TY - JOUR
T1 - Fulvestrant plus capivasertib versus placebo after relapse or progression on an aromatase inhibitor in metastatic, oestrogen receptor-positive, HER2-negative breast cancer (FAKTION)
T2 - overall survival, updated progression-free survival, and expanded biomarker analysis from a randomised, phase 2 trial
AU - Howell, Sacha J
AU - Casbard, Angela
AU - Carucci, Margherita
AU - Ingarfield, Kate
AU - Butler, Rachel
AU - Morgan, Sian
AU - Meissner, Magdalena
AU - Bale, Catherine
AU - Bezecny, Pavel
AU - Moon, Sarah
AU - Twelves, Chris
AU - Venkitaraman, Ramachandran
AU - Waters, Simon
AU - de Bruin, Elza C
AU - Schiavon, Gaia
AU - Foxley, Andrew
AU - Jones, Robert H
N1 - Copyright © 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.
Funding Information:
SJH received grant support for this study from AstraZeneca; research grants from Eli Lilly; consulting fees from Eli Lilly and Pfizer; honoraria from Pfizer; and participates on a trial steering committee for AstraZeneca. AC received grant support for the study from AstraZeneca and Cancer Research UK. RB received funding from the All Wales Medical Genetics Service (as head of the service) to do the original biomarker testing. PB reports honoraria from AstraZeneca and support from Eli Lilly related to meeting attendance and advisory or safety board participation. SMoo reports support for attending meetings from Eli Lilly and honoraria from AstraZeneca unrelated to the submitted work. CT received funding from AstraZeneca for the costs of doing this trial, as well as consulting fees and honoraria from AstraZeneca unrelated to the submitted work. SW declares honoraria from Novartis, consulting fees from Sanofi and Novartis, and travel expenses from Eli Lilly. ECdeB, GS, and AF are employees of and hold shares in AstraZeneca. AF receives funding from AstraZeneca to attend congresses and funding for capivasertib studies. RHJ reports grants from AstraZeneca and Cancer Research UK, and personal fees from Roche unrelated to the submitted work. All other authors declare no competing interests.
Funding Information:
This research was supported by the Investigator-Sponsored Study Collaboration between AstraZeneca and the National Cancer Research Network. Funding for the study was received from AstraZeneca, as part of that collaboration, and from Cancer Research UK. Capivasertib (AZD5363) was discovered by AstraZeneca after a collaboration with Astex Therapeutics (and its collaboration with The Institute of Cancer Research and Cancer Research Technology). SJH is supported by the Manchester National Institute for Health Research (NIHR) Biomedical Research Centre (IS-BRC-1215–20007). The research was supported by the NIHR infrastructure at Manchester and Leeds. The views expressed are those of the author(s) and not necessarily those of the UK National Health Service, the NIHR, or the Department of Health. We thank the participants and their families, the investigators, and the site personnel who participated in this study. We thank the members of the Trial Management Group, the independent data monitoring committee, and our partners at Foundation Medicine and Guardant Health for access to next-generation sequencing assays. An AstraZeneca team has reviewed the manuscript. AstraZeneca funded medical writing support by Rose Goodchild of Oxford PharmaGenesis, Oxford, UK.
Funding Information:
This research was supported by the Investigator-Sponsored Study Collaboration between AstraZeneca and the National Cancer Research Network. Funding for the study was received from AstraZeneca, as part of that collaboration, and from Cancer Research UK. Capivasertib (AZD5363) was discovered by AstraZeneca after a collaboration with Astex Therapeutics (and its collaboration with The Institute of Cancer Research and Cancer Research Technology). SJH is supported by the Manchester National Institute for Health Research (NIHR) Biomedical Research Centre (IS-BRC-1215–20007). The research was supported by the NIHR infrastructure at Manchester and Leeds. The views expressed are those of the author(s) and not necessarily those of the UK National Health Service, the NIHR, or the Department of Health. We thank the participants and their families, the investigators, and the site personnel who participated in this study. We thank the members of the Trial Management Group, the independent data monitoring committee, and our partners at Foundation Medicine and Guardant Health for access to next-generation sequencing assays. An AstraZeneca team has reviewed the manuscript. AstraZeneca funded medical writing support by Rose Goodchild of Oxford PharmaGenesis, Oxford, UK.
