Recent Updates
Recently added Catalysts

Sapanisertib

Phase 2

Non-hematologic Malignancy | Small molecule | Oncology |Takeda Pharmaceutical Company Limited|Trials Updated: Feb 28, 2020

Sapanisertib development status

Highest phase Phase 2 run by Faeth Therapeutics (NCT05275673)
Phase scored for TAKPhase 1
Registered trials 4 across 2 sponsors since Apr 2015

Sapanisertib target and mechanism

Molecular targetMTOR
Target classInhibitor
ModalitySmall molecule

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

CONTROLLED
Total Trials1
Total Enrollment61

FDA Designations

No designations recorded

Sapanisertib clinical trials

Sapanisertib · 1 trial · 1 indication

Phase 1 1
NCT02412722A Safety, Tolerability, and Pharmacokinetics Study of MLN0128 as a Single Agent and in Combination With Paclitaxel in Adults With Advanced Nonhematologic MalignanciesNon-hematologic Malignancy
COMPLETED61 Analytics
PHASE1COMPLETED
A Safety, Tolerability, and Pharmacokinetics Study of MLN0128 as a Single Agent and in Combination With Paclitaxel in Adults With Advanced Nonhematologic Malignancies
Non-hematologic MalignancyUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
From Day 1, Cycle 1 through 30 days after the last dose of study drug (up to 15 months)

An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (example, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A TEAE is defined as an adverse event with an onset that occurs after receiving study drug. An SAE is defined as an untoward medical occurrence, significant hazard, contraindication, side effect or precaution that at any dose: results in death, is life-threatening, required in-patient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect or is medically significant.

Geometric Mean Ratio of Cmax: Maximum Observed Plasma Concentration of Sapanisertib Milled Active Pharmaceutical Ingredient (API) Capsules Under Fasted and Fed Conditions
Days 3 and 5 predose and at multiple time points (up to 24 hours) post-dose
Geometric Mean Ratio of AUC(0-last): Area Under the Plasma Concentration Curve From Time Zero to the Time of the Last Quantifiable Concentration of Sapanisertib Milled API Capsules Under Fasted and Fed Conditions
Days 3 and 5 predose and at multiple time points (up to 24 hours) post-dose
Geometric Mean Ratio of AUC(0-inf): Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for Sapanisertib Milled API Capsules Under Fasted and Fed Conditions
Days 3 and 5 predose and at multiple time points (up to 24 hours) post-dose
Cmax: Maximum Observed Plasma Concentration of Sapanisertib Milled API Capsules Under Fasted Conditions Approximately 24 Hours After Paclitaxel Infusion
Cycle 1, Day 2 pre-dose and at multiple time points (up to 8 hours) post-dose
Tmax: Time to Reach the Maximum Plasma Concentration of Sapanisertib Milled API Capsules Under Fasted Conditions Approximately 24 Hours After Paclitaxel Infusion
Cycle 1, Day 2 pre-dose and at multiple time points (up to 8 hours) post-dose
AUC(0-8): Area Under the Plasma Concentration Curve From Time Zero to 8 Hours Post-dose for Sapanisertib Milled API Capsules Under Fasted Conditions Approximately 24 Hours After Paclitaxel Infusion
Cycle 1, Day 2 pre-dose and at multiple time points (up to 8 hours) post-dose

Secondary Endpoints

Geometric Mean Ratio of Cmax: Maximum Observed Plasma Concentration of Sapanisertib Milled Versus Unmilled API Capsules Under Fasted Conditions
Days 1 and 3 pre-dose and at multiple time points (up to 24 hours) post-dose
Geometric Mean Ratio of AUC(0-last): Area Under the Plasma Concentration Curve From Time Zero to the Time of the Last Quantifiable Concentration for Sapanisertib Milled Versus Unmilled API Capsules Under Fasted Conditions
Days 1 and 3 pre-dose and at multiple time points (up to 24 hours) post-dose
AUC(0-inf): Area Under the Plasma Concentration-Time Curve From Time 0 to Infinity for Sapanisertib Milled Versus Unmilled API Capsules Under Fasted Conditions
Days 1 and 3 pre-dose and at multiple time points (up to 24 hours) post-dose
Unlock Study Endpoints

Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Single-Agent QD Arm: Sapanisertib 3 mgEXPERIMENTALFollowing Pharmacokinetic (PK) - Run in Period, sapanisertib 3 mg milled capsules, orally, once, daily in a 28-day Cycle, under fasted conditions, starting from Cycle 2 for up to 9 cycles. The dose of sapanisertib was modified based on safety and tolerability during each 28-day cycle.
Single-Agent QD Arm: Sapanisertib 4 mgEXPERIMENTALFollowing PK Run-In Period, sapanisertib 4 mg milled capsules, orally, once, daily in a 28-day Cycle, under fasted conditions, for up to 13 cycles.
Combination Arm: Sapanisertib 4 mg + Paclitaxel 80 mg/m^2EXPERIMENTALSapanisertib 4 mg milled capsules, orally, once, for 3 consecutive days following each paclitaxel administration (Days 2-4, 9-11, 16-18, and 23-25) in a 28-day Cycle, under fasted conditions, for up to 12 cycles, and paclitaxel 80 mg/m\^2, intravenously (IV), on Days 1, 8, and 15 in 28-day Cycle, for up to 6 cycles.
Combination Arm: Sapanisertib 6 mg + Paclitaxel 80 mg/m^2EXPERIMENTALSapanisertib 6 mg milled capsules, orally, once, for 3 consecutive days following each paclitaxel administration (Days 2-4, 9-11, 16-18, and 23-25) in a 28-day Cycle, under fasted conditions, for up to 9 cycles, and paclitaxel 80 mg/m\^2, IV, on Days 1, 8, and 15 in 28-day Cycle, for up to 9 cycles. The dose of sapanisertib was modified based on safety and tolerability during each 28-day cycle.
Single-Agent QW Arm: Sapanisertib 20 mgEXPERIMENTALSapanisertib 20 mg, capsules milled API, QW in a 28-day Cycle, for up to 6 cycles.
Single-Agent QW Arm: Sapanisertib 30 mgEXPERIMENTALSapanisertib 30 mg, capsules, milled API, QW in a 28-day Cycle, for up to 10 cycles.

Interventions

NameTypeDescription
SapanisertibDRUGSapanisertib capsules
PaclitaxelDRUGPaclitaxel injection
Unlock Study Design Details

Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites5

Inclusion Criteria: 1. Age is ≥ 18 years, including males and females. 2. Has Advanced nonhematologic malignancies, with the exception of primary brain tumor, and have failed or are not eligible for standard of care therapy. History of brain metastasis may be allowed if all the following criteria a...

Countries:United States
Unlock Eligibility Criteria

Frequently asked questions about Sapanisertib

What is Sapanisertib?

Sapanisertib is an investigational small molecule developed by Takeda Pharmaceutical Company Limited for advanced non-hematologic malignancies. It is an mTOR inhibitor studied as a single agent and in combination with paclitaxel. It remains in clinical development and has completed one Phase 1 trial.

What is Sapanisertib used for in non-hematologic malignancy?

Sapanisertib has been studied in adults with advanced non-hematologic malignancies. The single completed Phase 1 trial evaluated it as a single agent and in combination with paclitaxel in that patient population. It is investigational and has not been established as a marketed treatment.

What does Sapanisertib target?

Sapanisertib targets MTOR, also known as the mechanistic target of rapamycin. It is classified as an mTOR inhibitor, a small molecule that acts on this kinase. The completed Phase 1 study assessed its safety, tolerability, and pharmacokinetics in advanced non-hematologic malignancies.

Who makes Sapanisertib?

Sapanisertib is developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. The compound is also identified in chemical databases by the ChEMBL ID CHEMBL3545097. Takeda conducted the Phase 1 study of the agent.

What phase is Sapanisertib in?

Sapanisertib is in Phase 1 development. One Phase 1 trial has been completed, and no trials are currently active. The study enrolled 61 participants and evaluated the drug as a single agent and in combination with paclitaxel in adults with advanced non-hematologic malignancies.

What clinical trials is Sapanisertib in?

Sapanisertib has been studied in the completed Phase 1 trial NCT02412722, titled a safety, tolerability, and pharmacokinetics study of MLN0128 as a single agent and in combination with paclitaxel in adults with advanced nonhematologic malignancies. It enrolled 61 participants across sites in the United States.

Is Sapanisertib the same as MLN0128?

Yes, Sapanisertib is also known as MLN0128. The completed Phase 1 trial NCT02412722 refers to the drug as MLN0128, evaluating it as a single agent and in combination with paclitaxel in adults with advanced nonhematologic malignancies. Both names refer to the same Takeda mTOR inhibitor.