Evidence map›Paper›PMID 38729054›Full record

Trial reportEuropean journal of cancer (Oxford, England : 1990)2024

Capivasertib in combination with enzalutamide for metastatic castration resistant prostate cancer after docetaxel and abiraterone: Results from the randomized phase II RE-AKT trial.

Pasquale Rescigno, Nuria Porta, Laura Finneran, Ruth Riisnaes, Ines Figueiredo, Suzanne Carreira, Penny Flohr, Susana Miranda, Claudia Bertan, Ana Ferreira and 19 more

Abstract readClinical Trial, Phase IIRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in European journal of cancer (Oxford, England : 1990), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. A renaissance in targeting the PI3K/AKT/mTOR pathway.Nature reviews. Drug discovery · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

29 authors.

Pasquale RescignoThe Institute of Cancer Research, London, UK; The Royal Marsden NHS Foundation Trust, London, UK; Newcastle University, Newcastle upon Tyne, UK.
Nuria PortaThe Institute of Cancer Research, London, UK.
Laura FinneranThe Institute of Cancer Research, London, UK.
Ruth RiisnaesThe Institute of Cancer Research, London, UK.
Ines FigueiredoThe Institute of Cancer Research, London, UK.
Suzanne CarreiraThe Institute of Cancer Research, London, UK.
Penny FlohrThe Institute of Cancer Research, London, UK.
Susana MirandaThe Institute of Cancer Research, London, UK.
Claudia BertanThe Institute of Cancer Research, London, UK.
Ana FerreiraThe Institute of Cancer Research, London, UK.
Mateus CrespoThe Institute of Cancer Research, London, UK.
Daniel Nava RodriguesThe Institute of Cancer Research, London, UK.
Bora GurelThe Institute of Cancer Research, London, UK.
Jenny NobesNorfolk & Norwich Hospital, Norwich, UK.
Simon CrabbUniversity Hospital Southampton NHS Foundation Trust, Southampton, UK.
Zafar MalikThe Clatterbridge Cancer Centre, Liverpool, UK.
Christy RalphSt James's University Hospital, Leeds, UK.
Ursula McGovernUniversity College Hospital, London, UK.
Peter HoskinMount Vernon Cancer Centre, Northwood, UK.
Robert J JonesUniversity of Glasgow, Beatson West of Scotland Cancer Centre, Glasgow, UK.
Alison BirtleRosemere Cancer Centre, Lancashire Teaching Hospitals, Preston, UK; University of Manchester, Manchester, UK; University of Central Lancashire, Preston, UK.
Joanna GaleQueen Alexandra Hospital, Portsmouth, UK.
Peter SankeyUniversity Hospitals Plymouth, Plymouth, UK.
Suneil JainQueen's University Belfast, Belfast, UK.
Duncan McLarenWestern General Hospital, Edinburgh, UK.
Eliot ChadwickNottingham City Hospital, Nottingham, UK.
Aude EspinasseThe Institute of Cancer Research, London, UK.
Emma HallThe Institute of Cancer Research, London, UK.
Johann de BonoThe Institute of Cancer Research, London, UK; The Royal Marsden NHS Foundation Trust, London, UK. Electronic address: johann.de-bono@icr.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPTEN loss and aberrations in PI3K/AKT signaling kinases associate with poorer response to abiraterone acetate (AA) in metastatic castration-resistant prostate cancer (mCRPC). In this study, we assessed antitumor activity of the AKT inhibitor capivasertib combined with enzalutamide in mCRPC with prior progression on AA and docetaxel.

methodsThis double-blind, placebo-controlled, randomized phase 2 trial, recruited men ≥ 18 years with progressing mCRPC and performance status 0-2 from 15 UK centers. Randomized participants (1:1) received enzalutamide (160 mg orally, once daily) with capivasertib (400 mg)/ placebo orally, twice daily on an intermittent (4 days on, 3 days off) schedule. Primary endpoint was composite response rate (RR): RECIST 1.1 objective response, ≥ 50 % PSA decrease from baseline, or circulating tumor cell count conversion (from ≥ 5 at baseline to < 5 cells/7.5 mL). Subgroup analyses by PTEN

resultsOverall, 100 participants were randomized (50:50); 95 were evaluable for primary endpoint (47:48); median follow-up was 43 months. RR were 9/47 (19.1 %) enzalutamide/capivasertib and 9/48 (18.8 %) enzalutamide/placebo (absolute difference 0.4 % 90 %CI -12.8 to 13.6, p = 0.58), with similar results in the PTEN

conclusionsCombined capivasertib/enzalutamide was well tolerated but didn't significantly improve outcomes from abiraterone pre-treated mCRPC.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBenzamidesDocetaxelNitrilesPhenylthiohydantoinProstatic Neoplasms, Castration-ResistantPyrimidinesAgedAged, 80 and overAndrostenesDouble-Blind MethodHumansMaleMiddle AgedPyrrolesabirateroneAndrostenesBenzamidescapivasertibDocetaxelenzalutamideNitrilesPhenylthiohydantoinPyrimidinesPyrrolesAKT-inhibitorEnzalutamidePhase II randomized trialProstate cancerPTEN

Identifiers

PMID38729054
PMCPMC11181075

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.