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AZD5363 when combined with weekly paclitaxel

Phase 1

Advanced or Metastatic Breast Cancer | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Jan 18, 2023

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment148

FDA Designations

No designations recorded

Clinical trial landscape

AZD5363 when combined with weekly paclitaxel · 1 trial · 2 indications

Phase 1 1
NCT01625286Investigating Safety, Tolerability and Efficacy of AZD5363 When Combined With Paclitaxel in Breast Cancer PatientsAdvanced or Metastatic Breast Cancer
COMPLETED148 Analytics
PHASE1COMPLETED
Investigating Safety, Tolerability and Efficacy of AZD5363 When Combined With Paclitaxel in Breast Cancer Patients
Advanced or Metastatic Breast CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Dose-limiting Toxicity (DLT) Events - Part A
During Part A DLT evaluation period (Cycle 1, up to 28 days)

An Adverse Event (AE) or laboratory abnormality considered to be related to study drug, that starts at any time during the DLT evaluation period (Cycle 1) and is dose limiting

Progression Free Survival (PFS) - Part B
From randomisation date to date of objective disease progression or death (by any cause) whichever came first, assessed every 12 wks (median total treatment duration AZD5363=325.5 days; Placebo=245 days)

Time from randomisation to date of objective disease progression or death (by any cause in the absence of progression). Progression defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a \>= 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on the study, and an absolute increase of \>=5mm, or progression of non-target lesions or the appearance of new lesions.

Secondary Endpoints

Change in Tumour Size at 12 Weeks
RECIST tumour assessments every 12 weeks
Objective Response Rate (ORR) at Week 12
RECIST tumour assessments every 12 weeks
Best Objective Response (BOR)
From date of randomisation, assessed every 12 weeks (median total treatment duration AZD5363 = 325.5 days; Placebo = 245 days).
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Part A: Intermittent schedule (2/5)EXPERIMENTALSee intervention description below.
Part A: Intermittent schedule (4/3)EXPERIMENTALSee intervention description below.
Part B: AZD5363 combined with paclitaxelACTIVE_COMPARATORSee intervention description below.
Part B: paclitaxel combined with placeboPLACEBO_COMPARATORSee intervention description below.

Interventions

NameTypeDescription
AZD5363 when combined with weekly paclitaxel.DRUGAZD5363: oral capsule, twice daily in a weekly 2 days on-treatment, 5 days-off, schedule. Treatment to begin the day following the first dose of paclitaxel and to continue until treatment withdrawal. Paclitaxel: intravenously once a week. AZD5363 and paclitaxel will be received for 3 consecutive weeks, followed by one week off-therapy in 4-week cycles.
AZD5363when combined with weekly paclitaxel.DRUGEither a 2/5 or 3/4 intermittent dosing schedule of AZD5363 based on the outcome of Part A. Dosage: oral formulation, twice daily. Treatment to begin the day following the first dose of paclitaxel and to continue until treatment withdrawal. Paclitaxel: intravenously once a week. AZD5363 and paclitaxel will be received for 3 consecutive weeks, followed by one week off-therapy in 4-week cycles.
A placebo in combination with weekly paclitaxel.DRUGEither a 2/5 or 3/4 intermittent dosing schedule of placebo matched to AZD5363 based on the outcome of Part A. Dosage: oral formulation, twice daily. Treatment to begin the day following the first dose of paclitaxel and to continue until treatment withdrawal. Paclitaxel: intravenously once a week. placebo and paclitaxel will be received for 3 consecutive weeks, followed by one week off-therapy in 4-week cycles.
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Eligibility Criteria

Age Range18 Years to 130 Years
SexFEMALE
Healthy VolunteersNo
Study Sites41

Inclusion Criteria: * Provision of informed consent. * Female patient. * Aged at least 18 years. * Histological or cytological confirmation of breast cancer with evidence of advanced or metastatic disease (must be ER+ve, HER2-ve, in Part B). * World Health Organisation (WHO) performance status 0-1 ...

