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Capivasertib

Phase 3

Locally Advanced (Inoperable) or Metastatic Breast Cancer | Small molecule | Oncology |AstraZeneca PLC|Last Updated: May 27, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment1,713
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04862663Capivasertib + CDK4/6i + Fulvestrant for Advanced/Metastatic HR+/HER2- Breast Cancer (CAPItello-292)PHASE3 RECRUITING 895May 10, 2021Aug 14, 2029May 27, 2026284 United States, Argentina +21
NCT04305496Capivasertib+Fulvestrant vs Placebo+Fulvestrant as Treatment for Locally Advanced (Inoperable) or Metastatic HR+/HER2- Breast CancerPHASE3 ACTIVE NOT_RECRUITING 818Apr 16, 2020Jun 22, 2026Apr 30, 2026215 United States, Argentina +17
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Study Endpoints
Primary Endpoints
Phase Ib: 1. The number of participants with dose-limiting toxicity, as defined in the protocol.
Within the first 28 day cycle.

Dose-limiting toxicity as described in the protocol that is not related to disease progression, intercurrent illness or concomitant medications and that, despite optimal therapeutic intervention, meets protocol-defined criteria.

Phase Ib: 2. The number of participants with treatment-related adverse events.
From baseline up to approximately 36 months.

Data will include clinical observations, ECG parameters, clinical chemistry and haematology and vital signs assessed as the number of participants with treatment-related adverse events.

Phase Ib: 3. The number of participants with treatment-related serious adverse events.
From baseline up to approximately 36 months.

Data will include clinical observations, ECG parameters, clinical chemistry and haematology and vital signs assessed as the number of participants with treatment-related adverse events.

Phase III: 1. Progression Free Survival (PFS).
Up to approximately 47 months.

Progression Free Survival (PFS) is defined as time from randomization until progression per RECIST v1.1. as assessed by BICR or death due to any cause in the overall population, the altered population, and the confirmed non-altered population. RECIST related endpoints such as PFS, ORR, DoR, CBR will be collected.

Progression Free Survival: Overall Population (Months) in the Global Cohort
Assessed every 8 weeks for the first 18 months and every 12 weeks thereafter, from randomization to radiological progression.

Progression free survival (PFS), defined as the time from randomization until progression per RECIST v1.1, as assessed by the investigator at the local site, or death due to any cause, in the global cohort. Participants who discontinue treatment prior to progression should continue to be scanned until progression. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) as at least a 20% increase in the sum of the longest diameter of target lesions (short axis diameter used for lymph nodes), or clinically significant increase in a non-target lesion, or the appearance of a new lesion(s).

Progression Free Survival: Overall Population (Percentage) in the Global Cohort
Assessed every 8 weeks for the first 18 months and every 12 weeks thereafter, from randomization to radiological progression.

Progression free survival (PFS), defined as the time from randomization until progression per RECIST v1.1, as assessed by the investigator at the local site, or death due to any cause. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) as at least a 20% increase in the sum of the longest diameter of target lesions (short axis diameter used for lymph nodes), or clinically significant increase in a non-target lesion, or the appearance of a new lesion(s). Participants who discontinue treatment prior to progression should continue to be scanned until progression. Kaplan-Meier estimate was used.

Progression Free Survival: Altered Population (Months) in the Global Cohort
Assessed every 8 weeks for the first 2 years following objective disease progression or treatment discontinuation and then every 12 weeks.

Progression free survival (PFS), defined as the time from randomization until progression per RECIST v1.1, as assessed by the investigator at the local site, or death due to any cause.

Progression Free Survival: Altered Population (Percentage) in the Global Cohort
Assessed every 8 weeks for the first 2 years following objective disease progression or treatment discontinuation and then every 12 weeks.

Progression free survival (PFS), defined as the time from randomization until progression per RECIST v1.1, as assessed by the investigator at the local site, or death due to any cause. Kaplan-Meier estimate was used.

Progression Free Survival: Overall Population (Months) in the China Cohort
Assessed every 8 weeks for the first 18 months and every 12 weeks thereafter, from randomization to radiological progression.

Progression free survival (PFS), defined as the time from randomization until progression per RECIST v1.1, as assessed by the investigator at the local site, or death due to any cause, in the global cohort. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) as at least a 20% increase in the sum of the longest diameter of target lesions (short axis diameter used for lymph nodes), or clinically significant increase in a non-target lesion, or the appearance of a new lesion(s). Participants who discontinue treatment prior to progression should continue to be scanned until progression.

Progression Free Survival: Overall Population (Percentage) in the China Cohort
Assessed every 8 weeks for the first 18 months and every 12 weeks thereafter, from randomization to radiological progression.

Progression free survival (PFS), defined as the time from randomization until progression per RECIST v1.1, as assessed by the investigator at the local site, or death due to any cause. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) as at least a 20% increase in the sum of the longest diameter of target lesions (short axis diameter used for lymph nodes), or clinically significant increase in a non-target lesion, or the appearance of a new lesion(s). Participants who discontinue treatment prior to progression should continue to be scanned until progression. Kaplan-Meier estimate was used.

Progression Free Survival: Altered Population (Months) in the China Cohort
Assessed every 8 weeks for the first 2 years following objective disease progression or treatment discontinuation and then every 12 weeks.

Progression free survival (PFS), defined as the time from randomization until progression per RECIST v1.1, as assessed by the investigator at the local site, or death due to any cause.

Progression Free Survival: Altered Population (Percentage) in the China Cohort
Assessed every 8 weeks for the first 2 years following objective disease progression or treatment discontinuation and then every 12 weeks.