Publisher Copyright:
© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license
PY - 2022/6/4
Y1 - 2022/6/4
N2 - BACKGROUND: Capivasertib, an AKT inhibitor, added to fulvestrant, was previously reported to improve progression-free survival in women with aromatase inhibitor-resistant oestrogen receptor (ER)-positive, HER2-negative advanced breast cancer. The benefit appeared to be independent of the phosphoinositide 3-kinase (PI3K)/AKT/phosphatase and tensin homologue (PTEN) pathway alteration status of tumours, as ascertained using assays available at the time. Here, we report updated progression-free survival and overall survival results, and a prespecified examination of the effect of PI3K/AKT/PTEN pathway alterations identified by an expanded genetic testing panel on treatment outcomes.METHODS: This randomised, multicentre, double-blind, placebo-controlled, phase 2 trial recruited postmenopausal adult women aged at least 18 years with ER-positive, HER2-negative, metastatic or locally advanced inoperable breast cancer and an Eastern Cooperative Oncology Group performance status of 0-2, who had relapsed or progressed on an aromatase inhibitor, from across 19 hospitals in the UK. Participants were randomly assigned (1:1) to receive intramuscular fulvestrant 500 mg (day 1) every 28 days (plus a 500 mg loading dose on day 15 of cycle 1) with either capivasertib 400 mg or matching placebo, orally twice daily on an intermittent weekly schedule of 4 days on and 3 days off, starting on cycle 1 day 15. Treatment continued until disease progression, unacceptable toxicity, loss to follow-up, or withdrawal of consent. Treatment was allocated by an interactive web-response system using a minimisation method (with a 20% random element) and the following minimisation factors: measurable or non-measurable disease, primary or secondary aromatase inhibitor resistance, PIK3CA status, and PTEN status. The primary endpoint was progression-free survival in the intention-to-treat population. Secondary endpoints shown in this Article were overall survival and safety in the intention-to-treat population, and the effect of tumour PI3K/AKT/PTEN pathway status identified by an expanded testing panel that included next-generation sequencing assays. Recruitment is complete. The trial is registered with ClinicalTrials.gov, number NCT01992952.FINDINGS: Between March 16, 2015, and March 6, 2018, 183 participants were screened for eligibility and 140 (77%) were randomly assigned to receive fulvestrant plus capivasertib (n=69) or fulvestrant plus placebo (n=71). Median follow-up at the data cut-off of Nov 25, 2021, was 58·5 months (IQR 45·9-64·1) for participants treated with fulvestrant plus capivasertib and 62·3 months (IQR 62·1-70·3) for fulvestrant plus placebo. Updated median progression-free survival was 10·3 months (95% CI 5·0-13·4) in the group receiving fulvestrant plus capivasertib compared with 4·8 months (3·1-7·9) for fulvestrant plus placebo (adjusted hazard ratio [HR] 0·56 [95% CI 0·38-0·81]; two-sided p=0·0023). Median overall survival in the capivasertib versus placebo groups was 29·3 months (95% CI 23·7-39·0) versus 23·4 months (18·7-32·7; adjusted HR 0·66 [95% CI 0·45-0·97]; two-sided p=0·035). The expanded biomarker panel identified an expanded pathway-altered subgroup that contained 76 participants (54% of the intention-to-treat population). Median progression-free survival in the expanded pathway-altered subgroup for participants receiving capivasertib (n=39) was 12·8 months (95% CI 6·6-18·8) compared with 4·6 months (2·8-7·9) in the placebo group (n=37; adjusted HR 0·44 [95% CI 0·26-0·72]; two-sided p=0·0014). Median overall survival for the expanded pathway-altered subgroup receiving capivasertib was 38·9 months (95% CI 23·3-50·7) compared with 20·0 months (14·8-31·4) for those receiving placebo (adjusted HR 0·46 [95% CI 0·27-0·79]; two-sided p=0·0047). By contrast, there were no statistically significant differences in progression-free or overall survival in the expanded pathway non-altered subgroup treated with capivasertib (n=30) versus placebo (n=34). One additional serious adverse event (pneumonia) in the capivasertib group had occurred subsequent to the primary analysis. One death, due to atypical pulmonary infection, was assessed as possibly related to capivasertib treatment.INTERPRETATION: Updated FAKTION data showed that capivasertib addition to fulvestrant extends the survival of participants with aromatase inhibitor-resistant ER-positive, HER2-negative advanced breast cancer. The expanded biomarker testing suggested that capivasertib predominantly benefits patients with PI3K/AKT/PTEN pathway-altered tumours. Phase 3 data are needed to substantiate the results, including in patients with previous CDK4/6 inhibitor exposure who were not included in the FAKTION trial.FUNDING: AstraZeneca and Cancer Research UK.
