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Trial · NCT03047213

Sapanisertib in Treating Patients With Locally Advanced or Metastatic Bladder Cancer With TSC1 and/or TSC2 Mutations

NCT03047213, Phase 2, Active not recruiting, National Cancer Institute (NCI); results first posted 2025-02-11

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Sapanisertib in Treating Patients With Locally Advanced or Metastatic Bladder Cancer With TSC1 and/or TSC2 Mutations. Trials, record NCT03047213. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03047213

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Sapanisertib in Treating Patients With Locally Advanced or Metastatic Bladder Cancer With TSC1 and/or TSC2 Mutations
NCT number
NCT03047213
Status
Active not recruiting
Phases
Phase 2
Enrollment
17 participants, actual
Lead sponsor
National Cancer Institute (NCI)
Conditions
Locally Advanced Bladder Urothelial Carcinoma, Metastatic Transitional Cell Carcinoma, Metastatic Urothelial Carcinoma, Recurrent Bladder Carcinoma, Stage III Bladder Urothelial Carcinoma AJCC v6 and v7, Stage IV Bladder Urothelial Carcinoma AJCC v7
Interventions
Sapanisertib
First posted
2017-02-08
Last updated
2026-07-31
Results first posted
2025-02-11

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryOverall Response Rate (TSC1 Patients)Up to 4 weeks after last dose of study treatment (approximately 19 weeks)
Overall Response Rate is the proportion of the patients with either complete response (CR) or partial response (PR) by Response Evaluation Criteria In Solid Tumors Criteria (RECIST) version 1.1. Complete Response (CR) is defined as disappearance of all target lesions and partial response (PR is defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. Overall Response Rate is the proportion of the patients with either complete response (CR) or partial response (PR) by Response Evaluation Criteria. In Solid Tumors Criteria (RECIST) version 1.1. Complete Response (CR) is defined as disappearance of all target lesions and partial response (PR is defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.
SecondaryIncidence of Toxicity (TSC1 Patients)Up to 4 weeks after last dose of study treatment (approximately 19 weeks)Presented are the most frequently occurring adverse events (25% of patients or greater)
SecondaryProgression-free Survival (PFS) (TSC1 Patients)Time from start of treatment to date of progression or death- (approximately 19 weeks)
The censored PFS distributions will each be estimated by the Kaplan-Meier (K-M) survivorship function. Point estimates and 90% (2-sided) CIs will be computed for all estimable summary statistics, e.g., the median, 6-month rate, 12-month rate, etc. Upon results entry, no patients had reached 6 or 12 months PFS and the outcome and timeframe have been updated. Progression-free survival (PFS) is defined as the duration of time from start of treatment to date of progression or death, whichever occurs first. Progression by RECIST v1.1 criteria is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm.
SecondaryOverall Survival (OS) (TSC1 Patients)Time from start of treatment to time of death from any cause, up to approximately 9 months
The censored OS distributions will each be estimated by the K-M survivorship function. Point estimates and 90% (2-sided) CIs will be computed for all estimable summary statistics, e.g., the median, 6-month rate, 12-month rate, etc.
OtherOverall Response Rate (TSC2 Patients)Up to 4 weeks after last dose of study treatment (approximately 19 weeks)
OtherIncidence of Toxicity (TSC2 Patients)Up to 4 weeks after last dose of study treatmentThe occurrence rate of each specific type of toxicity at a certain severity grade will be described by point estimates and Wilson type 90% (2-sided) CIs.
OtherProgression-free Survival (TSC2 Patients)Time from start of treatment to date of progression or death, whichever occurs first, assessed up to 1 year
The censored PFS distributions will each be estimated by the K-M survivorship function. Point estimates and 90% (2-sided) CIs will be computed for all estimable summary statistics, e.g., the median, 6-month rate, 12-month rate, etc.
OtherOverall Survival (TSC2 Patients)Time from start of treatment to time of death from any cause, assessed up to 1 year
The censored OS distributions will each be estimated by the K-M survivorship function. Point estimates and 90% (2-sided) CIs will be computed for all estimable summary statistics, e.g., the median, 6-month rate, 12-month rate, etc.

