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Afuresertib

Phase 1

Cancer | Small molecule | Oncology |Novartis AG|Last Updated: Apr 11, 2017

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
CONTROLLEDBiomarker
Total Trials1
Total Enrollment29
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02240212Study of Afuresertib Combined With Paclitaxel in Gastric CancerPHASE1 COMPLETED 29Oct 1, 2014Feb 7, 2017Apr 11, 20175 South Korea, Taiwan
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Study Endpoints
Primary Endpoints
Number of subjects with any serious adverse event (SAE), non-serious adverse event (AE) in Phase I Dose Escalation phase
Day 1 to Day 21 after the last dose of study treatment (assessed up to 1 years)

An AE is defined as any untoward medical occurrence in a subject or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect

Assessment of changes in clinical laboratory tests in Phase I Dose Escalation phase
Day 1 to Day 21 after the last dose of study treatment. (assessed up to 1 years)

Clinical laboratory tests included hematology, clinical chemistry, urinalysis

Assessment of 12-lead electrocardiogram (ECG) findings in Phase I Dose Escalation phase
Screening and Day 22

Heart rate, pulse rate (PR), QRS, QT, and Electrocardiogram QT interval corrected for heart rate using Fridericia's formula (QTcF intervals) will be recorded by measuring triplicate 12-lead ECGs, obtained in semi-recumbent or supine position after 5 minutes rest

Assessment of Echocardiograms (ECHOs) in Phase I Dose Escalation phase
Every 9 weeks (for 3 weekly paclitaxel regimen) and every 8 weeks (for weekly paclitaxel regimen) until day 21 after last dose of study treatment (assessed up to 1 years)

The cardiac ejection fraction and cardiac valve morphology will be assessed by ECHOs. The evaluation of the echocardiographer should include an evaluation for left ventricular ejection fraction (LVEF)

Assessment of blood pressure (vital signs) in Phase I Dose Escalation
Screening to Day 21 after the last dose of study treatment (assessed up to 1 years)

Vital signs will include measurement of systolic and diastolic blood pressure. Vital signs should be measured after resting for at least 5minutes in a semi-supine position

Assessment of preliminary clinical efficacy in Phase II dose expansion
Every 6 weeks for 3 weekly paclitaxel regimen or every 8 weeks for weekly paclitaxel regimen (assessed up to 1 years)

Tumor response will be measured by Response Evaluation Criteria In Solid Tumors (RECIST 1.1), the ORR will be based on confirmed responses by investigator-based assessment for gastric cancer

Assessment of respiration rate (vital signs) in Phase I Dose Escalation
Screening to Day 21 after the last dose of study treatment (assessed up to 1 years)]

Vital signs will include measurement of respiration rate. Vital signs should be measured after resting for at least 5minutes in a semi-supine position.

Assessment of PR (vital signs) in Phase I Dose Escalation
Screening to Day 21 after the last dose of study treatment (assessed up to 1 years)]

Vital signs will include measurement of PR. Vital signs should be measured after resting for at least 5minutes in a semi-supine position.

Secondary Endpoints
Composite of pharmacokinetics parameters of afuresertib and paclitaxel combination regimen in dose escalation cohort
Day 1 (pre-dose, 1 to 3 hour [h]), Day 22 (pre-dose, 1 to 3 h and 6-8 h) for 3 weekly dose Paclitaxel regimen
Evaluation of the progression free survival (PFS) in expansion cohort
Day 1and the earliest date of disease progression or death due to any cause; up to 6 months
Number of subjects with any SAE, AE in expansion cohort
Day 1 to Day 21 after the last dose of study treatment (assessed up to 1 years).
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part 1: Dose-escalation (weekly paclitaxel)EXPERIMENTALThe dose escalation will be started from Cohort A (afuresertib combined with weekly paclitaxel regimen at 80 mg/m\^2 d1, 8,15, q4w). The starting dose in Cohort A will be 125 mg afuresertib QD to indentify MTD
Part 1: Dose-escalation (3 weeks Paclitaxel)EXPERIMENTALOnce its MTD is identified, and then the study will move to dosing Cohort B (afuresertib combined with 3 weekly paclitaxel regimen at 175 mg/m\^2 d1, q3w. Cohort B (afuresertib combined with 3 weekly paclitaxel regimen at 175 mg/m\^2 d1, q3w). The starting daily dose of Cohort B will be 25 mg less than the MTD dose from Cohort A for afuresertib. If it is tolerated, then the dose escalation schedule will be followed in Cohort B until the MTD in this Cohort is reached. If the starting dose is not tolerated, then dose de-escalation will be explored until the MTD in this Cohort is reached. Once two dimensions of the MTD are achieved, then the optimal regimen for paclitaxel and MTD for afuresertib combined with paclitaxel based on the toxicity profile will be identified
Part 2: Experimental CohortEXPERIMENTALThe optimal regimen for paclitaxel and MTD for afuresertib combined with paclitaxel based on the toxicity profile will be administered
Interventions
NameTypeDescription
AfuresertibDRUGThe unit dose strength is 50mg/75mg tablet. Afuresertib will be taken orally once daily continuously during trail.
PaclitaxelDRUGPaclitaxel sourced locally will be administered IV
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: * Provided signed written informed consent * Male or female \>=18 years of age with a diagnosis of Performance Status score of 0 or 1 according to the Eastern Cooperative Oncology at the time of signing the informed consent * Able to swallow and retain orally administered study ...

Countries:South KoreaTaiwan
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