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PI3K Inhibitor

Niraparib + Copanlisib for Gynecologic Cancers

Phase 1
Waitlist Available
Led By Shannon N Westin
Research Sponsored by M.D. Anderson Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 4 weeks
Awards & highlights
All Individual Drugs Already Approved
Approved for 5 Other Conditions
No Placebo-Only Group

Summary

This trial is studying the best dose and side effects of niraparib and copanlisib for treating patients with endometrial, ovarian, primary peritoneal, or fallopian tube cancer that has come back.

Who is the study for?
This trial is for patients with recurrent endometrial, ovarian, primary peritoneal, or fallopian tube cancer. Participants must have had any number of prior chemotherapies and a life expectancy of at least 3 months. They should be able to perform daily activities with little assistance (ECOG status 0-1), not be pregnant, use effective contraception, and meet certain health criteria.
What is being tested?
The trial is testing the combination of two drugs: Niraparib and Copanlisib. It aims to find the best dose while observing side effects in patients whose cancer has returned. These drugs are believed to block enzymes that tumor cells need for growth.
What are the potential side effects?
Potential side effects include issues related to blocking cell growth which may affect normal cells as well as cancerous ones. This can lead to fatigue, digestive problems, changes in blood counts or liver function tests among others.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 4 weeks
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 4 weeks for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Maximum tolerated dose

Side effects data

From 2022 Phase 2 trial • 37 Patients • NCT03207347
74%
Fatigue
52%
Nausea
39%
Constipation
39%
Anorexia
30%
Anemia
30%
Alkaline phosphatase increased
26%
Weight loss
22%
Abdominal pain
22%
Dizziness
22%
Insomnia
22%
Dyspnea
17%
Platelet count decreased
17%
Headache
17%
Mucositis oral
17%
Creatinine increased
13%
Rash maculo-papular
13%
Vomiting
13%
Aspartate aminotransferase increased
13%
Sinus tachycardia
9%
Dehydration
9%
Cough
9%
Urinary tract infection
9%
Dry mouth
9%
Hypertension
9%
Non-cardiac chest pain
9%
Alanine aminotransferase increased
9%
Anxiety
9%
Blood bilirubin increased
9%
Back pain
4%
Upper respiratory infection
4%
Hoarseness
4%
Hypotension
4%
Postnasal drip
4%
Head injury
4%
Hyponatremia
4%
Flu like symptoms
4%
Hyperglycemia
4%
Neutrophil count decreased
4%
Tremor
4%
Hot flashes
4%
Hypokalemia
4%
Diarrhea
4%
Depression
4%
Itchy eyes
4%
Edema limbs
4%
Bruising
4%
Esophageal ulcer
4%
Hyperkalemia
4%
Peripheral sensory neuropathy
4%
Leukocytosis
4%
White blood cell decreased
4%
Skin tear
4%
Oral petechia
4%
Lung infection
4%
Bloating
4%
Unknown infection
4%
Hematuria
4%
Ascites
4%
Sinus pain
4%
Sore throat
4%
Syncope
100%
80%
60%
40%
20%
0%
Study treatment Arm
Cohort A
Cohort B

Awards & Highlights

All Individual Drugs Already Approved
Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
Approved for 5 Other Conditions
This treatment demonstrated efficacy for 5 other conditions.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (niraparib, copanlisib)Experimental Treatment2 Interventions
Patients receive niraparib PO daily on days 1-28 and copanlisib IV on days 1, 8, and 15. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Copanlisib
FDA approved
Niraparib
FDA approved

Find a Location

Who is running the clinical trial?

National Cancer Institute (NCI)NIH
13,957 Previous Clinical Trials
41,112,049 Total Patients Enrolled
1 Trials studying BRCA2 Mutation
18 Patients Enrolled for BRCA2 Mutation
M.D. Anderson Cancer CenterLead Sponsor
3,074 Previous Clinical Trials
1,803,560 Total Patients Enrolled
Shannon N WestinPrincipal InvestigatorM.D. Anderson Cancer Center
11 Previous Clinical Trials
1,165 Total Patients Enrolled

Media Library

Copanlisib (PI3K Inhibitor) Clinical Trial Eligibility Overview. Trial Name: NCT03586661 — Phase 1
BRCA2 Mutation Research Study Groups: Treatment (niraparib, copanlisib)
BRCA2 Mutation Clinical Trial 2023: Copanlisib Highlights & Side Effects. Trial Name: NCT03586661 — Phase 1
Copanlisib (PI3K Inhibitor) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03586661 — Phase 1
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