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Active, not recruitingNCT05490771Updated May 5, 2026Results posted

Testing Copanlisib as a Potential Targeted Treatment in Cancers With PIK3CA Mutations (MATCH-Subprotocol Z1F)

A Phase 2 interventional study of Biopsy Procedure and Computed Tomography in Advanced Lymphoma, Advanced Malignant Solid Neoplasm and Hematopoietic and Lymphatic System 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 2026-05-05.

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

From the registry’s dates

  • Registered 4 years 1 month after the study started (first participant enrolled Jun 2018, registered Aug 2022).
Phase
Phase 2
Study type
Interventional
Enrollment
35
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This phase II MATCH treatment trial identifies the effects of copanlisib hydrochloride (copanlisib) in patients whose cancer has a genetic change called PIK3CA mutation. Copanlisib may stop the growth of cancer cells by blocking PIK3, a protein needed for cell growth. Researchers hope to learn if copanlisib 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 copanlisib intravenously (IV) over 1 hour on days 1, 8, and 15 of each cycle. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients also undergo tumor biopsies at screening and end of treatment and computed tomography (CT) or magnetic resonance imaging (MRI) at baseline, every 2 cycles for the first 26 cycles, and then every 3 cycles thereafter until progressive disease or start of another MATCH treatment step.

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 Lymphatic System Neoplasm
  • Refractory Lymphoma
  • Refractory Malignant Solid Neoplasm
  • Refractory Multiple Myeloma
03

In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's enrollment of 35 is below the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma 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 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 should stop using herbal medications at least 7 days prior to the first dose of copanlisib. Herbal medications include, but are not limited to: St. John's Wort, Kava, ephedra, gingko biloba, dehydroepiandrosterone (DHEA), yohimbe, saw palmetto, black cohosh and ginseng
  • Patients with type I or II diabetes mellitus must have glycosylated hemoglobin A1c (HbA1c) =\< 8.5% within 28 days from registration
  • Absolute neutrophil count (ANC) >= 1.5 x 10\^9 /L
  • Platelets >= 100x10\^9/L
  • Hemoglobin (Hb) > 9 g/dl
  • Total serum bilirubin \< 2.0 mg/dL
  • Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) \< 2.5 x upper limit of normal (ULN) (\< 5 x ULN in patients with liver metastases)
  • Serum creatinine \< 1.5 x ULN
  • Men and women of child-bearing potential must agree to use contraception while receiving study treatment and for 1 month after the last dose of copanlisib

Exclusion criteria

Exclusion Criteria:

  • Patients must not have known hypersensitivity to copanlisib or compounds of similar chemical or biologic composition
  • Patients must not have had prior therapy with copanlisib or other PI3K inhibitors, AKT inhibitors or mTOR inhibitors
  • Patients must not have activating KRAS mutations
  • Patients must not have HER2 positive (3+ by immunohistochemistry [IHC] or fluorescence in situ hybridization [FISH] ratio >= 2) breast cancer
  • Patients must not have indolent non-Hodgkin lymphoma (NHL) (follicular lymphoma, small lymphocytic lymphoma [SLL]/chronic lymphocytic leukemia [CLL], lymphoplasmacytic lymphoma [LPL], marginal zone lymphoma) or DLBCL (diffuse large B cell lymphoma)
  • Patients must not be on strong inhibitors or inducers of CYP3A4 within two weeks prior to start of study treatment and for the duration of study treatment
  • Patients must not be on anti-arrhythmic therapy other than digoxin or beta-blockers
  • Patients with non-healing wound, ulcer, or bone fracture are not eligible
  • Patients with history of or current interstitial pneumonitis are not eligible

    • NOTE: For solid tumors, cytomegalovirus (CMV) polymerase chain reaction (PCR) can be obtained at the discretion of treating physician or local institutional guidelines
05

Study design

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

Study arms

  • Experimental
    Treatment (copanlisib)

    Patients receive copanlisib IV over 1 hour on days 1, 8, and 15 of each cycle. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients also undergo tumor biopsies at screening and end of treatment and CT or MRI at baseline, every 2 cycles for the first 26 cycles, and then every 3 cycles thereafter until progressive disease or start of another MATCH treatment step.

    Procedure: Biopsy Procedure · Procedure: Computed Tomography · Drug: Copanlisib Hydrochloride · Procedure: Magnetic Resonance Imaging

Interventions

  • ProcedureBiopsy Procedure

    Undergo tumor biopsy

    Also known as: Biopsy, BIOPSY_TYPE, Bx

  • ProcedureComputed Tomography

    Undergo CT

    Also known as: CAT, CAT Scan, Computed Axial Tomography, Computerized Axial Tomography, Computerized axial tomography (procedure), Computerized Tomography, Computerized Tomography (CT) scan, CT, CT Scan, Diagnostic CAT Scan, Diagnostic CAT Scan Service Type, tomography

  • DrugCopanlisib Hydrochloride

    Given IV

    Also known as: 5-Pyrimidinecarboxamide, 2-Amino-N-(2,3-dihydro-7-methoxy-8-(3-(4-morpholinyl)propoxy)imidazo(1,2-C)quinazolin-5-yl)-, Hydrochloride (1:2), Aliqopa, BAY 80-6946 Dihydrochloride, BAY-80-6946 Dihydrochloride, Copanlisib Dihydrochloride

  • ProcedureMagnetic Resonance Imaging

    Undergo MRI

    Also known as: Magnetic Resonance, Magnetic Resonance Imaging (MRI), Magnetic resonance imaging (procedure), Magnetic Resonance Imaging Scan, Medical Imaging, Magnetic Resonance / Nuclear Magnetic Resonance, MR, MR Imaging, MRI, MRI Scan, MRIs, NMR Imaging, NMRI, Nuclear Magnetic Resonance Imaging, sMRI, Structural MRI