Progression free survival (PFS), defined as the time from randomization until progression per RECIST v1.1, as assessed by the investigator at the local site, or death due to any cause Kaplan-Meier estimate was used.

Secondary Endpoints
Phase Ib: 1. PK parameters for Palbociclib, Ribociclib, Abemaciclib: Cmax.
Cycle 0 (Cycle 0 is 3 days), Cycle 1 Day 11 and Cycle 1 Day 14 (Cycle 1 is 28 days).
Phase Ib: 2. PK parameters for Palbociclib, Ribociclib, Abemaciclib: AUC0-72h.
Cycle 0 (Cycle 0 is 3 days).
Phase Ib: 3. PK parameters for Palbociclib, Ribociclib, Abemaciclib: AUC0-24h.
Cycle 0 (Cycle 0 is 3 days), Cycle 1 Day 11 and Cycle 1 Day 14 (Cycle 1 is 28 days).
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Capivasertib Plus Palbociclib and FulvestrantEXPERIMENTALCapivasertib Plus Palbociclib and Fulvestrant (Ph 1b)
Capivasertib Plus Ribociclib and FulvestrantEXPERIMENTALCapivasertib Plus Ribociclib and Fulvestrant (Ph 1b)
Capivasertib Plus Abemaciclib and FulvestrantEXPERIMENTALCapivasertib Plus Abemaciclib and Fulvestrant (Ph 1b)
Capivasertib Plus Fulvestrant and Investigator's choice of CDK4/6i (palbociclib or ribociclib)EXPERIMENTALCapivasertib Plus Fulvestrant and Investigator's choice of CDK4/6i (palbociclib or ribociclib) (Ph III)
Fulvestrant and Investigator's choice of CDK4/6i (palbociclib or ribociclib)ACTIVE_COMPARATORFulvestrant and investigator's choice of CDK4/6i (palbociclib or ribociclib) (Ph III)
Capivasertib + fulvestrantEXPERIMENTALFulvestrant: 2 intramuscular injections of 500 mg given on Day 1 of Weeks 1 and 3 of cycle 1, and then on Day 1, Week 1 of each cycle thereafter. Capivasertib: 400 mg (2 oral tablets) BD given on an intermittent weekly dosing schedule. Dosed on Days 1 to 4 in each week of a 28-day treatment cycle.
Placebo + fulvestrantPLACEBO_COMPARATORFulvestrant: 2 intramuscular injections of 500 mg given on Day 1 of Weeks 1 and 3 of cycle 1, and then on Day 1, Week 1 of each cycle thereafter. Placebo: 400 mg (2 oral tablets) BD given on an intermittent weekly dosing schedule. Dosed on Days 1 to 4 in each week of a 28-day treatment cycle.
Interventions
NameTypeDescription
CapivasertibDRUGPhase Ib: Capivasertib 320 mg/ 400 mg administered PO BD 4 days on /3 days off per week for 4 weeks (28 days cycle) Phase III: : Capivasertib, administered PO BD 4 days on / 3 days off per week for 4 weeks (28 days cycle) at the dose confirmed in the phase Ib portion
FulvestrantDRUGPhase Ib and Phase III: 500 mg (2 injections of 250 mg) on Day 1 of Weeks 1 and 3 of Cycle 1, and then on Day 1, Week 1 of each cycle thereafter
PalbociclibDRUGPhase Ib: 100 mg/ 125 mg. Once daily for 21 consecutive days followed by 7 days off treatment to comprise a complete 28-day cycle Phase III: Administered once daily for 21 days of 28-day cycle, at the dose of 125 mg.
RibociclibDRUGPhase Ib: 200 mg/ 400 mg/ 600 mg. Once daily for 21 consecutive days followed by 7 days off treatment to comprise a complete 28-day cycle Phase III: Administered once daily for 21 days of 28-day cycle, at the dose confirmed in the phase 1b portion.
AbemaciclibDRUGPhase Ib: 50 mg/ 100 mg/ 150 mg. Twice daily for 28 consecutive days to comprise a complete 28-day cycle
PlaceboDRUGPlacebo to match 400 mg BD (2 tablets of placebo to match 200 mg taken twice daily = placebo to match total daily dose of 800 mg) given on an intermittent weekly dosing schedule. Patients will be dosed on Days 1 to 4 in each week of a 28-day treatment cycle
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Eligibility Criteria
Age Range18 Years — 99 Years
SexALL
Healthy VolunteersNo
Study Sites284

Key inclusion criteria for both phases: 1. Adult females (pre-/peri-/ and post-menopausal), and adult males. 2. Histologically confirmed HR+/ HER2- breast cancer determined from the most recent tumour sample (primary or metastatic) per the American Society of Clinical Oncology and College of Americ...

Countries:United StatesArgentinaAustraliaBelgiumBrazilCanadaChinaDenmarkFranceGermanyIndiaItalyJapanMalaysiaPolandSouth KoreaSpainSwedenTaiwanThailandTurkey (Türkiye)United KingdomVietnamHungaryIsraelPeruRussia
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Recent Changes (Last 90 Days)
LOWMay 28, 2026NCT04862663lastUpdatePostDate: changed
LOWMay 28, 2026NCT04862663lastUpdatePostDate: changed
LOWMay 26, 2026NCT04862663primaryCompletionDate: changed
LOWMay 26, 2026NCT04305496primaryCompletionDate: changed
LOWMay 24, 2026NCT04862663studyFirstPostDate: changed
LOWMay 24, 2026NCT04305496studyFirstPostDate: changed