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
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.
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.
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 →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.
Patients must have a fasting glucose =\< 125 mg/dL
Exclusion Criteria:
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
Given PO
Also known as: GDC-0032, RO5537381
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
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
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
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.
| Milestone | Treatment (Taselisib) |
|---|---|
| Started | 70 |
| Started protocol therapy | 66 |
| Eligible and started protocol therapy | 61 |
| Completed | 0 |
| Not completed | 70 |
| Withdrew: Never started treatment | 4 |
| Withdrew: Ineligible | 5 |
| Withdrew: Adverse event | 6 |
| Withdrew: Death | 4 |
| Withdrew: Disease progression | 44 |
| Withdrew: Withdrawal by subject | 4 |
| Withdrew: Alternative therapy | 1 |
| Withdrew: Other | 2 |
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.
| percentage of participants | Treatment (Taselisib) |
|---|---|
| Overall Response Rate (ORR) | 0 (NA to NA) |
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.
| percentage of participants | Treatment (Taselisib) |
|---|---|
| 6-Month Progression-free Survival (PFS) Rate | 19.9 (12.0 to 29.3) |
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.
| months | Treatment (Taselisib) |
|---|---|
| Progression-free Survival (PFS) | 3.1 (1.8 to 3.7) |
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.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Treatment (Taselisib) | 66/70 (94.3%) | 23/66 (34.8%) | 51/66 (77.3%) |
| Event | Treatment (Taselisib) |
|---|---|
| DiarrheaGastrointestinal disorders | 7/66 |
| Lung infectionInfections and infestations | 3/66 |
| HyperglycemiaMetabolism and nutrition disorders | 3/66 |
| HyponatremiaMetabolism and nutrition disorders | 3/66 |
| NauseaGastrointestinal disorders | 2/66 |
| DehydrationMetabolism and nutrition disorders | 2/66 |
| Thromboembolic eventVascular disorders | 2/66 |
| FatigueGeneral disorders | 1/66 |
| Sudden death NOSGeneral disorders | 1/66 |
| Abdominal painGastrointestinal disorders | 1/66 |
| Event | Treatment (Taselisib) |
|---|---|
| FatigueGeneral disorders | 25/66 |
| DiarrheaGastrointestinal disorders | 24/66 |
| NauseaGastrointestinal disorders | 19/66 |
| HyperglycemiaMetabolism and nutrition disorders | 18/66 |
| Alanine aminotransferase increasedInvestigations | 9/66 |
| AnemiaBlood and lymphatic system disorders | 8/66 |
| Mucositis oralGastrointestinal disorders | 8/66 |
| Aspartate aminotransferase increasedInvestigations | 8/66 |
| White blood cell decreasedInvestigations | 8/66 |
| AnorexiaMetabolism and nutrition disorders | 8/66 |
Eligible and treated patients
| Age, Continuous(years) | Treatment (Taselisib) |
|---|---|
| Median | 57 (25 to 76) |
| Sex: Female, Male(Participants) | Treatment (Taselisib) |
|---|---|
| Female | 43 |
| Male | 18 |
| Ethnicity (NIH/OMB)(Participants) | Treatment (Taselisib) |
|---|---|
| Hispanic or Latino | 2 |
| Not Hispanic or Latino | 57 |
| Unknown or Not Reported | 2 |
| Race (NIH/OMB)(Participants) | Treatment (Taselisib) |
|---|---|
| American Indian or Alaska Native | 0 |
| Asian | 3 |
| Native Hawaiian or Other Pacific Islander | 0 |
| Black or African American | 5 |
| White | 49 |
| More than one race | 1 |
| Unknown or Not Reported | 3 |
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