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Active, not recruitingNCT04439175Updated May 6, 2026Results posted

Testing GDC-0032 (Taselisib) as a Potential Targeted Treatment in Cancers With PIK3CA Genetic Changes (MATCH-Subprotocol I)

A Phase 2 interventional study of Taselisib in Advanced Lymphoma, Advanced Malignant Solid Neoplasm and Hematopoietic and Lymphoid Cell Neoplasm, sponsored by National Cancer Institute (NCI). Active, not recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-06.

Sponsored by National Cancer Institute (NCI) · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Registered 4 years 3 months after the study started (first participant enrolled Feb 2016, registered Jun 2020).
Phase
Phase 2
Study type
Interventional
Enrollment
70
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This phase II MATCH treatment trial identifies the effects of GDC-0032 (taselisib) in patients whose cancer has a genetic change called PIK3CA mutation. Taselisib may stop the growth of cancer cells by blocking PIK3CA, a protein that may be needed for cell growth. Researchers hope to learn if taselisib will shrink this type of cancer or stop its growth.

Read the detailed description

PRIMARY OBJECTIVE:

I. To evaluate the proportion of patients with objective response (OR) to targeted study agent(s) in patients with advanced refractory cancers/lymphomas/multiple myeloma.

SECONDARY OBJECTIVES:

I. To evaluate the proportion of patients alive and progression free at 6 months of treatment with targeted study agent in patients with advanced refractory cancers/lymphomas/multiple myeloma.

II. To evaluate time until death or disease progression. III. To identify potential predictive biomarkers beyond the genomic alteration by which treatment is assigned or resistance mechanisms using additional genomic, ribonucleic acid (RNA), protein and imaging-based assessment platforms.

IV. To assess whether radiomic phenotypes obtained from pre-treatment imaging and changes from pre- through post-therapy imaging can predict objective response and progression free survival and to evaluate the association between pre-treatment radiomic phenotypes and targeted gene mutation patterns of tumor biopsy specimens.

OUTLINE:

Patients receive taselisib orally (PO) once daily (QD) on days 1-28. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed up every 3 months if less than 2 years from study entry, and then every 6 months for year 3 from study entry.

02

Conditions studied

  • Advanced Lymphoma
  • Advanced Malignant Solid Neoplasm
  • Hematopoietic and Lymphoid Cell Neoplasm
  • Refractory Lymphoma
  • Refractory Malignant Solid Neoplasm
  • Refractory Multiple Myeloma
03

In context

Hematologic Neoplasms

1,463 studies on the registry are indexed under Hematologic Neoplasms; 432 are open to participants now.

This study's enrollment of 70 is above the median of 45 across 1,068 interventional studies indexed under Hematologic Neoplasms.

Browse Hematologic Neoplasms studies →

Lead sponsor

National Cancer Institute (NCI) is the lead sponsor of 3,506 studies on the registry; 334 are open to participants now.

Of its 402 completed or terminated interventional studies of FDA-regulated products, 365 (91%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients must have met applicable eligibility criteria in the Master MATCH Protocol prior to registration to treatment subprotocol
  • Patients must have a PIK3CA mutation as determined via the MATCH Master Protocol
  • Patients must have an electrocardiogram (ECG) within 8 weeks prior to treatment assignment and must have no clinically important abnormalities in rhythm, conduction or morphology of resting ECG (e.g. complete left bundle branch block, third degree heart block)
  • Patients with known left ventricular dysfunction must have echocardiogram (ECHO) or multigated acquisition scan (MUGA) within 4 weeks prior to registration to treatment and must not have left ventricular ejection fraction (LVEF) \< institutional lower limit of normal (LLN). If the LLN is not defined at a site, the LVEF must be > 50% for the patient to be eligible
  • Patients must have a fasting glucose =\< 125 mg/dL

    • NOTE: Please provide clear documentation that the glucose test was conducted at a fasting state
  • Patients with prior treatment with an mTOR inhibitor are acceptable. These include, but are not limited to: temsirolimus, everolimus, ridaforolimus, sirolimus, CC-223, MLN128 (INK128), DS-3078, CC-115, AZD-2014, AZD8055

Exclusion criteria

Exclusion Criteria:

