Clinical Trials

Sapanisertib (MLN0128) has been evaluated in numerous clinical trials as a single agent or in combination regimens for advanced malignancies, including non-small cell lung cancer, hepatocellular carcinoma, endometrial cancer, glioblastoma, and metastatic breast carcinoma. These early-phase protocols—sponsored by academic institutions like M.D. Anderson Cancer Center, federal entities such as the National Cancer Institute, and pharmaceutical companies including Millennium Pharmaceuticals and Faeth Therapeutics—encompass active, recruiting, completed, active not recruiting, and terminated recruitment statuses.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07558733 RECRUITING
HR+ HER2- Breast Cancer
Faeth Therapeutics
2026-04-22 PHASE1; PHASE2
NCT06463028 RECRUITING
Endometrial Cancer
Faeth Therapeutics
2024-12-12 PHASE2
NCT06811116 RECRUITING
Advanced Hepatocellular Carcinoma; Metastatic Hepatocellular Carcinoma; Stage III Hepatocellular Carcinoma AJCC v8; Stage IV Hepatocellular Carcinoma AJCC v8
National Cancer Institute (NCI)
2025-11-17 PHASE1; PHASE2
NCT02503722 ACTIVE_NOT_RECRUITING
Metastatic Lung Non-Small Cell Carcinoma; Recurrent Lung Non-Small Cell Carcinoma; Stage III Lung Non-Small Cell Cancer AJCC v7; Stage IIIA Lung Non-Small Cell Cancer AJCC v7; Stage IIIB Lung Non-Small Cell Cancer AJCC v7; Stage IV Lung Non-Small Cell Cancer AJCC v7
National Cancer Institute (NCI)
2017-03-23 PHASE1
NCT02465060 ACTIVE_NOT_RECRUITING
Advanced Lymphoma; Advanced Malignant Solid Neoplasm; Bladder Carcinoma; Breast Carcinoma; Cervical Carcinoma; Colon Carcinoma; Colorectal Carcinoma; Endometrial Carcinoma; Esophageal Carcinoma; Exocrine Pancreas Carcinoma; Gastric Carcinoma; Glioma; Head and Neck Carcinoma; Hematopoietic and Lymphoid Cell Neoplasm; Kidney Carcinoma; Liver Carcinoma; Lung Carcinoma; Lymphoma; Malignant Uterine Corpus Neoplasm; Malignant Uterine Neoplasm; Melanoma; Multiple Myeloma; Ovarian Carcinoma; Prostate Carcinoma; Rectal Carcinoma; Recurrent Bladder Carcinoma; Recurrent Breast Carcinoma; Recurrent Cervical Carcinoma; Recurrent Colon Carcinoma; Recurrent Colorectal Carcinoma; Recurrent Esophageal Carcinoma; Recurrent Gastric Carcinoma; Recurrent Glioma; Recurrent Head and Neck Carcinoma; Recurrent Liver Carcinoma; Recurrent Lung Carcinoma; Recurrent Lymphoma; Recurrent Malignant Solid Neoplasm; Recurrent Malignant Uterine Corpus Neoplasm; Recurrent Melanoma; Recurrent Multiple Myeloma; Recurrent Ovarian Carcinoma; Recurrent Pancreatic Carcinoma; Recurrent Prostate Carcinoma; Recurrent Rectal Carcinoma; Recurrent Skin Carcinoma; Recurrent Thyroid Gland Carcinoma; Refractory Lymphoma; Refractory Malignant Solid Neoplasm; Refractory Multiple Myeloma; Skin Carcinoma; Thyroid Gland Carcinoma
