OncoSignal
Live from Open Targets Platform, fetched 2026-11-12 04:46 UTC. Every row links to its source record.

PIK3R1 phosphoinositide-3-kinase regulatory subunit 1

ENSG00000145675 · protein coding · Open Targets profile

Binds to activated (phosphorylated) protein-Tyr kinases, through its SH2 domain, and acts as an adapter, mediating the association of the p110 catalytic unit to the plasma membrane. Necessary for the insulin-stimulated increase in glucose uptake and glycogen synthesis in insulin-sensitive tissues. Plays an important role in signaling in response to FGFR1, FGFR2, FGFR3, FGFR4, KITLG/SCF, KIT, PDGFRA and PDGFRB. Likewise, plays a role in ITGB2 signaling (PubMed:17626883, PubMed:19805105, PubMed:7518429). Modulates the cellular response to ER stress by promoting nuclear translocation of XBP1 isoform 2 in a ER stress- and/or insulin-dependent manner during metabolic overloading in the liver and hence plays a role in glucose tolerance improvement (PubMed:20348923). {ECO:0000269|PubMed:17626883, ECO:0000269|PubMed:19805105, ECO:0000269|PubMed:20348923, ECO:0000269|PubMed:7518429}.

None of the 24 drugs recorded against PIK3R1 is approved yet; 5 reached Phase 3

Each band is a group of drugs. It runs from the kind of drug on the left to the furthest stage that drug has reached in any disease on the right. Thicker bands mean more drugs.

5 small molecule drugs at Phase 3: TASELISIB, GEDATOLISIB, DACTOLISIB, BUPARLISIB, PAXALISIB10 small molecule drugs at Phase 2: PF-04691502, SF-1126, VOXTALISIB, PILARALISIB, APITOLISIB, SAMOTOLISIB, SONOLISIB, PICTILISIB, IZORLISIB, BGT-2266 small molecule drugs at Phase 1: RECILISIB, PANULISIB, GSK-1059615, VS-5584, ZSTK-474, OMIPALISIB1 small molecule drug at Stage not recorded: AZD-64822 unknown drugs at Phase 1: WX-037, DS-7423Small molecule 22Unknown 2Phase 3 5Phase 2 10Phase 1 8Stage not recorded 1

Approved bands are highlighted. Withdrawn means the drug was pulled from the market or from development. A combined phase counts as the later one (Phase 1/2 is shown as Phase 2). Hover a band for the drug names. Source: Open Targets Platform, fetched live.

In 12 of 15 cancers, the evidence for PIK3R1 comes mainly from mutations found in tumours

Each row is a cancer, strongest overall evidence first. The two dots show how strong the inherited (germline) and tumour-mutation (somatic) evidence is; the line between them is the gap.

Inherited (germline) variantsMutations in tumours (somatic)
00.250.50.751endometrial cancerendometrial cancerendometrial cancer: somatic 0.86glioblastomaglioblastomaglioblastoma: somatic 0.61glioblastoma: germline 0.52breast cancerbreast cancerbreast cancer: germline 0.39chronic myeloid leukemiachronic myeloid leukemiacolorectal adenocarcinomacolorectal adenocarcinomacolorectal adenocarcinoma: somatic 0.60non-small cell lung carcinomanon-small cell lung carcinomanon-small cell lung carcinoma: somatic 0.46colon adenocarcinomacolon adenocarcinomacolon adenocarcinoma: somatic 0.58endometrial carcinomaendometrial carcinomaendometrial carcinoma: somatic 0.61basal cell carcinomabasal cell carcinomabasal cell carcinoma: germline 0.62CLOVES syndromeCLOVES syndromeCLOVES syndrome: somatic 0.53CLOVES syndrome: germline 0.44brain glioblastomabrain glioblastomabrain glioblastoma: somatic 0.61head and neck squamous cell carcinomahead and neck squamous cell carcinomahead and neck squamous cell carcinoma: somatic 0.40nodular malignant melanomanodular malignant melanomanodular malignant melanoma: somatic 0.61endometrial endometrioid adenocarcinomaendometrial endometrioid adenocarcinomaendometrial endometrioid adenocarcinoma: somatic 0.61anaplastic oligodendrogliomaanaplastic oligodendrogliomaanaplastic oligodendroglioma: somatic 0.61

Scores run from 0 (no evidence) to 1 (strongest). A missing dot at 0 means Open Targets holds no evidence of that kind. Source: Open Targets Platform, fetched live.

Tractability

Small molecule
Advanced Clinical, Structure with Ligand, High-Quality Ligand, Med-Quality Pocket, Druggable Family
Antibody
GO CC high conf
PROTAC
UniProt Ubiquitination, Database Ubiquitination, Half-life Data, Small Molecule Binder

gnomAD loss of function constraint: o/e 0.2957800030708313 (upper bound 0.4032900035381317). Low values mean loss of function is poorly tolerated, a safety flag for inhibition.

