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AZD5363

Phase 1

Advanced Solid Malignancy | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Jun 29, 2025

Target and mechanism

Molecular targetAKT2, AKT3, AKT1
Target classInhibitor
ModalitySmall molecule

Also known as Capivasertib, capivasertib

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials2
Total Enrollment324

FDA Designations

No designations recorded

Clinical trial landscape

AZD5363 · 3 trials · 19 indications

Phase 1 3
NCT01895946Comparison of Two Formulations of AZD5363 and the Effect of Food on Pharmacokinetic Exposure, Safety and TolerabilityAdvanced Solid Malignancy,
COMPLETED33 Analytics
NCT01353781Open Label Phase 1 Study in Japan for Patient With Advanced Solid MalignanciesAdvanced Solid Malignancy
COMPLETED39 Analytics
NCT01226316Safety, Tolerability & Potential Anti-cancer Activity of Increasing Doses of AZD5363 in Different Treatment SchedulesAdvanced Solid Malignancy
COMPLETED285 Analytics
PHASE1COMPLETED
Comparison of Two Formulations of AZD5363 and the Effect of Food on Pharmacokinetic Exposure, Safety and Tolerability
Advanced Solid Malignancy,Unlock trial analytics
PHASE1COMPLETED
Open Label Phase 1 Study in Japan for Patient With Advanced Solid Malignancies
Advanced Solid MalignancyUnlock trial analytics
PHASE1COMPLETED
Safety, Tolerability & Potential Anti-cancer Activity of Increasing Doses of AZD5363 in Different Treatment Schedules
Advanced Solid MalignancyUnlock trial analytics

Study Endpoints

Primary Endpoints

Ratio of Css,Max for Day 4 to Day 11
Day 4 and Day 11

The actual sampling times were used in the pharmacokinetics (PK) parameter calculations and PK parameters were derived using standard non-compartmental methods. Following the twice daily dosing in Cycle 1 at Day 4 and 11 for both the formulation switch and food effect investigations, the following PK parameters have been determined: Maximum plasma concentration at steady state (Css max), time to Css,max (tss max), minimum plasma concentration at steady state (Css min), area under the plasma concentration-time curve from zero to the end of the dosing interval (AUCss) and apparent clearance (CLss/F). Css max, tss max were determined by inspection of the concentration-time profiles. AUCss was calculated using the linear up / log down trapezoidal rule. CLss/F was determined from the ratio of dose/AUCss. Ratio of Css,max for Day 4 to Day 11 have been derived.

Ratio of AUCss for Day 4 to Day 11
Day 4 and Day 11

The actual sampling times were used in the parameter calculations and PK parameters were derived using standard non-compartmental methods. Following the twice daily dosing in Cycle 1 at Day 4 and 11 for both the formulation switch and food effect investigations, the following PK parameters have been determined: Css max, tss max, Css min, area under the plasma concentration-time curve from zero to the end of the dosing interval (AUCss) and CLss/F. Css max, tss max were determined by inspection of the concentration-time profiles. AUCss was calculated using the linear up / log down trapezoidal rule. CLss/F was determined from the ratio of dose/AUCss. Ratio of AUCss for Day 4 to Day 11 have been derived.

To investigate the safety and tolerability of AZD5363 to define a Recommended Dose (RD) when given orally
All AEs will be collected throughout the study, from informed consent until 30 days after the end of study treatment. The total duration of this time frame can not be specified, as it depends on the number of treatments the subject may receive

To investigate the safety and tolerability of AZD5363 to define a Recommended Dose (RD) when given orally, either as a continuous or an intermittent schedule, for further clinical evaluation when given to Japanese patients with advanced solid malignancies

Parts A,B,C,D,E & F : Safety and tolerability of AZD5363 in terms of adverse events and serious adverse events
Adverse events, serious adverse events and deaths will be collected from screening to 28 days after study drug discontinuation.
Parts A,B,C,D,E & F : Safety and tolerability of AZD5363 in terms of death
Deaths will be collected from screening to 28 days after study drug discontinuation
Parts A,B,C,D,E & F: Safety and tolerability of AZD5363 by assessing changes from baseline of laboratory data (clinical chemistry, haematology, urinalysis)
Laboratory data will be collected from screening to 28 days after study drug discontinuation
Parts A,B,C,D,E & F: Safety and tolerability of AZD5363 in terms of changes from baseline in vital signs and in electrocardiogram (ECG) parameters
Vital signs and ECGs will be recorded from screening to 28 days after study drug discontinuation
Parts A,B,C,D,E & F: Safety and tolerability of AZD5363 by assessing changes from baseline in electrocardiogram (ECG) parameters
ECGs will be collected from screening to 28 days after study drug discontinuation.
Parts A,B,C,D,E & F: Safety and tolerability of AZD5363 by assessing changes from baseline of glucose laboratory parameters (Urine, serum and plasma glucose, glycosylated haemoglobin).
Glucose parameters will be collected from screening to 28 days after study discontinuation.
Parts A,B,C,D,E & F: Safety and tolerability of AZD5363 by assessing left ventricular ejection fraction (LVEF).
Multiple Gated Acquisition (MUGA) or Echocardiogram assessments to be carried out from screening until study drug discontinuation

