Study on Inavolisib and Phesgo for Treating Advanced HER2-Positive Breast Cancer with PIK3CA Mutation

Sponsor: Hoffmann-La Roche

Sponsor score: 40
Inactive

ClinicalTrials ID:NCT05894239

This clinical trial is testing the effectiveness and safety of a new drug combination, Inavolisib with Phesgo, compared to a placebo with Phesgo, in patients with advanced HER2-positive breast cancer that has a specific genetic mutation (PIK3CA).

Patient Parameters

Program Overview

The purpose of this study is to find out if the combination of Inavolisib and Phesgo is more effective and safe compared to a placebo with Phesgo in treating patients with advanced HER2-positive breast cancer that has not been treated before and has a PIK3CA mutation. This treatment is given after initial therapy to help maintain the patient's health.

Eligibility Criteria

Inclusion Criteria

  • Have a performance status score of 0 or 1, meaning fully active or restricted in physically strenuous activity but ambulatory.
  • Have a confirmed diagnosis of breast cancer that is either metastatic (spread to other parts of the body) or locally advanced and cannot be removed by surgery.
  • Have HER2-positive cancer confirmed by specific tests.
  • Have a PIK3CA mutation in the tumor confirmed by specific tests.
  • Have been free of cancer for at least 6 months after completing previous non-hormonal cancer treatments.
  • Have a heart function of at least 50% as measured by specific heart tests.
  • Have adequate blood and organ function before starting the study treatment.

Exclusion Criteria

  • Have previously been treated with drugs that target the PI3K-AKT-mTOR pathway for advanced breast cancer.
  • Have received any non-hormonal cancer treatment for advanced HER2-positive breast cancer before starting the study treatment.
  • Have a history of inflammatory bowel disease.
  • Have cancer that progressed within 6 months of receiving any HER2-targeted therapy.
  • Have Type 2 diabetes requiring ongoing treatment or a history of Type 1 diabetes.
  • Have an active hepatitis B infection.
  • Have significant liver disease, including severe liver problems, hepatitis, alcohol abuse, or cirrhosis.
  • Have active lung disease, such as pneumonitis or interstitial lung disease.
  • Have a history of cancer spread to the brain or spinal cord lining.
  • Have had a serious infection requiring IV antibiotics within 7 days before starting the study.
  • Have any eye condition that might need medical or surgical treatment during the study to prevent vision loss.
  • Have active inflammatory or infectious conditions in the eyes or a history of certain types of eye inflammation.

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