Trial Outcomes & Findings for A Study of Ipatasertib (GDC-0068) in Combination With Paclitaxel as Neoadjuvant Treatment for Participants With Early Stage Triple Negative Breast Cancer (NCT NCT02301988)

NCT ID: NCT02301988

Last Updated: 2018-10-17

Results Overview

pCR was defined by ypT0/Tis ypN0 in the American Joint Committee on Cancer (AJCC) Staging System with the following determination for breast and axilla by local pathology laboratory evaluation: T0: no evidence of primary tumor; Tis: early cancer that has not spread to neighboring tissue and N0: no cancer found in the lymph nodes.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

151 participants

Primary outcome timeframe

Surgery visit (at approximately Weeks 14 to 19)

Results posted on

2018-10-17

Participant Flow

Participant milestones

Participant milestones
Measure
Ipatasertib + Paclitaxel
Participants received ipatasertib orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel intravenous (IV) infusion every week (QW) for 3 cycles (12 total doses).
Placebo + Paclitaxel
Participants received placebo (matching to ipatasertib) orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel IV infusion QW for 3 cycles (12 total doses).
Overall Study
STARTED
76
75
Overall Study
COMPLETED
66
66
Overall Study
NOT COMPLETED
10
9

Reasons for withdrawal

Reasons for withdrawal
Measure
Ipatasertib + Paclitaxel
Participants received ipatasertib orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel intravenous (IV) infusion every week (QW) for 3 cycles (12 total doses).
Placebo + Paclitaxel
Participants received placebo (matching to ipatasertib) orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel IV infusion QW for 3 cycles (12 total doses).
Overall Study
Withdrawal by Subject
2
1
Overall Study
Physician Decision
2
2
Overall Study
Unknown Reason
1
3
Overall Study
Lack of Efficacy
3
2
Overall Study
Death
1
0
Overall Study
Adverse Event
1
1

Baseline Characteristics

A Study of Ipatasertib (GDC-0068) in Combination With Paclitaxel as Neoadjuvant Treatment for Participants With Early Stage Triple Negative Breast Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ipatasertib + Paclitaxel
n=76 Participants
Participants received ipatasertib orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel intravenous (IV) infusion every week (QW) for 3 cycles (12 total doses).
Placebo + Paclitaxel
n=75 Participants
Participants received placebo (matching to ipatasertib) orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel IV infusion QW for 3 cycles (12 total doses).
Total
n=151 Participants
Total of all reporting groups
Age, Continuous
53.8 years
STANDARD_DEVIATION 10.9 • n=5 Participants
53.8 years
STANDARD_DEVIATION 12.0 • n=7 Participants
53.8 years
STANDARD_DEVIATION 11.5 • n=5 Participants
Sex: Female, Male
Female
76 Participants
n=5 Participants
75 Participants
n=7 Participants
151 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
White
71 Participants
n=5 Participants
70 Participants
n=7 Participants
141 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Surgery visit (at approximately Weeks 14 to 19)

Population: The ITT population included all randomized participants.

pCR was defined by ypT0/Tis ypN0 in the American Joint Committee on Cancer (AJCC) Staging System with the following determination for breast and axilla by local pathology laboratory evaluation: T0: no evidence of primary tumor; Tis: early cancer that has not spread to neighboring tissue and N0: no cancer found in the lymph nodes.

Outcome measures

Outcome measures
Measure
Ipatasertib + Paclitaxel
n=76 Participants
Participants received ipatasertib orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel intravenous (IV) infusion every week (QW) for 3 cycles (12 total doses).
Placebo + Paclitaxel
n=75 Participants
Participants received placebo (matching to ipatasertib) orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel IV infusion QW for 3 cycles (12 total doses).
Percentage of Participants With Pathological Complete Response (pCR) in Breast and Axilla as Defined by ypT0/Tis ypN0 in the American Joint Committee on Cancer Staging System (in All Participants)
17.1 percentage of participants
Interval 9.82 to 27.25
13.3 percentage of participants
Interval 6.58 to 22.86

PRIMARY outcome

Timeframe: Surgery visit (at approximately Weeks 14 to 19)

Population: The ITT population included all randomized participants who have PTEN-low tumors.

pCR was defined by ypT0/Tis ypN0 in the AJCC Staging System with the following determination for breast and axilla by local pathology laboratory evaluation: T0: no evidence of primary tumor; Tis: early cancer that has not spread to neighboring tissue and N0: no cancer found in the lymph nodes.

