MK2206 in Treating Patients With Stage I, Stage II, or Stage III Breast Cancer
Condition: Estrogen Receptor Negative; Estrogen Receptor Positive; HER2/Neu Negative; HER2/Neu Positive; Progesterone Receptor Negative; Progesterone Receptor Positive; Stage IA Breast Cancer; Stage IB Breast Cancer; Stage IIA Breast Cancer; Stage IIB Breast Cancer; Stage IIIA Breast Cancer; Stage IIIB Breast Cancer; Stage IIIC Breast Cancer; Triple-Negative Breast Carcinoma
MeSH terms: Breast Neoplasms
Intervention: Akt Inhibitor MK2206; Therapeutic Conventional Surgery; Pharmacological Study; Laboratory Biomarker Analysis
Intervention description: Given PO; Undergo surgery; Correlative studies; Correlative studies
Phase: Phase 2
Study type: Interventional
Primary purpose: Treatment
Intervention model: Single Group Assignment
Masking: None (Open Label)
Enrollment: 12.0
Sex: Female
Minimum age: 18 Years
Healthy volunteers: No

Summary:

      This phase II trial is studies how well Akt inhibitor MK2206 works in treating patients with
      stage I-III breast cancer that can be removed by surgery. Akt inhibitor MK2206 may stop the
      growth of tumor cells by blocking some of the enzymes needed for cell growth.
    

Eligibility criteria:

        Inclusion Criteria:

          -  Patients must have histologically-confirmed operable invasive breast cancer and have
             undergone core needle biopsy with an anticipated surgical resection for residual
             disease after enrollment

          -  Patients must have clinical stage I-III invasive breast (invasive tumor must be
             clinically at least >= T1c by radiograph or palpation)

          -  Patients must have available tissue from core biopsies for biomarker assessment; it is
             recommended that at least 4 cores be performed with 12 gauge (or smaller gauge)
             needles; this includes cores underneath ultrasound-guidance

          -  Patients are planning to undergo surgical treatment with either segmental resection or
             total mastectomy (required: 2 doses of weekly MK-2206 prior to surgery; the first dose
             will be at day -9 [+/- 1 day] and second dose at day -2 [+/- 1 day] in relation to
             surgery [day 0])

          -  Patients may have a history of contralateral breast cancer, provided there is no
             evidence of recurrence of the initial primary breast cancer

          -  Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status of
             0-1 (Karnofsky >= 80%)

          -  Leukocytes >= 3,000/ul within 28 days of registration

          -  Platelets >= 100,000 /uL within 28 days of registration

          -  Hemoglobin (Hgb) >= 9 g/dL within 28 days of registration

          -  Creatinine =< 1.5 x upper limit of normal (ULN) within 28 days of registration

          -  Prothrombin time (PT), partial thromboplastin time (PTT) =< 1.2 x ULN within 28 days
             of registration

          -  Total bilirubin =< 1.5 x ULN within 28 days of registration

          -  Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) < 2.5 x ULN within
             28 days of registration

          -  Patients of childbearing potential must have a negative serum or urine pregnancy test
             beta-human chorionic gonadotropin (β-hCG) within 72 hours prior to receiving the first
             dose of study medication

          -  Women of childbearing potential and men must use two forms of contraception (hormonal
             or barrier method of birth control; abstinence) prior to study entry and for the
             duration of study participation; should a woman become pregnant or suspect she is
             pregnant while she or her partner is participating in this study, the patient should
             inform the treating physician immediately

          -  Patient must be able to swallow oral tablets

          -  Ability to understand and the willingness to sign a written informed consent document

          -  Patients must agree to biomarker assessment of pre-treatment diagnostic core biopsy
             tissue and the surgical resection tissue (i.e. excision or mastectomy); also, must
             agree to pre- and post-treatment fasting blood biomarker collection

        Exclusion Criteria:

          -  Patients may not have any known evidence of distant metastatic disease (i.e., lung,
             liver, bone, or brain metastases) or locally recurrent breast cancer

          -  Patients with inflammatory breast cancer are not eligible

          -  Patients with prior chemotherapy or radiation therapy within 6 months of study entry
             are not eligible (i.e. patient who have received neoadjuvant therapy are not eligible)

          -  Patients may not be receiving any other investigational agents, including other
             inhibitors of PI3K, Akt, or mammalian target of rapamycin (mTOR)

          -  Men diagnosed with breast cancer

          -  Patients may not have a history of allergic reactions attributed to compounds of
             similar chemical or biologic composition to MK-2206 used in the study

          -  Patients with known diabetes which is poorly controlled diabetes (hemoglobin A1c
             [HBA1C] >= 8%) should be excluded; if patient is taking metformin, must have been
             taking this medication for > 3 months, as metformin is thought to impact PI3K/Akt
             signaling

          -  Baseline corrected QT interval (QTc) > 470 msec will exclude patients from entry on
             study; patients with a baseline bundle branch block will be excluded

          -  Uncontrolled intercurrent illness including, but not limited to, ongoing or active
             infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac
             arrhythmia, or psychiatric illness/social situations that would limit compliance with
             study requirements

          -  Pregnant women are excluded from this study; breastfeeding should be discontinued if
             the mother is treated with MK2206

          -  Human immunodeficiency virus (HIV)-positive patients on combination antiretroviral
             therapy are ineligible