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Last Updated: December 19, 2025

CLINICAL TRIALS PROFILE FOR CAPIVASERTIB


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All Clinical Trials for CAPIVASERTIB

Trial ID Title Status Sponsor Phase Start Date Summary
NCT02208375 ↗ mTORC1/2 Inhibitor AZD2014 or the Oral AKT Inhibitor AZD5363 for Recurrent Endometrial and Ovarian Active, not recruiting AstraZeneca Phase 1/Phase 2 2014-11-11 This phase Ib/II trial studies the side effects and best dose of olaparib and vistusertib (AZD2014) or olaparib and capivasertib (AZD5363) when given together in treating patients with endometrial, triple negative breast cancer, ovarian, primary peritoneal, or fallopian tube cancer that has come back (recurrent). Olaparib, vistusertib, and capivasertib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
NCT02208375 ↗ mTORC1/2 Inhibitor AZD2014 or the Oral AKT Inhibitor AZD5363 for Recurrent Endometrial and Ovarian Active, not recruiting National Cancer Institute (NCI) Phase 1/Phase 2 2014-11-11 This phase Ib/II trial studies the side effects and best dose of olaparib and vistusertib (AZD2014) or olaparib and capivasertib (AZD5363) when given together in treating patients with endometrial, triple negative breast cancer, ovarian, primary peritoneal, or fallopian tube cancer that has come back (recurrent). Olaparib, vistusertib, and capivasertib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
NCT02208375 ↗ mTORC1/2 Inhibitor AZD2014 or the Oral AKT Inhibitor AZD5363 for Recurrent Endometrial and Ovarian Active, not recruiting M.D. Anderson Cancer Center Phase 1/Phase 2 2014-11-11 This phase Ib/II trial studies the side effects and best dose of olaparib and vistusertib (AZD2014) or olaparib and capivasertib (AZD5363) when given together in treating patients with endometrial, triple negative breast cancer, ovarian, primary peritoneal, or fallopian tube cancer that has come back (recurrent). Olaparib, vistusertib, and capivasertib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
NCT02423603 ↗ PAKT: AZD5363 in Combination With Paclitaxel in Triple-Negative Advanced or Metastatic Breast Cancer Active, not recruiting AstraZeneca Phase 2 2014-05-01 PAKT was an investigator-led, placebo-controlled, randomized phase II trial performed in 42 academic medical centers in the United Kindom, South Korea, France, Hungary, Romania, and Georgia. Patients were randomly assigned (1:1) to receive paclitaxel plus capivasertib or paclitaxel plus placebo. Stratification was by number of metastatic sites (< 3 v ≥ 3) and interval from the end of prior adjuvant or neoadjuvant chemotherapy (≤ 12 v > 12 months v no prior chemotherapy). Paclitaxel was administered as a once-per-week intravenous infusion of 90 mg/m2 over approximately 1 hour on days 1, 8, and 15 of each 28-day treatment cycle. Capivasertib 400 mg or placebo was administered orally twice per day on an intermittent weekly dosing schedule, with treatment on days 2 to 5 of weeks 1, 2, and 3 within each 28-day cycle. All treatments were continued until disease progression, development of unacceptable toxicity, or withdrawal of consent. If paclitaxel treatment was discontinued before disease progression, patients could continue to receive capivasertib or placebo alone. In case of adverse events (AEs), capivasertib or placebo could be reduced to 320 mg twice per day and subsequently to 240 mg twice per day. Capivasertib or placebo could be interrupted for up to 4 weeks for toxicity. Tumor assessments included computed tomography scanning or magnetic resonance imaging of the chest, abdomen, and pelvis at baseline, every 8 weeks during treatment, and at progression. Patients who discontinued treatment for any reason other than progression were required to follow the same schedule of assessments until progression, initiation of another treatment, death, or withdrawal of consent.
NCT02423603 ↗ PAKT: AZD5363 in Combination With Paclitaxel in Triple-Negative Advanced or Metastatic Breast Cancer Active, not recruiting Cancer Research UK Phase 2 2014-05-01 PAKT was an investigator-led, placebo-controlled, randomized phase II trial performed in 42 academic medical centers in the United Kindom, South Korea, France, Hungary, Romania, and Georgia. Patients were randomly assigned (1:1) to receive paclitaxel plus capivasertib or paclitaxel plus placebo. Stratification was by number of metastatic sites (< 3 v ≥ 3) and interval from the end of prior adjuvant or neoadjuvant chemotherapy (≤ 12 v > 12 months v no prior chemotherapy). Paclitaxel was administered as a once-per-week intravenous infusion of 90 mg/m2 over approximately 1 hour on days 1, 8, and 15 of each 28-day treatment cycle. Capivasertib 400 mg or placebo was administered orally twice per day on an intermittent weekly dosing schedule, with treatment on days 2 to 5 of weeks 1, 2, and 3 within each 28-day cycle. All treatments were continued until disease progression, development of unacceptable toxicity, or withdrawal of consent. If paclitaxel treatment was discontinued before disease progression, patients could continue to receive capivasertib or placebo alone. In case of adverse events (AEs), capivasertib or placebo could be reduced to 320 mg twice per day and subsequently to 240 mg twice per day. Capivasertib or placebo could be interrupted for up to 4 weeks for toxicity. Tumor assessments included computed tomography scanning or magnetic resonance imaging of the chest, abdomen, and pelvis at baseline, every 8 weeks during treatment, and at progression. Patients who discontinued treatment for any reason other than progression were required to follow the same schedule of assessments until progression, initiation of another treatment, death, or withdrawal of consent.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for CAPIVASERTIB

