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Buparlisib & Paclitaxel

Phase 3

Head and Neck Cancer | Small molecule | Oncology |Adlai Nortye Ltd. American Depositary Shares|Last Updated: Nov 17, 2025

Target and mechanism

Molecular targetPIK3R1, PIK3CB, PIK3CG, PIK3CA, PIK3R2, PIK3CD
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment487

FDA Designations

No designations recorded

Clinical trial landscape

Buparlisib & Paclitaxel · 1 trial · 1 indication

Phase 3 1
NCT04338399The BURAN Study of Buparlisib in Patients With Recurrent or Metastatic HNSCCHead and Neck Cancer
COMPLETED487 Analytics
PHASE3COMPLETED
The BURAN Study of Buparlisib in Patients With Recurrent or Metastatic HNSCC
Head and Neck CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Survival (OS)
Overall survival will be measured from time of randomization until death from any cause. The analysis will occur when all patients have been randomized and followed for 12 months.

To assess the OS of buparlisib in combination with paclitaxel compared to paclitaxel alone in patients with recurrent or metastatic HNSCC

Secondary Endpoints

Progression free survival
PFS will be assessed up to 24 months after all patients are randomized
Overall Response Rate
ORR will be assessed for all patients 6 months after randomization is complete.
Health Related Quality of Life (QoL): Time to Definitive deterioration of Quality of Life as assessed by EORTC C30 questionnaire
Assessments will be made from randomization until treatment discontinuation
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Buparlisib & Weekly PaclitaxelEXPERIMENTALDrug: Patients will receive 100 mg (2 x 50 mg) buparlisib hard gel capsule administered orally, once daily starting on Day 1 of Treatment Cycle 1, Drug: Paclitaxel (80 mg/m2) administered intravenously (IV) on Days 1, 8, and 15 of a 21-day treatment cycle. Treatment will continue until disease progression, unacceptable toxicity, death or discontinuation for any other reason.
Weekly PaclitaxelACTIVE_COMPARATORPatients will receive weekly paclitaxel (80 mg/m2) administered intravenously (IV) on Days 1, 8, and 15 of a 21-day treatment cycle. Treatment will continue until disease progression, unacceptable toxicity, death or discontinuation for any other reason.

Interventions

NameTypeDescription
Buparlisib & PaclitaxelDRUGInvestigation drug plus paclitaxel
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites162

Inclusion Criteria: 1. Aged ≥18 years old. 2. Able to provide informed consent obtained before any trial related activities and according to local guidelines. 3. Patient has histologically and/or cytologically-confirmed HNSCC. 4. Patient has archival or new tumor tissue for the analysis of biomarke...

Countries:United StatesArgentinaAustraliaBelgiumCanadaChinaFranceGermanyHong KongHungaryItalyJapanPolandSouth KoreaSpainTaiwanUnited Kingdom
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Frequently asked questions about Buparlisib & Paclitaxel

What is Buparlisib & Paclitaxel used for?

Buparlisib & Paclitaxel is being developed for the treatment of head and neck cancer, specifically recurrent or metastatic head and neck squamous cell carcinoma (HNSCC). It combines the small molecule buparlisib with paclitaxel chemotherapy and is being studied in patients 18 years and older.

What does Buparlisib target?

Buparlisib targets the PI3K family of kinases, including PIK3CA, PIK3CB, PIK3CD, PIK3CG, PIK3R1, and PIK3R2. It acts as an inhibitor of these phosphoinositide 3-kinase subunits, which are part of the PI3K signaling pathway. Paclitaxel is a chemotherapy agent combined with buparlisib in this regimen.

Who is developing Buparlisib & Paclitaxel?

Buparlisib & Paclitaxel is being developed by Adlai Nortye Ltd., which trades under the ticker ANL on the American Depositary Shares market. The company is advancing the combination in oncology, with a focus on head and neck cancer.

What phase is Buparlisib & Paclitaxel in?

Buparlisib & Paclitaxel is in Phase 3 clinical development. It is an investigational combination and has not been approved by the FDA. The Phase 3 program includes one completed trial evaluating the combination in patients with recurrent or metastatic head and neck squamous cell carcinoma.

What clinical trials is Buparlisib & Paclitaxel in?

The BURAN Study, registered as NCT04338399, is a Phase 3 trial of buparlisib in patients with recurrent or metastatic HNSCC. It enrolled 487 patients across the United States, Argentina, Australia, Belgium, Canada, China, France, Germany, Hong Kong, Hungary, Italy, Japan, Poland, South Korea, Spain, Taiwan, and the United Kingdom. The trial is completed.

Is Buparlisib & Paclitaxel biomarker selected?

No, the Buparlisib & Paclitaxel Phase 3 program is not biomarker selected. The BURAN Study enrolled patients with recurrent or metastatic head and neck squamous cell carcinoma regardless of biomarker status, with a randomized, active-controlled design and 487 participants.