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Brief Title: PAKT: AZD5363 in Combination With Paclitaxel in Triple-Negative Advanced or Metastatic Breast Cancer
Official Title: A Phase II, Double-blind, Randomised, Placebo-controlled Study of the AKT Inhibitor AZD5363 in Combination With Paclitaxel in Triple-Negative Advanced or Metastatic Breast Cancer (PAKT).
Study ID: NCT02423603
Brief Summary: PAKT was an investigator-led, placebo-controlled, randomized phase II trial performed in 42 academic medical centers in the United Kindom, South Korea, France, Hungary, Romania, and Georgia. Patients were randomly assigned (1:1) to receive paclitaxel plus capivasertib or paclitaxel plus placebo. Stratification was by number of metastatic sites (\< 3 v ≥ 3) and interval from the end of prior adjuvant or neoadjuvant chemotherapy (≤ 12 v \> 12 months v no prior chemotherapy). Paclitaxel was administered as a once-per-week intravenous infusion of 90 mg/m2 over approximately 1 hour on days 1, 8, and 15 of each 28-day treatment cycle. Capivasertib 400 mg or placebo was administered orally twice per day on an intermittent weekly dosing schedule, with treatment on days 2 to 5 of weeks 1, 2, and 3 within each 28-day cycle. All treatments were continued until disease progression, development of unacceptable toxicity, or withdrawal of consent. If paclitaxel treatment was discontinued before disease progression, patients could continue to receive capivasertib or placebo alone. In case of adverse events (AEs), capivasertib or placebo could be reduced to 320 mg twice per day and subsequently to 240 mg twice per day. Capivasertib or placebo could be interrupted for up to 4 weeks for toxicity. Tumor assessments included computed tomography scanning or magnetic resonance imaging of the chest, abdomen, and pelvis at baseline, every 8 weeks during treatment, and at progression. Patients who discontinued treatment for any reason other than progression were required to follow the same schedule of assessments until progression, initiation of another treatment, death, or withdrawal of consent.
Detailed Description:
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: FEMALE
Healthy Volunteers: No
ICO René Gauducheau, Nantes, , France
Centre André-lacassagne, Nice, , France
Centre Hospitalier Prive Saint-Gregoire, Saint-Grégoire, , France
Institute of Clinical Oncology, Tbilisi, , Georgia
Országos Onkológiai Intézet, Budapest, , Hungary
University of Pécs - Clinical Center Institute of Oncotherapy, Pécs, , Hungary
Zala County Hospital Szent Rafael, Zalaegerszeg, , Hungary
Chungbuk National University Hospital, Cheongju, , Korea, Republic of
National Cancer Center, Goyang-si, , Korea, Republic of
Asan Medical Center, Seoul, , Korea, Republic of
Korea University Guro Hospital, Seoul, , Korea, Republic of
Samsung Medical Centre, Seoul, , Korea, Republic of
Yonsei University Health System, Seoul, , Korea, Republic of
Prof. Dr. I. Chiricuta Oncology Institute, Cluj-Napoca, , Romania
Sf. Nectarie SRL Oncologie Medical Center, Craiova, , Romania
Center of Oncology Euroclinic, Iași, , Romania
Betsi Cadwaladr University Health Board, Bangor, , United Kingdom
Belfast Health and Social Care Trust, Belfast, , United Kingdom
Glan Clwyd Hospital BCU Health Board NHS Wales, Bodelwyddan, , United Kingdom
Brighton and Sussex University Hospitals NHS Trust, Brighton, , United Kingdom
Cambridge University Hospitals NHS Foundation Trust, Cambridge, , United Kingdom
East Kent Hospitals University NHS Foundation Trust, Canterbury, , United Kingdom
Velindre Cancer Centre, Cardiff, , United Kingdom
University Hospitals Coventry and Warwickshire NHs Trust, Coventry, , United Kingdom
NHS Lothian, Edinburgh, , United Kingdom
Medway NHS Foundation Trust, Gillingham, , United Kingdom
Beatson West of Scotland Cancer Centre, Glasgow, , United Kingdom
Leeds Teaching Hospitals NHs Trust, Leeds, , United Kingdom
Barts Health NHS Trust, London, , United Kingdom
University College London Hospitals, London, , United Kingdom
Barking, Havering and Redbridge University Hospitals NHS Trust, London, , United Kingdom
Guys and St Thomas' NHS Foundation Trust, London, , United Kingdom
Lewisham and Greenwich NHS Trust, London, , United Kingdom
Royal Marsden NHS Foundation Trust-Fulham, London, , United Kingdom
Imperial College Healthcare NHS Trust, London, , United Kingdom
Maidstone and Tunbridge Wells NHS Trust, Maidstone, , United Kingdom
The Christie NHS Foundation Trust, Manchester, , United Kingdom
Nottingham University Hospitals NHS Trust, Nottingham, , United Kingdom
Southampton University Hospitals NHS Trust, Southampton, , United Kingdom
Southend University Hospital NHS Foundation Trust, Southend, , United Kingdom
University Hospital of North Staffordshire NHS Trust, Stoke-on-Trent, , United Kingdom
Royal Marsden - Sutton, Sutton, , United Kingdom
Abertawe Bro Margannwg University Health Board, Swansea, , United Kingdom
Royal Cornwall Hospitals NHS Trust, Truro, , United Kingdom
Ysbyty Wrexham Maelor Hospital, Wrexham, , United Kingdom
Yeovil District Hospital NHS Foundation Trust, Yeovil, , United Kingdom
Name: Peter Schmid
Affiliation: Queen Mary University London
Role: STUDY_CHAIR
Name: Nicholas Turner
Affiliation: Royal Marsden Hospital NHS- Institute of Cancer Research
Role: PRINCIPAL_INVESTIGATOR