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
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.
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.
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.
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Of its 402 completed or terminated interventional studies of FDA-regulated products, 365 (91%) have results posted.
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Exclusion Criteria:
Patients with history of or current interstitial pneumonitis are not eligible
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
Undergo tumor biopsy
Also known as: Biopsy, BIOPSY_TYPE, Bx
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
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
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
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
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
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
Subprotocol Z1F was activated on June 20, 2018. Thirty-five patients were enrolled between June 2018 and December 2018.
| Milestone | Treatment (Copanlisib) |
|---|---|
| Started | 35 |
| Eligible | 31 |
| Started protocol therapy | 30 |
| Eligible and treated | 28 |
| Mutation status confirmed | 30 |
| Eligible, treated and mutation status confirmed | 25 |
| Completed | 0 |
| Not completed | 35 |
| Withdrew: Disease progression | 18 |
| Withdrew: Adverse event | 3 |
| Withdrew: Other complicating disease | 1 |
| Withdrew: Withdrawal by subject | 3 |
| Withdrew: Physician decision | 1 |
| Withdrew: Still on treatment | 2 |
| Withdrew: Never start protocol therapy | 5 |
| Withdrew: Ineligible | 2 |
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.
| percentage of participants | Treatment (Copanlisib) |
|---|---|
| Overall Response Rate (ORR) | 16 (6 to 33) |
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.
| percentage of participants | Treatment (Copanlisib) |
|---|---|
| 6-month Progression-Free Survival (PFS) Rate | 38 (22 to 53) |
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.
| months | Treatment (Copanlisib) |
|---|---|
| Progression Free Survival (PFS) | 3.4 (1.8 to 6.6) |
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.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Treatment (Copanlisib) | 30/35 (85.7%) | 17/30 (56.7%) | 27/30 (90%) |
| Event | Treatment (Copanlisib) |
|---|---|
| HypertensionVascular disorders | 9/30 |
| HyperglycemiaMetabolism and nutrition disorders | 8/30 |
| Rash maculo-papularSkin and subcutaneous tissue disorders | 2/30 |
| DehydrationMetabolism and nutrition disorders | 2/30 |
| Generalized muscle weaknessMusculoskeletal and connective tissue disorders | 2/30 |
| PruritusSkin and subcutaneous tissue disorders | 1/30 |
| Mucositis oralGastrointestinal disorders | 1/30 |
| Oral painGastrointestinal disorders | 1/30 |
| VomitingGastrointestinal disorders | 1/30 |
| MeningitisInfections and infestations | 1/30 |
| Event | Treatment (Copanlisib) |
|---|---|
| HyperglycemiaMetabolism and nutrition disorders | 13/30 |
| FatigueGeneral disorders | 12/30 |
| DiarrheaGastrointestinal disorders | 11/30 |
| NauseaGastrointestinal disorders | 10/30 |
| Rash maculo-papularSkin and subcutaneous tissue disorders | 8/30 |
| AnemiaBlood and lymphatic system disorders | 7/30 |
| ConstipationGastrointestinal disorders | 6/30 |
| HypertensionVascular disorders | 6/30 |
| AnorexiaMetabolism and nutrition disorders | 5/30 |
| Mucositis oralGastrointestinal disorders | 4/30 |
patients who were eligible, started protocol therapy, and had mutation status confirmed at the analysis time were the analyzable patients
| Age, Continuous(years) | Treatment (Copanlisib) |
|---|---|
| Median | 61 (42 to 78) |
| Sex: Female, Male(Participants) | Treatment (Copanlisib) |
|---|---|
| Female | 16 |
| Male | 9 |
| Ethnicity (NIH/OMB)(Participants) | Treatment (Copanlisib) |
|---|---|
| Hispanic or Latino | 2 |
| Not Hispanic or Latino | 22 |
| Unknown or Not Reported | 1 |
| Race (NIH/OMB)(Participants) | Treatment (Copanlisib) |
|---|---|
| American Indian or Alaska Native | 0 |
| Asian | 0 |
| Native Hawaiian or Other Pacific Islander | 1 |
| Black or African American | 2 |
| White | 21 |
| More than one race | 0 |
| Unknown or Not Reported | 1 |
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