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Phase 1 Completed N=51 Treatment

A Study Evaluating the Safety, Pharmacokinetics and Efficacy of Ipatasertib Administered in Combination With Rucaparib in Participants With Advanced Breast, Ovarian Cancer, and Prostate Cancer.

Source: ClinicalTrials.gov NCT03840200 ↗
Enrolled (actual)
51
Serious AEs
23.5%
Results posted
Oct 2023
Primary outcomePrimary: Percentage of Participants With Adverse Events — 100; 100; 100; 100 percentage of participants

Summary

This is a study in participants with advanced breast, ovarian, or prostate cancer to investigate the dose, safety, pharmacokinetics, and preliminary efficacy of ipatasertib in combination with rucaparib. The study consists of two parts: a Dose-Escalation Phase (Part 1) in participants with previously treated advanced breast cancer, ovarian cancer, or prostate cancer and a Dose-Expansion Phase (Part 2) in participants with advanced prostate cancer who have had at least one line of prior therapy with second-generation androgen-receptor (AR)-targeted agents (e.g., abiraterone, enzalutamide, apalutamide).

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants With Adverse Events
100; 100; 100; 100
PRIMARY
Dose Escalation: Percentage of Participants With Dose-Limiting Toxicities (DLTs) That Determine the Maximum-Tolerated Dose (MTD) of the Ipatasertib and Rucaparib Combination
12.5; 33.3; 0
PRIMARY
Percentage of Participants With Prostate-Specific Antigen Response (PSAR)
0; 33.3; 25.0; 23.1
SECONDARY
Percentage of Participants With Objective Response, as Assessed by Investigator Based on Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v.1.1)
0; 0; 0; 13.3
SECONDARY
Duration of Objective Response in Participants With Measurable Disease at Baseline, as Assessed by Investigator Based on RECIST v1.1
NA
SECONDARY
Radiographic Progression Free Survival (rPFS), as Assessed by Prostate Cancer Working Group 3 Criteria (PCWG3)
11.0; 3.0; 5.1; 7.2
SECONDARY
Overall Survival (OS) in All Participants
20.8; 13.8; 13.3; NA
SECONDARY
Plasma Concentration of Ipatasertib
160; 172; 192; 159; 133; 230
SECONDARY
Plasma Concentration of Ipatasertib's Metabolite (G-037720)
65.0; 81.1; 82.0; 71.2; 92.7; 115
SECONDARY
Plasma Concentration of Rucaparib
775; 3130; 994; 1660; 631; 1660

Eligibility Criteria

Inclusion Criteria

  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
  • A life expectancy of at least 3 months
  • Ability to swallow oral study drug
  • Have adequate organ and marrow function as confirmed by the laboratory values listed below, obtained within 28 days prior to the first dose of study treatment:
  • Bone marrow function assessments (without transfusion within 28 days prior to receipt of study treatment):
  • ANC >= 1500 cells/uL (1.5 x 10^9/L) without granulocyte-colony stimulating factor support
  • Platelet count >= 100.0 x 10^9/L
  • Hemoglobin >= 9 g/dL (or 5.6 mmol/L)
  • Chemistry panel assessments:
  • AST and ALT = 3.0 g/dL
  • Serum creatinine = 50 mL/min
  • Fasting glucose = 6 months following the last dose of the platinum treatment administered) or platinum-resistant disease
  • Have a CA-125 level that is > 2 x ULN
  • Must have measurable disease by RECIST v1.1
  • For patients with breast cancer (Part 1 only): must be human epidermal growth factor receptor 2 negative (HER2-) (estrogen receptor [ER]/progesterone positive or negative):
  • ER/progesterone-positive patients must have received and progressed on at least one endocrine therapy (adjuvant or metastatic)
  • ER/progesterone-negative/HER2- (triple-negative breast cancer [TNBC]) patients must have received at least one prior line of chemotherapy for metastatic breast cancer
  • Must not have received more than two prior lines of chemotherapy for metastatic breast cancer
  • Must have measurable disease by RECIST v1.1

For patients with prostate cancer:

  • Adenocarcinoma of the prostate without small cell or neuroendocrine features
  • Surgical or medical castration with testosterone = 1 week apart, with second result >= 1 ng/mL) or radiographic progression with or without PSA progression
  • Must have received at least one prior line of second-generation androgen receptor targeted therapy (e.g., abiraterone, enzalutamide, apalutamide)
  • Patients with prostate cancer must have either measurable disease by RECIST v1.1 or bone lesions by bone scan, or both.
  • Submission of a formalin-fixed, paraffin-embedded (FFPE) tumor tissue block or a minimum of 12 freshly cut, unstained, serial tumor slides from the most recently collected tumor tissue for central molecular analysis (retrospective NGS testing for HR and PI3K-AKT pathway status and for other protocol-mandated secondary and exploratory assessments). Cytologic or fine needle aspirate samples are not acceptable. Tumor tissue from bone metastases is not acceptable.
  • For men and women of child bearing potential: agreement to remain abstinent or use protocol defined contraceptive measures during the treatment period and for at least 28 days after the last dose of ipatasertib,or 6 months after the last dose of rucaparib, whichever occurs later

Exclusion Criteria

  • Pregnant or breastfeeding, or intending to become pregnant during the study or within 28 days after the final dose of ipatasertib or 6 months after the final dose of rucaparib
  • Prior treatment with a PARP inhibitor, AKT inhibitor, or PI3K inhibitor
  • Treatment with investigational therapy within 14 days prior to initiation of study drug
  • Symptomatic and/or untreated CNS metastases
  • Uncontrolled tumor-related pain
  • Non-study-related minor surgical procedures = 10 mg of prednisone per day or an equivalent dose of other anti-inflammatory corticosteroids or immunosuppressants for a chronic disease
  • History of another malignancy within 5 years prior to randomization, except for either adequately treated non-melanomatous carcinoma of the skin, adequately treated melanoma in situ, adequately treated non-muscle-invasive urothelial carcinoma of the bladder (Tis, Ta, and low-grade T1 tumors), or other malignancies where the patient has undergone potentially curative therapy with no evidence of disease and are deemed by the treating physician to have a recurrence rate of < 5% at 5 years.
  • History of clinically significant cardiova
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03840200). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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