Table 2.
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.