Breast CancerPhase 3INAVO123NCT06790693
A Study Evaluating the Efficacy and Safety of Inavolisib Plus CDK4/6 Inhibitor and Letrozole vs Placebo + CDK4/6i and Letrozole in Participants With Endocrine-Sensitive PIK3CA-Mutated, Hormone Receptor-Positive, HER2-Negative Advanced Breast Cancer
A Phase 3 study testing Inavolisib, CDK4/6i and Letrozole in people with Breast Cancer, run by Hoffmann-La Roche at 242 sites in 20 countries.
Trial summary
This study will evaluate the efficacy and safety of the combination of inavolisib plus a cyclin-dependent kinase 4 and 6 inhibitor (CDK4/6i) and letrozole versus placebo plus a CDK4/6i and letrozole in the first-line setting in participants with endocrine-sensitive PIK3CA-mutated hormone receptor-positive (HR+), human… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Breast Cancer
- What is being tested?
- Inavolisib, CDK4/6i and Letrozole
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 450 participants
- Where
- 242 sitesin 20 countries
- Study dates
- 9 Apr 2025to 1 Feb 2032
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Women or men with histologically or cytologically confirmed carcinoma of the breast
- Documented ER-positive and/or progesterone receptor-positive tumor according to American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) guidelines
- Documented HER2-negative tumor according to ASCO/CAP guidelines
- 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
- Participants who have bilateral breast cancers which are both HR-positive and HER2-negative
- Confirmation of biomarker eligibility
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- Consent to provide fresh or archival tumor tissue specimen
- Measurable disease per Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v1.1)
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
- Adequate hematologic and organ function within 14 days prior to initiation of study treatment
Who cannot join
- Pregnant or breastfeeding, or intention of becoming pregnant during the study or within the time frame in which contraception is required
- Metaplastic breast cancer
- Any prior systemic therapy for locally advanced unresectable or metastatic breast cancer
- Type 2 diabetes requiring ongoing systemic treatment at the time of study entry; or any history of Type 1 diabetes
- Any history of leptomeningeal disease or carcinomatous meningitis
- Known and untreated, or active CNS metastases. Participants with a history of treated CNS metastases are eligible
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- Active inflammatory or infectious conditions in either eye or history of idiopathic or autoimmune-associated uveitis in either eye
- Symptomatic active lung disease
- History of or active inflammatory bowel disease
- Any active bowel inflammation
- Prior hematopoietic stem cell or bone marrow transplantation
- Treatment with strong cytochrome P450 (CYP) 3A4 inhibitors or strong CYP3A4 inducers within 4 weeks or 5 drug-elimination half-lives, prior to initiation of study treatment
Trial locations and contacts
242 sites in 20 countries. Contact the study team or a site near you to ask about taking part.
Reference Study ID Number: WO45654 https://forpatients.roche.com/ No attachments to email below. contact
Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry contact
242 sites in 20 countries
United States62 sites, 62 recruiting
- Recruiting
Velocity Clinical Research
Annapolis, Maryland, 21401
- Recruiting
University of Maryland
Baltimore, Maryland, 21201
- Recruiting
Disney Family Cancer Center
Burbank, California, 91505
- Recruiting
Novant Health Cancer Institute
Charlotte, North Carolina, 28204
- Recruiting
Fairview Hospital
Cleveland, Ohio, 44111
- Recruiting
Cleveland Clinic Foundation
Cleveland, Ohio, 44915
- Recruiting
Henry Ford Health System
Detroit, Michigan, 48202
- Recruiting
Duke Cancer Institute
Durham, North Carolina, 27710
- Recruiting
Astera Cancer Care East Brunswick
East Brunswick, New Jersey, 08816
- Recruiting
Swedish Cancer Institute - Edmonds Campus
Edmonds, Washington, 98026
- Recruiting
Providence Regional Cancer Partnership
Everett, Washington, 98201-1621
- Recruiting
Summit Medical Group
Florham Park, New Jersey, 07932
- Recruiting
JPS Health Network
Fort Worth, Texas, 76104
- Recruiting
West Cancer Center
Germantown, Tennessee, 38138
- Recruiting
City of Hope - Phoenix
Goodyear, Arizona, 85338