National Cancer Institute (NCI)
2015-08-17 PHASE2
NCT06390865 ACTIVE_NOT_RECRUITING
Advanced Lymphoma; Advanced Malignant Solid Neoplasm; Refractory Lymphoma; Refractory Malignant Solid Neoplasm; Refractory Multiple Myeloma
National Cancer Institute (NCI)
2017-03-12 PHASE2
NCT06385496 ACTIVE_NOT_RECRUITING
Advanced Lymphoma; Advanced Malignant Solid Neoplasm; Refractory Lymphoma; Refractory Malignant Solid Neoplasm; Refractory Multiple Myeloma
National Cancer Institute (NCI)
2017-03-12 PHASE2
NCT04250545 ACTIVE_NOT_RECRUITING
Leptomeningeal Neoplasm; Metastatic Lung Non-Small Cell Carcinoma; Metastatic Malignant Neoplasm in the Brain; Recurrent Lung Non-Small Cell Carcinoma; Stage IV Lung Cancer AJCC v8; Stage IVA Lung Cancer AJCC v8; Stage IVB Lung Cancer AJCC v8
National Cancer Institute (NCI)
2020-10-26 PHASE1
NCT04267913 WITHDRAWN
Lung Squamous Cell Carcinoma; Recurrent Lung Carcinoma; Stage IV Lung Cancer AJCC v8; Stage IVA Lung Cancer AJCC v8; Stage IVB Lung Cancer AJCC v8
SWOG Cancer Research Network
2020-09-05 PHASE2
NCT04479306 COMPLETED
Recurrent Lung Non-Small Cell Carcinoma; Stage IIIB Lung Cancer AJCC v8; Stage IV Lung Cancer AJCC v8; Stage IVA Lung Cancer AJCC v8; Stage IVB Lung Cancer AJCC v8
M.D. Anderson Cancer Center
2020-06-18 PHASE1
NCT05275673 TERMINATED
Non-Small Cell Lung Cancer; Squamous Non-small-cell Lung Cancer; Squamous Non-Small Cell Neoplasm of Lung; NFE2L2 Gene Mutation
Faeth Therapeutics
2022-07-21 PHASE2
NCT03017833 COMPLETED
Advanced Malignant Solid Neoplasm; Metastatic Malignant Solid Neoplasm; Recurrent Malignant Solid Neoplasm; Refractory Neoplasm
M.D. Anderson Cancer Center
2018-03-12 PHASE1
NCT03430882 COMPLETED
Recurrent Malignant Solid Neoplasm; Refractory Malignant Solid Neoplasm
M.D. Anderson Cancer Center
2018-03-12 PHASE1
NCT02244463 COMPLETED
Anaplastic Thyroid Cancer; Thyroid Cancer; Differentiated Thyroid Cancer
Dana-Farber Cancer Institute
2015-07 PHASE1; PHASE2
NCT02159989 COMPLETED
Advanced Malignant Solid Neoplasm; Fibrolamellar Carcinoma; Metastatic Malignant Solid Neoplasm; Ovarian Carcinoma; Pancreatic Neuroendocrine Tumor; Recurrent Malignant Solid Neoplasm; Refractory Malignant Solid Neoplasm; Unresectable Solid Neoplasm
National Cancer Institute (NCI)
2014-06-18 PHASE1
NCT02893930 COMPLETED
Pancreatic Neuroendocrine Tumor G1; Pancreatic Neuroendocrine Tumor G2; Refractory Pancreatic Neuroendocrine Carcinoma
National Cancer Institute (NCI)
2017-04-28 PHASE2
NCT05022394 WITHDRAWN
