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OncoMatch/Clinical Trials/NCT06811116

Testing the Addition of an Anti-cancer Drug, Sapanisertib, to the Usual Chemotherapy Treatment (Cabozantinib) in Metastatic Liver Cell Cancer With a Change in Genes for the Protein β-Catenin, The SAPHIRE Trial

Is NCT06811116 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies multiple treatments including Cabozantinib S-malate and Sapanisertib for advanced hepatocellular carcinoma.

Phase 1/2RecruitingNational Cancer Institute (NCI)NCT06811116Data as of May 2026

Treatment: Cabozantinib S-malate · SapanisertibThis phase I/II trial studies the side effects and best dose of sapanisertib when given together with cabozantinib, and to see how well they work in treating patients with liver cancer that has spread from where it first started to other places in the body (metastatic) and contains a mutation (change) in the β-catenin gene. Sapanisertib and cabozantinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Giving sapanisertib and cabozantinib together may work better than giving cabozantinib alone in treating β-catenin-mutated metastatic hepatocellular carcinoma.

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Extracted eligibility criteria

Cancer type

Hepatocellular Carcinoma

Biomarker criteria

Required: CTNNB1 mutation

Disease stage

Required: Stage III, IV

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Max 2 prior lines
Min 1 prior line

Must have received: immune checkpoint inhibitor — metastatic

Cannot have received: cabozantinib

Lab requirements

Blood counts

Absolute neutrophil count ≥ 1,000/mcL; Platelets ≥ 30,000/mcL

Kidney function

Glomerular filtration rate (eGFR) ≥ 40 mL/min/1.73 m^2

Liver function

Child Pugh score of A; Total bilirubin ≤ 1.5 × institutional ULN; AST/ALT ≤ 5 × institutional ULN

Cardiac function

NYHA class II or better

Child Pugh score of A; Absolute neutrophil count ≥ 1,000/mcL; Platelets ≥ 30,000/mcL; Total bilirubin ≤ 1.5 × institutional ULN; AST/ALT ≤ 5 × institutional ULN; Glomerular filtration rate (eGFR) ≥ 40 mL/min/1.73 m^2; NYHA class II or better

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care · Irvine, California
  • UC Irvine Health/Chao Family Comprehensive Cancer Center · Orange, California
  • Oregon Health and Science University · Portland, Oregon
  • University of Pittsburgh Cancer Institute (UPCI) · Pittsburgh, Pennsylvania

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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