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    Clinical Trial Results:
    An open label continuation study of oral AKT inhibitor GSK2110183 in subjects with solid tumors and hematologic malignancies.

    Summary
    EudraCT number
    2014-002041-22
    Trial protocol
    IE  
    Global end of trial date
    20 Jun 2018

    Results information
    Results version number
    v1(current)
    This version publication date
    06 Jul 2019
    First version publication date
    06 Jul 2019
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    115131 (CASB183X2X01B)
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT01531894
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Novartis Pharma, AG
    Sponsor organisation address
    CH-4002, Basel, Switzerland,
    Public contact
    Clinical Disclosure Office, Novartis Pharma, AG, +41 316241111, novartis.email@novartis.com
    Scientific contact
    Clinical Disclosure Office, Novartis Pharma, AG, +41 316241111, novartis.email@novartis.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    20 Jun 2018
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    20 Jun 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective of the study was to provide treatment with afuresertib for subjects who had previously participated in an afuresertib study sponsored previously by GlaxoSmithKline (GSK) or Novartis or another research organization working on behalf of Novartis.
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and the International Conference on Harmonization (ICH) Good Clinical Practice (GCP) guidelines. All the local regulatory requirements pertinent to safety of trial subjects were also followed during the conduct of the trial.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    08 Feb 2012
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Australia: 4
    Country: Number of subjects enrolled
    Canada: 2
    Country: Number of subjects enrolled
    Ireland: 2
    Country: Number of subjects enrolled
    Korea, Republic of: 2
    Country: Number of subjects enrolled
    United States: 1
    Worldwide total number of subjects
    11
    EEA total number of subjects
    2
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    6
    From 65 to 84 years
    5
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    As this was a rollover study, there was no planned number of subjects. Eleven subjects were enrolled and analyzed in the study.

    Pre-assignment
    Screening details
    There was no planned duration of treatment as this was a rollover study. The subjects could permanently discontinue the study treatment due to protocol deviation, adverse event, disease progression, withdrawal of consent, Investigator’s discretion, lost to follow-up, termination of study or death.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Non-randomised - controlled
    Blinding used
    Not blinded

    Arms
    Arm title
    GSK2110183 (afuresertib)
    Arm description
    All patients received the GSK2110183 (afuresertib) treatment
    Arm type
    Experimental

    Investigational medicinal product name
    GSK2110183 (afuresertib)
    Investigational medicinal product code
    afuresertib
    Other name
    ASB183
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Afuresertib is an oral, low nanomolar pan-AKT kinase inhibitor immediate release (IR) 50 mg or 75 mg tablets was to be taken orally with at least 200 mL of water, with or without food, in the morning.

    Number of subjects in period 1
    GSK2110183 (afuresertib)
    Started
    11
    Completed
    2
    Not completed
    9
         Adverse event, serious fatal
    1
         Physician decision
    8

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    GSK2110183 (afuresertib)
    Reporting group description
    All patients received the GSK2110183 (afuresertib) treatment

    Reporting group values
    GSK2110183 (afuresertib) Total
    Number of subjects
    11 11
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    6 6
        From 65-84 years
    5 5
    Age Continuous
    Units: Years
        arithmetic mean (standard deviation)
    60.1 ( 14.00 ) -
    Sex: Female, Male
    Units: Subjects
        Female
    8 8
        Male
    3 3
    Race/Ethnicity, Customized
    Units: Subjects
        Asian - East Asian heritage
    2 2
        White - White/Caucasian/European heritage
    9 9

    End points

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    End points reporting groups
    Reporting group title
    GSK2110183 (afuresertib)
    Reporting group description
    All patients received the GSK2110183 (afuresertib) treatment

    Primary: Number of participants with at least one Adverse Events (AEs)

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    End point title
    Number of participants with at least one Adverse Events (AEs) [1]
    End point description
    Adverse Events (AEs) includes Summary of adverse events, drug related AEs, Serious adverse events, adverse events leading to study treatment discontinuation and death.
    End point type
    Primary
    End point timeframe
    from the time of consent until the final study visit up to approx. 76 months
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was planned for this endpoint.
    End point values
    GSK2110183 (afuresertib)
    Number of subjects analysed
    11
    Units: Participants
    11
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events and serious adverse events were collected for the maximum actual duration of treatment exposure and follow up for a participant per the protocol for approximately 2239 days.
    Adverse event reporting additional description
    All cause mortality (deaths) was collected for as long as participants could be contacted from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV) up to a maximum of about 76 months.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    22.0
    Reporting groups
    Reporting group title
    All Patients
    Reporting group description
    All Patients

