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Ipatasertib

Phase 1

Endometrial Cancer | Small molecule | Oncology |Pfizer, Inc.|Last Updated: Apr 1, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment148
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04486352A Study of Targeted Agents for Patients With Recurrent or Persistent Endometrial CancerPHASE1 RECRUITING 148Oct 20, 2021Oct 1, 2027Apr 1, 202621 United States
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Study Endpoints
Primary Endpoints
Investigator-assessed overall response rate (ORR) of each biomarker cohort
48 Months

AFT-50A Protocol: Overall response rate for each biomarker cohort is defined as the proportion of participants achieving a complete (CR) or partial (PR) response on two consecutive occasions at least 4 weeks apart, as determined by the investigator from AFT50A Protocol: Tumor assessments per RECIST v1.1.

The proportion of participants in each biomarker cohort who remain alive and progression-free for at least 6 months
6 Months

AFT-50B Protocol: Progression free survival rate at 6 months is defined as the proportion of participants who have not experienced disease progression or death from any cause at 6 months, as determined by the investigator according to RECIST v1.1

Secondary Endpoints
Relative proportion of participants in each biomarker cohort who remain progression-free for at least 6 months compared to that from historical control studies
6 Months per cohort
Investigator assessed disease-control rate of each biomarker cohort
48 Months
Duration of response for participants in each biomarker cohort who achieve a complete or partial response.
48 Months
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Atezolizumab and Bevacizumab Cohort - Closed to AccrualEXPERIMENTALFollowing the submission of tumor tissue for the FoundationOne® companion diagnostic (F1CDx) test, participants with no specified gene signatures will be enrolled in this cohort. Twenty participants will be enrolled. Once twenty participants are enrolled, the cohort will be closed to further enrollment. Participants in this study cohort will commence treatment as specified on Day 1 of each cycle.
Atezolizumab and Ipatasertib Cohort - Closed to AccrualEXPERIMENTALFollowing the submission of tumor tissue for the FoundationOne® companion diagnostic (F1CDx) test, participants with PIK3CA/AKT1/PTEN-altered tumors will be enrolled in this cohort. Twenty participants will be enrolled. Once twenty participants are enrolled, the cohort will be closed to further enrollment. Participants in this study cohort will commence treatment as specified on Day 1 of each cycle.
Atezolizumab and Talazoparib CohortEXPERIMENTALFollowing the submission of tumor tissue for the FoundationOne® companion diagnostic (F1CDx) test, participants with tumors that have a ≥16%genomic loss of heterozygosity (LOH) will be assigned to this cohort. Twenty participants will be enrolled. Once twenty participants are enrolled, the cohort will be closed to further enrollment. Participants in this study cohort will commence treatment as specified on Day 1 of each cycle.
Atezolizumab and Trastuzumab emtansine (TDM-1) Cohort - Closed to AccrualEXPERIMENTALFollowing the submission of tumor tissue for the FoundationOne® companion diagnostic (F1CDx) test, participants with tumors that with an amplification of ERBB2/HER2 will be assigned to this cohort. Twenty participants will be enrolled. Once twenty participants are enrolled, the cohort will be closed to further enrollment. Participants in this study cohort will commence treatment as specified on Day 1 of each cycle.
Atezolizumab and Tiragolumab Cohort - Closed to AccrualEXPERIMENTALFollowing the submission of tumor tissue for the FoundationOne® companion diagnostic (F1CDx) test, participants with tumor type MSI-H and/or tTMB \>=10 mut/mb will be assigned to this cohort. Twenty participants will be enrolled initially. Once twenty participants are enrolled, the cohort may be expanded if a positive signal is shown. Participants in this study cohort will commence treatment as specified on Day 1 of each cycle.
Inavolisib and Letrozole CohortEXPERIMENTALFollowing the submission of tumor tissue for the FoundationOne® companion diagnostic (F1CDx) test, participants with tumors that with PIK3CA activating mutations in the absence of PTEN loss-of-function alterations or AKT1 activating mutations will be assigned to this cohort. Twenty-four participants will be enrolled. Once twenty-four participants are enrolled, the cohort will be closed to further enrollment. Participants in this study cohort will commence treatment as specified on Day 1 of each cycle.
Giredestrant and AbemaciclibEXPERIMENTALFollowing the submission of tumor tissue for the FoundationOne® companion diagnostic (F1CDx) test, participants with tumors that are RB1 intact with a local grade 1-2 estrogne receptor positive (ER+) are assigned to this cohort. Twenty-four participants will be enrolled. Once twenty-four participants are enrolled, the cohort will be closed to further enrollment. Participants in this study cohort will commence treatment as specified on Day 1 of each cycle.
Interventions
NameTypeDescription
Atezolizumab - 28 Day CycleDRUGAtezolizumab will be given to participants intravenously at a dosage of 1680 mg on day 1 of each 28-day cycle.
BevacizumabDRUGBevacizumab will be given to participants intravenously at a dosage of 10mg per participant kilogram every 2 weeks of the 28-day cycle.
IpatasertibDRUGIpatasertib will be given as an orally at a dosage of 400 mg once daily for 21 days of each 28-day cycle.
TalazoparibDRUGTalazoparib will be given in an orally at a dosage of 1 mg once daily for each day of the 28-day cycle.
Trastuzumab emtansineDRUGTrastuzumab emtansine be given to participants intravenously at a dosage of 3.6 mg per participant kilogram, on day 1 of each 21-day cycle.
TiragolumabDRUGTiragolumab will be given to participants intravenously at a dosage of 840 mg on day 1 of each 28-day cycle.
Atezolizumab - 21 Day CycleDRUGAtezolizumab will be given to participants intravenously at a dosage of 1200 mg on day 1 of each 21-day cycle.
InavolisibDRUGInavolisib will be given in an orally at a dosage of 9 mg once daily for each day of the 28-day cycle.
LetrozoleDRUGLetrozole will be given orally at a dosage of 2.5 mg once daily for each day of the 28-day cycle.
GiredestrantDRUGGiredestrant will be given orally at a dosage of 30 mg once daily for each day of the 28-day cycle.
AbemaciclibDRUGGiredestrant will be given orally at a dosage of 150 mg twice daily for each day of the 28-day cycle.
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Eligibility Criteria
Age Range18 Years — N/A
SexFEMALE
Healthy VolunteersNo
Study Sites21