Outcome measures

Outcome measures
Measure
Ipatasertib + Paclitaxel
n=19 Participants
Participants received ipatasertib orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel intravenous (IV) infusion every week (QW) for 3 cycles (12 total doses).
Placebo + Paclitaxel
n=16 Participants
Participants received placebo (matching to ipatasertib) orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel IV infusion QW for 3 cycles (12 total doses).
Percentage of Participants With pCR in Breast and Axilla as Defined by ypT0/Tis ypN0 in the American Joint Committee on Cancer Staging System (in Participants Who Have Phosphatase and Tensin Homolog [PTEN]-Low Tumors)
15.8 percentage of participants
Interval 4.45 to 38.36
12.5 percentage of participants
Interval 2.27 to 35.43

SECONDARY outcome

Timeframe: Surgery visit (at approximately Weeks 14 to 19)

Population: The ITT population included all randomized participants.

pCR was defined by ypT0/Tis in the AJCC Staging System with the following determination for breast by local pathology laboratory evaluation: T0: no evidence of primary tumor; Tis: early cancer that has not spread to neighboring tissue.

Outcome measures

Outcome measures
Measure
Ipatasertib + Paclitaxel
n=76 Participants
Participants received ipatasertib orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel intravenous (IV) infusion every week (QW) for 3 cycles (12 total doses).
Placebo + Paclitaxel
n=75 Participants
Participants received placebo (matching to ipatasertib) orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel IV infusion QW for 3 cycles (12 total doses).
Percentage of Participants With pCR in Breast as Defined by ypT0/Tis in the American Joint Committee on Cancer Staging System (in All Participants)
22.4 percentage of participants
Interval 14.33 to 33.31
14.7 percentage of participants
Interval 7.98 to 24.04

SECONDARY outcome

Timeframe: Surgery visit (at approximately Weeks 14 to 19)

Population: The ITT population included all randomized participants who have PTEN-low tumors.

pCR was defined by ypT0/Tis in the AJCC Staging System with the following determination for breast by local pathology laboratory evaluation: T0: no evidence of primary tumor; Tis: early cancer that has not spread to neighboring tissue.

Outcome measures

Outcome measures
Measure
Ipatasertib + Paclitaxel
n=19 Participants
Participants received ipatasertib orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel intravenous (IV) infusion every week (QW) for 3 cycles (12 total doses).
Placebo + Paclitaxel
n=16 Participants
Participants received placebo (matching to ipatasertib) orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel IV infusion QW for 3 cycles (12 total doses).
Percentage of Participants With pCR in Breast as Defined by ypT0/Tis in the American Joint Committee on Cancer Staging System (in Participants Who Have PTEN-low Tumors)
15.8 percentage of participants
Interval 4.45 to 38.36
18.8 percentage of participants
Interval 5.31 to 42.94

SECONDARY outcome

Timeframe: Screening up to disease progression or death (assessed at screening, pre-surgical visit [approximately Weeks 10-12], early termination visit [up to Week 16])

Population: The ITT population included all randomized participants.

Objective tumor response (OR) was based on criteria related to changes in size of target lesions according to modified RECIST. Target lesions were selected on the basis of their size (lesions with the longest diameter) as well as the feasibility of reproducible repeated measurements. OR was the sum of complete response (CR) and partial response (PR). CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters.

Outcome measures

Outcome measures
Measure
Ipatasertib + Paclitaxel
n=76 Participants
Participants received ipatasertib orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel intravenous (IV) infusion every week (QW) for 3 cycles (12 total doses).
Placebo + Paclitaxel
n=75 Participants
Participants received placebo (matching to ipatasertib) orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel IV infusion QW for 3 cycles (12 total doses).
Percentage of Participants With Objective Tumor Response by Magnetic Resonance Imaging (MRI), As Assessed by Investigator Per the Modified Response Evaluation Criteria in Solid Tumors (RECIST) (in All Participants)
67.1 percentage of participants
Interval 55.86 to 77.46
56.0 percentage of participants
Interval 44.46 to 66.84

SECONDARY outcome

Timeframe: Screening up to disease progression or death (assessed at screening, pre-surgical visit [approximately Weeks 10-12], early termination visit [up to Week 16])

Population: The ITT population included all randomized participants who have PTEN-low tumors.

ORR was based on criteria related to changes in size of target lesions according to modified RECIST. Target lesions were selected on the basis of their size (lesions with the longest diameter) as well as the feasibility of reproducible repeated measurements. ORR was the sum of complete response (CR) and partial response (PR). CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters.

