Tennessee Oncology, PLLC
Dickson, Tennessee, United States
Tennessee Oncology, PLLC
Franklin, Tennessee, United States
Tennessee Oncology, PLLC
Gallatin, Tennessee, United States
Tennessee Oncology, PLLC
Hermitage, Tennessee, United States
Tennessee Oncology, PLLC
Lebanon, Tennessee, United States
Tennessee Oncology, PLLC
Murfreesboro, Tennessee, United States
Tennessee Oncology, PLLC
Nashville, Tennessee, United States
The Sarah Cannon Research Institute
Nashville, Tennessee, United States
Tennessee Oncology, PLLC
Nashville, Tennessee, United States
Tennessee Oncology, PLLC
Nashville, Tennessee, United States
Tennessee Oncology, PLLC
Nashville, Tennessee, United States
Tennessee Oncology, PLLC
Shelbyville, Tennessee, United States
Tennessee Oncology, PLLC
Smyrna, Tennessee, United States
The University of Texas
Houston, Texas, United States
Institut Jules Bordet
Brussels, , Belgium
UZ Brussel
Brussels, , Belgium
Universitair Ziekenhuis Antwerpen
Edegem, , Belgium
Rigshospitalet
Copenhagen, , Denmark
Odense University Hospital
Odense C, , Denmark
Centre Jean Perrin
Clermont-Ferrand, , France
Groupe Hospitalier La Rochelle-Ré-Aunis
La Rochelle, , France
Institut Regional du Cancer de Montpellier - ICM Val d'Aurelle
Montpellier, , France
Presidio AO-U, Ospedali Riuniti Umberto I - G.M. Lancisi - G. Salesi
Torette Di Ancona, AN, Italy
IRCCS-Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST)
Meldola, FC, Italy
Azienda Socio-Sanitaria Territoriale Monza, Ospedale San Gerardo
Monza, MB, Italy
Fondazione IRCCS, Istituto Nazionale dei Tumori
Milan, MI, Italy
Istituto Europeo di Oncologia, Istituto di Ricovero e Cura a Carattere Scientifico
Milan, MI, Italy
Fondazione Pascale, IRCCS, Istituto Nazionale dei Tumori
Napoli, , Italy
Azienda Policlinico Umberto I, Universita La Sapienza, Oncologia B
Roma, , Italy
Fondazione Policlinico Universitario Agostino Gemelli Unità di Farmacologia Clinica
Roma, , Italy
National Cancer Center Hospital East
Kashiwa, Chiba, Japan
Osaka International Cancer Institute
Osaka, Osaka, Japan
National Cancer Center Hospital
Chuo-ku, Tokyo, Japan
Amsterdam University Medical Centre, location VUmc
Amsterdam, North Holland, Netherlands
Erasmus Universitair Medisch Centrum
Rotterdam, South Holland, Netherlands
Hospital Universitario Vall d'Hebron
Barcelona, , Spain
H.G.U. Gregorio Maranon
Madrid, , Spain
Clinica Universidad de Navarra
Madrid, , Spain
H.U. Fundación Jiménez Díaz
Madrid, , Spain
Hospital Universitario Virgen de Valme
Seville, , Spain
Barts Health NHS Trust, St Bartholomew's Hospital
London, , United Kingdom
Sarah Cannon Research Institute UK
London, , United Kingdom
Countries
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References
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Schram AM, Colombo N, Arrowsmith E, Narayan V, Yonemori K, Scambia G, Zelnak A, Bauer TM, Jin N, Ulahannan SV, Colleoni M, Aftimos P, Donoghue MTA, Rosen E, Rudneva VA, Telli ML, Domchek SM, Galsky MD, Hoyle M, Chappey C, Stewart R, Blake-Haskins JA, Yap TA. Avelumab Plus Talazoparib in Patients With BRCA1/2- or ATM-Altered Advanced Solid Tumors: Results From JAVELIN BRCA/ATM, an Open-Label, Multicenter, Phase 2b, Tumor-Agnostic Trial. JAMA Oncol. 2023 Jan 1;9(1):29-39. doi: 10.1001/jamaoncol.2022.5218.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Related Links
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To obtain contact information for a study center near you, click here.
Other Identifiers
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2018-000345-39
Identifier Type: EUDRACT_NUMBER
Identifier Source: secondary_id
B9991032
Identifier Type: -
Identifier Source: org_study_id
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