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Taselisib

Phase 2

Breast Cancer | Small molecule | Oncology |Roche Holding AG|Last Updated: May 21, 2018

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment334

FDA Designations

No designations recorded

Clinical trial landscape

Taselisib · 1 trial · 1 indication

Phase 2 1
NCT02273973A Study of Neoadjuvant Letrozole + Taselisib Versus Letrozole + Placebo in Post-Menopausal Women With Breast Cancer (LORELEI)Breast Cancer
COMPLETED334 Analytics
PHASE2COMPLETED
A Study of Neoadjuvant Letrozole + Taselisib Versus Letrozole + Placebo in Post-Menopausal Women With Breast Cancer (LORELEI)
Breast CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Objective Response (OR) by Centrally Assessed Breast Magnetic Resonance Imaging (MRI) Via Modified Response Evaluation Criteria in Solid Tumors (mRECIST) Version 1.1
From Baseline to 16 weeks

Objective response rate (ORR) was defined as proportion of participants achieving complete response (CR) or partial response (PR). As per modified RECIST v1.1, CR: disappearance of all target lesions, PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters.

Percentage of Participants With Total Pathologic Complete Response (Total pCR), Defined as Having pCR in Both Breast and Axilla, Using American Joint Committee on Cancer (AJCC) Staging System
From Baseline to 16 weeks

Total pCR was assessed by local pathology review on samples taken at surgery following completion of neoadjuvant therapy. tpCR was defined as the absence of any residual invasive cancer on hematoxylin and eosin evaluation of the resected breast specimen and all sampled ipsilateral lymph nodes ( i.e., ypT0/Tis, ypN0 in the AJCC staging system, 7th edition).

Percentage of Participants With OR by Centrally Assessed Breast MRI Via mRECIST Version 1.1 in Phosphatidylinositol-4,5-Bisphosphate 3-Kinase, Catalytic Subunit Alpha (PIK3CA) Mutant (MT) Participants
From Baseline to 16 weeks

ORR was defined as proportion of participants achieving CR or PR. As per modified RECIST v1.1, CR: disappearance of all target lesions, PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum of diameters.

Percentage of Participants With Total pCR , Defined as Having pCR in Both Breast and Axilla, Using AJCC Staging System in PIK3CA MT Participants
From Baseline to 16 weeks

Total pCR was assessed by local pathology review on samples taken at surgery following completion of neoadjuvant therapy. tpCR was defined as the absence of any residual invasive cancer on hematoxylin and eosin evaluation of the resected breast specimen and all sampled ipsilateral lymph nodes (i.e., ypT0/Tis, ypN0 in the AJCC staging system, 7th edition).

Secondary Endpoints

Percentage of Participants With OR by Centrally Assessed Breast MRI Via mRECIST Version 1.1 in PIK3CA Wildtype (WT) Participants
From Baseline to 16 weeks
Percentage of Participants With Total pCR Defined as Having pCR in Both Breast and Axilla, Using AJCC Staging System in PIK3CA WT Participants
From Baseline to 16 weeks
Percentage of Participants With OR by Breast Ultrasound Via mRECIST Version 1.1 in PIK3CA MT Participants
From Baseline to 16 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Letrozole + PlaceboPLACEBO_COMPARATORParticipants will receive 2.5 mg letrozole tablets orally QD along with placebo on a 5-days-on/2-days-off schedule for a total of 16 weeks.
Letrozole + TaselisibEXPERIMENTALParticipants will receive 2.5 milligrams (mg) letrozole tablets orally once daily (QD) along with taselisib tablets at 4 mg (two 2 mg tablets) orally on a 5 days-on/2 days-off schedule for a total of 16 weeks.

Interventions

NameTypeDescription
LetrozoleDRUGLetrozole tablets will be administered orally at 2.5 mg QD for 16 weeks.
PlaceboOTHERPlacebo tablets matched to taselisib formulation will be administered orally daily on 5 days-on/2 days-off schedule for up to 16 weeks.
TaselisibDRUGTaselisib will be administered orally at 4 mg (two 2 mg tablets) daily.
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Eligibility Criteria

Age Range18 Years to N/A
SexFEMALE
Healthy VolunteersNo
Study Sites117

Inclusion Criteria: * Female participants * Postmenopausal status * Histologically confirmed invasive breast carcinoma, with all of the following characteristics: (i) Primary tumor greater than or equal to (\>/=) 2 centimeters (cm) in largest diameter (cT1-3) by MRI; (ii) Stage I to operable Stage ...