Outcome measures

Outcome measures
Measure
Ipatasertib + Paclitaxel
n=19 Participants
Participants received ipatasertib orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel intravenous (IV) infusion every week (QW) for 3 cycles (12 total doses).
Placebo + Paclitaxel
n=16 Participants
Participants received placebo (matching to ipatasertib) orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel IV infusion QW for 3 cycles (12 total doses).
Percentage of Participants With Objective Tumor Response by MRI, As Assessed by Investigator Per Modified RECIST (in Participants Who Have PTEN-low Tumors)
73.7 percentage of participants
Interval 50.0 to 89.01
50.0 percentage of participants
Interval 27.2 to 72.8

SECONDARY outcome

Timeframe: Surgery visit (at approximately Weeks 14 to 19)

Population: The ITT population included all randomized participants who are Akt Dx+.

pCR was defined by ypT0/Tis ypN0 in the AJCC Staging System with the following determination for breast and axilla by local pathology laboratory evaluation: T0: no evidence of primary tumor; Tis: early cancer that has not spread to neighboring tissue and N0: no cancer found in the lymph nodes.

Outcome measures

Outcome measures
Measure
Ipatasertib + Paclitaxel
n=28 Participants
Participants received ipatasertib orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel intravenous (IV) infusion every week (QW) for 3 cycles (12 total doses).
Placebo + Paclitaxel
n=34 Participants
Participants received placebo (matching to ipatasertib) orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel IV infusion QW for 3 cycles (12 total doses).
Percentage of Participants With pCR in Breast and Axilla as Defined by ypT0/Tis ypN0 in the American Joint Committee on Cancer Staging System (in Participants Who Are Akt Diagnostic Positive [Dx+])
17.9 percentage of participants
Interval 7.31 to 35.71
11.8 percentage of participants
Interval 4.12 to 27.19

SECONDARY outcome

Timeframe: Surgery visit (at approximately Weeks 14 to 19)

Population: The ITT population included all randomized participants who are Akt Dx+.

pCR was defined by ypT0/Tis in the AJCC Staging System with the following determination for breast by local pathology laboratory evaluation: T0: no evidence of primary tumor; Tis: early cancer that has not spread to neighboring tissue.

Outcome measures

Outcome measures
Measure
Ipatasertib + Paclitaxel
n=28 Participants
Participants received ipatasertib orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel intravenous (IV) infusion every week (QW) for 3 cycles (12 total doses).
Placebo + Paclitaxel
n=34 Participants
Participants received placebo (matching to ipatasertib) orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel IV infusion QW for 3 cycles (12 total doses).
Percentage of Participants With pCR in Breast as Defined by ypT0/Tis in the American Joint Committee on Cancer Staging System (in Participants Who Are Akt Dx+)
21.4 percentage of participants
Interval 9.77 to 40.58
11.8 percentage of participants
Interval 4.12 to 27.19

SECONDARY outcome

Timeframe: Surgery visit (at approximately Weeks 14 to 19)

Population: The ITT population included all randomized participants.

pCR was defined by ypT0/Tis in the AJCC Staging System with the following determination for breast subtypes by local pathology laboratory evaluation: T0: no evidence of primary tumor; Tis: early cancer that has not spread to neighboring tissue. The intrinsic molecular subtypes of breast cancer included here are luminal A (LumA), Her-2, basal-like, normal and unknown.

Outcome measures

Outcome measures
Measure
Ipatasertib + Paclitaxel
n=76 Participants
Participants received ipatasertib orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel intravenous (IV) infusion every week (QW) for 3 cycles (12 total doses).
Placebo + Paclitaxel
n=75 Participants
Participants received placebo (matching to ipatasertib) orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel IV infusion QW for 3 cycles (12 total doses).
Percentage of Participants With pCR According to American Joint Committee on Cancer Staging System, by Breast Cancer Subtype
Unknown
18.5 percentage of participants
21.9 percentage of participants
Percentage of Participants With pCR According to American Joint Committee on Cancer Staging System, by Breast Cancer Subtype
Basal
22.0 percentage of participants
10.8 percentage of participants
Percentage of Participants With pCR According to American Joint Committee on Cancer Staging System, by Breast Cancer Subtype
Her2
33.3 percentage of participants
0 percentage of participants
Percentage of Participants With pCR According to American Joint Committee on Cancer Staging System, by Breast Cancer Subtype
LumA
0 percentage of participants
Percentage of Participants With pCR According to American Joint Committee on Cancer Staging System, by Breast Cancer Subtype
Normal
50.0 percentage of participants
0 percentage of participants

SECONDARY outcome

Timeframe: Surgery visit (at approximately Weeks 14 to 19)

Population: The ITT population included all randomized participants with T2 or T3 Tumors.