Condition Name

Condition Name for CAPIVASERTIB
Intervention Trials
Metastatic Breast Cancer 4
Breast Cancer 4
Recurrent Uterine Corpus Cancer 2
Advanced Malignant Solid Neoplasm 2
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Condition MeSH

Condition MeSH for CAPIVASERTIB
Intervention Trials
Breast Neoplasms 14
Prostatic Neoplasms 5
Neoplasms 4
Lymphoma 3
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Clinical Trial Locations for CAPIVASERTIB

Trials by Country

Trials by Country for CAPIVASERTIB
Location Trials
United States 272
Canada 21
United Kingdom 8
France 7
Korea, Republic of 7
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Trials by US State

Trials by US State for CAPIVASERTIB
Location Trials
Texas 14
California 11
Tennessee 10
New York 9
Maryland 9
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Clinical Trial Progress for CAPIVASERTIB

Clinical Trial Phase

Clinical Trial Phase for CAPIVASERTIB
Clinical Trial Phase Trials
PHASE3 3
PHASE2 3
PHASE1 2
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Clinical Trial Status

Clinical Trial Status for CAPIVASERTIB
Clinical Trial Phase Trials
Recruiting 21
Active, not recruiting 3
Completed 3
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Clinical Trial Sponsors for CAPIVASERTIB

Sponsor Name

Sponsor Name for CAPIVASERTIB
Sponsor Trials
AstraZeneca 23
Parexel 5
National Cancer Institute (NCI) 5
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Sponsor Type

Sponsor Type for CAPIVASERTIB
Sponsor Trials
Industry 36
Other 13
NIH 5
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Clinical Trials Update, Market Analysis, and Projection for Capivasertib

Last updated: October 26, 2025


Introduction

Capivasertib, also known by its development code AZD5363, is an investigational oral AKT kinase inhibitor developed by AstraZeneca. Targeting the PI3K/AKT/mTOR pathway—crucial in cell proliferation, survival, and metabolic regulation—Capivasertib has garnered significant attention within oncology drug development. This analysis summarizes recent clinical trial progress, evaluates market dynamics, and provides future projections based on current data.


Clinical Trials Update

Development Overview

Capivasertib is primarily evaluated for its efficacy across various cancers, notably breast, ovarian, endometrial, prostate, and lung cancers. The drug functions by inhibiting AKT isoforms 1, 2, and 3, disrupting a pathway frequently dysregulated in tumors.

Recent Clinical Trial Progress

1. Breast Cancer

  • Phase II/III Trials: AstraZeneca is advancing Capivasertib in combination with other agents for hormone receptor-positive (HR+), HER2-negative breast cancer. Notably, the PEARL trial evaluated its efficacy in combination with fulvestrant in patients with PIK3CA-mutant, AI-resistant advanced breast cancer. Preliminary results indicated improved progression-free survival (PFS) compared to standard therapies (clinicaltrials.gov NCT03057694[1]).

  • Results Snapshot: Data presented at ASCO 2022 showed that combining Capivasertib with fulvestrant extended median PFS to 7.4 months versus 3.6 months in the control arm, with manageable toxicity profiles, leading to FDA priority review[2].

2. Endometrial and Ovarian Cancers

  • Several early-phase trials (Phase I/II) explore Capivasertib's activity in endometrial and ovarian cancer, with promising preliminary responses, especially in tumors harboring PIK3CA mutations or PTEN loss.

3. Prostate and Non-Small Cell Lung Cancer (NSCLC)

  • Early data suggest potential utility of Capivasertib in PTEN-deficient prostate and lung cancers, but comprehensive trial results remain pending.

Ongoing and Upcoming Trials

  • Futoure trials: AstraZeneca continues to enroll patients in pivotal studies, including CAPItello-291 (NCT04882615), evaluating Capivasertib plus fulvestrant in HR+/HER2- metastatic breast cancer (Phase III).

  • Other cancer types: Trials are extending into combination regimens with PARP inhibitors, immunotherapies, and chemotherapeutics to enhance efficacy across sets of resistant tumors.