AB - BACKGROUND: Capivasertib, an AKT inhibitor, added to fulvestrant, was previously reported to improve progression-free survival in women with aromatase inhibitor-resistant oestrogen receptor (ER)-positive, HER2-negative advanced breast cancer. The benefit appeared to be independent of the phosphoinositide 3-kinase (PI3K)/AKT/phosphatase and tensin homologue (PTEN) pathway alteration status of tumours, as ascertained using assays available at the time. Here, we report updated progression-free survival and overall survival results, and a prespecified examination of the effect of PI3K/AKT/PTEN pathway alterations identified by an expanded genetic testing panel on treatment outcomes.METHODS: This randomised, multicentre, double-blind, placebo-controlled, phase 2 trial recruited postmenopausal adult women aged at least 18 years with ER-positive, HER2-negative, metastatic or locally advanced inoperable breast cancer and an Eastern Cooperative Oncology Group performance status of 0-2, who had relapsed or progressed on an aromatase inhibitor, from across 19 hospitals in the UK. Participants were randomly assigned (1:1) to receive intramuscular fulvestrant 500 mg (day 1) every 28 days (plus a 500 mg loading dose on day 15 of cycle 1) with either capivasertib 400 mg or matching placebo, orally twice daily on an intermittent weekly schedule of 4 days on and 3 days off, starting on cycle 1 day 15. Treatment continued until disease progression, unacceptable toxicity, loss to follow-up, or withdrawal of consent. Treatment was allocated by an interactive web-response system using a minimisation method (with a 20% random element) and the following minimisation factors: measurable or non-measurable disease, primary or secondary aromatase inhibitor resistance, PIK3CA status, and PTEN status. The primary endpoint was progression-free survival in the intention-to-treat population. Secondary endpoints shown in this Article were overall survival and safety in the intention-to-treat population, and the effect of tumour PI3K/AKT/PTEN pathway status identified by an expanded testing panel that included next-generation sequencing assays. Recruitment is complete. The trial is registered with ClinicalTrials.gov, number NCT01992952.FINDINGS: Between March 16, 2015, and March 6, 2018, 183 participants were screened for eligibility and 140 (77%) were randomly assigned to receive fulvestrant plus capivasertib (n=69) or fulvestrant plus placebo (n=71). Median follow-up at the data cut-off of Nov 25, 2021, was 58·5 months (IQR 45·9-64·1) for participants treated with fulvestrant plus capivasertib and 62·3 months (IQR 62·1-70·3) for fulvestrant plus placebo. Updated median progression-free survival was 10·3 months (95% CI 5·0-13·4) in the group receiving fulvestrant plus capivasertib compared with 4·8 months (3·1-7·9) for fulvestrant plus placebo (adjusted hazard ratio [HR] 0·56 [95% CI 0·38-0·81]; two-sided p=0·0023). Median overall survival in the capivasertib versus placebo groups was 29·3 months (95% CI 23·7-39·0) versus 23·4 months (18·7-32·7; adjusted HR 0·66 [95% CI 0·45-0·97]; two-sided p=0·035). The expanded biomarker panel identified an expanded pathway-altered subgroup that contained 76 participants (54% of the intention-to-treat population). Median progression-free survival in the expanded pathway-altered subgroup for participants receiving capivasertib (n=39) was 12·8 months (95% CI 6·6-18·8) compared with 4·6 months (2·8-7·9) in the placebo group (n=37; adjusted HR 0·44 [95% CI 0·26-0·72]; two-sided p=0·0014). Median overall survival for the expanded pathway-altered subgroup receiving capivasertib was 38·9 months (95% CI 23·3-50·7) compared with 20·0 months (14·8-31·4) for those receiving placebo (adjusted HR 0·46 [95% CI 0·27-0·79]; two-sided p=0·0047). By contrast, there were no statistically significant differences in progression-free or overall survival in the expanded pathway non-altered subgroup treated with capivasertib (n=30) versus placebo (n=34). One additional serious adverse event (pneumonia) in the capivasertib group had occurred subsequent to the primary analysis. One death, due to atypical pulmonary infection, was assessed as possibly related to capivasertib treatment.INTERPRETATION: Updated FAKTION data showed that capivasertib addition to fulvestrant extends the survival of participants with aromatase inhibitor-resistant ER-positive, HER2-negative advanced breast cancer. The expanded biomarker testing suggested that capivasertib predominantly benefits patients with PI3K/AKT/PTEN pathway-altered tumours. Phase 3 data are needed to substantiate the results, including in patients with previous CDK4/6 inhibitor exposure who were not included in the FAKTION trial.FUNDING: AstraZeneca and Cancer Research UK.
KW - Adolescent
KW - Adult
KW - Antineoplastic Combined Chemotherapy Protocols/adverse effects
KW - Aromatase Inhibitors/therapeutic use
KW - Breast Neoplasms/drug therapy
KW - Double-Blind Method
KW - Female
KW - Fulvestrant
KW - Humans
KW - Neoplasm Recurrence, Local/pathology
KW - Phosphatidylinositol 3-Kinases/genetics
KW - Progression-Free Survival
KW - Proto-Oncogene Proteins c-akt
KW - Pyrimidines
KW - Pyrroles
KW - Receptor, ErbB-2/metabolism
KW - Receptors, Estrogen/metabolism
U2 - 10.1016/S1470-2045(22)00284-4
DO - 10.1016/S1470-2045(22)00284-4
M3 - Article
C2 - 35671774
SN - 1470-2045
VL - 23
SP - 851
EP - 864
JO - The Lancet. Oncology
JF - The Lancet. Oncology
IS - 7
ER -