Lung Non-Small Cell Carcinoma; Recurrent Lung Non-Small Cell Carcinoma; Stage I Lung Cancer AJCC v8; Stage II Lung Cancer AJCC v8; Stage IIA Lung Cancer AJCC v8; Stage IIB Lung Cancer AJCC v8; Stage III Lung Cancer AJCC v8; Stage IIIA Lung Cancer AJCC v8; Stage IIIB Lung Cancer AJCC v8; Stage IIIC Lung Cancer AJCC v8; Stage IV Lung Cancer AJCC v8; Stage IVA Lung Cancer AJCC v8; Stage IVB Lung Cancer AJCC v8
M.D. Anderson Cancer Center
2021-02-18 PHASE1; PHASE2
NCT02142803 ACTIVE_NOT_RECRUITING
Adult Glioblastoma; Endometrial Clear Cell Adenocarcinoma; Endometrial Serous Adenocarcinoma; Ovarian Clear Cell Cystadenocarcinoma; Ovarian Endometrioid Adenocarcinoma; Ovarian Mucinous Cystadenocarcinoma; Ovarian Serous Cystadenocarcinoma; Recurrent Fallopian Tube Carcinoma; Recurrent Malignant Uterine Corpus Neoplasm; Recurrent Ovarian Carcinoma; Recurrent Primary Peritoneal Carcinoma; Solid Neoplasm; Stage IIIA Fallopian Tube Cancer AJCC v7; Stage IIIA Ovarian Cancer AJCC v6 and v7; Stage IIIA Primary Peritoneal Cancer AJCC v7; Stage IIIB Fallopian Tube Cancer AJCC v7; Stage IIIB Ovarian Cancer AJCC v6 and v7; Stage IIIB Primary Peritoneal Cancer AJCC v7; Stage IIIC Fallopian Tube Cancer AJCC v7; Stage IIIC Ovarian Cancer AJCC v6 and v7; Stage IIIC Primary Peritoneal Cancer AJCC v7; Stage IV Fallopian Tube Cancer AJCC v6 and v7; Stage IV Ovarian Cancer AJCC v6 and v7; Stage IV Primary Peritoneal Cancer AJCC v7
National Cancer Institute (NCI)
2014-05-20 PHASE1
NCT02417701 COMPLETED
Recurrent Lung Squamous Cell Carcinoma; Stage IV Lung Squamous Cell Carcinoma AJCC v7
National Cancer Institute (NCI)
2016-10-06 PHASE2
NCT03047213 ACTIVE_NOT_RECRUITING
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
National Cancer Institute (NCI)
2017-08-24 PHASE2
NCT04250545 Recruiting
Leptomeningeal Neoplasm|Metastatic Lung Non-Small Cell Carcinoma|Metastatic Malignant Neoplasm in the Brain|Recurrent Lung Non-Small Cell Carcinoma|Stage IV Lung Cancer AJCC v8|Stage IVA Lung Cancer AJCC v8|Stage IVB Lung Cancer AJCC v8
National Cancer Institute (NCI)
2020-10-26 Phase 1
NCT02719691 COMPLETED
Metastatic Breast Cancer; Solid Tumors
University of Colorado, Denver
2016-05-13 PHASE1
NCT02724020 COMPLETED
Clear-cell Metastatic Renal Cell Carcinoma
Millennium Pharmaceuticals, Inc.
2016-06-30 PHASE2
NCT02133183 TERMINATED
Glioblastoma; Gliosarcoma
National Cancer Institute (NCI)
2014-07-02 PHASE1
NCT02756364 COMPLETED
Breast Neoplasms
Calithera Biosciences, Inc
2016-07-28 PHASE2
NCT02725268 COMPLETED
Endometrial Neoplasms
Millennium Pharmaceuticals, Inc.
2016-04-01 PHASE2
NCT01058707 COMPLETED
Advanced Solid Malignancies
Millennium Pharmaceuticals, Inc.
