Trial Outcomes & Findings for Copanlisib in Treating Patients With Persistent or Recurrent Endometrial Cancer (NCT NCT02728258)

NCT ID: NCT02728258

Last Updated: 2022-02-15

Results Overview

Confirmed complete and partial tumor response by RECIST 1.1. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

11 participants

Primary outcome timeframe

approximate study duration 1 year 9 months

Results posted on

2022-02-15

Participant Flow

The study was activated 9/16/2016 and the last patient was enrolled in May 2017. The study was officially closed to accrual on 8/7/2017 after the first stage of accrual was completed and all screened patients were either enrolled or refused. The study did not continue on to the second stage of accrual.

Tumor samples were screened for somatic "hotspot" PIK3CA gene mutations prior to enrollment.

Participant milestones

Participant milestones
Measure
Copanlisib
IV copanlisib (60 mg weekly, day 1, 8 and 15 of 28-day cycle)
Overall Study
STARTED
11
Overall Study
COMPLETED
11
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Copanlisib in Treating Patients With Persistent or Recurrent Endometrial Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Copanlisib
n=11 Participants
IV copanlisib (60 mg weekly, day 1, 8 and 15 of 28-day cycle)
Age, Customized
50-59 years
3 Participants
n=5 Participants
Age, Customized
60-69 years
4 Participants
n=5 Participants
Age, Customized
70-79 years
4 Participants
n=5 Participants
Sex: Female, Male
Female
11 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
10 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: approximate study duration 1 year 9 months

Population: Eligible and treated patients

Confirmed complete and partial tumor response by RECIST 1.1. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR

Outcome measures

Outcome measures
Measure
Copanlisib
n=11 Participants
IV copanlisib (60 mg weekly, day 1, 8 and 15 of 28-day cycle)
Frequency of Objective Response Defined by RECIST 1.1 Criteria
0.0 percentage of participants
Interval 0.0 to 28.5

SECONDARY outcome

Timeframe: Up to 6 months from enrollment

Population: Eligible and treated patients

Percentage of participants who are progression free at 6 months. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

Outcome measures

Outcome measures
Measure
Copanlisib
n=11 Participants
IV copanlisib (60 mg weekly, day 1, 8 and 15 of 28-day cycle)
Percentage of Participants Alive and Progression-free at 6 Months
27 percentage of participants

SECONDARY outcome

Timeframe: Up to 2 years from enrollment

Population: Eligible and treated patients

The median progression-free survival time

Outcome measures

Outcome measures
Measure
Copanlisib
n=11 Participants
IV copanlisib (60 mg weekly, day 1, 8 and 15 of 28-day cycle)
Median Progression-Free Survival Using RECIST 1.1 Criteria
2.8 Months
Interval 1.6 to 8.9

SECONDARY outcome

Timeframe: up to 2 years from enrollment

Population: Eligible and treated patients

Median time of overall survival

Outcome measures

Outcome measures
Measure
Copanlisib
n=11 Participants
IV copanlisib (60 mg weekly, day 1, 8 and 15 of 28-day cycle)
Median Overall Survival
15.2 Months
Interval 4.7 to 21.0

SECONDARY outcome

Timeframe: approximately 1 year 9 months

Population: Eligible and treated patients

Maximum grade of physician assessed adverse events reported during treatment

Outcome measures

Outcome measures
Measure
Copanlisib
n=11 Participants
IV copanlisib (60 mg weekly, day 1, 8 and 15 of 28-day cycle)
The Frequency and Severity of CTCAE v4 Graded Adverse Events
Grade 2
1 participants
The Frequency and Severity of CTCAE v4 Graded Adverse Events
Grade 3
7 participants
The Frequency and Severity of CTCAE v4 Graded Adverse Events
Grade 4
2 participants
The Frequency and Severity of CTCAE v4 Graded Adverse Events
Grade 1
1 participants
The Frequency and Severity of CTCAE v4 Graded Adverse Events
Grade 5
0 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 5 years

Associations between mutation subtypes and clinical outcomes will be explored using standard statistical methods for categorical and time to event data.

