Stage IV Breast Cancer Clinical Trial
Official title:
Phase II Trial of AKT Inhibitor MK2206 in Patients With Advanced Breast Cancer Who Have Tumors With a PIK3CA Mutation, or an AKT Mutation, and/or PTEN Loss/PTEN Mutation
This phase II trial studies how well Akt inhibitor MK2206 works in treating patients with breast cancer cancer that has spread to other places in the body and usually cannot be cured or controlled with treatment. Akt inhibitor MK2206 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
PRIMARY OBJECTIVES:
I. To determine whether v-akt murine thymoma viral oncogene (Akt) inhibitor MK2206 achieves
objective tumor responses (complete response [CR], partial response [PR]) in advanced breast
cancer patients who have a phosphoinositide-3-kinase, catalytic, alpha polypeptide (PIK3CA)
or Akt mutation and/or phosphatase and tensin homolog (PTEN) loss or mutation.
SECONDARY OBJECTIVES:
I. To determine the 6 month progression-free survival on MK2206. II. To determine baseline
molecular markers that may predict clinical outcome. III. To determine pharmacodynamic
markers in blood and tumor tissue that may predict a decrease in proliferation-related Ki-67
antigen (Ki-67) and clinical outcome.
IV. To determine safety and tolerability of MK2206 in previously treated patients with
advanced breast cancer.
V. To determine if decrease in Ki-67 at 2 weeks correlates with anti-tumor effect (CR, PR, or
stable disease [SD] > 6 months).
VI. To determine concordance of PIK3CA and PTEN status between primary tumor and distant
metastasis.
VII. To determine concordance of PIK3CA status of circulating free deoxyribonucleic acid
(DNA) and distant metastasis.
OUTLINE:
Patients receive Akt Inhibitor MK-2206 orally (PO) on days 1, 8, 15, and 22. Courses repeat
every 28 days in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up for 3 weeks.
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