Countries:BulgariaCanadaCzechiaFranceJapanMexicoPeruSingaporeSouth KoreaSpainUnited Kingdom
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Competitive Landscape -Breast Cancer 402 trials (matched to "Advanced or Metastatic Breast Cancer")

Top 20 of 92 competitors

CompanyTickerTrialsLead PhaseDrugs
AstraZeneca PLCAZN47PHASE3Fulvestrant, Capivasertib
Merck & Co., Inc.MRK12PHASE3Pembrolizumab, Paclitaxel, Doxorubicin, Epirubicin, Cyclophosphamide
Eli Lilly and CompanyLLY27PHASE3Abemaciclib, Standard Adjuvant Endocrine Therapy
BioNTech SE Sponsored ADRBNTX7PHASE3DB-1303/BNT323, T-DM1
Gilead Sciences, Inc.GILD13PHASE3Sacituzumab Govitecan-hziy, Eribulin, Capecitabine Product, Gemcitabine, Vinorelbine
Novartis AG Sponsored ADRNVS30PHASE3Ribociclib
Pfizer Inc.PFE34PHASE3ARV-471, Fulvestrant
BeOne Medicines Ltd. Sponsored ADRONC5PHASE3BGB-43395, Letrozole, Abemaciclib, Palbociclib, Ribociclib
Olema Pharmaceuticals, Inc.OLMA5PHASE3Palazestrant, Fulvestrant, Anastrozole, Letrozole, Exemestane
Jazz Pharmaceuticals Public Limited CompanyJAZZ3PHASE3Zanidatamab, Trastuzumab, Eribulin, Vinorelbine, Gemcitabine
Celcuity Inc.CELC3PHASE3Gedatolisib, Palbociclib, Fulvestrant, Alpelisib
Relay Therapeutics, Inc.RLAY2PHASE3Zovegalisib, Capivasertib, Fulvestrant
GSK plc Sponsored ADRGSK2PHASE3Niraparib
Greenwich LifeSciences, Inc.GLSI1PHASE3GLSI-100
Bristol-Myers Squibb CompanyBMY5PHASE2Iza-bren, Nab-paclitaxel, Paclitaxel, Capecitabine, Carboplatin
BriaCell Therapeutics CorpBCTX2PHASE3SV-BR-1-GM, Cyclophosphamide, Interferon infiltration of the inoculation site, Retifanlimab, Treatment of Physician's Choice
Incyte CorporationINCY4PHASE2Ruxolitinib, Capecitabine, Regorafenib
Natera, Inc.NTRA3PHASE2Discontinuation of the anti-HER2 maintenance therapy
Puma Biotechnology, Inc.PBYI3PHASE2Neratinib, Loperamide, Colesevelam
Atossa Therapeutics, Inc.ATOS1PHASE2endoxifen, goserelin
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Frequently asked questions about AZD5363 when combined with weekly paclitaxel

What is AZD5363 used for in advanced or metastatic breast cancer?

AZD5363 is an investigational small molecule being studied in combination with weekly paclitaxel for the treatment of advanced or metastatic breast cancer, including ER-positive advanced or metastatic breast cancer. It is being evaluated in a Phase 1 clinical trial to assess its safety, tolerability, and efficacy in this patient population.

Who makes AZD5363?

AZD5363 is being developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker AZN. The company is conducting clinical research to evaluate the drug's potential in treating advanced or metastatic breast cancer when combined with paclitaxel.

What phase is AZD5363 in?

AZD5363 is in Phase 1 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities and is still being studied in clinical trials. The Phase 1 trial evaluating AZD5363 in combination with paclitaxel has been completed.

What clinical trials is AZD5363 in?

AZD5363 is being studied in clinical trial NCT01625286, titled 'Investigating Safety, Tolerability and Efficacy of AZD5363 When Combined With Paclitaxel in Breast Cancer Patients.' This Phase 1 trial enrolled 148 female participants aged 18 years and older across multiple countries, including Bulgaria, Canada, Czechia, France, Japan, Mexico, Peru, Singapore, South Korea, Spain, and the United Kingdom.

Is AZD5363 the same as capivasertib?

AZD5363 is also known by the name capivasertib. It is an investigational small molecule being developed by AstraZeneca for the treatment of advanced or metastatic breast cancer. The drug is being studied in combination with paclitaxel in a completed Phase 1 clinical trial.