Key Inclusion Criteria: * Recurrent or persistent endometrial carcinoma which has progressed or recurred after at least 1, but no more than 2, prior lines of therapy. Prior hormonal therapies (e.g., tamoxifen, aromatase inhibitors) will not count toward the prior regimen limit. Chemotherapy given i...

Countries:United States
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Competitive Landscape -Endometrial Cancer 113 trials
CompanyTickerTrialsLead PhaseDrugs
Merck & Co., Inc.MRK6PHASE3Sacituzumab tirumotecan, Doxorubicin, Paclitaxel, Nab-paclitaxel, Pembrolizumab
AstraZeneca PLCAZN14PHASE3olaparib, durvalumab, Carboplatin, Paclitaxel, Durvalumab + Chemotherapy phase
Gilead Sciences, Inc.GILD2PHASE3Sacituzumab govitecan-hziy, Doxorubicin, Paclitaxel
GSK plc Sponsored ADRGSK3PHASE3Mocertatug rezetecan, Paclitaxel, Doxorubicin, Dostarlimab, Carboplatin
BioNTech SE Sponsored ADRBNTX1PHASE3BNT323/DB-1303, Doxorubicin, Paclitaxel, Docetaxel
Genmab A/S Sponsored ADRGMAB3PHASE3Rina-S, IC, GEN1047 is a bispecific antibody that induces T-cell mediated cytotoxicity of B7H4-positive tumor cells., Carboplatin, Bevacizumab
Karyopharm Therapeutics, Inc.KPTI1PHASE3Selinexor
Pfizer Inc.PFE4PHASE2tucatinib, trastuzumab, fulvestrant, disitamab vedotin, PF-08052666
HUTCHMED (China) Limited Sponsored ADRHCM1PHASE3fruquintinib, sintilimab, paclitaxel, doxorubicin
Eli Lilly and CompanyLLY5PHASE1LY3537982, Pembrolizumab, Cetuximab, Pemetrexed, Cisplatin
Incyte CorporationINCY1PHASE2retifanlimab, epacadostat, pemigatinib, INCAGN02385, INCAGN02390
Jazz Pharmaceuticals Public Limited CompanyJAZZ2PHASE2Zanidatamab
Corcept Therapeutics Incorporated.CORT1PHASE2Relacorilant once daily, Nab-paclitaxel /m^2, Bevacizumab /kg
Xencor, Inc.XNCR2PHASE2vudalimab, XmAb541
Acrivon Therapeutics, Inc.ACRV1PHASE2ACR-368, Gemcitabine
MacroGenics, Inc.MGNX2PHASE2Lorigerlimab, MGC026 Dose Escalation
Iovance Biotherapeutics IncIOVA1PHASE2Lifileucel
Regeneron Pharmaceuticals, Inc.REGN2PHASE1REGN5668, Cemiplimab, Ubamatamab, Sarilumab, Tocilizumab
IDEAYA Biosciences, Inc.IDYA2PHASE1IDE-161, Pembrolizumab, IDE034
Bristol-Myers Squibb CompanyBMY1PHASE1BMS-986463
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT04486352primaryCompletionDate: changed
LOWMay 24, 2026NCT04486352studyFirstPostDate: changed