Evidence map›Paper›PMID 41651834›Full record

ArticleNature communications2026

Afuresertib plus fulvestrant for pretreated HR-positive, HER2-negative, advanced breast cancer: a phase Ib trial.

Pin Zhang, Tao Sun, Ying Wang, Wei Li, Zhongsheng Tong, Sneha Phadke, Trevor Feinstein, Wenyue Ma, Pengfei Guo, Minhua Zhang and 2 more

Registry-linked trialAbstract readClinical Trial, Phase I
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04851613 (A Phase Ib/III Study to Evaluate the Efficacy and Safety of Afuresertib Plus Fulvestrant in Patients With Locally Advanced or Metastatic HR+/HER2- Breast Cancer Who Failed Standard of Care Therapies), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

NCT04851613 phase3active not recruitingnot on this map

A Phase Ib/III Study to Evaluate the Efficacy and Safety of Afuresertib Plus Fulvestrant in Patients With Locally Advanced or Metastatic HR+/HER2- Breast Cancer Who Failed Standard of Care Therapies

TypeinterventionalSponsorLaekna LimitedRan2022 to 2026Enrolled256ConditionsBreast CancerArmsAfuresertib, Afuresertib/placebo
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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

12 authors.

Pin ZhangMedical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Tao SunBreast Medicine, Liaoning Cancer Hospital, Shenyang, China.ORCID 0000-0001-5931-386X
Ying WangGynecology Department, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, China.
Wei LiOncology Department, Oncology Center, The First Bethune Hospital of Jilin University, Changchun, China.
Zhongsheng TongBreast Oncology Department, Tianjin Cancer Hospital, Tianjin, China.
Sneha PhadkeInternal Medicine, University of Iowa Health Care, Holden Comprehensive Cancer Center, Iowa City, IA, USA.
Trevor FeinsteinMedical Oncology, Piedmont Cancer Institute, Atlanta, GA, USA.
Wenyue MaDepartment of Medicine, Laekna Therapeutics Shanghai Co., Ltd, Shanghai, China.ORCID 0009-0005-1196-8791
Pengfei GuoDepartment of Statistics, Laekna Therapeutics Shanghai Co., Ltd, Shanghai, China.
Minhua ZhangDepartment of Research, Laekna Therapeutics Shanghai Co., Ltd, Shanghai, China.
Yong YueDepartment of Medicine, Laekna Therapeutics Shanghai Co., Ltd, Shanghai, China.
Binghe XuMedical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. xubinghe@medmail.com.cn.ORCID 0000-0003-4195-337X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This single-arm, phase Ib trial evaluated the antitumor activities and safety of afuresertib (a pan AKT inhibitor) plus fulvestrant for previously treated HR-positive, HER2-negative advanced breast cancer. Eligible patients received afuresertib at 125 mg/day and fulvestrant at 500 mg on days 1, 15, and 29, and every 28 days thereafter during safety run-in and, in the absence of serious toxicities, subsequent 4-week cycles. The trial enrolled 31 patients (median age 54 years; 30 women); 20 received prior CDK4/6 inhibitor therapy. The primary endpoint of investigators-assessed objective response rate was 25.8% (8/31; 90% CI 13.5-41.8). Nine patients (29.0%) had grade 3 or worse adverse events. No death due to adverse event occurred. In conclusion, afuresertib plus fulvestrant was well-tolerated and had promising antitumor activities against pretreated, advanced HR-positive, HER2-negative breast cancer, supporting further studies with randomized controlled trials. This trial is registered with ClinicalTrials.gov (NCT04851613).

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsErb-b2 Receptor Tyrosine KinasesEstradiolAdultAgedFemaleFulvestrantHumansMiddle AgedTreatment OutcomeERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesEstradiolFulvestrant

Identifiers

PMID41651834
PMCPMC12992602

What OpenQuestion holds

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Registered trials

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.