A Phase II Study Evaluating the Efficacy and Safety of Inavolisib Plus Ribociclib Plus Fulvestrant Versus Placebo Plus Ribociclib Plus Fulvestrant in Participants With Advanced Breast Cancer
Recruiting now Phase 2 NCT07405801
Run by Hoffmann-La Roche · for 18 and older · All sexes
What this study is about
A study to evaluate the efficacy and safety of triplet combination of inavolisib plus ribociclib and fulvestrant versus placebo plus ribociclib and fulvestrant in the first-line setting in participants with endocrine-therapy-resistant hormone receptor (HR)-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-) advanced breast cancer (ABC).
Who can join (things the study team will check)
✅ You may be able to join if…
- Women or men with histologically or cytologically confirmed carcinoma of the breast that is locally advanced or metastatic and is not amenable to surgical or radiation therapy with curative intent
- Documented estrogen receptor (ER)-positive and/or progesterone receptor (PR)-positive tumor according to American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) guidelines, defined as >=1% of tumor cells stained positive based on the most recent tumor biopsy and assessed locally (Allison et al. 2020)
- Participants must not have received any prior systemic therapy for locally advanced unresectable or metastatic breast cancer (mBC) and must have progressed during adjuvant endocrine-based treatment or within 12 months after completing adjuvant endocrine-based therapy with an aromatase inhibitor or tamoxifen
- Confirmed biomarker eligibility as documented through central laboratory testing of a tumor tissue sample documenting both the lack of a phosphatidylinositol-4,5-biphosphate 3-kinase catalytic subunit alpha gene (PIK3CA) mutation and the presence of heterozygous loss of chromosome 8p (i.e., PIK3CAnmd and chr8p loss)
- Measurable disease per Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v1.1)
🚫 You may not be able to join if…
- Metaplastic breast cancer
- Radiotherapy within 2 weeks before randomization
- Appropriate for treatment with cytotoxic chemotherapy at time of entry into the study, as per national or local treatment guidelines (e.g., participants with visceral crisis)
- Type 2 diabetes requiring ongoing systemic treatment at the time of study entry; or any history of Type 1 diabetes
- Known and untreated, or active Central nervous system (CNS) metastases (progressing or requiring anticonvulsants or corticosteroids for symptomatic control). Participants with a history of treated CNS metastases are eligible
- Any history of leptomeningeal disease or carcinomatous meningitis
Where this trial is running
- Los Angeles Cancer Network - Anaheim, Anaheim, California, United States
- Stanford Cancer Institute, Palo Alto, California, United States
- Avera Cancer Institute - Marshall, Marshall, Minnesota, United States
- Avera Cancer Institute - Aberdeen, Aberdeen, South Dakota, United States
- Avera Cancer Institute - Mitchell, Mitchell, South Dakota, United States
- Avera Cancer Institute - Pierre, SD, Pierre, South Dakota, United States
- Avera Cancer Institute, Sioux Falls, South Dakota, United States
- AMG Oncology and Hematology Avera Cancer Institute - Yankton, Yankton, South Dakota, United States
- Inst. Alexander Fleming, Buenos Aires, Argentina
- Centro Oncologico Korben, Caba, Argentina
- Centro Médico Fleischer, Capital Federal, Argentina
- Sanatorio de la Mujer, Rosario, Argentina
+ 42 more sites.
Who to contact
Reference Study ID Number: CO46274 https://forpatients.roche.com/ No attachments to email below. · 888-662-6728 · global-roche-genentech-trials@gene.com
It's completely normal to call and ask questions before deciding anything. Mention the study ID: NCT07405801.
Verify everything on the official ClinicalTrials.gov record. Page updated September 2026.