Trial Outcomes & Findings for Testing AZD5363 as a Potential Targeted Treatment in Cancers With AKT Genetic Changes (MATCH-Subprotocol Y) (NCT NCT04439123)

NCT ID: NCT04439123

Last Updated: 2025-11-18

Results Overview

Overall response rate was defined as the proportion of patients with best overall response of complete response (CR) or partial response (PR) among all eligible and treated patients. Best overall response was evaluated using the Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in Neuro-Oncology criteria for glioblastoma patients. The 90% two-sided binomial exact confidence interval was calculated for ORR.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE2

Target enrollment

35 participants

Primary outcome timeframe

Tumor assessments occurred at baseline, then every 2 cycles for the first 26 cycles and every 3 cycles thereafter until disease progression, up to 3 years post registration

Results posted on

2025-11-18

Participant Flow

Subprotocol Y was activated on May 31, 2016. A total of 43 patients were assigned to this arm after screening, 42 from screening cohort and 1 from outside assay. Of the 43 patients, 35 patients were enrolled to arm Y between July 13, 2016 and August 10, 2017.

To be assigned to a specific MATCH subprotocol, patients needed to submit a tumor biopsy for molecular characterization and those with molecular variants addressed by treatments included in the trial entered corresponding MATCH subprotocol. For the subprotocol Y, patients had to have an AKT mutation.

Participant milestones

Participant milestones
Measure
Treatment (Capivasertib)
Patients receive capivasertib PO BID on days 1-4, 8-11, 15-18, and 22-25. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Capivasertib: Given PO
Overall Study
STARTED
35
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
35

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment (Capivasertib)
Patients receive capivasertib PO BID on days 1-4, 8-11, 15-18, and 22-25. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Capivasertib: Given PO
Overall Study
Adverse Event
11
Overall Study
Death
1
Overall Study
Disease progression
19
Overall Study
Withdrawal by Subject
2
Overall Study
Still on treatment
2

Baseline Characteristics

Testing AZD5363 as a Potential Targeted Treatment in Cancers With AKT Genetic Changes (MATCH-Subprotocol Y)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Capivasertib)
n=35 Participants
Patients receive capivasertib PO BID on days 1-4, 8-11, 15-18, and 22-25. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Capivasertib: Given PO
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=202 Participants
Age, Continuous
61 years
n=202 Participants
Sex: Female, Male
Female
30 Participants
n=202 Participants
Sex: Female, Male
Male
5 Participants
n=202 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=202 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
30 Participants
n=202 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=202 Participants
Race (NIH/OMB)
Asian
2 Participants
n=202 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=202 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=202 Participants
Race (NIH/OMB)
White
27 Participants
n=202 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=202 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=202 Participants

PRIMARY outcome

Timeframe: Tumor assessments occurred at baseline, then every 2 cycles for the first 26 cycles and every 3 cycles thereafter until disease progression, up to 3 years post registration

Population: Patients who were eligible and received protocol treatment

Overall response rate was defined as the proportion of patients with best overall response of complete response (CR) or partial response (PR) among all eligible and treated patients. Best overall response was evaluated using the Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in Neuro-Oncology criteria for glioblastoma patients. The 90% two-sided binomial exact confidence interval was calculated for ORR.

Outcome measures

Outcome measures
Measure
Treatment (Capivasertib)
n=35 Participants
Patients receive capivasertib PO BID on days 1-4, 8-11, 15-18, and 22-25. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Capivasertib: Given PO
Overall Response Rate (ORR)
28.6 percentage of participants
Interval 15.0 to 46.0

SECONDARY outcome

Timeframe: Assessed at baseline, then every 2 cycles for the first 26 cycles, and every 3 cycles thereafter until disease progression, up to 3 years post registration, from which 6-month PFS rate is determined

Population: Patients who were eligible and received protocol treatment

Progression free survival is defined as time from treatment start date to date of progression or death from any cause, whichever occurs first. Disease progression was evaluated using the Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in Neuro-Oncology criteria for glioblastoma patients. 6 month PFS rate was estimated using the Kaplan-Meier method, which can provide a point estimate for any specific time point.

Outcome measures

Outcome measures
Measure
Treatment (Capivasertib)
n=35 Participants
Patients receive capivasertib PO BID on days 1-4, 8-11, 15-18, and 22-25. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Capivasertib: Given PO
6-month Progression-free Survival (PFS) Rate
50 percentage of participants
Interval 35.0 to 71.0

SECONDARY outcome

Timeframe: Assessed at baseline, then every 2 cycles for the first 26 cycles and every 3 cycles thereafter until disease progression, up to 3 years post registration

Population: Patients who were eligible and received protocol treatment

PFS was defined as time from treatment start date to date of disease progression or death from any causes, whichever occurred first. Median PFS was estimated using the Kaplan-Meier method. Disease progression was evaluated using the Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in Neuro-Oncology criteria for glioblastoma patients.