- Recruiting
Nebraska Cancer Specialists
Grand Island, Nebraska, 68803
- Recruiting
Cancer & Hematology Centers of Western Michigan
Grand Rapids, Michigan, 49503
- Recruiting
Bon Secours - St. Francis Hospital
Greenville, South Carolina, 29607
- Recruiting
City of Hope - Lennar Foundation Cancer Center
Irvine, California, 92618
- Recruiting
Cancer Specialists of North Florida - Jacksonville
Jacksonville, Florida, 32207
- Recruiting
HCA Midwest Health
Kansas City, Missouri, 64132
- Recruiting
Scripps Health
La Jolla, California, 92040
- Recruiting
Baptist Health Lexington
Lexington, Kentucky, 40503
- Recruiting
Baptist Health Hamburg
Lexington, Kentucky, 40509
- Recruiting
University of Kentucky - Markey Cancer Center
Lexington, Kentucky, 40536
- Recruiting
City Of Hope
Long Beach, California, 90813
- Recruiting
Cancer and Blood Specialty Clinic
Los Alamitos, California, 90720
- Recruiting
Ellison Medical Institute
Los Angeles, California, 90064
- Recruiting
University of Louisville Hospital
Louisville, Kentucky, 40202
- Recruiting
Baptist Health Louisville
Louisville, Kentucky, 40207
- Recruiting
Northwest Georgia Oncology Centers PC - Marietta
Marietta, Georgia, 30060
- Recruiting
Hillcrest Hospital
Mayfield Heights, Ohio, 44124
- Recruiting
University of Minnesota Medical Center
Minneapolis, Minnesota, 55455
- Recruiting
Vanderbilt University Medical Center
Nashville, Tennessee, 37204
- Recruiting
The Blavatnik Family ? Chelsea Medical Center at Mount Sinai
New York, New York, 10011
- Recruiting
Mount Sinai West
New York, New York, 10019
- Recruiting
Icahn School of Medicine at Mount Sinai
New York, New York, 10029
- Recruiting
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
- Recruiting
Cancer Care Specialists of Central Illinois
O'Fallon, Illinois, 62269
- Recruiting
Nebraska Cancer Specialists
Omaha, Nebraska, 68130-2042
- Recruiting
Palo Alto Medical Foundation Research Center
Palo Alto, California, 94301
- Recruiting
The Dignity Health Cancer Institute
Phoenix, Arizona, 85004
- Recruiting
UPMC Hillman Cancer Center - Magee-Women?s Hospital
Pittsburgh, Pennsylvania, 15213
- Recruiting
Providence Portland Medical Center
Portland, Oregon, 97213
- Recruiting
Providence Oncology and Hematology Cancer Clinic - Westside;Investigation Drug Services Pharmacy
Portland, Oregon, 97225
- Recruiting
Huntsman Cancer Hospital at the University of Utah
Salt Lake City, Utah, 84113
- Recruiting
Kaiser Permanente - San Marcos
San Marcos, California, 92069
- Recruiting
Palo Alto Medical Foundation Research Center
San Mateo, California, 94401
- Recruiting
Swedish Cancer Institute - Issaquah
Seattle, Washington, 98104
- Recruiting
Swedish Cancer Institute
Seattle, Washington, 98104
- Recruiting
New York Cancer & Blood Specialists
Shirley, New York, 11967
- Recruiting
Community Clinical Trials
Spring, Texas, 77389
- Recruiting
Springfield Clinic
Springfield, Illinois, 62702
- Recruiting
Palo Alto Medical Foundation Research Center
Sunnyvale, California, 94086
- Recruiting
Northwest Medical Specialties
Tacoma, Washington, 98405
- Recruiting
Tallahassee Memorial HealthCare
Tallahassee, Florida, 32308
- Recruiting
Moffitt Cancer Center-McKinley Campus
Tampa, Florida, 33612
- Recruiting
Montefiore Medical Center
The Bronx, New York, 10467
- Recruiting
Carle Cancer Center
Urbana, Illinois, 61801
- Recruiting
Cleveland Clinic Florida
Weston, Florida, 33331
- Recruiting
Novant Health Cancer Institute
Winston-Salem, North Carolina, 27103
- Recruiting
City of Hope® Cancer Center Chicago
Zion, Illinois, 60099
China20 sites, 20 recruiting
- Recruiting
Peking Union Medical College Hospital
Beijing, 100032
- Recruiting
Hunan Cancer Hospital
Changsha, 410013
- Recruiting
West China Hospital of Sichuan University
Chengdu, 610041
- Recruiting
Sichuan Provincial People's Hospital
Chengdu, 610072
- Recruiting
Sun yat-sen University Cancer Center
Guangzhou, 510060
- Recruiting
Sun Yat-Sen University Cancer Center - Huangpu Campus
Guangzhou
- Recruiting
Zhejiang Cancer Hospital
Hangzhou, 310022
- Recruiting
Harbin Medical University Cancer Hospital
Harbin, 150081
- Recruiting
Jiangmen Central Hospital
Jiangmen, 529030
- Recruiting
Shandong Cancer Hospital
Jinan, 250117
- Recruiting
Jinhua municipal central hospital
Jinhua, 321083
- Recruiting
Yunnan Cancer Hospital
Kunming, 650118
- Recruiting
Guangxi Cancer Hospital of Guangxi Medical University
Nanning, 530021
- