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Breast CancerOpen to EnrollmentPhase 3

BREAST: METASTATIC: ER+/HER2-: PIK3CA mt: 1st Line: WO45654

A Phase III, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Efficacy and Safety of Inavolisib Plus a CDK4/6 Inhibitor and Letrozole Versus Placebo Plus a CDK4/6 Inhibitor and Letrozole in Patients With Endocrine-Sensitive PIK3CA-Mutated, Hormone Receptor-Positive, HER2-Negative Advanced Breast Cancer

Study snapshot

Title
Roche WO45654 (Breast 1st line PIK3CA)
Malignancy
Breast cancer, ER+ breast cancer, HER2 negative breast cancer, IBC
Stage
Stage 4
Disease setting
Metastatic/Palliative
Line of therapy
1st Line endocrine
Investigational agent
inavosalib
Drug class
PI3k inhibitor
Principal investigator
Gary Tian MD, PhD
Sponsor
Roche Genentech
Path
Estrogen receptor positive, HER2 negative
Randomized
Yes
ClinicalTrials.gov ID
NCT06790693

Eligibility and objectives

Key eligibility criteria details

  • Women or men with breast carcinoma
  • Documented ER-positive and/or PR positive
  • PIK3CA mutation
  • Documented HER2-negative
  • De-novo HR+, HER2- ABC, or alternatively relapsed HR+, HER2- ABC after at least 2 years of standard neoadjuvant/adjuvant endocrine therapy without disease progression during that treatment and disease-free interval of at least 1 year since the completion of that treatment
  • Bilateral breast cancer is allowed if both HR+/HER2-
  • Measurable disease
  • ECOG PS 0-1
  • No metaplastic breast cancer
  • No known or untreated CNS mets. History of treated CNS mets allowed
  • No active lung disease
  • No history of IBD

Objective

  • Primary
    • PFS
  • Secondary
    • OS
    • ORR
    • DOR
    • CBR
    • Time to confirmed deterioration
    • Safety
    • PRO

Treatment details