  • Patients must not have known hypersensitivity to GDC-0032 (taselisib) or compounds of similar chemical or biologic composition
  • Patients must not have breast cancer
  • Patients with squamous cell carcinoma of the lung who have PIK3CA mutations who have access to AND are eligible for Lung-MAP (S1400) are not eligible
  • Patients must not have KRAS mutations, and/or PTEN mutation or loss, detected in the tumor sample as determined by the MATCH screening assessment. PTEN loss will be determined by immunohistochemistry
  • Patients must not have had prior therapy with a PI3K inhibitor or PI3K/mTOR inhibitor. These include, but are not limited to: BEZ235, XL-765 (SAR245409), GDC-0980, PF-04691502, PF-05212384 (PKI-587), SF-1126, GSK 2126458, P-7170, BGT-226, LY3023414, GDC-0084, DS-7423, BKM-120 (buparlisib), PX-866, XL-147, GDC-0941 (pictilisib), VS-5584, BAY-80-6946, ZSTK-474, WX 037, AZD8835, GSK2636771, GS-9820, BYL719, MLN1117 (INK1117), idelalisib, TGR1202, RP6530, duvelisib (IPI-145), CUDC-907. Prior GDC-0032 (taselisib) is not allowed
  • Patients must not have had prior therapy with an Akt inhibitor. These include, but are not limited to: MK-2206, GSK690693, AZD5363, triciribine, perifosine, GSK2141795, GSK2110183, SR13668, BAY1125976, GDC-0068 (ipatasertib), LY2780301, ARQ092
  • Patients must not have type 1 or 2 diabetes requiring anti-hyperglycemic medication (e.g. metformin, glipizide, insulin)
  • Patients must not have current dyspnea at rest or require any daily supplemental oxygen
  • Patients must not have history of inflammatory bowel disease (e.g. Crohn's disease or ulcerative colitis) or active bowel inflammation (e.g. diverticulitis)
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
70 participants (actual)

Study arms

  • Experimental
    Treatment (taselisib)

    Patients receive taselisib 4 mg PO QD on days 1-28. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity.

    Drug: Taselisib

Interventions

  • DrugTaselisib

    Given PO

    Also known as: GDC-0032, RO5537381

06

What researchers measure

Primary outcomes

  1. Overall Response Rate (ORR)

    Overall response rate was defined as the proportion of patients with best overall response of complete response (CR) or partial response (PR) among all eligible and treated patients. Best overall response was evaluated using the Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in Neuro-Oncology criteria for glioblastoma patients. The 90% two-sided binomial exact confidence interval was calculated for ORR.

    Time frame: Tumor assessments occurred at baseline, then every 2 cycles for the first 26 cycles and every 3 cycles thereafter until disease progression, up to 3 years post registration

Secondary outcomes

  1. 6-Month Progression-free Survival (PFS) Rate

    PFS was defined as time from treatment start date to date of disease progression or death from any causes, whichever occurred first. The 6-month PFS rate was estimated using the Kaplan-Meier method which can provide a point estimate for any specific time point. Disease progression was evaluated using the Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in Neuro-Oncology criteria for glioblastoma patients.

    Time frame: Assessed at baseline, then every 2 cycles for the first 26 cycles, and every 3 cycles thereafter until disease progression, up to 3 years post registration, from which 6-month PFS is determined

  2. Progression-free Survival (PFS)

    PFS was defined as time from treatment start date to date of disease progression or death from any causes, whichever occurred first. Median PFS was estimated using the Kaplan-Meier method. Disease progression was evaluated using the Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in Neuro-Oncology criteria for glioblastoma patients.

    Time frame: Assessed at baseline, then every 2 cycles for the first 26 cycles and every 3 cycles thereafter until disease progression, up to 3 years post registration

07

Results

Posted Dec 28, 2022

Participant flow

Subprotocol I was activated on February 25, 2016. 97 patients were assigned to Subprotocol I after screening, all from the screening cohort. Of the 97 patients, 70 patients enrolled in the study between March 2016 and April 2017.

Participant flow — Overall Study
MilestoneTreatment (Taselisib)
Started70
Started protocol therapy66
Eligible and started protocol therapy61
Completed0
Not completed70
Withdrew: Never started treatment4
Withdrew: Ineligible5
Withdrew: Adverse event6
Withdrew: Death4
Withdrew: Disease progression44
Withdrew: Withdrawal by subject4
Withdrew: Alternative therapy1
Withdrew: Other2

Outcome measures

PrimaryOverall Response Rate (ORR)

Overall response rate was defined as the proportion of patients with best overall response of complete response (CR) or partial response (PR) among all eligible and treated patients. Best overall response was evaluated using the Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in Neuro-Oncology criteria for glioblastoma patients. The 90% two-sided binomial exact confidence interval was calculated for ORR.