Secondary Endpoints

Efficacy: Best Objective Response (BOR)
Assessed every 6 weeks, up to 36 weeks
Efficacy: Disease Control at Week 12
Week 12
Efficacy: Target Lesion Size, Percentage Change From Baseline at Week 12
Week 12
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part A: Formulation SwitchEXPERIMENTALAZD5363 tablet twice daily followed by AZD5363 capsule twice daily on an intermittent regimen (4 days on, 3 days off).
Part B: Food effectEXPERIMENTALAZD5363 tablet twice daily on an intermittent regimen (4 days on, 3 days off) with/without food on one occasion
AZD5363EXPERIMENTALAscending doses of AZD5363 administered orally to patients to define the maximum tolerated dose (MTD)
Part A and B Schedule 1, Continuous dosingEXPERIMENTALPart A: Ascending doses of AZD5363 administered orally, every day to define the maximum tolerated dose. Part B: Dose expansion phase, at the defined maximum tolerated dose or recommended dose from Part A.
Parts A,B,C,D Schedule 2, Intermittent dosingEXPERIMENTALPart A: Ascending doses of AZD5363 administered orally, twice daily, on a 7-day repeating regimen (4 days on, 3 days off and 2 days on, 5 days off), to define the maximum tolerated dose. Part B: Dose expansion phase, at the defined maximum tolerated dose or recommended dose from Part A (4 days on, 3 days off and 2 days on, 5 days off). Part C and D: AZD5363 orally, twice daily on an intermittent regimen (4 days on, 3 days off).
Parts A and B Schedule 3, Intermittent dosing.EXPERIMENTALPart A: Ascending doses of AZD5363 administered orally, twice daily, on an alternative weekly regimen. Initiation of Schedule 3 is dependant on emerging clinical data. Part B: Dose expansion phase, at the defined maximum tolerated dose or recommended dose from Part A
Parts E and F, Intermittent dosing with FulvestrantEXPERIMENTALOral AZD5363 twice daily, 4 days on treatment, 3 days off treatment to cessation of therapy combined with background therapy of fulvestrant at its licensed dose of 500mg intramuscularly on days 1,15,29 and once monthly thereafter to cessation of therapy.

Interventions

NameTypeDescription
AZD5363DRUGOral AZD5363 twice daily, 4 days on 3 days off: tablet formulation for one week, followed by two weeks with capsule formulation.
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Eligibility Criteria

Age Range18 Years to 100 Years
SexALL
Healthy VolunteersNo
Study Sites3

Inclusion Criteria: - * Aged at least 18 years * The presence of a solid, malignant tumour, excluding lymphoma, that is resistance to standard therapies or for which no standard therapies exist * The presence of at least one lesion that can be accurately assessed at baseline by Computerised Tomogra...

Countries:NetherlandsUnited KingdomJapanUnited StatesCanadaDenmarkFranceItalySingaporeSpain
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Frequently asked questions about AZD5363

What is AZD5363 used for?

AZD5363, also known as capivasertib, is an investigational small molecule being studied for the treatment of metastatic HR+/HER2- breast cancer, advanced solid malignancies, triple negative breast neoplasms, and lobular breast cancer. It is also being evaluated in healthy volunteers to assess drug interactions and absorption for potential use in metastatic breast and prostate cancer patients.

What does AZD5363 target?

AZD5363 targets the AKT signaling pathway, which is involved in cell growth and survival. By inhibiting this pathway, the drug aims to block cancer cell proliferation. This mechanism is being explored in combination with fulvestrant for breast cancer treatment.

Who makes AZD5363?

AZD5363 is developed by AstraZeneca PLC, a global biopharmaceutical company listed on the stock exchange under the ticker symbol AZN. The drug is being investigated in clinical trials for multiple oncology indications.

What phase is AZD5363 in?

AZD5363 is in Phase 1 clinical development, with early-stage trials completed in healthy volunteers. Additional Phase 2 and Phase 3 studies are ongoing or planned to evaluate its efficacy in breast cancer patients, though the drug remains investigational and not yet approved.

What clinical trials is AZD5363 in?

AZD5363 is being studied in several clinical trials, including NCT04712396 and NCT04944771, which are completed Phase 1 studies in healthy volunteers. NCT06607757 is a recruiting Phase 2 trial in lobular breast cancer, and NCT06764186 is an active Phase 3 trial in advanced breast cancer.

Is AZD5363 the same as capivasertib?

Yes, AZD5363 is the same as capivasertib. The drug is referred to by both names in clinical research and medical literature. It is being developed by AstraZeneca for the treatment of various cancers, including breast cancer.