Study Assessing the Efficacy and Safety of Alpelisib + Nab-paclitaxel in Subjects With Advanced TNBC Who Carry Either a PIK3CA Mutation or Have PTEN Loss

NCT04251533 · EPIK-B3 Phase 3Terminated

Lead sponsor
Novartis Pharmaceuticals (Industry)
Enrollment
137 (actual)
Start date
8 Jun 2020
Primary completion
31 May 2023 (actual)
Study completion
5 Feb 2026
Last update posted
10 Sep 2026

Design

Study type
Interventional
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel
Masking
Double
Arms
3

Interventions

  • alpelisib Drug
  • placebo Drug
  • nab-paclitaxel Drug

Conditions and primary outcome

  • Triple Negative Breast Neoplasms

Primary outcome

Progression-free Survival (PFS) Per Investigator Assessment in Study Part A (Once all participants have completed at least 6 months of study treatment or have discontinued from study treatment, up to 35 months); Overall Response Rate (ORR) Based on Local Radiology Assessments in Participants With Measurable Disease at Baseline in Study Part B1 (Up to 6 months)

Posted results on ClinicalTrials.gov

Source: ClinicalTrials.gov results for NCT04251533 (opens in a new tab)· Licence: public-domain

First posted · Last update posted · Imported from ClinicalTrials.gov download 2026-10-25

Primary outcomes with a statistical analysis

  1. Progression-free Survival (PFS) Per Investigator Assessment in Study Part A

    Time frame
    Once all participants have completed at least 6 months of study treatment or have discontinued from study treatment, up to 35 months
    Measure
    Median
    Unit
    months
    • Part A: Alpelisib + Nab-paclitaxel vs Part A: Placebo + Nab-paclitaxelSuperiority

      Estimate
      1.49Hazard Ratio (HR)
      95% CI, two-sided
      0.92 to 2.41
      p-value
      Not given
      Method
      Regression, Cox

Serious adverse events

Time frame: Adverse events were collected up to approximately 28 months (Part A) or up to approximately 17 months (Part B1). Deaths were collected in the post-treatment survival follow-up from 31 days after last dose of study medication until the data cut-off date, up to approximately 7 additional months (Part A) or approximately 9 additional months (Part B1). These were not considered AEs.

Participants with serious adverse events per group for EPIK-B3, as posted
GroupAffectedAt risk
Part A: Alpelisib + Nab-paclitaxelEdit2252
Part A: Placebo + Nab-paclitaxelEdit1550
Part B1: Alpelisib + Nab-paclitaxelEdit1435
Part A: Alpelisib + Nab-paclitaxel (Post-treatment Survival Follow-up)00
Part A: Placebo + Nab-paclitaxel (Post-treatment Survival Follow-up)00
Part B1: Alpelisib + Nab-paclitaxel (Post-treatment Survival Follow-up)00

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Source: ClinicalTrials.gov, U.S. National Library of Medicine. Listing a study does not mean NLM has evaluated it.

Results from company and journal sources

No editor-confirmed results are on record for this study.

Publications

No PubMed citation lists NCT04251533.

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Data integrity

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Source

Source: ClinicalTrials.gov, U.S. National Library of Medicine. Listing a study does not mean NLM has evaluated it.

Nothing on this page is medical or investment advice.