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NCT05275673

A Study of Sapanisertib in Relapsed/Refractory NFE2L2-Mutated and Wild-Type Squamous Non-Small Cell Lung Cancer

Terminated Phase 2 Results posted Last updated 24 April 2025
What this trial tests

Phase 2 trial testing sapanisertib in Non-Small Cell Lung Cancer in 7 participants. Terminated before completion.

Timeline
21 July 2022
Primary endpoint
24 January 2023
24 January 2023

Quick facts

Lead sponsorFaeth Therapeutics
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment7
Start date21 July 2022
Primary completion24 January 2023
Estimated completion24 January 2023
Sites14 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Faeth Therapeutics

Who can join

18 and older, any sex, with Non-Small Cell Lung Cancer or Squamous Non-small-cell Lung Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Adverse Events (AEs), Serious AEs, and Deaths Primary · From the first dose through 28 days after the last dose of sapanisertib (up to a maximum of 124 days).

An adverse event (AE) is defined as any untoward, undesired, or unplanned medical occurrence in a patient administered a medicinal product whether or not considered drug related. A serious adverse event (SAE) is defined as an AE that occurs after receiving study treatment (or after signing informed consent and before receiving study treatment if due to a protocol-mandated procedure) that either results in death, is life-threatening, requires inpatient hospitalization, results in persistent or significant disability, results in congenital anomaly or birth defect, or otherwise meets criteria as

AE
GroupValue95% CI
Sapanisertib 3 mg QD3
Sapanisertib 2 mg BID2
AE >= Grade 3
GroupValue95% CI
Sapanisertib 3 mg QD1
Sapanisertib 2 mg BID1
Serious AE
GroupValue95% CI
Sapanisertib 3 mg QD1
Sapanisertib 2 mg BID1
AE Related to Study Drug
GroupValue95% CI
Sapanisertib 3 mg QD3
Sapanisertib 2 mg BID1
Death
GroupValue95% CI
Sapanisertib 3 mg QD1
Sapanisertib 2 mg BID0

Adverse events — posted to ClinicalTrials.gov

Time frame: From enrollment (all-cause mortality) or from the first dose of study drug (adverse events) through the last day on study (up to a maximum of 124 days).. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Sapanisertib 3 mg QD
Serious: 1/4 (25%)
Deaths: 1/4
Sapanisertib 2 mg BID
Serious: 1/3 (33%)
Deaths: 0/3

Serious adverse events (2 terms)

ReactionSystemSapanisertib 3 mg QDSapanisertib 2 mg BID
SepsisInfections and infestations
Cardiac arrestCardiac disorders
Other adverse events (13 terms — click to expand)

ReactionSystemSapanisertib 3 mg QDSapanisertib 2 mg BID
DiarrhoeaGastrointestinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
Dental cariesGastrointestinal disorders
ToothacheGastrointestinal disorders
PruritusSkin and subcutaneous tissue disorders
Urinary tract infectionInfections and infestations
COVID-19Infections and infestations
Decreased appetiteMetabolism and nutrition disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
Pharyngeal inflammationRespiratory, thoracic and mediastinal disorders
Blood creatinine increasedInvestigations
NauseaGastrointestinal disorders
Rash pustularInfections and infestations

Most-reported serious reactions: Sepsis, Cardiac arrest.

Data from ClinicalTrials.gov NCT05275673 adverse events section.

Sponsor's own description

This is a multicenter, randomized, open-label Phase 2 study of sapanisertib in biomarker-defined populations of sqNSCLC. Patients with NFE2L2 (the name for gene encoding the protein called NRF2)-mutated or wild-type sqNSCLC should have disease that has progressed on or after at least two prior systemic therapies for metastatic disease including platinum-doublet chemotherapy and a programmed cell death 1 ligand 1 (PD-L1) inhibitor. The study will evaluate sapanisertib monotherapy in patients with relapsed/refractory sqNSCLC as two separate groups: Group A: NFE2L2-mutated sqNSCLC and Group B: NFE2L2-WT sqNSCLC.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Targeting NFE2L2/KEAP1 Mutations in Advanced NSCLC With the TORC1/2 Inhibitor TAK-228.
    Paik PK, Fan PD, Qeriqi B, Namakydoust A, et al · · 2023 · cited 30× · PMID 36240971 · DOI 10.1016/j.jtho.2022.09.225
  2. Immunometabolism in cancer: basic mechanisms and new targeting strategy.
    Su R, Shao Y, Huang M, Liu D, et al · · 2024 · cited 28× · PMID 38755125 · DOI 10.1038/s41420-024-02006-2
  3. Lymphatic Metastasis of Esophageal Squamous Cell Carcinoma: The Role of NRF2 and Therapeutic Strategies.
    Li Y, Ladd Z, Xiong Z, Bui-Linh C, et al · · 2025 · cited 4× · PMID 40507333 · DOI 10.3390/cancers17111853
  4. Prevalence and Associations of Co-occurrence of <i>NFE2L2</i> Mutations and Chromosome 3q26 Amplification in Lung Cancer.
    Liu J, Liu S, Li D, Li H, et al · · 2024 · cited 4× · PMID 38628662 · DOI 10.1055/s-0044-1786004
  5. Effects of the Pharmacological Modulation of NRF2 in Cancer Progression.
    Gelerstein-Claro S, Méndez-Valdés G, Rodrigo R. · · 2025 · PMID 41470226 · DOI 10.3390/medicina61122224

Verify or expand the search:

Other recruiting trials for Non-Small Cell Lung Cancer

Currently open trials in the same condition.

Other Faeth Therapeutics trials

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