Study to see if GSK2110183 with chemotherapy can treat ovarian cancer

ISRCTN ISRCTN22893535
DOI https://doi.org/10.1186/ISRCTN22893535
EudraCT/CTIS number 2012-002483-27
ClinicalTrials.gov number NCT01653912
Secondary identifying numbers 13614, PKB116611
Submission date
16/01/2014
Registration date
16/01/2014
Last edited
14/04/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

http://www.cancerresearchuk.org/cancer-help/trials/a-study-looking-cell-changes-ovarian-cancer-aktres

Contact information

Ms Maria Martinez
Scientific

Hammersmith Hospital
Du Cane Road
London
W12 0HS
United Kingdom

Email Maria.martinez@imperial.nhs.uk

Study information

Study designNon-randomised; Interventional; Design type: Process of Care, Treatment
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleAKTRES study: A Biologic Study of the early effects and determinants of AKT inhibition using GSK2110183 alongside chemotherapy in patients with platinum RESistant adenocarcinoma of the ovary
Study acronymAKTRES
Study objectivesActivation of the AKT signalling pathway in ovarian cancer cells causes chemotherapy resistance. An AKT inhibitor, given alongside chemotherapy, could potentially reverse this resistance and enable chemotherapy to be effective once again. This study is designed for women whose ovarian cancer has relapsed within 6 months of receiving carboplatin or cisplatin-containing chemotherapy and who are receiving an AKT inhibitor given alongside 3 weekly carboplatin and paclitaxel in the PKB116611 trial. Participants in the AKTRES study undergo a maximum of two biopsies from their tumour and some additional blood tests. The aims of the study are to better understand the how chemotherapy-resistant cancer cells are affected by AKT inhibitors.
Ethics approval(s)London Hampstead, 07/11/2012, ref. 12/LO/1174
Health condition(s) or problem(s) studiedTopic: National Cancer Research Network; Subtopic: Gynaecological Cancer; Disease: Ovary/Fallopian tube
InterventionBlood sampling, [3 x 10 ml whole blood collected in greentopped (heparinised) tube] will be collected at baseline (within 14 days prior to first dose), on day 1 (immediately preceding chemotherapy), day 8 and day 15 of cycle 1 only. Blood sampling will subsequently be performed at day 1 only of subsequent chemotherapy treatment cycles and thereafter 3 weekly for those on maintenance GSK2110183 alone. A final 3 x 10 ml blood sample will be taken at end of study visit.
Coagulation profile, will be collected immediately prior to the first biopsy during the screening period and postcycle 1 biopsy on day 22. This is in addition to the screening coagulation blood test required for PKB116611 study.
Collection of ascites: If patients are undergoing ascitic or pleural drainage for symptom relief prior to, or during, this study a sample of ascites (or pleural effusion) can be taken and stored. The preferred times for collection are during screening, day 22 and at study completion, but additional/alternative collections can be obtained at the investigatorsÂ’ discretion.
Tumour Biopsy: A tumour biopsy performed under image guidance within 14 days prior to first dose. Three tumour cores will be taken, two will be fresh frozen and one will be formalin fixed. Following one complete treatment cycle (day 22), =3 days prior to starting cycle 2 day 1, a second tumour biopsy will be performed under image guidance. Again, three tumour cores will be taken, two will be fresh frozen and one will be formalin fixed. Patients can decline the second biopsy if they wish to.
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase I/II
Drug / device / biological / vaccine name(s)GSK2110183 (afurasertib)
Primary outcome measureOverall Response, CA125 response and Progression free survival measured by ELISA detected decrease in phosphorylated PRAS40 (as ratio of total PRAS40) and increase in pAKT S473
Secondary outcome measuresNot provided at time of registration
Overall study start date10/12/2012
Completion date04/12/2014

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexFemale
Target number of participantsPlanned Sample Size: 24; UK Sample Size: 12
Total final enrolment59
Key inclusion criteria1. Female at least 18 years of age at the time of signing the informed consent form
2. Capable of giving written informed consent
3. Having measurable tumour tissue and Platinum-resistant ovarian cancer as defined as radiological evidence of disease progression within 6 months of completion of platinum-containing chemotherapy
4. Tumour tissue measuring >2cm long axis amenable to direct biopsy or biopsy via image-guidance
Key exclusion criteriaConcurrent medication with warfarin or low molecular weight heparin (heparin use is acceptable if it has been discontinued for 2 days preceding biopsy)
Date of first enrolment10/12/2012
Date of final enrolment04/12/2014

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Hammersmith Hospital
London
W12 0HS
United Kingdom

Sponsor information

Imperial College of Science, Technology and Medicine (UK)
University/education

Department of Cancer Medicine
Charing Cross Hospital
Fulham Palace Road
London
W6 8RF
England
United Kingdom

ROR logo "ROR" https://ror.org/041kmwe10

Funders

Funder type

Charity

Ovarian Cancer Action (UK)
Private sector organisation / Other non-profit organizations
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Basic results No No
Basic results No No
Results article 01/03/2019 14/04/2021 Yes No

Editorial Notes

14/04/2021: The following changes have been made:
1. Publication reference added.
2. The final enrolment number has been added from the reference.
3. The NCT number and EudraCT numbers have been added.
4. The basic results links have been added.
5. Afuresertib has been added to the drug names.
6. The trial phase has been added.
08/02/2017: No publications found in PubMed, verifying study status with principal investigator.