Endometrial CancerPhase 2NCT06463028
Sapanisertib and Serabelisib (PIKTOR) With Paclitaxel and a Substudy With an Insulin-Suppressing Diet in Patients With Advanced/Recurrent Endometrial Cancer
A Phase 2 study testing Sapanisertib, Serabelisib and Paclitaxel in people with Endometrial Cancer, run by Faeth Therapeutics at 18 sites in United States.
Trial summary
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. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Endometrial Cancer
- What is being tested?
- Sapanisertib, Serabelisib and Paclitaxel
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 18 sitesUnited States
- Study dates
- 12 Dec 2024to Sep 2029
- Phase
- Phase 2
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 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.
- At least 1 measurable target lesion according to RECIST v1.1
- Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 1 at Screening.
- Non-pregnant, non-lactating females who are postmenopausal, surgically sterile or who agree to use effective contraceptive methods..
Who cannot join
- 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.
- Significant cardiovascular impairment.
- Active, uncontrolled (requiring systemic antimicrobial therapy) infection.
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- Concurrent participation in another therapeutic clinical trial.
- Prior radiation therapy within 21 days prior to start of study treatment.
- Strong CYP3A4 inhibitors and inducers are prohibited during the study. Strong CYP1A2 inhibitors as well as CYP1A2 inducers should be administered with caution and at the discretion of the Investigator. Alternative treatments, if available, should be considered. Additionally, strong CYP3A4 inhibitors or inducers should not be taken within 7 days before the first dose of study intervention.
- Participants who require PPIs or chronic use of antacids, histamine H2 receptor blockers, or other treatments to raise gastric pH.
- Prolongation of QTc interval to >480 ms.
- HbA1c ≥ 8.0% or fasting serum glucose > 160 mg/dL or fasting triglycerides > 300 mg/dL or receiving treatment with insulin.
Trial locations and contacts
18 sites in 1 country. Contact the study team or a site near you to ask about taking part.
18 sites in 1 country
United States18 sites, 18 recruiting
- Recruiting
Women's Cancer Care Associates, LLC
Albany, New York, 12208
- Recruiting
Maryland Oncology Hematology, P.A.
Brandywine, Maryland, 20613
- Recruiting
University of Cincinnati Medical Center
Cincinnati, Ohio, 46214
- Recruiting
Alliance Cancer Specialists, PC
Doylestown, Pennsylvania, 18901
- Recruiting
Texas Oncology - West Texas
El Paso, Texas, 79902
- Recruiting
Oncology Associates of Oregon, P.C.
Eugene, Oregon, 97401
- Recruiting
Virginia Cancer Specialists, P.C.
Fairfax, Virginia, 22031
- Recruiting
UC San Diego Moores Cancer Center
La Jolla, California, 92037
- Recruiting
Minnesota Oncology Hematology, P.A.
Maple Grove, Minnesota, 55369
- Recruiting
Mount Sinai Comprehensive Cancer Center
Miami Beach, Florida, 33140
- Recruiting
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
- Recruiting
West Penn Hospital
Pittsburgh, Pennsylvania, 15224
- Recruiting
Northwest Cancer Specialists, P.C.
Portland, Oregon, 97227
- Recruiting
University of California, San Francisco (UCSF)
San Francisco, California, 94158
- Recruiting
Avera Cancer Institute
Sioux Falls, South Dakota, 57105
- Recruiting
Florida Cancer Specialists, North
St. Petersburg, Florida, 33705
- Recruiting
Texas Oncology - Gulf Coast
The Woodlands, Texas, 77380
- Recruiting
Florida Cancer Specialists, East
West Palm Beach, Florida, 33401
About this study
Official title: An Open-label, Multi-Center, Phase 2 Clinical Trial Evaluating Sapanisertib and Serabelisib (PIKTOR) With Paclitaxel, and a Substudy Evaluating PIKTOR With Paclitaxel Plus an Insulin-Suppressing Diet, in Patients With Advanced or Recurrent Endometrial Cancer
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.
Read the detailed description
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 who have failed prior systemic therapies, including a platinum-based therapy and an immune checkpoint inhibitor, either separately or together.
- Conditions
- Endometrial Cancer
- Being tested
- Sapanisertib, Serabelisib, Paclitaxel
- Keywords
- Serabelisib, Sapanisertib, Paclitaxel, Taxol, Antineoplastic Agents, PI3K, AKT, mTOR, Dual PI3K/mTOR inhibition, Genetic mutation, Cisplatin, Carboplatin, Genital Diseases, Endometrial Neoplasms, Advanced Endometrial Carcinoma, Recurrent Endometrial Carcinoma, Metastatic Endometrial Carcinoma, Endometrial Cancer, Endometrioid Carcinoma, Cancer of Endometrium
- Medical subject headings
- Endometrial Neoplasms, Genital Diseases, Carcinoma, Endometrioid, Hereditary Sensory and Autonomic Neuropathies
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SapanisertibDrug
Also called FTH-003, MLN0128
Oral
SerabelisibDrug
Also called FTH-001, MLN1117
Oral
PaclitaxelDrug
Infusion
| Study group | Role | What they receive |
|---|---|---|
| sapanisertib and serabelisib (PIKTOR) with paclitaxel | Experimental | Subjects will receive doses of sapanisertib and serabelisib (PIKTOR) administered orally and paclitaxel administered intravenously. Receives: Drug: Sapanisertib; Drug: Serabelisib; Drug: Paclitaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
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).