Market Analysis

Current Market Landscape

The oncology kinase inhibitor market is expanding rapidly, driven by the growing understanding of molecular drivers and targeted therapies’ success. Capivasertib’s primary competitors include:

  • Ibrance (palbociclib)
  • Alpelisib (PI3Kα inhibitor)
  • Capivasertib's competitors specifically include other AKT inhibitors like Miransertib (ARQ 092) and Ipatasertib (GSK2110183)**.

Market size estimate for AKT inhibitors:

In 2022, the global oncology kinase inhibitors market was valued at approximately $52 billion, projected to grow at a CAGR of 8-10% through 2030[3]. The AKT inhibitor segment, though smaller, is expected to expand notably with successful clinical validation of agents like Capivasertib.

Drivers of Market Growth

  • Unmet Clinical Needs: Limited options for PIK3CA-mutant tumors resistant to standard therapies create demand.

  • Personalized Oncology: Biomarker-driven patient selection facilitates targeted therapy success, boosting market penetration.

  • Regulatory Advances: AstraZeneca’s progress toward FDA and EMA submissions could accelerate adoption.

Challenges

  • Toxicity Concerns: Managing adverse effects such as hyperglycemia is essential to sustain clinical utility.

  • Competition and Differentiation: Differentiating Capivasertib from other inhibitors, especially kinase inhibitors with proven efficacy, remains critical.

  • Biomarker Validation: Precise patient selection hinges on reliable biomarkers, necessitating robust companion diagnostics.

Market Projection

Based on current clinical progress, regulatory pathways, and market dynamics, AstraZeneca’s Capivasertib could achieve significant commercial penetration within breast cancer and potentially other solid tumors by 2025-2028.

  • Projected Revenue: Conservative estimates suggest reaching $500-$700 million globally by 2028, assuming successful regulatory approval in key indications, with growth potential in combination therapies reaching over $1 billion.

  • Geographical Expansion: North America and Europe will dominate initial adoption, with rapid expansion into Asia-Pacific markets driven by increasing oncology incidence and healthcare infrastructure.

  • Partnerships and Licensing: Collaborations with biotech firms or pharmaceutical companies crafting diagnostic tools or combination regimens could further accelerate market penetration.

Future Outlook and Strategic Opportunities

  • Biomarker Development: Enhancing companion diagnostics for PIK3CA mutation and PTEN deficiency will refine patient targeting, increasing therapeutic efficacy and market acceptance.

  • Combination Therapy Expansion: Demonstrating synergistic benefits with immunotherapies and other targeted agents will broaden clinical and commercial applications.

  • Regulatory Milestones: Achieving accelerated approval and gaining companion diagnostic approval will be pivotal for market success.

  • Long-term Potential: As understanding of the PI3K/AKT/mTOR pathway deepens, Capivasertib may find roles in earlier lines of therapy or adjuvant settings, extending its market lifespan.


Key Takeaways

  • Clinical Validation: Capivasertib shows promising efficacy in PIK3CA-mutant breast and other cancers, with ongoing pivotal trials poised to support regulatory approval.

  • Market Potential: The expanding oncology kinase inhibitor market, combined with biomarker-driven approaches, positions Capivasertib as a significant competitor by the late 2020s, with projected revenues nearing $1 billion.

  • Strategic Focus: Prioritizing biomarker validation, navigating regulatory pathways efficiently, and establishing robust combination regimens remain critical for commercial success.

  • Challenges: Managing adverse effects, competition, and the need for precise patient selection are key hurdles to overcome.

  • Future Outlook: With successful trial outcomes and regulatory approval, Capivasertib could reshape treatment paradigms in PIK3CA-driven cancers, particularly breast cancer.


FAQs

1. What is the current regulatory status of Capivasertib?
As of early 2023, Capivasertib is undergoing review in several jurisdictions for specific indications like HR+/HER2- advanced breast cancer, with promising interim data supporting potential approvals.

2. Which cancer types are most promising for Capivasertib use?
The most promising cancers include PIK3CA-mutant breast cancer, endometrial, ovarian, and prostate cancers, where PI3K/AKT pathway dysregulation is prevalent.

3. What are the main adverse effects associated with Capivasertib?
Common adverse effects include hyperglycemia, rash, diarrhea, fatigue, and nausea. Proper management strategies are integral to treatment protocols.

4. How does Capivasertib compare to other AKT inhibitors?
While efficacy data are preliminary, Capivasertib’s specificity, clinical trial progression, and combination potential position it favorably relative to competitors like Ipatasertib, especially in biomarker-selected populations.

5. What are the key factors influencing Capivasertib's market success?
Major influences include the robustness of clinical efficacy data, regulatory approval, biomarker validation, management of side effects, and strategic partnerships for combination therapies.


Sources

[1] clinicaltrials.gov. PEARL study, NCT03057694.
[2] ASCO 2022. Capivasertib + Fulvestrant data in breast cancer.
[3] MarketsandMarkets. Oncology kinase inhibitors market report, 2022.


This analysis offers a comprehensive, data-driven view of Capivasertib’s clinical development and market potential, aiming to support strategic decision-making in pharmaceutical and investment domains.

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