PAKT
Regimen
- Experimental
- Capivasertib 400 mg BID D2-5 weekly + paclitaxel 90 mg/m2 D1,8,15 Q4W.
- Control
- Placebo + paclitaxel on same schedule.
Population
Metastatic or locally advanced triple-negative breast cancer, no prior chemotherapy for advanced disease; biomarker subgroup defined by PIK3CA/AKT1/PTEN alterations.
Key finding
PAKT demonstrated capivasertib + paclitaxel extended PFS and suggested OS benefit in 1L metastatic TNBC, particularly in PIK3CA/AKT1/PTEN-altered tumors. Supported pivot of capivasertib development toward HR+ (CAPItello-291).
Source: PMID 31841354
Timeline
- Publication: 2020 Feb 10
Guideline citations
- NCCN BREAST