2010-01-04 PHASE1
NCT02987959 TERMINATED
Soft-tissue Sarcoma
Fox Chase Cancer Center
2017-02-21 PHASE2
NCT02484430 COMPLETED
B Acute Lymphoblastic Leukemia; B Acute Lymphoblastic Leukemia With t(9;22)(q34.1;q11.2); BCR-ABL1; B Acute Lymphoblastic Leukemia, Philadelphia Chromosome Negative; Recurrent Adult Acute Lymphoblastic Leukemia; Refractory Adult Acute Lymphoblastic Leukemia; T Acute Lymphoblastic Leukemia
National Cancer Institute (NCI)
2017-04-06 PHASE2
NCT02601209 TERMINATED
High Grade Sarcoma; Metastatic Leiomyosarcoma; Metastatic Malignant Peripheral Nerve Sheath Tumor; Metastatic Synovial Sarcoma; Metastatic Undifferentiated Pleomorphic Sarcoma; Metastatic Unresectable Sarcoma; Myxofibrosarcoma; Recurrent Leiomyosarcoma; Recurrent Malignant Peripheral Nerve Sheath Tumor; Recurrent Synovial Sarcoma; Recurrent Undifferentiated Pleomorphic Sarcoma; Stage III Uterine Corpus Leiomyosarcoma AJCC v8; Stage IIIA Uterine Corpus Leiomyosarcoma AJCC v8; Stage IIIB Uterine Corpus Leiomyosarcoma AJCC v8; Stage IIIC Uterine Corpus Leiomyosarcoma AJCC v8; Stage IV Uterine Corpus Leiomyosarcoma AJCC v8; Stage IVA Uterine Corpus Leiomyosarcoma AJCC v8; Stage IVB Uterine Corpus Leiomyosarcoma AJCC v8; Unresectable Leiomyosarcoma
National Cancer Institute (NCI)
2015-11-30 PHASE1; PHASE2
NCT02091531 COMPLETED
Metastatic Castration-Resistant Prostate Cancer
Memorial Sloan Kettering Cancer Center
2014-03 PHASE2
NCT02327169 COMPLETED
Advanced Nonhematologic Malignancies
Millennium Pharmaceuticals, Inc.
2015-01-14 PHASE1
NCT02049957 COMPLETED
Breast Cancer
Calithera Biosciences, Inc
2014-02-13 PHASE2
NCT02575339 TERMINATED
Hepatocellular Carcinoma; Liver Cancer; HCC
Kathy Miller
2016-07-18 PHASE1; PHASE2
NCT02412722 COMPLETED
Non-hematologic Malignancy
Millennium Pharmaceuticals, Inc.
2015-03-26 PHASE1
NCT01351350 COMPLETED
Advanced Solid Malignancies; Hematologic Malignancies
Millennium Pharmaceuticals, Inc.
2011-02-28 PHASE1
NCT02514824 COMPLETED
Merkel Cell Carcinoma
Dana-Farber Cancer Institute
2015-10 PHASE1; PHASE2
NCT01899053 COMPLETED
Advanced Nonhematologic Malignancies
Millennium Pharmaceuticals, Inc.
2013-06-28 PHASE1
NCT02575339 Terminated
Hepatocellular Carcinoma|Liver Cancer|HCC
Kathy Miller|Millennium Pharmaceuticals Inc.|Big Ten Cancer Research Consortium
2016-07-18 Phase 1|Phase 2
NCT02197572 COMPLETED
Advanced Solid Tumors
Calithera Biosciences, Inc
2014-09-15 PHASE1
NCT02719691 Completed
Metastatic Breast Cancer|Solid Tumors
University of Colorado Denver
2016-05-13 Phase 1
NCT02514824 Completed
Merkel Cell Carcinoma
Dana-Farber Cancer Institute|Millennium Pharmaceuticals Inc.
2015-10 Phase 1|Phase 2
NCT01118689 COMPLETED
Relapsed Multiple Myeloma; Refractory Multiple Myeloma; Waldenstrom Macroglobulinemia
Millennium Pharmaceuticals, Inc.
2010-11 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-07-02)

Check the Sapanisertib (MLN0128, INK-128) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Sapanisertib acts as a potent ATP-competitive inhibitor of mammalian target of rapamycin, selectively binding and blocking both the mTORC1 and mTORC2 signaling complexes with a nanomolar half-maximal inhibitory concentration. This dual inhibition prevents downstream substrate phosphorylation and protein translation, driving cell cycle arrest and suppressing tumor progression in clinical conditions such as non-small cell lung cancer and endometrial carcinoma.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.