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. Author manuscript; available in PMC: 2020 Oct 1.
Published in final edited form as: Cancer Discov. 2020 Jan 10;10(4):526–535. doi: 10.1158/2159-8290.CD-19-1209

Table 2.

Therapy exposure

AKT1 mutant, n=153,
N (%)
AKT1 wildtype, n=302
N (%)
All, n=455, %
Endocrine Therapy*
 Tamoxifen 96(63%) 184(61%) 280(62%)
 Aromatase Inhibitor 127(83%) 266(88%) 393(86%)
 Fulvestrant 79(52%) 162(54%) 241(53%)
Endocrine therapy sensitivity 106(69%) 236(78%) 342(75%)
Chemotherapy 137(90%) 269(89%) 406(89%)
Endocrine therapies for metastatic disease, median (range)§ 1 (0–6) 2 (0–9) 2 (0–9)
Chemotherapies for metastatic disease, median (range) 2 (0–7) 2 (0–9) 2 (0–9)
Targeted Therapy
 CDK4/6 inhibitor 45(29%) 87(29%) 132(29%)
 mTOR inhibitor 49(32%) 97(32%) 146(32%)
AKT inhibitor§ 23(15%) 4(1%) 27(6%)
Therapeutic clinical trial 52(34%) 95(32%) 147(32%)
*

Any endocrine therapy in adjuvant or metastatic setting;

≥24 months of adjuvant endocrine therapy or ≥6 months treatment duration on any metastatic endocrine therapy;

§

p<0.05;

NCT01226316 was a first in human, phase I, multipart study of the AKT inhibitor, AZD5363, in advanced solid tumors. This study had many cohorts including individual molecularly selected cohorts for PIK3CA- AKT1-, and PTEN- mutant tumors. Four AKT1-wild type patients were treated on NCT01226316, 1 PIK3CA- and 2 PTEN -mutant breast cancers and 1 other patient for reasons unknown.