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.
COMPLETED
PHASE2
151 participants
Surgery visit (at approximately Weeks 14 to 19)
2018-10-17
Participant Flow
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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
| 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
| 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 24Population: 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
| 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
| 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
| 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
Placebo + Paclitaxel
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
| 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
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