Sapanisertib and Serabelisib (PIKTOR) With Paclitaxel and a Substudy With an Insulin-Suppressing Diet in Patients With Advanced/Recurrent Endometrial Cancer

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexFemale
Age18+
SponsorFaeth Therapeutics

About this trial

This is a Phase 2, multicenter, open-label, single-arm study to evaluate the efficacy and safety of sapanisertib and serabelisib (PIKTOR) with paclitaxel in participants with advanced or recurrent endometrial cancer.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Histologically confirmed diagnosis of endometrioid endometrial carcinoma.

Documented evidence of advanced or recurrent endometrial cancer that is not amenable to surgery/radiation for curative intent.

Participant has received at least 1 but not more than 4 prior systemic therapies. Prior therapy must include platinum-based chemotherapy and a checkpoint inhibitor, either separately or in combination. If a subject has been unable to be treated with checkpoint inhibitor in the past due to medical contraindications, consult with Medical Monitor.

PI3K/AKT/mTOR pathway gene alteration identified.

Disqualifiers

Participants with central nervous system metastases are not eligible, unless they have completed local therapy and have discontinued the use of corticosteroids for this indication for at least 4 weeks before starting treatment in this study

Active malignancy (except for endometrial cancer, definitively treated in-situ carcinomas [e.g., breast, cervix, bladder], or basal or squamous cell carcinoma of the skin) within the past 24 months prior to treatment. Fully resected localized malignancies are eligible.

Gastric feeding tube (gastrostomy tube), gastrointestinal malabsorption, gastrointestinal anastomosis, bowel obstruction, or any other condition that might affect the absorption of study treatment.

Clinically significant (per Investigator judgement) hemoptysis or tumor bleeding.

Trial design

Design model

Single group

Treatments tested in this trial

  • Sapanisertib

    Drug

    Oral

  • Serabelisib

    Drug

    Oral

  • Paclitaxel

    Drug

    Infusion

Treatment groups

40 Participants
are divided into 1 treatment group
Group A: sapanisertib and serabelisib (PIKTOR) with paclitaxelExperimental treatment 3 interventions

Trial outcomes

Primary outcomes

1

Objective Response Rate (ORR)

Defined as the proportion of participants with measurable disease at baseline who have confirmed complete response (CR) or partial response (PR).

Time frame
Up to 2 years

Secondary outcomes

1

Progression free survival (PFS)

Defined as the time from first dose until the date of disease progression or death.

Time frame
Up to 5 years.
2

Progression free survival (PFS) at 6 months

Defined as PFS rate at 6 months.

Time frame
Up to 5 years.
3

Overall survival (OS)

Defined as the time from first dose to death.

Time frame
Up to 5 years.
4

Clinical benefit rate (CBR)

Defined as the percentage of participants who achieve complete response (CR), partial response (PR), or have stable disease (SD) of at least 16 or 24 weeks.

Time frame
Up to 5 years.

Other outcomes

Sponsors and contacts

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Faeth Therapeutics

Lead sponsor

GOG Foundation

Collaborator