After neoadjuvant treatment, the number of patients who is appropriate for breast conserving surgery is reported as a measure of efficacy of the treatment to shrink the tumor enough for patients to benefit from less aggressive surgical management. Breast-conserving surgery was defined as removal of part of the breast tissue during surgery. T2 or T3 in the AJCC Staging System were defined as follows: T2: tumor was more than 2 centimeter (cm) but no more than 5 cm across; T3: tumor was larger than 5 cm across.

Outcome measures

Outcome measures
Measure
Ipatasertib + Paclitaxel
n=62 Participants
Participants received ipatasertib orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel intravenous (IV) infusion every week (QW) for 3 cycles (12 total doses).
Placebo + Paclitaxel
n=63 Participants
Participants received placebo (matching to ipatasertib) orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel IV infusion QW for 3 cycles (12 total doses).
Percentage of Participants With Response to Undergoing Breast Conserving Surgery (BCS) Among Participants With T2 or T3 Tumors
64.5 percentage of participants
Interval 51.93 to 76.26
60.3 percentage of participants
Interval 47.2 to 71.74

SECONDARY outcome

Timeframe: From screening to surgery visit (at approximately Weeks 14 to 19)

Population: The ITT population included all randomized participants with T2 or T3 Tumors with response to conversion to BCS.

After neoadjuvant treatment, the number of patients who is appropriate for breast conserving surgery is reported as a measure of efficacy of the treatment to shrink the tumor enough for patients to benefit from less aggressive surgical management. Breast-conserving surgery was defined as removal of part of the breast tissue during surgery. T2 or T3 in the AJCC Staging System were defined as follows: T2: tumor was more than 2 centimeter (cm) but no more than 5 cm across; T3: tumor was larger than 5 cm across.

Outcome measures

Outcome measures
Measure
Ipatasertib + Paclitaxel
n=12 Participants
Participants received ipatasertib orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel intravenous (IV) infusion every week (QW) for 3 cycles (12 total doses).
Placebo + Paclitaxel
n=16 Participants
Participants received placebo (matching to ipatasertib) orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel IV infusion QW for 3 cycles (12 total doses).
Percentage of Participants With Response to Conversion to BCS Among Participants With T2 or T3 Tumors
33.3 percentage of participants
Interval 12.29 to 65.11
25 percentage of participants
Interval 9.03 to 50.0

SECONDARY outcome

Timeframe: Screening up to Week 24

Population: The safety population was identical to the ITT population and included all randomized participants.

An adverse event is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event 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 pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events.

Outcome measures

Outcome measures
Measure
Ipatasertib + Paclitaxel
n=76 Participants
Participants received ipatasertib orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel intravenous (IV) infusion every week (QW) for 3 cycles (12 total doses).
Placebo + Paclitaxel
n=75 Participants
Participants received placebo (matching to ipatasertib) orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel IV infusion QW for 3 cycles (12 total doses).
Percentage of Participants With Adverse Events
100 percentage of participants
98.7 percentage of participants

SECONDARY outcome

Timeframe: 0.5 and 4 hours post dose on Day 1 of Cycle 1, 166 and 170 hours post dose from Day 1 of Cycle 1 (Cycle length = 28 days)

Population: The ITT population included all randomized participants. Reported here are data for participants with data available.

Plasma samples for pharmacokinetic characterization was collected at various timepoints in all participants.

Outcome measures

Outcome measures
Measure
Ipatasertib + Paclitaxel
n=73 Participants
Participants received ipatasertib orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel intravenous (IV) infusion every week (QW) for 3 cycles (12 total doses).
Placebo + Paclitaxel
Participants received placebo (matching to ipatasertib) orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel IV infusion QW for 3 cycles (12 total doses).
Plasma Concentrations of Ipatasertib on Day 1 and Day 8
0.5 hours
290 ng/mL
Standard Deviation 312
Plasma Concentrations of Ipatasertib on Day 1 and Day 8
4 hours
196 ng/mL
Standard Deviation 93.0
Plasma Concentrations of Ipatasertib on Day 1 and Day 8
166 hours
37.5 ng/mL
Standard Deviation 28.3
Plasma Concentrations of Ipatasertib on Day 1 and Day 8
170 hours
355 ng/mL
Standard Deviation 204

SECONDARY outcome

Timeframe: 0.5 and 4 hours post dose on Day 1 of Cycle 1, 166 and 170 hours post dose from Day 1 of Cycle 1 (Cycle length = 28 days)

Population: The ITT population included all participants.