Measured: Up to 2 years
Secondary outcomes (6)
Progression free survival (PFS)
Defined as the time from first dose until the date of disease progression or death.
Measured: Up to 5 years.
Progression free survival (PFS) at 6 months
Defined as PFS rate at 6 months.
Measured: Up to 5 years.
Overall survival (OS)
Defined as the time from first dose to death.
Measured: Up to 5 years.
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.
Measured: Up to 5 years.
Duration of response (DoR)
Defined for participants with confirmed CR or PR as the time from response until date of documented disease progression or death.
Measured: Up to 5 years.
Safety and tolerability of drugs by assessment of adverse events (AEs) / serious adverse events (SAEs)
Graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE V5.0).
Measured: Up to 2 years.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Jun 2024
- Study start12 Dec 2024
- Primary completionSep 2028 (estimated)
- Study completionSep 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Endometrial CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 40 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Faeth Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- GOG Foundation
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06463028
- Sponsor's protocol ID
- FTH-PIK-201
- Other IDs
- GOG-3111
- Status last verified
- Dec 2025
- First submitted
- 11 Jun 2024
- Last updated
- 24 Dec 2025
- Results posted
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Starks DC, Rojas-Espaillat L, Meissner T, Williams CB. Phase I dose escalation study of dual PI3K/mTOR inhibition by Sapanisertib and Serabelisib in combination with paclitaxel in patients with advanced solid tumors. Gynecol Oncol. 2022 Sep;166(3):403-409. doi: 10.1016/j.ygyno.2022.07.005. Epub 2022 Jul 15.
PubMed 35843739
Study at a glance
From the registry record, last updated by the sponsor on 24 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-label, Multi-Center, Phase 2 Clinical Trial Evaluating Sapanisertib and Serabelisib (PIKTOR) With Paclitaxel, and a Substudy Evaluating PIKTOR With Paclitaxel Plus an Insulin-Suppressing Diet, in Patients With Advanced or Recurrent Endometrial Cancer
- ClinicalTrials.gov ID
- NCT06463028
- Acronym / sponsor ID
- FTH-PIK-201
- Conditions
- Endometrial Cancer
- Keywords
- Serabelisib, Sapanisertib, Paclitaxel, Taxol, Antineoplastic Agents, PI3K, AKT, mTOR
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 40 participants (estimated)
- Lead sponsor
- Faeth TherapeuticsIndustry (pharma, biotech, devices)
- Collaborators
- GOG Foundation
- Study start
- 12 Dec 2024 (actual)
- Primary completion
- Sep 2028 (estimated)
- Study completion
- Sep 2029 (estimated)
- First posted
- 17 Jun 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
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 who have failed prior systemic therapies, including a platinum-based therapy and an immune checkpoint inhibitor, either separately or together.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| sapanisertib and serabelisib (PIKTOR) with paclitaxel | Experimental | Drug: Sapanisertib, Drug: Serabelisib, Drug: PaclitaxelSubjects will receive doses of sapanisertib and serabelisib (PIKTOR) administered orally and paclitaxel administered intravenously. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- 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.
- At least 1 measurable target lesion according to RECIST v1.1
Key exclusion criteria (12 listed)
- 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.
- Significant cardiovascular impairment.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SapanisertibAlso: FTH-003, MLN0128Oral | Drug | sapanisertib and serabelisib (PIKTOR) with paclitaxel |
| SerabelisibAlso: FTH-001, MLN1117Oral | Drug | sapanisertib and serabelisib (PIKTOR) with paclitaxel |
| PaclitaxelInfusion | Drug | sapanisertib and serabelisib (PIKTOR) with paclitaxel |
Primary outcome
Objective Response Rate (ORR)
Time frame: Up to 2 years
Defined as the proportion of participants with measurable disease at baseline who have confirmed complete response (CR) or partial response (PR).
6 secondary outcomes
Progression free survival (PFS)
Time frame: Up to 5 years.
Progression free survival (PFS) at 6 months
Time frame: Up to 5 years.
Overall survival (OS)
Time frame: Up to 5 years.
Clinical benefit rate (CBR)
Time frame: Up to 5 years.
Duration of response (DoR)
Time frame: Up to 5 years.
Safety and tolerability of drugs by assessment of adverse events (AEs) / serious adverse events (SAEs)
Time frame: Up to 2 years.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Dec 2025.
- Background: PubMed 35843739Starks DC, Rojas-Espaillat L, Meissner T, Williams CB. Phase I dose escalation study of dual PI3K/mTOR inhibition by Sapanisertib and Serabelisib in combination with paclitaxel in patients with advanced solid tumors. Gynecol Oncol. 2022 Sep;166(3):403-409. doi: 10.1016/j.ygyno.2022.07.005. Epub 2022 Jul 15.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
18 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Sapanisertib, Serabelisib and Paclitaxel in people with Endometrial Cancer, run by Faeth Therapeutics at 18 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 24 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 18 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Medical Monitor ((708)406-9282, clinicaltrials@faeththerapeutics.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Objective Response Rate (ORR) (time frame: Up to 2 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06463028, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Dec 2025.