Outcome measures

Outcome data not reported

Adverse Events

Treatment (Copanlisib)

Serious events: 4 serious events
Other events: 11 other events
Deaths: 7 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Copanlisib)
n=11 participants at risk
Patients receive copanlisib IV over 1 hour on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Copanlisib: Given IV Laboratory Biomarker Analysis: Correlative studies
Skin and subcutaneous tissue disorders
Rash maculo-papular
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Metabolism and nutrition disorders
Hyperglycemia
18.2%
2/11 • Number of events 2 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Blood and lymphatic system disorders
Anemia
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Infections and infestations
Cellulitis (other)
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment

Other adverse events

Other adverse events
Measure
Treatment (Copanlisib)
n=11 participants at risk
Patients receive copanlisib IV over 1 hour on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. Copanlisib: Given IV Laboratory Biomarker Analysis: Correlative studies
Blood and lymphatic system disorders
Anemia
27.3%
3/11 • Number of events 3 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Gastrointestinal disorders
Abdominal Pain
36.4%
4/11 • Number of events 4 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Gastrointestinal disorders
Constipation
36.4%
4/11 • Number of events 4 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Gastrointestinal disorders
Rectal Pain
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Gastrointestinal disorders
Gastroparesis
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Gastrointestinal disorders
Mucositis Oral
27.3%
3/11 • Number of events 3 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Gastrointestinal disorders
Nausea
36.4%
4/11 • Number of events 4 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Gastrointestinal disorders
Oral Dysesthesia
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Gastrointestinal disorders
Rectal Hemorrhage
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Gastrointestinal disorders
Toothache
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Gastrointestinal disorders
Vomiting
36.4%
4/11 • Number of events 4 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
General disorders
Chills
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
General disorders
Edema Limbs
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
General disorders
Fatigue
54.5%
6/11 • Number of events 6 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
General disorders
Fever
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
General disorders
Infusion Related Reaction
18.2%
2/11 • Number of events 2 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
General disorders
Localized Edema
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
General disorders
Non-Cardiac Chest Pain
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Infections and infestations
Sinusitis
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Infections and infestations
Skin Infection
18.2%
2/11 • Number of events 2 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Investigations
Cholesterol High
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Investigations
Creatinine Increased
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Investigations
Lymphocyte Count Decreased
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Investigations
Neutrophil Count Decreased
27.3%
3/11 • Number of events 3 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Investigations
White Blood Cell Decreased
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Metabolism and nutrition disorders
Anorexia
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Metabolism and nutrition disorders
Hyperglycemia
27.3%
3/11 • Number of events 3 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Metabolism and nutrition disorders
Hypertriglyceridemia
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Metabolism and nutrition disorders
Hypoalbuminemia
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Metabolism and nutrition disorders
Hypomagnesemia
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Musculoskeletal and connective tissue disorders
Arthralgia
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Musculoskeletal and connective tissue disorders
Arthritis
9.1%
1/11 • Number of events 1 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Musculoskeletal and connective tissue disorders
Back Pain
27.3%
3/11 • Number of events 3 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Musculoskeletal and connective tissue disorders
Flank Pain
9.1%
1/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Musculoskeletal and connective tissue disorders
Pain in Extremity
9.1%
1/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Nervous system disorders
Dizziness
9.1%
1/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Nervous system disorders
Headache
18.2%
2/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Nervous system disorders
Peripheral Sensory Neuropathy
9.1%
1/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Nervous system disorders
Syncope
9.1%
1/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Psychiatric disorders
Anxiety
9.1%
1/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Psychiatric disorders
Insomnia
9.1%
1/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Renal and urinary disorders
Bladder Spasm
9.1%
1/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Renal and urinary disorders
Urinary Incontinence
9.1%
1/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Renal and urinary disorders
Urinary Urgency
9.1%
1/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Reproductive system and breast disorders
Vaginal Discharge
9.1%
1/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Respiratory, thoracic and mediastinal disorders
Allergic Rhinitis
9.1%
1/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Respiratory, thoracic and mediastinal disorders
Cough
18.2%
2/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Respiratory, thoracic and mediastinal disorders
Epistaxis
9.1%
1/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Respiratory, thoracic and mediastinal disorders
Nasal Congestion
9.1%
1/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Respiratory, thoracic and mediastinal disorders
Sore Throat
9.1%
1/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Skin and subcutaneous tissue disorders
Bullous Dermatitis
9.1%
1/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Skin and subcutaneous tissue disorders
Pruritus
9.1%
1/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Skin and subcutaneous tissue disorders
Rash Maculo-Papular
36.4%
4/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment
Vascular disorders
Hypertension
18.2%
2/11 • Assessed throughout the treatment period and up to 4 weeks after discontinuation of treatment

Additional Information

Linda Gedeon on behalf of Virginia Filiaci, PhD.

NRG Oncology

Phone: 716-845-1169

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60