Outcome measures

Outcome measures
Measure
Treatment (Capivasertib)
n=35 Participants
Patients receive capivasertib PO BID on days 1-4, 8-11, 15-18, and 22-25. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Capivasertib: Given PO
Progression Free Survival (PFS)
5.5 months
Interval 4.6 to 11.3

Adverse Events

Treatment (Capivasertib)

Serious events: 20 serious events
Other events: 29 other events
Deaths: 23 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Capivasertib)
n=35 participants at risk
Patients receive capivasertib PO BID on days 1-4, 8-11, 15-18, and 22-25. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Capivasertib: Given PO
Blood and lymphatic system disorders
Anemia
2.9%
1/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Blood and lymphatic system disorders
Febrile neutropenia
2.9%
1/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Skin and subcutaneous tissue disorders
Rash maculo-papular
11.4%
4/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Gastrointestinal disorders
Diarrhea
8.6%
3/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Gastrointestinal disorders
Nausea
2.9%
1/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Gastrointestinal disorders
Vomiting
5.7%
2/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Investigations
Alkaline phosphatase increased
2.9%
1/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Investigations
Aspartate aminotransferase increased
2.9%
1/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Investigations
Blood bilirubin increased
2.9%
1/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Investigations
Lymphocyte count decreased
8.6%
3/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Investigations
Neutrophil count decreased
2.9%
1/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Metabolism and nutrition disorders
Hyperglycemia
25.7%
9/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Metabolism and nutrition disorders
Hypokalemia
2.9%
1/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Metabolism and nutrition disorders
Hyponatremia
2.9%
1/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Metabolism and nutrition disorders
Hypophosphatemia
2.9%
1/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Renal and urinary disorders
Acute kidney injury
2.9%
1/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Renal and urinary disorders
Proteinuria
2.9%
1/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Vascular disorders
Hypertension
2.9%
1/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.

Other adverse events

Other adverse events
Measure
Treatment (Capivasertib)
n=35 participants at risk
Patients receive capivasertib PO BID on days 1-4, 8-11, 15-18, and 22-25. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Capivasertib: Given PO
Skin and subcutaneous tissue disorders
Rash maculo-papular
20.0%
7/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Nervous system disorders
Headache
8.6%
3/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Blood and lymphatic system disorders
Anemia
11.4%
4/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
General disorders
Chills
5.7%
2/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
General disorders
Edema limbs
5.7%
2/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
General disorders
Fatigue
42.9%
15/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Skin and subcutaneous tissue disorders
Dry skin
8.6%
3/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Skin and subcutaneous tissue disorders
Pruritus
8.6%
3/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Skin and subcutaneous tissue disorders
Rash acneiform
8.6%
3/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify
5.7%
2/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Gastrointestinal disorders
Abdominal pain
5.7%
2/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Gastrointestinal disorders
Constipation
11.4%
4/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Gastrointestinal disorders
Diarrhea
54.3%
19/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Gastrointestinal disorders
Dry mouth
5.7%
2/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Gastrointestinal disorders
Mucositis oral
11.4%
4/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Gastrointestinal disorders
Nausea
37.1%
13/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Gastrointestinal disorders
Vomiting
17.1%
6/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Infections and infestations
Urinary tract infection
5.7%
2/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Investigations
Alanine aminotransferase increased
11.4%
4/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Investigations
Alkaline phosphatase increased
5.7%
2/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Investigations
Aspartate aminotransferase increased
17.1%
6/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Investigations
Creatinine increased
5.7%
2/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Investigations
Lymphocyte count decreased
17.1%
6/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Investigations
Neutrophil count decreased
5.7%
2/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Investigations
Platelet count decreased
11.4%
4/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Investigations
Weight loss
11.4%
4/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Investigations
White blood cell decreased
17.1%
6/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Metabolism and nutrition disorders
Anorexia
20.0%
7/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Metabolism and nutrition disorders
Hyperglycemia
25.7%
9/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Metabolism and nutrition disorders
Hypomagnesemia
5.7%
2/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Nervous system disorders
Dizziness
8.6%
3/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
5.7%
2/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Renal and urinary disorders
Proteinuria
31.4%
11/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.
Vascular disorders
Hypertension
5.7%
2/35 • Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years post registration.
All 35 cases that received protocol treatment were monitored for adverse events.

Additional Information

Study Statistician

ECOG-ACRIN Statistical Office

Phone: 617-632-3012

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60