Evidence map›Paper›PMID 27672108›Full record

ArticleAnnals of oncology : official journal of the European Society for Medical Oncology2016

First-in-human phase I study of copanlisib (BAY 80-6946), an intravenous pan-class I phosphatidylinositol 3-kinase inhibitor, in patients with advanced solid tumors and non-Hodgkin's lymphomas.

A Patnaik, L J Appleman, A W Tolcher, K P Papadopoulos, M Beeram, D W Rasco, G J Weiss, J C Sachdev, M Chadha, M Fulk and 11 more

Registry-linked trialAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Annals of oncology : official journal of the European Society for Medical Oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00962611 (An Open Label Phase I Dose Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Maximum Tolerated Dose and Biomarker Response After Intravenous Administration of Weekly BAY80-6946 to Patients With Advanced Cancer), which is not on this map. Cited by 128 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
128citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00962611 phase1completednot on this map

An Open Label Phase I Dose Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Maximum Tolerated Dose and Biomarker Response After Intravenous Administration of Weekly BAY80-6946 to Patients With Advanced Cancer

TypeinterventionalSponsorBayerRan2009 to 2016Enrolled57ConditionsNeoplasmsArmsCopanlisib (Aliqopa, BAY80-6946)
3 · Its place in the literature

Who cites it

128 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Exploratory biomarker analysis from a phase III study of the PI3K inhibitor, copanlisib, in combination with rituximab in patients with indolent non-Hodgkin lymphoma, a retrospective study.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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  9. Phase II study of copanlisib, a PI3K inhibitor, in relapsed or refractory, indolent or aggressive lymphoma.Annals of oncology : official journal of the European Society for Medical Oncology · 2017
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  13. A renaissance in targeting the PI3K/AKT/mTOR pathway.Nature reviews. Drug discovery · 2026
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68 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

A PatnaikSouth Texas Accelerated Research Therapeutics (START) Center for Cancer Care, San Antonio amita.patnaik@start.stoh.com.
L J ApplemanUniversity of Pittsburgh, Pittsburgh.
A W TolcherSouth Texas Accelerated Research Therapeutics (START) Center for Cancer Care, San Antonio.
K P PapadopoulosSouth Texas Accelerated Research Therapeutics (START) Center for Cancer Care, San Antonio.
M BeeramSouth Texas Accelerated Research Therapeutics (START) Center for Cancer Care, San Antonio.
D W RascoSouth Texas Accelerated Research Therapeutics (START) Center for Cancer Care, San Antonio.
G J WeissVirginia G. Piper Cancer Center Clinical Trials at Scottsdale Healthcare/TGen, Scottsdale Cancer Treatment Centers of America, Goodyear.
J C SachdevVirginia G. Piper Cancer Center Clinical Trials at Scottsdale Healthcare/TGen, Scottsdale.
M ChadhaVirginia G. Piper Cancer Center Clinical Trials at Scottsdale Healthcare/TGen, Scottsdale.
M FulkVirginia G. Piper Cancer Center Clinical Trials at Scottsdale Healthcare/TGen, Scottsdale.
S EjadiVirginia G. Piper Cancer Center Clinical Trials at Scottsdale Healthcare/TGen, Scottsdale.
J M MountzUniversity of Pittsburgh, Pittsburgh.
M T LotzeUniversity of Pittsburgh, Pittsburgh.
F G S ToledoUniversity of Pittsburgh, Pittsburgh.
E ChuUniversity of Pittsburgh, Pittsburgh.
M JeffersBayer HealthCare Pharmaceuticals, Inc., Whippany, USA.
C PeñaBayer HealthCare Pharmaceuticals, Inc., Whippany, USA.
C XiaBayer HealthCare Pharmaceuticals, Inc., Whippany, USA.
S ReifBayer Pharma AG, Berlin, Germany.
I GenvresseBayer Pharma AG, Berlin, Germany.
R K RamanathanVirginia G. Piper Cancer Center Clinical Trials at Scottsdale Healthcare/TGen, Scottsdale.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the safety, tolerability, pharmacokinetics, and maximum tolerated dose (MTD) of copanlisib, a phosphatidylinositol 3-kinase inhibitor, in patients with advanced solid tumors or non-Hodgkin's lymphoma (NHL). PATIENTS AND

methodsPhase I dose-escalation study including patients with advanced solid tumors or NHL, and a cohort of patients with type 2 diabetes mellitus. Patients received three weekly intravenous infusions of copanlisib per 28-day cycle over the dose range 0.1-1.2 mg/kg. Plasma copanlisib levels were analyzed for pharmacokinetics. Biomarker analysis included PIK3CA, KRAS, BRAF, and PTEN mutational status and PTEN immunohistochemistry. Whole-body [(18)F]-fluorodeoxyglucose positron emission tomography ((18)FDG-PET) was carried out at baseline and following the first dose to assess early pharmacodynamic effects. Plasma glucose and insulin levels were evaluated serially.

resultsFifty-seven patients received treatment. The MTD was 0.8 mg/kg copanlisib. The most frequent treatment-related adverse events were nausea and transient hyperglycemia. Copanlisib exposure was dose-proportional with no accumulation; peak exposure positively correlated with transient hyperglycemia post-infusion. Sixteen of 20 patients treated at the MTD had reduced (18)FDG-PET uptake; 7 (33%) had a reduction >25%. One patient achieved a complete response (CR; endometrial carcinoma exhibiting both PIK3CA and PTEN mutations and complete PTEN loss) and two had a partial response (PR; both metastatic breast cancer). Among the nine NHL patients, all six with follicular lymphoma (FL) responded (one CR and five PRs) and one patient with diffuse large B-cell lymphoma had a PR by investigator assessment; two patients with FL who achieved CR (per post hoc independent radiologic review) were on treatment >3 years.

conclusionCopanlisib, dosed intermittently on days 1, 8, and 15 of a 28-day cycle, was well tolerated and the MTD was determined to be 0.8 mg/kg. Copanlisib exhibited dose-proportional pharmacokinetics and promising anti-tumor activity, particularly in patients with NHL. CLINICALTRIALSGOV: NCT00962611; https://clinicaltrials.gov/ct2/show/NCT00962611.

Indexed as

Administration, IntravenousAdultAgedClass I Phosphatidylinositol 3-KinasesDose-Response Relationship, DrugEnzyme InhibitorsFemaleHumansLymphoma, Non-HodgkinMaleMiddle AgedNeoplasmsNeoplasm StagingPyrimidinesQuinazolinesClass I Phosphatidylinositol 3-KinasescopanlisibEnzyme InhibitorsPIK3CA protein, humanPyrimidinesQuinazolinesadvanced cancercopanlisibnon-Hodgkin's lymphomaPI3K inhibitor

Identifiers

PMID27672108
PMCPMC5035790

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.