Evidence map›Paper›PMID 40939237›Full record

ArticleESMO open2025

A phase I study of AZD8186 in combination with docetaxel in patients with PTEN-mutated or PIK3CB-mutated advanced solid tumors.

A M Schram, N Takebe, A Chen, Q Zhou, A Iasonos, J Silber, M Reynolds, S Hussain, M Gavriliuc, L M Smyth and 2 more

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

Article in ESMO open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03218826 (A Phase I Study of AZD8186 in Combination With Docetaxel in Patients With PTEN Mutated or PIK3CB Mutated Advanced Solid Tumors, Potentially Amenable to Docetaxel), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT03218826 phase1completednot on this map

A Phase I Study of AZD8186 in Combination With Docetaxel in Patients With PTEN Mutated or PIK3CB Mutated Advanced Solid Tumors, Potentially Amenable to Docetaxel

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2018 to 2025Enrolled23ConditionsAdvanced Breast Carcinoma, Advanced Malignant Solid Neoplasm, Advanced Prostate Carcinoma, Anatomic Stage III Breast Cancer AJCC v8ArmsDocetaxel, Laboratory Biomarker Analysis, Pharmacological Study, PI3Kbeta Inhibitor AZD8186
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
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.

A M SchramMemorial Sloan Kettering Cancer Center, New York, USA; Weill Cornell Medical College, New York, USA. Electronic address: Schrama@mskcc.org.
N TakebeNational Cancer Institute, Bethesda, USA.
A ChenNational Cancer Institute, Bethesda, USA.
Q ZhouMemorial Sloan Kettering Cancer Center, New York, USA.
A IasonosMemorial Sloan Kettering Cancer Center, New York, USA.
J SilberMemorial Sloan Kettering Cancer Center, New York, USA.
M ReynoldsMemorial Sloan Kettering Cancer Center, New York, USA.
S HussainThe University of Texas MD Anderson Cancer Center, Houston, USA.
M GavriliucThe University of Texas MD Anderson Cancer Center, Houston, USA.
L M SmythEli Lilly and Company, Indianapolis, USA.
D GarrisonJohns Hopkins Sidney Kimmel Comprehensive Cancer Center, Baltimore, USA.
E E DumbravaThe University of Texas MD Anderson Cancer Center, Houston, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI WILLIAM George NELSON · 1985 to 2026
$208.6M
The Johns Hopkins Translational Science Team for the ET-CTNUM1CA186691 · NCI · JOHNS HOPKINS UNIVERSITY · PI Jan Hendrik Beumer, Michael A Carducci · 2014 to 2026
$21.9M
The Chesapeake-Ohio Pharmacokinetics Core for The ETCTNU24CA247648 · NCI · JOHNS HOPKINS UNIVERSITY · PI Jan Hendrik Beumer, Mitch A Phelps · 2020 to 2026
$3.6M
NCI NIH HHS P30 CA006973NCI NIH HHS P30 CA008748NCI NIH HHS U24 CA247648NCI NIH HHS UM1 CA186691
6 · The paper itself

Abstract

backgroundLoss of PTEN activity is common in solid tumors and promotes cancer growth through activation of the PI3K pathway. PTEN-deficient tumors have increased dependence on PI3Kβ and are sensitive to PI3Kβ inhibition in preclinical models. Efficacy is further enhanced by the addition of taxane chemotherapy. We conducted a phase I trial of AZD8186, a small molecule inhibitor of PI3Kβ and PI3Kδ, in combination with docetaxel (Taxotere) (NCI 10131; NCT03218826). MATERIAL AND

methodsPatients with advanced PTEN- or PIK3CB-mutated solid tumors identified through local testing were eligible. Treatment included docetaxel intravenously every 21 days and AZD8186 orally twice daily, 5 days on and 2 days off. Primary objectives were safety, tolerability, and maximum tolerated dose (MTD) as determined by a 3 + 3 dose-escalation design. Secondary objectives included assessment of antitumor activity.

resultsTwenty-three patients were enrolled with 11 distinct tumor types across 5 dose levels. Clinically significant neutropenia led to dose-level adjustment and the addition of prophylactic growth factor. The MTD was not reached and AZD8186 120 mg twice daily with docetaxel 75 mg/m

conclusionsThe combination of AZD8186 and docetaxel was generally well tolerated, with the exception of neutropenia, which was effectively managed with the use of growth factor. Limited clinical activity was observed.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsDocetaxelNeoplasmsPTEN PhosphohydrolaseAdultAgedFemaleHumansMaleMaximum Tolerated DoseMiddle AgedMutationDocetaxelPTEN PhosphohydrolasePTEN protein, humanAZD8186basket trialdocetaxelneutropeniaPIK3CBPTENsolid tumor

Identifiers

PMID40939237
PMCPMC12529303

What Socratic holds

Textmetadata
LicenceCC BY
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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 Socratic graph.