Time frame:
Tumor assessments occurred at baseline, then every 2 cycles for the first 26 cycles and every 3 cycles thereafter until disease progression, up to 3 years post registration
Reported as:
Number · percentage of participants
Overall Response Rate (ORR)
percentage of participantsTreatment (Taselisib)
Overall Response Rate (ORR)0 (NA to NA)
Secondary6-Month Progression-free Survival (PFS) Rate

PFS was defined as time from treatment start date to date of disease progression or death from any causes, whichever occurred first. The 6-month PFS rate was estimated using the Kaplan-Meier method which can provide a point estimate for any specific time point. Disease progression was evaluated using the Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in Neuro-Oncology criteria for glioblastoma patients.

Time frame:
Assessed at baseline, then every 2 cycles for the first 26 cycles, and every 3 cycles thereafter until disease progression, up to 3 years post registration, from which 6-month PFS is determined
Reported as:
Number · percentage of participants
6-Month Progression-free Survival (PFS) Rate
percentage of participantsTreatment (Taselisib)
6-Month Progression-free Survival (PFS) Rate19.9 (12.0 to 29.3)
SecondaryProgression-free Survival (PFS)

PFS was defined as time from treatment start date to date of disease progression or death from any causes, whichever occurred first. Median PFS was estimated using the Kaplan-Meier method. Disease progression was evaluated using the Response Evaluation Criteria in Solid Tumors version 1.1, the Cheson (2014) criteria for lymphoma patients, and the Response Assessment in Neuro-Oncology criteria for glioblastoma patients.

Time frame:
Assessed at baseline, then every 2 cycles for the first 26 cycles and every 3 cycles thereafter until disease progression, up to 3 years post registration
Reported as:
Median · months
Progression-free Survival (PFS)
monthsTreatment (Taselisib)
Progression-free Survival (PFS)3.1 (1.8 to 3.7)

Adverse events

Collected over Assessed every 28 days while on treatment and for 30 days after the end of treatment, up to 3 years. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment (Taselisib)66/70 (94.3%)23/66 (34.8%)51/66 (77.3%)
Most frequent serious events
Showing 10 of 24
Most frequent serious events
EventTreatment (Taselisib)
DiarrheaGastrointestinal disorders7/66
Lung infectionInfections and infestations3/66
HyperglycemiaMetabolism and nutrition disorders3/66
HyponatremiaMetabolism and nutrition disorders3/66
NauseaGastrointestinal disorders2/66
DehydrationMetabolism and nutrition disorders2/66
Thromboembolic eventVascular disorders2/66
FatigueGeneral disorders1/66
Sudden death NOSGeneral disorders1/66
Abdominal painGastrointestinal disorders1/66
Most frequent other events
Showing 10 of 26
Most frequent other events
EventTreatment (Taselisib)
FatigueGeneral disorders25/66
DiarrheaGastrointestinal disorders24/66
NauseaGastrointestinal disorders19/66
HyperglycemiaMetabolism and nutrition disorders18/66
Alanine aminotransferase increasedInvestigations9/66
AnemiaBlood and lymphatic system disorders8/66
Mucositis oralGastrointestinal disorders8/66
Aspartate aminotransferase increasedInvestigations8/66
White blood cell decreasedInvestigations8/66
AnorexiaMetabolism and nutrition disorders8/66

Baseline characteristics

Eligible and treated patients

Age, Continuous
Age, Continuous(years)Treatment (Taselisib)
Median57 (25 to 76)
Sex: Female, Male
Sex: Female, Male(Participants)Treatment (Taselisib)
Female43
Male18
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Treatment (Taselisib)
Hispanic or Latino2
Not Hispanic or Latino57
Unknown or Not Reported2
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Treatment (Taselisib)
American Indian or Alaska Native0
Asian3
Native Hawaiian or Other Pacific Islander0
Black or African American5
White49
More than one race1
Unknown or Not Reported3
08

Study locations

1 site
  • ECOG-ACRIN Cancer Research Group
    Philadelphia, Pennsylvania 19103, United States
09

References and documents

Study documents

  • Study protocol · Jan 25, 2019

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04439175
Lead sponsor
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Jun 19, 2020
Start date
Feb 25, 2016
Primary completion
Nov 10, 2020
Completion
Mar 31, 2027 (estimated)
Results posted
Dec 28, 2022
Last update
May 6, 2026

Study contacts

Ian E Krop
principal investigator · ECOG-ACRIN Cancer Research Group

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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