Countries:United StatesAustraliaAustriaBelgiumBrazilChileCzechiaEl SalvadorFranceGermanyGuatemalaHungaryItalyMexicoPanamaPeruPolandPortugalSouth KoreaSpainSwitzerlandUnited Kingdom
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Competitive Landscape -Breast Cancer 402 trials

Top 20 of 92 competitors

CompanyTickerTrialsLead PhaseDrugs
AstraZeneca PLCAZN47PHASE3Fulvestrant, Capivasertib
Merck & Co., Inc.MRK12PHASE3Pembrolizumab, Paclitaxel, Doxorubicin, Epirubicin, Cyclophosphamide
Eli Lilly and CompanyLLY27PHASE3Abemaciclib, Standard Adjuvant Endocrine Therapy
BioNTech SE Sponsored ADRBNTX7PHASE3DB-1303/BNT323, T-DM1
Gilead Sciences, Inc.GILD13PHASE3Sacituzumab Govitecan-hziy, Eribulin, Capecitabine Product, Gemcitabine, Vinorelbine
Novartis AG Sponsored ADRNVS30PHASE3Ribociclib
Pfizer Inc.PFE34PHASE3ARV-471, Fulvestrant
BeOne Medicines Ltd. Sponsored ADRONC5PHASE3BGB-43395, Letrozole, Abemaciclib, Palbociclib, Ribociclib
Olema Pharmaceuticals, Inc.OLMA5PHASE3Palazestrant, Fulvestrant, Anastrozole, Letrozole, Exemestane
Jazz Pharmaceuticals Public Limited CompanyJAZZ3PHASE3Zanidatamab, Trastuzumab, Eribulin, Vinorelbine, Gemcitabine
Celcuity Inc.CELC3PHASE3Gedatolisib, Palbociclib, Fulvestrant, Alpelisib
Relay Therapeutics, Inc.RLAY2PHASE3Zovegalisib, Capivasertib, Fulvestrant
GSK plc Sponsored ADRGSK2PHASE3Niraparib
Greenwich LifeSciences, Inc.GLSI1PHASE3GLSI-100
Bristol-Myers Squibb CompanyBMY5PHASE2Iza-bren, Nab-paclitaxel, Paclitaxel, Capecitabine, Carboplatin
BriaCell Therapeutics CorpBCTX2PHASE3SV-BR-1-GM, Cyclophosphamide, Interferon infiltration of the inoculation site, Retifanlimab, Treatment of Physician's Choice
Incyte CorporationINCY4PHASE2Ruxolitinib, Capecitabine, Regorafenib
Natera, Inc.NTRA3PHASE2Discontinuation of the anti-HER2 maintenance therapy
Puma Biotechnology, Inc.PBYI3PHASE2Neratinib, Loperamide, Colesevelam
Atossa Therapeutics, Inc.ATOS1PHASE2endoxifen, goserelin
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Frequently asked questions about Taselisib

What is Taselisib used for in breast cancer?

Taselisib is an investigational small molecule being studied for the treatment of breast cancer. It is being evaluated in post-menopausal women with breast cancer as a neoadjuvant therapy, meaning it is given before surgery. The drug is being tested in combination with letrozole, an aromatase inhibitor, to assess its efficacy and safety in this patient population.

What does Taselisib target?

Taselisib is a small molecule that targets the PI3K pathway, specifically inhibiting the phosphatidylinositol 3-kinase (PI3K) enzyme. By blocking this pathway, Taselisib aims to interfere with cancer cell growth and survival. This mechanism is being investigated in the context of hormone receptor-positive breast cancer, where PI3K signaling is often dysregulated.

Who makes Taselisib?

Taselisib is being developed by Roche Holding AG, a multinational healthcare company. The company is conducting clinical trials to evaluate the drug's safety and efficacy in breast cancer. Roche's ticker symbol is RHHBY on the OTC market.

What phase is Taselisib in?

Taselisib is in Phase 2 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities. The drug is currently being studied in a Phase 2 trial for breast cancer, and its safety and efficacy have not yet been established for commercial use.

What clinical trials is Taselisib in?

Taselisib has been studied in one completed Phase 2 clinical trial with the identifier NCT02273973. This trial, known as LORELEI, evaluated neoadjuvant letrozole plus Taselisib versus letrozole plus placebo in post-menopausal women with breast cancer. The trial enrolled 334 participants and was conducted across multiple countries.

Is Taselisib the same as any other drug?

Taselisib is not known to have any alternative names. It is a distinct investigational compound developed by Roche. In clinical trials, it is referred to by its generic name, Taselisib, and is being studied specifically for its potential role in treating breast cancer.