Evidence map›Paper›PMID 41475241›Full record

Trial reportESMO open2026

A phase II study of the AKT inhibitor TAS-117 in patients with advanced solid tumors and germline PTEN mutations.

J Ródon, H-T Arkenau, P Funchain, A Hervieu, K Anthony, S P Chawla, T W Laetsch, Y R Murciano-Goroff, C F Singer, Y He and 3 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in ESMO open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

13 authors.

J RódonDepartment of Investigational Cancer Therapeutics, Division of Cancer Medicine, MD Anderson Cancer Center, Houston, USA. Electronic address: JRodon@mdanderson.org.
H-T ArkenauSarah Cannon Research Institute UK, London, UK.
P FunchainStanford University, Stanford Cancer Center, Stanford, USA. Electronic address: https://twitter.com/funchainMD.
A HervieuService d'Oncologie Médicale, Centre Georges François Leclerc-Dijon, Attaché Institut Gustave Roussy-Villejuif, Dijon, France.
K AnthonyThe PTEN Hamartoma Tumor Syndrome Foundation, Huntsville, USA.
S P ChawlaSarcoma Oncology Research Center, Santa Monica, USA.
T W LaetschChildren's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, USA.
Y R Murciano-GoroffMemorial Sloan Kettering Cancer Center, New York, USA.
C F SingerDepartment of OB/GYN and Comprehensive Cancer Center Medical University of Vienna, Vienna, Austria.
Y HeTaiho Oncology, Inc., Princeton, USA.
M MinaTaiho Oncology, Inc., Princeton, USA.
V WacheckTaiho Oncology, Inc., Princeton, USA.
S DelalogeGustave Roussy, Department of Cancer Medicine, Gustave Roussy, Paris-Saclay University, Villejuif, France.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI FRANCESCA M GANY · 1985 to 2026
$347.4M
Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
MSK Paul Calabresi Career Development Award for Clinical OncologyK12CA184746 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Omar Abdel-Wahab, Simon N. Powell · 2015 to 2026
$8.3M
Mechanisms of adaptation and resistance to emerging therapies for lung cancerR01CA279264 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Piro Lito · 2023 to 2026
$2.0M
Rare Tumor Clinical Research SpecialistR50CA305079 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI Theodore Willis Laetsch · 2025 to 2026
$395k
NCATS NIH HHS UL1 TR000457NCATS NIH HHS UL1 TR001873NCI NIH HHS K12 CA184746NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA279264NCI NIH HHS R50 CA305079
6 · The paper itself

Abstract

backgroundProtein kinase B (AKT)-directed therapies offer promise for patients with cancers harboring germline and somatic phosphatase and tensin homolog (PTEN) mutations. TAS-117 is an oral, selective, non-adenosine triphosphate-competitive allosteric AKT inhibitor that showed encouraging antitumor activity in a phase I study. This phase II study aimed to evaluate safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary antitumor activity of TAS-117 in patients with advanced/metastatic solid tumors, including those harboring germline PTEN-inactivating mutations (EudraCT: 2020-004770-22). MATERIALS AND

methodsIn this open-label, multicenter, single-arm phase II study, the 3 + 3 phase I-like dose escalation lead-in part A enrolled patients with advanced/metastatic solid tumors irrespective of gene alterations (all-comers). Patients received TAS-117 once daily (o.d.) or intermittent dosing (ID) regimens (4 days on/3 days off), with a 16-mg/day o.d. or 24-mg/day ID starting dose. The primary objective was safety and to define maximum tolerated dose/recommended phase II dose (RP2D). The dose/regimen confirmation part B was to further assess RP2D in patients harboring germline PTEN mutations.

resultsOverall, 17 patients were enrolled in part A (all-comers n = 16, dose and regimen confirmation, n = 1). Dose-limiting toxicities were observed in three patients [febrile neutropenia at 20 mg o.d. (n = 1); grade 3 oral mucositis at 28 mg ID (n = 2)]. Most common treatment-related adverse events (AEs) (all grade/grade ≥3) were rash (58.8%/17.6%), fatigue (35.3%/1%), pruritus (29.4%/0%), hyperglycemia (29.4%/1%), and decreased appetite (17.6%/0%). RP2D was determined to be 16 mg/kg o.d. Seven patients had stable disease. One of two patients with a germline PTEN mutation (metaplastic breast cancer) had stable disease ongoing for 19.1 months as of the data cut-off. The study was closed due to enrollment challenges in the germline PTEN mutation carrier population.

conclusionsTAS-117 at the RP2D of 16 mg o.d. was tolerable, with a manageable safety profile. Clinical benefit, although durable, was only observed in a single patient with a germline PTEN mutation.

Indexed as

Antineoplastic AgentsHeterocyclic Compounds, 3-RingNeoplasmsProtein Kinase InhibitorsProto-Oncogene Proteins c-aktPTEN PhosphohydrolaseAdultAgedFemaleGerm-Line MutationHumansMaleMiddle Aged3-amino-1-methyl-3-(4-(3-phenyl-5H- imidazo(1,2-c)pyrido(3,4-e)(1,3)oxazin-2-yl)phenyl)cyclobutanolAntineoplastic AgentsHeterocyclic Compounds, 3-RingProtein Kinase InhibitorsProto-Oncogene Proteins c-aktPTEN PhosphohydrolasePTEN protein, humanadvanced solid tumorAKT inhibitorgermline PTEN mutationphase II studyTAS-117

Identifiers

PMID41475241
PMCPMC12804367

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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.