06

What researchers measure

Primary outcomes

  1. Overall Response Rate (ORR)

    ORR is defined as the percentage of patients whose tumors have a complete or partial response to treatment among analyzable (ie, eligible, treated and PIK3CA mutation status confirmed) patients. Objective response is defined consistent with 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. Details about how to define complete response and partial response can be found in the master protocol. 90% two-sided binomial exact confidence interval is 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 30 months post registration

Secondary outcomes

  1. 6-month Progression-Free Survival (PFS) Rate

    Progression-free survival is defined as time from treatment start date to date of progression or death from any cause, whichever occurs first. 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 NeuroOncology criteria for glioblastoma patients. Please refer to the protocol for detailed definitions of disease progression. 6 month PFS rate was estimated using the Kaplan-Meier method, which can provide a point estimate for any specific time point.

    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 rate 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. Please refer to the protocol for detailed definitions of disease progression.

    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 Feb 28, 2023

Participant flow

Subprotocol Z1F was activated on June 20, 2018. Thirty-five patients were enrolled between June 2018 and December 2018.

Participant flow — Overall Study
MilestoneTreatment (Copanlisib)
Started35
Eligible31
Started protocol therapy30
Eligible and treated28
Mutation status confirmed30
Eligible, treated and mutation status confirmed25
Completed0
Not completed35
Withdrew: Disease progression18
Withdrew: Adverse event3
Withdrew: Other complicating disease1
Withdrew: Withdrawal by subject3
Withdrew: Physician decision1
Withdrew: Still on treatment2
Withdrew: Never start protocol therapy5
Withdrew: Ineligible2

Outcome measures

PrimaryOverall Response Rate (ORR)

ORR is defined as the percentage of patients whose tumors have a complete or partial response to treatment among analyzable (ie, eligible, treated and PIK3CA mutation status confirmed) patients. Objective response is defined consistent with 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. Details about how to define complete response and partial response can be found in the master protocol. 90% two-sided binomial exact confidence interval is 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 30 months post registration
Reported as:
Number · percentage of participants
Overall Response Rate (ORR)
percentage of participantsTreatment (Copanlisib)
Overall Response Rate (ORR)16 (6 to 33)
Statistical analysis
  • Treatment (Copanlisib) · one-sided exact binomial test · p = 0.0341
Secondary6-month Progression-Free Survival (PFS) Rate

Progression-free survival is defined as time from treatment start date to date of progression or death from any cause, whichever occurs first. 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 NeuroOncology criteria for glioblastoma patients. Please refer to the protocol for detailed definitions of disease progression. 6 month PFS rate was estimated using the Kaplan-Meier method, which can provide a point estimate for any specific time point.

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 rate is determined
Reported as:
Number · percentage of participants
6-month Progression-Free Survival (PFS) Rate
percentage of participantsTreatment (Copanlisib)
6-month Progression-Free Survival (PFS) Rate38 (22 to 53)
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. Please refer to the protocol for detailed definitions of disease progression.

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 (Copanlisib)
Progression Free Survival (PFS)3.4 (1.8 to 6.6)

Adverse events

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

Adverse event summary by group
GroupDeathsSeriousOther
Treatment (Copanlisib)30/35 (85.7%)17/30 (56.7%)27/30 (90%)
Most frequent serious events
Showing 10 of 18
Most frequent serious events
EventTreatment (Copanlisib)
HypertensionVascular disorders9/30
HyperglycemiaMetabolism and nutrition disorders8/30
Rash maculo-papularSkin and subcutaneous tissue disorders2/30
DehydrationMetabolism and nutrition disorders2/30
Generalized muscle weaknessMusculoskeletal and connective tissue disorders2/30
PruritusSkin and subcutaneous tissue disorders1/30
Mucositis oralGastrointestinal disorders1/30
Oral painGastrointestinal disorders1/30
VomitingGastrointestinal disorders1/30
MeningitisInfections and infestations1/30
Most frequent other events
Showing 10 of 33
Most frequent other events
EventTreatment (Copanlisib)
HyperglycemiaMetabolism and nutrition disorders13/30
FatigueGeneral disorders12/30
DiarrheaGastrointestinal disorders11/30
NauseaGastrointestinal disorders10/30
Rash maculo-papularSkin and subcutaneous tissue disorders8/30
AnemiaBlood and lymphatic system disorders7/30
ConstipationGastrointestinal disorders6/30
HypertensionVascular disorders6/30
AnorexiaMetabolism and nutrition disorders5/30
Mucositis oralGastrointestinal disorders4/30

Baseline characteristics

patients who were eligible, started protocol therapy, and had mutation status confirmed at the analysis time were the analyzable patients

Age, Continuous
Age, Continuous(years)Treatment (Copanlisib)
Median61 (42 to 78)
Sex: Female, Male
Sex: Female, Male(Participants)Treatment (Copanlisib)
Female16
Male9
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Treatment (Copanlisib)
Hispanic or Latino2
Not Hispanic or Latino22
Unknown or Not Reported1
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Treatment (Copanlisib)
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander1
Black or African American2
White21
More than one race0
Unknown or Not Reported1
08

Study locations

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

References and documents

Study documents

  • Study protocol · Aug 12, 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 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05490771
Lead sponsor
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Aug 8, 2022
Start date
Jun 20, 2018
Primary completion
Jan 6, 2021
Completion
Jan 15, 2027 (estimated)
Results posted
Feb 28, 2023
Last update
May 5, 2026

Study contacts

Senthilkumar Damodaran
principal investigator · ECOG-ACRIN Cancer Research Group

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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