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYOverall Response Rate (TSC1 Patients)Up to 4 weeks after last dose of study treatment (approximately 19 weeks)12 of 14 patients were evaluable for the outcome.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYIncidence of Toxicity (TSC1 Patients)Up to 4 weeks after last dose of study treatment (approximately 19 weeks)ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYProgression-free Survival (PFS) (TSC1 Patients)Time from start of treatment to date of progression or death- (approximately 19 weeks)12 of 14 patients were evaluabledaysMEDIAN
SECONDARYOverall Survival (OS) (TSC1 Patients)Time from start of treatment to time of death from any cause, up to approximately 9 months12 of 14 patients were evaluabledaysMEDIAN
OTHER_PRE_SPECIFIEDOverall Response Rate (TSC2 Patients)Up to 4 weeks after last dose of study treatment (approximately 19 weeks)ParticipantsCOUNT_OF_PARTICIPANTS
OTHER_PRE_SPECIFIEDIncidence of Toxicity (TSC2 Patients)Up to 4 weeks after last dose of study treatment
OTHER_PRE_SPECIFIEDProgression-free Survival (TSC2 Patients)Time from start of treatment to date of progression or death, whichever occurs first, assessed up to 1 year
OTHER_PRE_SPECIFIEDOverall Survival (TSC2 Patients)Time from start of treatment to time of death from any cause, assessed up to 1 year

Results by group24

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Overall Response Rate (TSC1 Patients)Treatment (Sapanisertib): TSC Mutation 10Participants
Incidence of Toxicity (TSC1 Patients)Treatment (Sapanisertib): TSC Mutation 1Hyperglycemia11Participants
Incidence of Toxicity (TSC1 Patients)Treatment (Sapanisertib): TSC Mutation 1Creatinine increased7Participants
Incidence of Toxicity (TSC1 Patients)Treatment (Sapanisertib): TSC Mutation 1Hypoalbuminemia7Participants
Incidence of Toxicity (TSC1 Patients)Treatment (Sapanisertib): TSC Mutation 1Anemia6Participants
Incidence of Toxicity (TSC1 Patients)Treatment (Sapanisertib): TSC Mutation 1AST increased5Participants
Incidence of Toxicity (TSC1 Patients)Treatment (Sapanisertib): TSC Mutation 1diarrhea5Participants
Incidence of Toxicity (TSC1 Patients)Treatment (Sapanisertib): TSC Mutation 1lymphocyte count decreased5Participants
Incidence of Toxicity (TSC1 Patients)Treatment (Sapanisertib): TSC Mutation 1rash5Participants
Incidence of Toxicity (TSC1 Patients)Treatment (Sapanisertib): TSC Mutation 1Alkaline phosphatase increased4Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDTreatment (Sapanisertib): TSC Mutation 114
Overall StudySTARTEDTSC Mutation 23
Overall StudyCOMPLETEDTreatment (Sapanisertib): TSC Mutation 110
Overall StudyCOMPLETEDTSC Mutation 23
Overall StudyNOT COMPLETEDTreatment (Sapanisertib): TSC Mutation 14
Overall StudyNOT COMPLETEDTSC Mutation 20

Adverse events184

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAbdominal painGastrointestinal disordersTreatment (Sapanisertib): TSC Mutation 1312
otherAbdominal painGastrointestinal disordersTSC Mutation 203
otherActivated PTT prolongedInvestigationsTreatment (Sapanisertib): TSC Mutation 1112
otherActivated PTT prolongedInvestigationsTSC Mutation 203
otherAKIRenal and urinary disordersTreatment (Sapanisertib): TSC Mutation 1212
otherAKIRenal and urinary disordersTSC Mutation 203
otherAlkaline phosphatase increasedHepatobiliary disordersTreatment (Sapanisertib): TSC Mutation 1412
otherAlkaline phosphatase increasedHepatobiliary disordersTSC Mutation 213
otherALT increasedHepatobiliary disordersTreatment (Sapanisertib): TSC Mutation 1112
otherALT increasedHepatobiliary disordersTSC Mutation 223

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTreatment (Sapanisertib): TSC Mutation 11012
Total, all-cause mortalityTSC Mutation 233
Total, other adverse eventsTreatment (Sapanisertib): TSC Mutation 11212
Total, other adverse eventsTSC Mutation 233
Total, serious adverse eventsTreatment (Sapanisertib): TSC Mutation 1612
Total, serious adverse eventsTSC Mutation 223

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
UM1CA186689VICKtOrY Early Clinical Trials ConsortiumLORUSSO, PATRICIA M.YALE UNIVERSITYNATIONAL CANCER INSTITUTE2014 to 2025

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Treatment (Sapanisertib): TSC Mutation 1 vs TSC Mutation 2: deaths from any causeTrial comparisons
Treatment (Sapanisertib): TSC Mutation 1 vs TSC Mutation 2: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03047213

GET https://conductscience.org/api/trials/v1/NCT03047213/results?page=2