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NCT04060862: IPATunity150

A Study of Ipatasertib Plus Palbociclib and Fulvestrant Versus Placebo Plus Palbociclib and Fulvestrant in Hormone Receptor Positive and HER2 Negative Locally Advanced Unresectable or Metastatic Breast Cancer

Terminated Phase 1 Results posted Last updated 8 November 2024
What this trial tests

Phase 1 trial testing Ipatasertib in Breast Cancer in 20 participants. Terminated before completion.

Timeline
21 November 2019
Primary endpoint
29 August 2023
29 August 2023

Quick facts

Lead sponsorHoffmann-La Roche
PhasePhase 1
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment20
Start date21 November 2019
Primary completion29 August 2023
Estimated completion29 August 2023
Sites20 locations across Japan, United Kingdom, South Korea, Canada, Australia, Spain, United States, Brazil

Drugs / interventions tested

Conditions studied

Sponsor

Hoffmann-La Roche — full company profile →

Who can join

18 and older, any sex, with Breast Cancer. 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.

Phase Ib: Number of Participants With Adverse Events and Adverse Events With Severity Determined According to National Cancer Institute Common Terminology Criteria for Adverse Events, Version 5.0 (NCI CTCAE v5.0) Secondary · Up to 36 Months

AE=any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product, regardless of causal attribution. Severity of AEs were rated per NCI CTCAE v5 where, Grade 1 Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated; Grade 2 Moderate; minimal, local or noninvasive intervention indicated; limiting age appropriate instrumental Activities of Daily Living (ADL); Grade 3 Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated; di

Any AE: Any Grade
GroupValue95% CI
Phase 1b: Ipatasertib + Palbociclib +Fulvestrant20
Grade 1
GroupValue95% CI
Phase 1b: Ipatasertib + Palbociclib +Fulvestrant3
Grade 2
GroupValue95% CI
Phase 1b: Ipatasertib + Palbociclib +Fulvestrant3
Grade 3
GroupValue95% CI
Phase 1b: Ipatasertib + Palbociclib +Fulvestrant12
Grade 4
GroupValue95% CI
Phase 1b: Ipatasertib + Palbociclib +Fulvestrant5
Phase Ib: Plasma Concentration of Ipatasertib and Its Metabolite G-037720 Secondary · Cycle 1, Day 1 and 15: 0.25 hours pre-dose, 0.5, 1, 2, 3, 4 and 6 hours post- dose ; Cycle 2, Day 15: 0.25 hours pre-dose; Cycle 3, Day 15: 0.15 hours pre-dose, 2 hours post-dose (each cycle = 28 days)

Plasma concentrations of Ipatasertib and its metabolite G-037720 are reported.

Ipatasertib: Cycle 1 Day 15 0.25 hours pre-dose
GroupValue95% CI
Phase 1b: Ipatasertib + Palbociclib +Fulvestrant46.6± 56.0
Ipatasertib: Cycle 1 Day 15 0.5-hours post-dose
GroupValue95% CI
Phase 1b: Ipatasertib + Palbociclib +Fulvestrant150± 112.3
Ipatasertib: Cycle 1 Day 15 1-hours post-dose
GroupValue95% CI
Phase 1b: Ipatasertib + Palbociclib +Fulvestrant236± 83.4
Ipatasertib: Cycle 1 Day 15 2-hours post-dose
GroupValue95% CI
Phase 1b: Ipatasertib + Palbociclib +Fulvestrant299± 68.0
Ipatasertib: Cycle 1 Day 15 3-hours post-dose
GroupValue95% CI
Phase 1b: Ipatasertib + Palbociclib +Fulvestrant290± 34.2
Ipatasertib: Cycle 1 Day 15 4-hours post-dose
GroupValue95% CI
Phase 1b: Ipatasertib + Palbociclib +Fulvestrant244± 30.2
Ipatasertib: Cycle 1 Day 15 6-hours post-dose
GroupValue95% CI
Phase 1b: Ipatasertib + Palbociclib +Fulvestrant192± 40.1
Ipatasertib: Cycle 2 Day 15 0.25 hours pre-dose
GroupValue95% CI
Phase 1b: Ipatasertib + Palbociclib +Fulvestrant42.8± 46.4
Phase Ib: Maximum Concentration (Cmax) of Ipatasertib and Its Metabolite G-037720 in Plasma Secondary · Cycle 1: Day 1 and Day 15

Cmax of ipatasertib and its metabolite G-037720 in plasma is reported.

Ipatasertib: Cycle 1 Day 1
GroupValue95% CI
Phase Ib: Ipatasertib + Palbociclib +Fulvestrant294± 52.6
Ipatasertib: Cycle 1 Day 15
GroupValue95% CI
Phase Ib: Ipatasertib + Palbociclib +Fulvestrant437± 41.1
G-037720: Cycle 1 Day 1
GroupValue95% CI
Phase Ib: Ipatasertib + Palbociclib +Fulvestrant120± 84.2
G-037720: Cycle 1 Day 15
GroupValue95% CI
Phase Ib: Ipatasertib + Palbociclib +Fulvestrant137± 53.4
Phase Ib: Area Under the Plasma Concentration Time-curve From Zero to 24 Hours (AUC0-24) of Ipatasertib and Its Metabolite G-037720 Secondary · Cycle 1: Day 1 and Day 15

AUC0-24 of Ipatasertib and its metabolite G-037720 is reported

Ipatasertb: Cycle 1 Day 1
GroupValue95% CI
Phase 1b: Ipatasertib + Palbociclib +Fulvestrant2169.88± 46.3
Ipatasertb: Cycle 1 Day 15
GroupValue95% CI
Phase 1b: Ipatasertib + Palbociclib +Fulvestrant3636.97± 33.7
G-037720: Cycle 1 Day 1
GroupValue95% CI
Phase 1b: Ipatasertib + Palbociclib +Fulvestrant1157.02± 76.6
G-037720: Cycle 1 Day 15
GroupValue95% CI
Phase 1b: Ipatasertib + Palbociclib +Fulvestrant1391.60± 44.9
Phase Ib: Time to Maximum Concentration (Tmax) of Ipatasertib and Its Metabolite G-037720 Secondary · Cycle 1: Day 1 and Day 15

Tmax of ipatasertib and its metabolite G-037720 isreported.

Ipatasertib: Cycle 1 Day 1
GroupValue95% CI
Phase Ib: Ipatasertib + Palbociclib +Fulvestrant1.000.50 – 4.00
Ipatasertib: Cycle 1 Day 15
GroupValue95% CI
Phase Ib: Ipatasertib + Palbociclib +Fulvestrant1.920.50 – 4.00
G-037720: Cycle 1 Day 1
GroupValue95% CI
Phase Ib: Ipatasertib + Palbociclib +Fulvestrant2.000.97 – 4.00
G-037720: Cycle 1 Day 15
GroupValue95% CI
Phase Ib: Ipatasertib + Palbociclib +Fulvestrant2.001.00 – 3.08

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 36 months. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Phase Ib: Ipatasertib + Palbociclib +Fulvestrant
Serious: 4/20 (20%)
Deaths: 0/20

Serious adverse events (4 terms)

ReactionSystemPhase Ib: Ipatasertib + Pa…
NeutropeniaBlood and lymphatic system disorders
Pseudomembranous colitisInfections and infestations
Soft tissue infectionInfections and infestations
Bone painMusculoskeletal and connective tissue disorders
Other adverse events (116 terms — click to expand)

ReactionSystemPhase Ib: Ipatasertib + Pa…
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
ConstipationGastrointestinal disorders
VomitingGastrointestinal disorders
NeutropeniaBlood and lymphatic system disorders
AnaemiaBlood and lymphatic system disorders
AstheniaGeneral disorders
Neutrophil count decreasedInvestigations
RashSkin and subcutaneous tissue disorders
Back painMusculoskeletal and connective tissue disorders
Platelet count decreasedInvestigations
HeadacheNervous system disorders
DyspepsiaGastrointestinal disorders
StomatitisGastrointestinal disorders
FatigueGeneral disorders
Decreased appetiteMetabolism and nutrition disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Chest painGeneral disorders
Mucosal inflammationGeneral disorders
Accidental overdoseInjury, poisoning and procedural complications
White blood cell count decreasedInvestigations
HyperglycaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Hot flushVascular disorders
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
AnxietyPsychiatric disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
PruritusSkin and subcutaneous tissue disorders
Abdominal pain upperGastrointestinal disorders
PainGeneral disorders
Urinary tract infectionInfections and infestations
Lymphocyte count decreasedInvestigations
HyponatraemiaMetabolism and nutrition disorders
Flank painMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Neutropenia, Pseudomembranous colitis, Soft tissue infection, Bone pain.

Data from ClinicalTrials.gov NCT04060862 adverse events section.

Sponsor's own description

The open-label Phase Ib portion of this study will evaluate the safety and pharmacokinetics of ipatasertib in combination with palbociclib and fulvestrant to identify a dose of ipatasertib that can be combined with palbociclib and fulvestrant in the Phase III portion. The randomized Phase III portion of this study will evaluate the efficacy, safety, and patient-reported outcome (PRO) objectives of ipatasertib + palbociclib + fulvestrant compared with placebo + palbociclib + fulvestrant in patients with HR+ HER2-, locally advanced unresectable or metastatic breast cancer who had relapsed during adjuvant endocrine therapy or progressed during the initial 12 months of first-line endocrine therapy in locally advanced unresectable or metastatic breast cancer.

Publications & conference data

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

  1. Small molecules in targeted cancer therapy: advances, challenges, and future perspectives.
    Zhong L, Li Y, Xiong L, Wang W, et al · · 2021 · cited 1003× · PMID 34054126 · DOI 10.1038/s41392-021-00572-w
  2. Tumor biomarkers for diagnosis, prognosis and targeted therapy.
    Zhou Y, Tao L, Qiu J, Xu J, et al · · 2024 · cited 379× · PMID 38763973 · DOI 10.1038/s41392-024-01823-2
  3. Advancements in clinical aspects of targeted therapy and immunotherapy in breast cancer.
    Ye F, Dewanjee S, Li Y, Jha NK, et al · · 2023 · cited 361× · PMID 37415164 · DOI 10.1186/s12943-023-01805-y
  4. CDK4 and CDK6 kinases: From basic science to cancer therapy.
    Fassl A, Geng Y, Sicinski P. · · 2022 · cited 351× · PMID 35025636 · DOI 10.1126/science.abc1495
  5. The Role of mTOR Signaling as a Therapeutic Target in Cancer.
    Popova NV, Jücker M. · · 2021 · cited 183× · PMID 33572326 · DOI 10.3390/ijms22041743
  6. Targeting Akt in cancer for precision therapy.
    Hua H, Zhang H, Chen J, Wang J, et al · · 2021 · cited 182× · PMID 34419139 · DOI 10.1186/s13045-021-01137-8
  7. AKT Inhibitors: New Weapons in the Fight Against Breast Cancer?
    Martorana F, Motta G, Pavone G, Motta L, et al · · 2021 · cited 154× · PMID 33995085 · DOI 10.3389/fphar.2021.662232
  8. Small molecule inhibitors targeting the cancers.
    Liu GH, Chen T, Zhang X, Ma XL, et al · · 2022 · cited 127× · PMID 36254250 · DOI 10.1002/mco2.181

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Trials testing the same drug.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04060862.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing