Evidence map›Paper›PMID 25682091›Full record

ArticleJournal of neuro-oncology2015

Veliparib in combination with whole brain radiation therapy in patients with brain metastases: results of a phase 1 study.

Minesh P Mehta, Ding Wang, Fen Wang, Lawrence Kleinberg, Anthony Brade, H Ian Robins, Aruna Turaka, Terri Leahy, Diane Medina, Hao Xiong and 7 more

Registry-linked trialAbstract readClinical Trial, Phase I
PubMed Publisher
In one paragraph

Article in Journal of neuro-oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00649207 (A Phase 1 Study Evaluating the Safety, Tolerability and Pharmacokinetics of ABT-888 in Combination With Whole Brain Radiation Therapy in Subjects With Brain Metastases), which is not on this map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
8.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00649207 phase1completednot on this map

A Phase 1 Study Evaluating the Safety, Tolerability and Pharmacokinetics of ABT-888 in Combination With Whole Brain Radiation Therapy in Subjects With Brain Metastases

TypeinterventionalSponsorAbbVie (prior sponsor, Abbott)Ran2008 to 2013Enrolled80ConditionsBrain Diseases, Brain Neoplasms, Central Nervous System Diseases, Neoplasm MetastasisArmsABT-888, Whole Brain Radiation Therapy
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 101 citations in OpenAlex.

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  11. Chinese Society of Clinical Oncology breast cancer expert consensus on the diagnosis and treatment of breast cancer brain metastasis (2025).Translational breast cancer research : a journal focusing on translational research in breast cancer · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 9 institutions in 2 countries.

Minesh P MehtaDepartment of Radiation Oncology, University of Maryland School of Medicine, 22 S. Greene Street, GGK19, Baltimore, MD, 21201, USA, mmehta@umm.edu.
Ding Wang
Fen Wang
Lawrence Kleinberg
Anthony Brade
H Ian Robins
Aruna Turaka
Terri Leahy
Diane Medina
Hao Xiong
Nael M Mostafa
Martin Dunbar
Ming Zhu
Jane Qian
Kyle Holen
Vincent Giranda
Walter J Curran
AbbVie (United States) · USEmory University · USFox Chase Cancer Center · USHenry Ford Hospital · USJohns Hopkins University · USPrincess Margaret Cancer Centre · CAUniversity of Kansas Medical Center · USUniversity of Maryland, Baltimore · USUniversity of Wisconsin–Madison · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Veliparib, a potent, oral PARP inhibitor, potentiates the antitumor activity of radiation therapy and crosses the blood-brain barrier. This was a phase 1 dose-escalation study evaluating the safety, and secondarily the antitumor activity of veliparib in combination with whole brain radiation therapy (WBRT) in patients with brain metastases, in order to power future trials. Patients with brain metastases from primary solid tumors were treated with WBRT (30.0 or 37.5 Gy in 10 or 15 fractions) and veliparib (escalating doses of 10-300 mg, orally BID). Safety and tumor response were assessed. Observed survival was compared to predicted survival based on a published nomogram. Eighty-one patients (median age 58 years) were treated. The most common primary tumor types were non-small cell lung (NSCLC; n = 34) and breast cancer (n = 25). The most common AEs deemed possibly related to veliparib (AEs, ≥15 %) were fatigue (30 %), nausea (22 %), and decreased appetite (15 %). Fatigue (5 %), hypokalemia and hyponatremia (3 % each) were the only Grade 3/4 AEs deemed possibly related to veliparib observed in ≥2 patients. Although this was an uncontrolled study, preliminary efficacy results were better than predicted: the median survival time (MST, 95 % CI) for the NSCLC subgroup was 10.0 mo (3.9-13.5) and for the breast cancer subgroup was 7.7 mo (2.8-15.0) compared to a nomogram-model-predicted MST of 3.5 mo (3.3-3.8) and 4.9 mo (4.2-5.5). The addition of veliparib to WBRT did not identify new toxicities when compared to WBRT alone. Based on encouraging safety and preliminary efficacy results, a randomized, controlled phase 2b study is ongoing.

Indexed as

Cranial IrradiationAdministration, OralAdultAgedAged, 80 and overBenzimidazolesBrain NeoplasmsBreast NeoplasmsCarcinoma, Non-Small-Cell LungCombined Modality TherapyDose-Response Relationship, DrugFemaleHumansMaleMiddle AgedPoly(ADP-ribose) Polymerase InhibitorsBenzimidazolesPoly(ADP-ribose) Polymerase Inhibitorsveliparib

Identifiers

PMID25682091
OpenAlexW2065167958

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.