Plasma samples for pharmacokinetic characterization was collected on Day 1 and Day 8 in all participants.

Outcome measures

Outcome measures
Measure
Ipatasertib + Paclitaxel
n=76 Participants
Participants received ipatasertib orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel intravenous (IV) infusion every week (QW) for 3 cycles (12 total doses).
Placebo + Paclitaxel
Participants received placebo (matching to ipatasertib) orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel IV infusion QW for 3 cycles (12 total doses).
Minimum Observed Plasma Concentration (Cmin) of Ipatasertib
37.5 ng/mL
Standard Deviation 28.3

Adverse Events

Ipatasertib + Paclitaxel

Serious events: 10 serious events
Other events: 76 other events
Deaths: 1 deaths

Placebo + Paclitaxel

Serious events: 3 serious events
Other events: 73 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ipatasertib + Paclitaxel
n=76 participants at risk
Participants received ipatasertib orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel intravenous (IV) infusion every week (QW) for 3 cycles (12 total doses).
Placebo + Paclitaxel
n=75 participants at risk
Participants received placebo (matching to ipatasertib) orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel IV infusion QW for 3 cycles (12 total doses).
Infections and infestations
Device related infection
2.6%
2/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
0.00%
0/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Infections and infestations
Pneumonia
1.3%
1/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
1.3%
1/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Infections and infestations
Atypical pneumonia
1.3%
1/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
0.00%
0/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
General disorders
Pyrexia
1.3%
1/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
1.3%
1/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
General disorders
Chest pain
1.3%
1/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
0.00%
0/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
General disorders
Complication associated with device
1.3%
1/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
0.00%
0/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
General disorders
General physical health deterioration
0.00%
0/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
1.3%
1/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Blood and lymphatic system disorders
Sickle cell anaemia with crisis
1.3%
1/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
0.00%
0/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Gastrointestinal disorders
Diarrhoea
1.3%
1/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
0.00%
0/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Metabolism and nutrition disorders
Dehydration
1.3%
1/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
0.00%
0/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Respiratory, thoracic and mediastinal disorders
Pneumonitis
1.3%
1/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
0.00%
0/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.

