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NCT02761694

Vevorisertib (ARQ 751) as a Single Agent or in Combination With Other Anti-Cancer Agents, in Solid Tumors With PIK3CA / AKT / PTEN Mutations (MK-4440-001)

Terminated Phase 1 Results posted Last updated 6 May 2023
What this trial tests

Phase 1 trial testing Vevorisertib in Cancer in 78 participants. Terminated before completion.

Timeline
26 June 2016
Primary endpoint
10 March 2021
10 March 2021

Quick facts

Lead sponsorArQule, Inc., a subsidiary of Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc. (Rahway, NJ USA)
PhasePhase 1
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment78
Start date26 June 2016
Primary completion10 March 2021
Estimated completion10 March 2021
Sites6 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

ArQule, Inc., a subsidiary of Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc. (Rahway, NJ USA) — full company profile →

Who can join

18 and older, any sex, with Cancer or Solid Tumors. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants Who Experience One or More Adverse Events (AEs) Primary · Up to approximately 120 weeks

An AE is defined as any untoward medical occurrence in a subject or clinical investigation subject administered a pharmaceutical product that does not necessarily have a causal relationship with study-drug treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change i

GroupValue95% CI
Part 1: Vevorisertib 5 mg QD4
Part 1: Vevorisertib 10 mg QD4
Part 1: Vevorisertib 20 mg1
Part 1: Vevorisertib 25 mg QD3
Part 1: Vevorisertib 25 mg QOD3
Part 1: Vevorisertib 50 mg QD3
Part 1: Vevorisertib 75 mg QD32
Part 1: Vevorisertib 100 mg QD8
Part 2: Vevorisertib 50 mg QD Plus Paclitaxel5
Part 2: Vevorisertib 75 mg QD Plus Paclitaxel5
Part 2: Vevorisertib 50 mg QD Plus Fulvestrant3
Part 2: Vevorisertib 75 mg QD Plus Fulvestrant6
Number of Participants Who Discontinue Study Treatment Due to an AE Primary · Up to approximately 116 weeks

An AE is defined as any untoward medical occurrence in a subject or clinical investigation subject administered a pharmaceutical product that does not necessarily have a causal relationship with study-drug treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening (i.e., any clinically significant adverse change i

GroupValue95% CI
Part 1: Vevorisertib 5 mg QD0
Part 1: Vevorisertib 10 mg QD1
Part 1: Vevorisertib 20 mg QD0
Part 1: Vevorisertib 25 mg QD0
Part 1: Vevorisertib 25 mg QOD0
Part 1: Vevorisertib 50 mg QD0
Part 1: Vevorisertib 75 mg QD3
Part 1: Vevorisertib 100 mg QD0
Part 2: Vevorisertib 50 mg QD Plus Paclitaxel1
Part 2: Vevorisertib 75 mg QD Plus Paclitaxel1
Part 2: Vevorisertib 50 mg QD Plus Fulvestrant0
Part 2: Vevorisertib 75 mg QD Plus Fulvestrant1
Maximum Plasma Concentration (Cmax) of Vevorisertib Secondary · Cycle 1 Day 1: predose and 1, 2, 4, 6, 8, 10, 12, and 24 hours postdose; Cycle 1 Day 22: predose and 1, 2, 4, 6, 8, 10, 12, and 24 hours postdose; Cycle 2 Day 1: predose. Cycle = 28 days.

Cmax was defined as the maximum plasma drug concentration. This study was terminated because of business reasons. Due to study termination, pharmacokinetic (PK) testing was prioritized for dosing arms and timepoints that would provide the required data to support programmatic decision-making and subsequent clinical studies. Zero participants analyzed entered in the table indicate data were not generated and no data were available. Cmax is reported as geometric mean with a percent coefficient of variation.

Cycle 1 Day 1
GroupValue95% CI
Part 1: Vevorisertib 5 mg QDNA± NA
Part 1: Vevorisertib 10 mg QD4.820± 80.1
Part 1: Vevorisertib 20 mg QD15.3± NA
Part 1: Vevorisertib 25 mg QD51.39± 68.1
Part 1: Vevorisertib 25 mg QOD22.73± 5.9
Part 1: Vevorisertib 50 mg QD59.79± 7.6
Part 1: Vevorisertib 75 mg QD98.75± 88.2
Part 1: Vevorisertib 100 mg QD122.6± 107.1
Part 2: Vevorisertib 50 mg QD Plus Paclitaxel29.13± 245.6
Part 2: Vevorisertib 75 mg QD Plus Paclitaxel49.11± 67.0
Part 2: Vevorisertib 50 mg QD Plus Fulvestrant91.7± NA
Part 2: Vevorisertib 75 mg QD Plus Fulvestrant166.7± 101.7
Cycle 1 Day 22
GroupValue95% CI
Part 1: Vevorisertib 5 mg QD4.154± 45.3
Part 1: Vevorisertib 10 mg QD12.82± 71.1
Part 1: Vevorisertib 20 mg QD7.79± NA
Part 1: Vevorisertib 25 mg QD65.40± 61.5
Part 1: Vevorisertib 25 mg QOD19.49± 96.5
Part 1: Vevorisertib 50 mg QD55.15± 76.7
Part 1: Vevorisertib 75 mg QD225.1± 80.0
Part 1: Vevorisertib 100 mg QD207.7± 80.6
Cycle 2 Day 1
GroupValue95% CI
Part 1: Vevorisertib 75 mg QD186.8± 47.3
Part 2: Vevorisertib 50 mg QD Plus Paclitaxel78.36± 216.8
Part 2: Vevorisertib 75 mg QD Plus Paclitaxel79.52± 69.6
Part 2: Vevorisertib 50 mg QD Plus Fulvestrant62.59± 140.1
Part 2: Vevorisertib 75 mg QD Plus Fulvestrant138.2± 48.4
Area Under the Curve From 0-24 Hours (AUC0-24 Hours) of Vevorisertib Secondary · Cycle 1 Day 1: predose and 1, 2, 4, 6, 8, 10, 12, and 24 hours postdose; Cycle 1 Day 22: predose and 1, 2, 4, 6, 8, 10, 12, and 24 hours postdose; Cycle 2 Day 1: predose. Cycle = 28 days.

AUC0-24hrs was defined as area under the concentration-time curve from time 0 to 24 hours after dose administration. This study was terminated because of business reasons. Due to study termination, pharmacokinetic (PK) testing was prioritized for dosing arms and timepoints that would provide the required data to support programmatic decision-making and subsequent clinical studies. Zero participants analyzed entered in the table indicate data were not generated and no data were available. AUC0-24 is reported as geometric mean with a percent coefficient of variation.

Cycle 1 Day1
GroupValue95% CI
Part 1: Vevorisertib 5 mg QDNA± NA
Part 1: Vevorisertib 10 mg QD12.27± NA
Part 1: Vevorisertib 20 mg QD42.2± NA
Part 1: Vevorisertib 25 mg QD244.1± 113.3
Part 1: Vevorisertib 25 mg QOD128.6± 52.4
Part 1: Vevorisertib 50 mg QD287.5± 4.5
Part 1: Vevorisertib 75 mg QD667.6± 84.6
Part 1: Vevorisertib 100 mg QD786.1± 117.7
Part 2: Vevorisertib 50 mg QD Plus Paclitaxel391.1± NA
Part 2: Vevorisertib 75 mg QD Plus Paclitaxel649.6± 41.7
Part 2: Vevorisertib 50 mg QD Plus Fulvestrant449± NA
Part 2: Vevorisertib 75 mg QD Plus Fulvestrant1115± 73.5
Cycle 1 Day 22
GroupValue95% CI
Part 1: Vevorisertib 10 mg QD67.89± 197.1
Part 1: Vevorisertib 20 mg QD78.5± NA
Part 1: Vevorisertib 25 mg QD501.8± 35.5
Part 1: Vevorisertib 25 mg QOD181.2± 59.0
Part 1: Vevorisertib 50 mg QD543.8± 78.2
Part 1: Vevorisertib 75 mg QD1832± 68.5
Part 1: Vevorisertib 100 mg QD1786± 82.4
Cycle 2 Day 1
GroupValue95% CI
Part 1: Vevorisertib 75 mg QD2013± 66.4
Part 2: Vevorisertib 50 mg QD Plus Paclitaxel837.2± 200.6
Part 2: Vevorisertib 75 mg QD Plus Paclitaxel1280± 39.1
Part 2: Vevorisertib 50 mg QD Plus Fulvestrant750.7± 67.0
Part 2: Vevorisertib 75 mg QD Plus Fulvestrant1948± 49.7
Elimination Half-life (t½) of Vevorisertib Secondary · Cycle 1 Day 1: predose, 1, 2, 4, 6, 8, 10, 12, and 24 hours postdose; Cycle 1 Day 22: predose, 1, 2, 4, 6, 8, 10, 12, and 24 hours postdose; Cycle 2 Day 1: predose. Cycle = 28 days.

t1/2 was defined as the terminal elimination half-life of drug. This study was terminated because of business reasons. Due to study termination, pharmacokinetic (PK) testing was prioritized for dosing arms and timepoints that would provide the required data to support programmatic decision-making and subsequent clinical studies. Zero participants analyzed entered in the table indicate data were not generated and no data were available. t1/2 is reported as geometric mean with a percent coefficient of variation.

Cycle 1 Day 1
GroupValue95% CI
Part 1: Vevorisertib 5 mg QDNA± NA
Part 1: Vevorisertib 20 mg QD3.68± NA
Part 1: Vevorisertib 25 mg QD15.43± 104.2
Part 1: Vevorisertib 25 mg QOD8.257± 102.7
Part 1: Vevorisertib 50 mg QD15.94± 19.3
Part 1: Vevorisertib 75 mg QD12.39± 37.7
Part 1: Vevorisertib 100 mg QD7.437± 69.0
Part 2: Vevorisertib 50 mg QD Plus Paclitaxel8.920± NA
Part 2: Vevorisertib 75 mg QD Plus Paclitaxel8.909± 16.3
Part 2: Vevorisertib 50 mg QD Plus Fulvestrant9.48± NA
Part 2: Vevorisertib 75 mg QD Plus Fulvestrant9.176± 46.7
Cycle 1 Day 22
GroupValue95% CI
Part 1: Vevorisertib 10 mg QD10.12± 87.0
Part 1: Vevorisertib 25 mg QD39.33± 48.6
Part 1: Vevorisertib 25 mg QOD21.25± 13.8
Part 1: Vevorisertib 50 mg QD20.03± 1.6
Part 1: Vevorisertib 75 mg QD12.94± 71.8
Part 1: Vevorisertib 100 mg QD24.59± 6.9
Cycle 2 Day 1
GroupValue95% CI
Part 1: Vevorisertib 75 mg QD22.93± 36.8
Part 2: Vevorisertib 50 mg QD Plus Paclitaxel20.89± 70.9
Part 2: Vevorisertib 50 mg QD Plus Fulvestrant28.78± 16.3
Part 2: Vevorisertib 75 mg QD Plus Fulvestrant11.46± NA
Number of Participants With a Dose-Limiting Toxicity (DLT), for the Determination of Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RP2D) Secondary · Cycle 1 (Up to approximately 28 days)

DLTs consisted of hematologic or non-hematologic toxicities. Hematologic DLT was any grade (Gr) 4 anemia, Gr 4 neutropenia, Gr 4 thrombocytopenia, Gr 3 lasting \>7 days, Gr 3 thrombocytopenia in the presence of bleeding, or ≥ Gr 3 hyperglycemia. Non-hematologic DLT was any Gr 3, 4 or 5 non-hematologic toxicity with the exception of: (1) Gr 3 nausea, vomiting, diarrhea or responding to optimal medical management within 48 hours; (2) alopecia. Per protocol DLTs were analyzed in the first 28-day treatment cycle. The number of participants experiencing DLTs is reported here for all participants wh

GroupValue95% CI
Part 1: Vevorisertib 5 mg QD0
Part 1: Vevorisertib 10 mg QD0
Part 1: Vevorisertib 20 mg QD0
Part 1: Vevorisertib 25 mg QD0
Part 1: Vevorisertib 25 mg QOD0
Part 1: Vevorisertib 50 mg QD0
Part 1: Vevorisertib 75 mg QD1
Part 1: Vevorisertib 100 mg QD1
Part 2: Vevorisertib 50 mg QD Plus Paclitaxel0
Part 2: Vevorisertib 75 mg QD Plus Paclitaxel1
Part 2: Vevorisertib 50 mg QD Plus Fulvestrant0
Part 2: Vevorisertib 75 mg QD Plus Fulvestrant0
Objective Response Rate (ORR) Secondary · Up to approximately 116 weeks

ORR was defined as the percentage of participants who have best response of Complete Response (CR: Disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1).

GroupValue95% CI
Part 1: Vevorisertib 5 mg QD00.00 – 70.76
Part 1: Vevorisertib 10 mg QD00.00 – 70.76
Part 1: Vevorisertib 20 mg QD00.00 – 97.50
Part 1: Vevorisertib 25 mg QD33.30.84 – 90.57
Part 1: Vevorisertib 25 mg QOD00.00 – 70.76
Part 1: Vevorisertib 50 mg QD00.00 – 84.19
Part 1: Vevorisertib 75 mg QD4.20.11 – 21.12
Part 1: Vevorisertib 100 mg QD14.30.36 – 57.87
Part 2: Vevorisertib 50 mg QD Plus Paclitaxel50.06.76 – 93.24
Part 2: Vevorisertib 75 mg QD Plus Paclitaxel00.00 – 70.76
Part 2: Vevorisertib 50 mg QD Plus Fulvestrant00.00 – 84.19
Part 2: Vevorisertib 75 mg QD Plus Fulvestrant00.00 – 60.24
Best Overall Response (BOR) Secondary · Up to approximately 116 weeks

BOR was assessed using RECIST 1.1. Response categories included: CR: disappearance of all target lesions; PR: at least a 30% decrease in the sum of diameters of target lesions; Progressive Disease (PD): at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered PD; Stable Disease (SD): neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD; and Inevaluable: participants who have SD as their best overall response but fail to achieve the protocol-define

Complete Response (CR)
GroupValue95% CI
Part 1: Vevorisertib 5 mg QD00.00 – 70.76
Part 1: Vevorisertib 10 mg QD00.00 – 70.76
Part 1: Vevorisertib 20 mg QD00.00 – 97.50
Part 1: Vevorisertib 25 mg QD00.00 – 70.76
Part 1: Vevorisertib 25 mg QOD00.00 – 70.76
Part 1: Vevorisertib 50 mg QD00.00 – 84.19
Part 1: Vevorisertib 75 mg QD00.00 – 14.25
Part 1: Vevorisertib 100 mg QD00.00 – 40.96
Part 2: Vevorisertib 50 mg QD Plus Paclitaxel00.00 – 60.24
Part 2: Vevorisertib 75 mg QD Plus Paclitaxel00.00 – 70.76
Part 2: Vevorisertib 50 mg QD Plus Fulvestrant00.00 – 84.19
Part 2: Vevorisertib 75 mg QD Plus Fulvestrant00.00 – 60.24
Partial Response (PR)
GroupValue95% CI
Part 1: Vevorisertib 5 mg QD00.00 – 70.76
Part 1: Vevorisertib 10 mg QD00.00 – 70.76
Part 1: Vevorisertib 20 mg QD00.00 – 97.50
Part 1: Vevorisertib 25 mg QD33.30.84 – 90.57
Part 1: Vevorisertib 25 mg QOD00.00 – 70.76
Part 1: Vevorisertib 50 mg QD00.00 – 84.19
Part 1: Vevorisertib 75 mg QD4.20.11 – 21.12
Part 1: Vevorisertib 100 mg QD14.30.36 – 57.87
Part 2: Vevorisertib 50 mg QD Plus Paclitaxel50.06.76 – 93.24
Part 2: Vevorisertib 75 mg QD Plus Paclitaxel00.00 – 70.76
Part 2: Vevorisertib 50 mg QD Plus Fulvestrant00.00 – 84.19
Part 2: Vevorisertib 75 mg QD Plus Fulvestrant00.00 – 60.24
Stable Disease (SD)
GroupValue95% CI
Part 1: Vevorisertib 5 mg QD00.00 – 70.76
Part 1: Vevorisertib 10 mg QD00.00 – 70.76
Part 1: Vevorisertib 20 mg QD100.02.50 – 100.00
Part 1: Vevorisertib 25 mg QD66.79.43 – 99.16
Part 1: Vevorisertib 25 mg QOD33.30.84 – 90.57
Part 1: Vevorisertib 50 mg QD50.01.26 – 98.74
Part 1: Vevorisertib 75 mg QD41.722.11 – 63.36
Part 1: Vevorisertib 100 mg QD42.99.90 – 81.59
Part 2: Vevorisertib 50 mg QD Plus Paclitaxel25.00.63 – 80.59
Part 2: Vevorisertib 75 mg QD Plus Paclitaxel33.30.84 – 90.57
Part 2: Vevorisertib 50 mg QD Plus Fulvestrant00.00 – 84.19
Part 2: Vevorisertib 75 mg QD Plus Fulvestrant50.06.76 – 93.24
Progressive Disease (PD)
GroupValue95% CI
Part 1: Vevorisertib 5 mg QD100.029.24 – 100.00
Part 1: Vevorisertib 10 mg QD100.029.24 – 100.00
Part 1: Vevorisertib 20 mg QD00.00 – 97.50
Part 1: Vevorisertib 25 mg QD00.00 – 70.76
Part 1: Vevorisertib 25 mg QOD66.79.43 – 99.16
Part 1: Vevorisertib 50 mg QD50.01.26 – 98.74
Part 1: Vevorisertib 75 mg QD54.232.82 – 74.45
Part 1: Vevorisertib 100 mg QD28.63.67 – 70.96
Part 2: Vevorisertib 50 mg QD Plus Paclitaxel00.00 – 60.24
Part 2: Vevorisertib 75 mg QD Plus Paclitaxel66.79.43 – 99.16
Part 2: Vevorisertib 50 mg QD Plus Fulvestrant100.015.81 – 100.00
Part 2: Vevorisertib 75 mg QD Plus Fulvestrant50.06.76 – 93.24
Inevaluable
GroupValue95% CI
Part 1: Vevorisertib 5 mg QD00.00 – 70.76
Part 1: Vevorisertib 10 mg QD00.00 – 0.76
Part 1: Vevorisertib 20 mg QD00.00 – 97.50
Part 1: Vevorisertib 25 mg QD00.00 – 70.76
Part 1: Vevorisertib 25 mg QOD00.00 – 70.76
Part 1: Vevorisertib 50 mg QD00.00 – 84.19
Part 1: Vevorisertib 75 mg QD00.00 – 14.25
Part 1: Vevorisertib 100 mg QD14.30.36 – 57.87
Part 2: Vevorisertib 50 mg QD Plus Paclitaxel25.00.63 – 80.59
Part 2: Vevorisertib 75 mg QD Plus Paclitaxel00.00 – 70.76
Part 2: Vevorisertib 50 mg QD Plus Fulvestrant00.00 – 84.19
Part 2: Vevorisertib 75 mg QD Plus Fulvestrant00.00 – 60.24
Disease Control Rate (DCR) Secondary · Up to approximately 116 weeks

DCR was defined, per RECIST 1.1, as the percentage of participants who have a Complete Response (CR: Disappearance of all target lesions) or Partial Response (PR: At least a 30% decrease in the sum of diameters of target lesions) or Stable Disease (SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease \[PD: At least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered PD\].

GroupValue95% CI
Part 1: Vevorisertib 5 mg QD00.00 – 70.76
Part 1: Vevorisertib 10 mg QD00.00 – 70.76
Part 1: Vevorisertib 20 mg QD100.02.50 – 100.00
Part 1: Vevorisertib 25 mg QD100.029.24 – 100.00
Part 1: Vevorisertib 25 mg QOD33.30.84 – 90.57
Part 1: Vevorisertib 50 mg QD50.01.26 – 98.74
Part 1: Vevorisertib 75 mg QD45.825.55 – 67.18
Part 1: Vevorisertib 100 mg QD57.118.41 – 90.10
Part 2: Vevorisertib 50 mg QD Plus Paclitaxel75.019.41 – 99.37
Part 2: Vevorisertib 75 mg QD Plus Paclitaxel33.30.84 – 90.57
Part 2: Vevorisertib 50 mg QD Plus Fulvestrant00.00 – 84.19
Part 2: Vevorisertib 75 mg QD Plus Fulvestrant50.06.76 – 93.24

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to approximately 120 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part 1: Vevorisertib 5 mg QD
Serious: 2/4 (50%)
Deaths: 2/4
Part 1: Vevorisertib 10 mg QD
Serious: 3/4 (75%)
Deaths: 2/4
Part 1: Vevorisertib 20 mg QD
Serious: 0/1 (0%)
Deaths: 0/1
Part 1: Vevorisertib 25 mg QD
Serious: 2/3 (67%)
Deaths: 1/3
Part 1: Vevorisertib 25 mg QOD
Serious: 1/3 (33%)
Deaths: 0/3
Part 1: Vevorisertib 50 mg QD
Serious: 2/3 (67%)
Deaths: 1/3
Part 1: Vevorisertib 75 mg QD
Serious: 12/32 (38%)
Deaths: 7/33
Part 1: Vevorisertib 100 mg QD
Serious: 5/8 (63%)
Deaths: 2/8
Part 2: Vevorisertib 50 mg QD Plus Paclitaxel
Serious: 3/5 (60%)
Deaths: 2/5
Part 2: Vevorisertib 75 mg QD Plus Paclitaxel
Serious: 2/5 (40%)
Deaths: 2/5
Part 2: Vevorisertib 50 mg QD Plus Fulvestrant
Serious: 0/3 (0%)
Deaths: 1/3
Part 2: Vevorisertib 75 mg QD Plus Fulvestrant
Serious: 3/6 (50%)
Deaths: 0/6

Serious adverse events (45 terms)

ReactionSystemPart 1: Vevorisertib 5 mg QDPart 1: Vevorisertib 10 mg…Part 1: Vevorisertib 20 mg…Part 1: Vevorisertib 25 mg…Part 1: Vevorisertib 25 mg…Part 1: Vevorisertib 50 mg…Part 1: Vevorisertib 75 mg…Part 1: Vevorisertib 100 m…Part 2: Vevorisertib 50 mg…Part 2: Vevorisertib 75 mg…Part 2: Vevorisertib 50 mg…Part 2: Vevorisertib 75 mg…
AscitesGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Small intestinal obstructionGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
Pericardial effusionCardiac disorders
Eyelid ptosisEye disorders
Abdominal painGastrointestinal disorders
ColitisGastrointestinal disorders
NauseaGastrointestinal disorders
ProctalgiaGastrointestinal disorders
Rectal haemorrhageGastrointestinal disorders
Umbilical hernia, obstructiveGastrointestinal disorders
VomitingGastrointestinal disorders
Disease progressionGeneral disorders
PyrexiaGeneral disorders
BacteraemiaInfections and infestations
Herpes zosterInfections and infestations
PneumoniaInfections and infestations
SepsisInfections and infestations
Urinary tract infectionInfections and infestations
HypercalcaemiaMetabolism and nutrition disorders
HyperglycaemiaMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
Other adverse events (163 terms — click to expand)

ReactionSystemPart 1: Vevorisertib 5 mg QDPart 1: Vevorisertib 10 mg…Part 1: Vevorisertib 20 mg…Part 1: Vevorisertib 25 mg…Part 1: Vevorisertib 25 mg…Part 1: Vevorisertib 50 mg…Part 1: Vevorisertib 75 mg…Part 1: Vevorisertib 100 m…Part 2: Vevorisertib 50 mg…Part 2: Vevorisertib 75 mg…Part 2: Vevorisertib 50 mg…Part 2: Vevorisertib 75 mg…
DiarrhoeaGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
VomitingGastrointestinal disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
RashSkin and subcutaneous tissue disorders
HypokalaemiaMetabolism and nutrition disorders
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
Dry mouthGastrointestinal disorders
StomatitisGastrointestinal disorders
PyrexiaGeneral disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
PruritusSkin and subcutaneous tissue disorders
DehydrationMetabolism and nutrition disorders
HyperglycaemiaMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
AnaemiaBlood and lymphatic system disorders
DyspepsiaGastrointestinal disorders
Mucosal inflammationGeneral disorders
Oedema peripheralGeneral disorders
Urinary tract infectionInfections and infestations
HypomagnesaemiaMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Tumour painNeoplasms benign, malignant and unspecified (incl cysts and polyps)
HeadacheNervous system disorders
InsomniaPsychiatric disorders
ErythemaSkin and subcutaneous tissue disorders
Night sweatsSkin and subcutaneous tissue disorders
Rash pruriticSkin and subcutaneous tissue disorders
NeutropeniaBlood and lymphatic system disorders
Vision blurredEye disorders
Abdominal pain upperGastrointestinal disorders
CheilitisGastrointestinal disorders
DysphagiaGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
AstheniaGeneral disorders
ChillsGeneral disorders

Most-reported serious reactions: Ascites, Diarrhoea, Small intestinal obstruction, Anaemia, Pericardial effusion, Eyelid ptosis, Abdominal pain, Colitis.

Data from ClinicalTrials.gov NCT02761694 adverse events section.

Sponsor's own description

The primary objectives of this study are: Part 1 - Vevorisertib as single agent: To assess the safety and tolerability of vevorisertib in participants with advanced solid tumors with v-Akt murine thymoma viral oncogene homolog (AKT) 1, 2, 3 genetic alterations, activating phosphatidylinositol-3-kinase (PI3K) mutations, phosphatase and tensin homolog deleted on chromosome ten (PTEN)-null, or other known actionable PTEN mutations; Part 2 - Vevorisertib in combination with other anti-cancer agents: To assess the safety and tolerability of vevorisertib in combination with paclitaxel or fulvestrant in participants with advanced, inoperable, metastatic and/or recurrent solid tumors with phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha (PIK3CA) / PTEN actionable mutations and/or AKT genetic alterations.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Role of PI3K/AKT pathway in cancer: the framework of malignant behavior.
    Jiang N, Dai Q, Su X, Fu J, et al · · 2020 · cited 419× · PMID 32333246 · DOI 10.1007/s11033-020-05435-1
  2. Maximising the potential of AKT inhibitors as anti-cancer treatments.
    Brown JS, Banerji U. · · 2017 · cited 184× · PMID 27919797 · DOI 10.1016/j.pharmthera.2016.12.001
  3. Targeting PI3K/AKT/mTOR Signaling Pathway in Breast Cancer.
    Li H, Prever L, Hirsch E, Gulluni F. · · 2021 · cited 132× · PMID 34298731 · DOI 10.3390/cancers13143517
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