Who runs trials of these drugs

Principal investigators and study chairs on 32 registry trials, updated in the last three years, of the most advanced drugs against PIK3R1 (taselisib, gedatolisib, dactolisib, buparlisib, paxalisib, PF-04691502, SF-1126, voxtalisib, pilaralisib, apitolisib, samotolisib, sonolisib), ranked by Phase 2+ trials. Live from ClinicalTrials.gov.

14 of 32 trials of drugs against PIK3R1 have sites only in United States

Registry trials of taselisib, gedatolisib, dactolisib, buparlisib, paxalisib, PF-04691502, SF-1126, voxtalisib, pilaralisib, apitolisib, samotolisib, sonolisib updated in the last three years, counted by the country group of their listed sites. A trial with sites in several groups counts in each; 21 of 32 have all sites in one country.

Sites only in this groupSites here and elsewhere
United StatesUnited States: 14 trials with sites only hereUnited States: 10 trials with sites here and elsewhere24ChinaChina: 0 trials with sites only hereChina: 2 trials with sites here and elsewhere2EuropeEurope: 6 trials with sites only hereEurope: 7 trials with sites here and elsewhere13JapanJapan: 0 trials with sites only hereJapan: 1 trials with sites here and elsewhere1OtherOther: 2 trials with sites only hereOther: 9 trials with sites here and elsewhere11

Site counts are not patients per country, and trials registered only outside ClinicalTrials.gov are not covered. Where sites are is a fact about the record, not a judgement of its quality. Europe is the EU and EEA, the UK and Switzerland. Source: ClinicalTrials.gov, fetched live.

51 trials of drugs against PIK3R1 were stopped early; 10 give no reason

Terminated, withdrawn and suspended interventional trials of taselisib, gedatolisib, dactolisib, buparlisib, paxalisib, PF-04691502, SF-1126, voxtalisib, pilaralisib, apitolisib, samotolisib, sonolisib, newest update first, live from ClinicalTrials.gov. Each reason is quoted exactly as the registry gives it; we do not sort reasons into safety, efficacy or business. Dates are the last registry update. Showing the 25 most recent of 51.

  • terminated · 2026-04-21 · Institut Paoli-Calmettes · matched by the registry's drug synonyms
    “Drug development withdrawn”
  • suspended · 2026-02-13 · Dana-Farber Cancer Institute · Gedatolisib
    “Funding and drug supply to continue the study are pending.”
  • terminated · 2026-02-04 · Centre Hospitalier Universitaire Dijon · Taselisib (GDC0032)
    “In accordance with the protocol, following the occurrence of two SUSARs, the TOTEM trial was stopped early for safety reasons.”
  • terminated · 2025-09-08 · Institut Curie · matched by the registry's drug synonyms
    “No objective response was observed at the first step. The treatment was considered ineffective, with a complete clinical trial suspension.”
  • withdrawn · 2023-04-27 · Roswell Park Cancer Institute · Buparlisib
    No reason given
  • terminated · 2022-08-22 · Vanderbilt-Ingram Cancer Center · Taselisib
    “Interim analysis - toxicity”
  • withdrawn · 2022-07-28 · Rutgers, The State University of New Jersey · matched by the registry's drug synonyms
    “Research cancelled”
  • terminated · 2022-07-12 · Hoffmann-La Roche · Taselisib
    “The Sponsor discontinued the manufacturing and development of taselisib due to modest clinical benefit and limited tolerability.”
  • terminated · 2022-05-18 · SignalRX Pharmaceuticals, Inc. · matched by the registry's drug synonyms
    “Lack of recruitment and sponsor's priority changes”
  • terminated · 2021-10-11 · Prince of Songkla University · matched by the registry's drug synonyms
    “Sponsor terminated to continue any clinical trials with study drug”
  • terminated · 2021-02-10 · Restorbio Inc. · matched by the registry's drug synonyms
    “Insufficient accrual rate”
  • terminated · 2021-01-13 · Won Kim · matched by the registry's drug synonyms
    “Lack of Accrual”
  • terminated · 2020-12-19 · Novartis Pharmaceuticals · matched by the registry's drug synonyms
    “Decision by Sponsor to to terminate the study early.”
  • terminated · 2020-12-08 · Novartis Pharmaceuticals · matched by the registry's drug synonyms
    “Study did not meet Phase Ib primary objective to establish the maximum tolerated dose/recommended dose for Phase II”
  • withdrawn · 2020-04-28 · Abramson Cancer Center at Penn Medicine · Gedatolisib
    “due to business decision regarding the study drug.”
  • withdrawn · 2019-11-22 · Restorbio Inc. · Dactolisib
    “Phase 3 trial RTB-101-204 study did not meet its primary endpoint”
  • terminated · 2019-10-04 · University of Florida · Gedatolisib
    “Slow accrual”
  • terminated · 2019-09-03 · Emory University · Buparlisib
    No reason given
  • terminated · 2019-04-10 · Cliniques universitaires Saint-Luc- Université Catholique de Louvain · matched by the registry's drug synonyms
    “Novartis decided to stop the marketing of BEZ235”
  • terminated · 2019-02-05 · Dana-Farber Cancer Institute · matched by the registry's drug synonyms
    “Due to slow accrual the supllier of BKM120 asked we cease further enrollment.”
  • terminated · 2019-01-30 · Novartis Pharmaceuticals · matched by the registry's drug synonyms
    “Novartis decided not to pursue further development of buparlisib program (assessment of moderate PFS benefit with know, but manageable, buparlisib profile).”
  • terminated · 2019-01-29 · Anne Chang · Buparlisib
    “Business Decision”
  • terminated · 2019-01-08 · Pfizer · matched by the registry's drug synonyms
    “See termination reason in detailed description.”
  • terminated · 2019-01-08 · Pfizer · matched by the registry's drug synonyms
    “Enrollment to the study was terminated on 11Nvo2014 due to slow recruitment. There were no safety or efficacy issues that contributed to this decision.”
  • terminated · 2018-10-29 · Pfizer · matched by the registry's drug synonyms
    “Refer to Detailed Description for documentaion of Termination Statement.”
Paediatric incentives and obligations for PIK3R1's drugs