    Serious adverse events
    All Patients
    Total subjects affected by serious adverse events
         subjects affected / exposed
    2 / 11 (18.18%)
         number of deaths (all causes)
    1
         number of deaths resulting from adverse events
    1
    Gastrointestinal disorders
    Gastritis
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Pneumonia
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 1
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    All Patients
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    11 / 11 (100.00%)
    Vascular disorders
    Hypertension
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Raynaud's phenomenon
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Chest discomfort
         subjects affected / exposed
    2 / 11 (18.18%)
         occurrences all number
    2
    Fatigue
         subjects affected / exposed
    5 / 11 (45.45%)
         occurrences all number
    5
    Oedema
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Oedema peripheral
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Peripheral swelling
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    3 / 11 (27.27%)
         occurrences all number
    4
    Dyspnoea
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Epistaxis
         subjects affected / exposed
    2 / 11 (18.18%)
         occurrences all number
    2
    Nasal congestion
         subjects affected / exposed
    2 / 11 (18.18%)
         occurrences all number
    2
    Cardiac disorders
    Palpitations
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Nervous system disorders
    Ageusia
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Anosmia
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Dizziness
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Paraesthesia
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    2
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Lymphopenia
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Neutropenia
         subjects affected / exposed
    2 / 11 (18.18%)
         occurrences all number
    2
    Ear and labyrinth disorders
    Ear discomfort
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Gastrointestinal disorders
    Abdominal discomfort
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Abdominal distension
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Diarrhoea
         subjects affected / exposed
    7 / 11 (63.64%)
         occurrences all number
    18
    Gastrooesophageal reflux disease
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Large intestine polyp
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Nausea
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    4
    Oesophageal discomfort
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Oesophageal pain
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Tooth disorder
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Vomiting
         subjects affected / exposed
    2 / 11 (18.18%)
         occurrences all number
    4
    Skin and subcutaneous tissue disorders
    Erythema
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Pruritus
         subjects affected / exposed
    2 / 11 (18.18%)
         occurrences all number
    2
    Pruritus generalised
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Rash
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Skin ulcer
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Renal and urinary disorders
    Micturition urgency
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Nephrolithiasis
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Musculoskeletal and connective tissue disorders
    Foot deformity
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Muscle spasms
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Temporomandibular joint syndrome
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Infections and infestations
    Chronic sinusitis
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Conjunctivitis
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Helicobacter infection
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Nasopharyngitis
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Respiratory tract infection
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Sinusitis
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Tooth infection
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    1
    Upper respiratory tract infection
         subjects affected / exposed
    2 / 11 (18.18%)
         occurrences all number
    9
    Urinary tract infection
         subjects affected / exposed
    2 / 11 (18.18%)
         occurrences all number
    5
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    2 / 11 (18.18%)
         occurrences all number
    2
    Hyperglycaemia
         subjects affected / exposed
    1 / 11 (9.09%)
         occurrences all number
    2

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    10 Nov 2011
    Added disease assessments to the section ‘Transition Visit’; Removed central lab wording from ‘Clinical Laboratory Assessments’ because central labs were not used; Incorporated liver function tests into the clinical chemistries table to insure that liver function tests were to be administered whenever clinical chemistries were due; Updated the AE monitoring language to mention that the AEs will be monitored till the final study visit.; Updated to mention that the subject must be withdrawn from the study if there was a third dose reduction or reduction of dose below 75 mg; Added standard acetaminophen protein adduct testing to liver event follow-up assessments; Updated the list of prohibited and cautionary medications; Updated the section for non-drug therapies to mention that the administration of herbal medication (which was prohibited during study) was to be recorded in the eCRF; Added definition of disease state, response criteria and response definition for Langerhans cell histocytosis (LCH)
    30 Sep 2014
    IR tablet description was added because the formulation was changed to tablet from capsule. The protocol description, synopsis, study treatments and dosage/administration sections were all updated to reflect this change; The introduction, summary of risk management, supportive measures for hyperglycemia, management of diarrhea, rash, dyspepsia, mucositis, liver chemistry stopping criteria, drug restart/rechallenge, con meds and non-drug therapies, meals and dietary restrictions and liver safety drug restart guidelines sections have all been updated with the latest information; Multiple myeloma specific disease assessments were added; AE follow-up was shortened to 30 days.
    31 Mar 2016
    After the acquisition of GSK compound GSK2110183 (afuresertib), the purpose of this protocol Amendment 03 was to: Delete or replace references to GSK or its staff with that of Novartis and its authorized agents to align with the change of sponsorship; Make administrative changes to align with Novartis processes and procedures.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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