Other adverse events

Other adverse events
Measure
Ipatasertib + Paclitaxel
n=76 participants at risk
Participants received ipatasertib orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel intravenous (IV) infusion every week (QW) for 3 cycles (12 total doses).
Placebo + Paclitaxel
n=75 participants at risk
Participants received placebo (matching to ipatasertib) orally daily on Days 1-21 of each 28-day cycle for 3 cycles and paclitaxel IV infusion QW for 3 cycles (12 total doses).
Blood and lymphatic system disorders
Anaemia
18.4%
14/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
14.7%
11/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Blood and lymphatic system disorders
Neutropenia
9.2%
7/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
8.0%
6/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Eye disorders
Dry eye
3.9%
3/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
5.3%
4/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Eye disorders
Lacrimation increased
5.3%
4/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
1.3%
1/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Gastrointestinal disorders
Abdominal distension
5.3%
4/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
1.3%
1/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Gastrointestinal disorders
Abdominal Pain
18.4%
14/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
8.0%
6/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Gastrointestinal disorders
Abdominal pain upper
9.2%
7/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
5.3%
4/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Gastrointestinal disorders
Constipation
13.2%
10/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
21.3%
16/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Gastrointestinal disorders
Diarrhoea
86.8%
66/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
32.0%
24/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Gastrointestinal disorders
Dry mouth
9.2%
7/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
8.0%
6/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Gastrointestinal disorders
Gastrooesophageal reflux disease
6.6%
5/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
10.7%
8/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Gastrointestinal disorders
Dyspepsia
15.8%
12/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
12.0%
9/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Gastrointestinal disorders
Nausea
47.4%
36/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
30.7%
23/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Gastrointestinal disorders
Stomatitis
6.6%
5/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
8.0%
6/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Gastrointestinal disorders
Vomiting
22.4%
17/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
5.3%
4/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
General disorders
Asthenia
42.1%
32/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
38.7%
29/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
General disorders
Fatigue
30.3%
23/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
32.0%
24/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
General disorders
Mucosal dryness
5.3%
4/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
0.00%
0/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
General disorders
Mucosal inflammation
18.4%
14/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
6.7%
5/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
General disorders
Oedema peripheral
3.9%
3/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
6.7%
5/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
General disorders
Pyrexia
10.5%
8/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
5.3%
4/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Infections and infestations
Conjunctivitis
2.6%
2/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
6.7%
5/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Infections and infestations
Folliculitis
6.6%
5/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
4.0%
3/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Infections and infestations
Upper respiratory tract infection
3.9%
3/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
6.7%
5/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Infections and infestations
Urinary tract infection
10.5%
8/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
12.0%
9/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Infections and infestations
Viral upper respiratory tract infection
5.3%
4/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
9.3%
7/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Injury, poisoning and procedural complications
Infusion related reaction
6.6%
5/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
5.3%
4/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Investigations
Alanine aminotransferase increased
6.6%
5/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
6.7%
5/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Investigations
Aspartate aminotransferase increased
3.9%
3/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
5.3%
4/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Investigations
Neutrophil count decreased
5.3%
4/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
5.3%
4/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Metabolism and nutrition disorders
Decreased appetite
14.5%
11/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
8.0%
6/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Metabolism and nutrition disorders
Hyperglycaemia
3.9%
3/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
6.7%
5/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Metabolism and nutrition disorders
Hypokalaemia
5.3%
4/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
2.7%
2/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Musculoskeletal and connective tissue disorders
Arthralgia
10.5%
8/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
8.0%
6/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
6.6%
5/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
4.0%
3/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Musculoskeletal and connective tissue disorders
Myalgia
7.9%
6/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
16.0%
12/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Musculoskeletal and connective tissue disorders
Pain in extremity
5.3%
4/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
9.3%
7/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Nervous system disorders
Dizziness
9.2%
7/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
10.7%
8/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Nervous system disorders
Dysgeusia
23.7%
18/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
22.7%
17/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Nervous system disorders
Hypoaesthesia
1.3%
1/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
5.3%
4/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Nervous system disorders
Neuropathy peripheral
18.4%
14/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
18.7%
14/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Nervous system disorders
Neurotoxicity
11.8%
9/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
8.0%
6/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Nervous system disorders
Paraesthesia
15.8%
12/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
12.0%
9/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Nervous system disorders
Peripheral sensory neuropathy
10.5%
8/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
17.3%
13/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Psychiatric disorders
Anxiety
3.9%
3/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
8.0%
6/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Psychiatric disorders
Insomnia
19.7%
15/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
20.0%
15/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Renal and urinary disorders
Dysuria
1.3%
1/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
6.7%
5/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Reproductive system and breast disorders
Amenorrhoea
1.3%
1/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
6.7%
5/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Reproductive system and breast disorders
Breast pain
5.3%
4/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
2.7%
2/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Respiratory, thoracic and mediastinal disorders
Cough
13.2%
10/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
10.7%
8/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Respiratory, thoracic and mediastinal disorders
Epistaxis
15.8%
12/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
12.0%
9/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Skin and subcutaneous tissue disorders
Alopecia
52.6%
40/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
53.3%
40/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Skin and subcutaneous tissue disorders
Dermatitis Acneiform
5.3%
4/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
4.0%
3/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Skin and subcutaneous tissue disorders
Dry skin
6.6%
5/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
4.0%
3/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Skin and subcutaneous tissue disorders
Erythema
6.6%
5/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
5.3%
4/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Skin and subcutaneous tissue disorders
Onycholysis
6.6%
5/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
2.7%
2/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Skin and subcutaneous tissue disorders
Pruritus
7.9%
6/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
13.3%
10/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Skin and subcutaneous tissue disorders
Rash
25.0%
19/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
18.7%
14/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Skin and subcutaneous tissue disorders
Rash maculo-papular
5.3%
4/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
9.3%
7/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Vascular disorders
Flushing
9.2%
7/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
5.3%
4/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Vascular disorders
Hot flush
7.9%
6/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
6.7%
5/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
Nervous system disorders
Headache
18.4%
14/76 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.
20.0%
15/75 • 2 years and 6 months
The safety population was identical to the ITT population. The ITT population comprised all 151 randomized patients.

Additional Information

Medical Communications

Hoffmann-La Roche

Phone: 800 821-8590

Results disclosure agreements

  • Principal investigator is a sponsor employee The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER