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Spots Global Cancer Trial Database for PAKT: AZD5363 in Combination With Paclitaxel in Triple-Negative Advanced or Metastatic Breast Cancer

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Trial Identification

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

Study Description

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:

Eligibility

Minimum Age: 18 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: FEMALE

Healthy Volunteers: No

Locations

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

Contact Details

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

Useful links and downloads for this trial

Clinicaltrials.gov

Google Search Results

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