BREAST: METASTATIC: TNBC: AKT/PIK3CA/PTEN: 1st Line: \"IPATunity130\"

A Double-Blind, Placebo-Controlled, Randomized Phase III Study of Ipatasertib in Combination With Paclitaxel as a Treatment for Patients With PIK3CA/AKT1/PTEN-Altered, Locally Advanced or Metastatic, Triple-Negative Breast Cancer or Hormone Receptor-Positive, HER2-Negative Breast Cancer (HR+ ARM CLOSED)

Title
Hoffman-La Roche CO40016 \"IPATunity\"
Study Title

A Double-Blind, Placebo-Controlled, Randomized Phase III Study of Ipatasertib in Combination With Paclitaxel as a Treatment for Patients With PIK3CA/AKT1/PTEN-Altered, Locally Advanced or Metastatic, Triple-Negative Breast Cancer or Hormone Receptor-Positive, HER2-Negative Breast Cancer (HR+ ARM CLOSED)

Site Link
Malignancy
Breast Cancer, MBC
Stage
Disease Setting
Metastatic/Palliative
Line Of Therapy
1st line chemo
Investigational Agent
Ipatasertib
Drug Class
PI3 kinase inhibitor
PI
Greg Vidal, MD, PhD
Sponsor
Hoffman-La Roche
Phase
Status
Key Eligibility Criteria
Key Eligibility Criteria Details
  • Triple negative cancer of the breast, locally advanced or metastatic not amenable to curative resection
  • ECOG PS 0-1
  • Valid results from central molecular analysis confirming PIK3CA/AKT1/PTEN-altered status by NGS
    • AKT1 missense mutations at E17, L52, or Q79
    • PIK3CA missense mutations at R88, G106, K111, G118, N345, C420, E453, E542, E545, Q546, M1043, H1047, or G1049
    • PTEN homozygous deletion, dominant negative short variant (C124S, G129E, or R130X), less of heterozygosity with copy number 1, double hit 
  • No known brain mets
  • No prior cancers within 5 years
  • No known HIV
  • No cirrhosis
  • No active steroid use (> or = 10mg prednisone/daily)
  • No clinically significant cardiac dysfunction including EF<50%
  • No insulin dependent diabetes
  • No Grade >=2 uncontrolled or untreated hyperlipidemia/hypertriglyceridemia
Objective

Primary- PFS: Secondary- ORR, DoR, CBR, OS, QoL, Safety, PK

Assessment Frequency
_
Assessment Frequency 2
_



Assessment Frequency Link
Path
Triple negative breast cancer
Dosing Frequency
Control Agents
paclitaxel 80mg/m2 Day 1, 8, 15 of each 28 day cycle
Study Protocol
Randomized
Yes
X