For taselisib, gedatolisib, dactolisib, buparlisib, paxalisib, PF-04691502, SF-1126, voxtalisib, pilaralisib, apitolisib, samotolisib, sonolisib: what EMA and FDA publish about paediatric plans, orphan status and pediatric approvals, and how many registered studies take children. Each line is a yes, no or not published fact from the record linked under it; none of it is a forecast.

  • EU paediatric investigation plan: yes · EMEA-003607-PIP01-24 (buparlisib, Treatment of head and neck epithelial malignant neoplasms): W: decision granting a waiver in all age groups for all conditions or indications, 14 Aug 2024
    Rule: An EMA PIP decision (agreement, modification or waiver) lists the drug as its active substance, exact name. Source: EMA EMEA-003607-PIP01-24, 2026-11-11
  • EU orphan designation: no · No EU orphan designation names taselisib, gedatolisib, dactolisib, buparlisib, paxalisib, pf-04691502, sf-1126, voxtalisib, pilaralisib, apitolisib, samotolisib, sonolisib
    Rule: An EU orphan designation lists the drug as its active substance (exact name) or belongs to a medicine that does; withdrawn and expired designations are listed with their status. Source: EMA data download (dated snapshot), 2026-11-11
  • Authorised in the EU: no · EMA lists no centrally authorised medicine of taselisib, gedatolisib, dactolisib, buparlisib, paxalisib, pf-04691502, sf-1126, voxtalisib, pilaralisib, apitolisib, samotolisib, sonolisib
    Rule: An EMA medicine record lists the drug as its active substance or INN, exact name; national-only authorisations are not in this file. Source: EMA data download (dated snapshot), 2026-11-11
  • FDA orphan designation: not published · FDA's orphan designation database turns away automated requests, so this app does not read it; search it by hand at the link
    Rule: Would be: an FDA orphan designation names the drug. Source: FDA orphan designations search
  • FDA pediatric oncology approval: no · FDA's table lists no pediatric approval of taselisib, gedatolisib, dactolisib, buparlisib, paxalisib, pf-04691502, sf-1126, voxtalisib, pilaralisib, apitolisib, samotolisib, sonolisib
    Rule: FDA's Pediatric Oncology Drug Approvals table names the drug. Source: FDA Pediatric Oncology Drug Approvals (content current as of 2026-03-03), 2026-11-12
  • Registered studies open to children: yes · 10 interventional studies of taselisib, gedatolisib, dactolisib, buparlisib, paxalisib, pf-04691502, sf-1126, voxtalisib, pilaralisib, apitolisib, samotolisib, sonolisib include patients under 18; 5 are recruiting, not yet recruiting or active
    Rule: The registry's age group includes Child (birth to 17 years), which also counts studies that set no minimum age. Source: ClinicalTrials.gov search, 2026-11-12

Rare pediatric disease voucher. FDA, content current as of 29 Apr 2026: “As of February 3, 2026, enactment of the Consolidated Appropriations Act, 2026, the rare pediatric disease PRV program will sunset after September 30, 2029. FDA may not award any PRVs under this program after September 30, 2029.” Voucher sale prices are not shown here; they appear only as company-reported news. FDA: Rare Pediatric Disease Designation and Priority Review Voucher Programs

All 24 drugs and clinical candidates as a table

Each drug, stage and indication links to its Open Targets record, where the trials and approvals behind it are listed. Salt forms (for example a mesylate) are listed as Open Targets records them, as separate entries.

