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Afuresertib

Phase 1

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

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment29

FDA Designations

No designations recorded

Clinical trial landscape

Afuresertib · 1 trial · 1 indication

Phase 1 1
NCT02240212Study of Afuresertib Combined With Paclitaxel in Gastric CancerCancer
COMPLETED29 Analytics
PHASE1COMPLETED
Study of Afuresertib Combined With Paclitaxel in Gastric Cancer
CancerUnlock trial analytics

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 to 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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Frequently asked questions about Afuresertib

What is Afuresertib used for?

Afuresertib is an investigational small molecule being studied for the treatment of cancer. It has been evaluated in a Phase 1 clinical trial in combination with paclitaxel in patients with gastric cancer. The drug is not approved and remains in clinical development.

Who makes Afuresertib?

Afuresertib is being developed by Novartis AG, which trades on the New York Stock Exchange under the ticker NVS. The company is conducting clinical research to evaluate the drug's safety and efficacy in cancer patients.

What phase is Afuresertib in?

Afuresertib is in Phase 1 clinical development. A Phase 1 study of the drug combined with paclitaxel in gastric cancer has been completed. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is Afuresertib in?

Afuresertib has been studied in one clinical trial, registered as NCT02240212, titled 'Study of Afuresertib Combined With Paclitaxel in Gastric Cancer.' This Phase 1 trial enrolled 29 participants in South Korea and Taiwan and has been completed.

Is Afuresertib the same as any other drug?

Afuresertib is also known by the name GSK2110183. It is a small molecule being developed by Novartis AG for cancer treatment. The drug has been tested in a Phase 1 trial for gastric cancer.