DrugTypeHighest stageIndicationsSource records
TASELISIBSmall moleculephase 3breast cancer, lymphoma, plasma cell myeloma, squamous cell lung carcinoma, cancer, non-Hodgkin lymphoma, non-small cell lung carcinomaOpen Targets · ChEMBL
GEDATOLISIBSmall moleculephase 3breast cancer, endometrial cancer, colorectal cancer, myelodysplastic syndrome, acute myeloid leukemia, myeloid neoplasm, cancer, endometrial carcinoma, +15 moreOpen Targets · ChEMBL
DACTOLISIBSmall moleculephase 3Respiratory tract infection, breast cancer, endometrial carcinoma, pancreatic neuroendocrine tumor, transitional cell carcinoma, kidney cancer, renal cell carcinoma, prostate cancer, +11 moreOpen Targets · ChEMBL
BUPARLISIBSmall moleculephase 3breast cancer, head and neck squamous cell carcinoma, endometrial carcinoma, non-small cell lung carcinoma, malignant glioma, glioblastoma, prostate cancer, endometrial cancer, +35 moreOpen Targets · ChEMBL
PAXALISIBSmall moleculephase 2 3glioblastoma, brain glioblastoma, breast cancer, lung cancer, primary central nervous system lymphoma, diffuse midline glioma, diffuse intrinsic pontine glioma, atypical teratoid rhabdoid tumor, +8 moreOpen Targets · ChEMBL
PF-04691502Small moleculephase 2endometrial cancer, breast cancerOpen Targets · ChEMBL
SF-1126Small moleculephase 2head and neck cancer, head and neck squamous cell carcinoma, hepatocellular carcinoma, B-cell chronic lymphocytic leukemia, neuroblastomaOpen Targets · ChEMBL
VOXTALISIBSmall moleculephase 2B-cell chronic lymphocytic leukemia, mantle cell lymphoma, follicular lymphoma, diffuse large B-cell lymphoma, borderline ovarian serous tumor, breast cancer, glioblastoma, grade III glioma, +3 moreOpen Targets · ChEMBL
PILARALISIBSmall moleculephase 2endometrial carcinoma, breast cancer, lymphoma, non-small cell lung carcinoma, ovarian cancer, endometrial cancer, glioblastoma, cancerOpen Targets · ChEMBL
APITOLISIBSmall moleculephase 2non-Hodgkin lymphoma, breast cancer, renal cell carcinoma, endometrial carcinoma, prostate cancerOpen Targets · ChEMBL
SAMOTOLISIBSmall moleculephase 2prostate cancer, non-small cell lung carcinoma, endometrial cancer, pancreatic ductal adenocarcinoma, pancreatic adenocarcinoma, non-Hodgkin lymphoma, breast cancer, lung cancer, +5 moreOpen Targets · ChEMBL
SONOLISIBSmall moleculephase 2glioblastoma, prostate cancer, head and neck squamous cell carcinoma, non-small cell lung carcinoma, colorectal cancer, melanomaOpen Targets · ChEMBL
PICTILISIBSmall moleculephase 2breast cancer, non-Hodgkin lymphoma, non-small cell lung carcinoma, neoplasmOpen Targets · ChEMBL
IZORLISIBSmall moleculephase 1 2colorectal cancer, neoplasmOpen Targets · ChEMBL
BGT-226Small moleculephase 1 2breast cancerOpen Targets · ChEMBL
WX-037Unknownphase 1–Open Targets · ChEMBL
RECILISIBSmall moleculephase 1radiation injuryOpen Targets · ChEMBL
PANULISIBSmall moleculephase 1–Open Targets · ChEMBL
GSK-1059615Small moleculephase 1breast cancer, endometrial cancer, lymphomaOpen Targets · ChEMBL
VS-5584Small moleculephase 1malignant mesothelioma, lymphomaOpen Targets · ChEMBL
DS-7423Unknownphase 1endometrial cancer, colorectal cancerOpen Targets · ChEMBL
ZSTK-474Small moleculephase 1–Open Targets · ChEMBL
OMIPALISIBSmall moleculephase 1lymphoma, idiopathic pulmonary fibrosisOpen Targets · ChEMBL
AZD-6482Small moleculeunknownthrombotic diseaseOpen Targets · ChEMBL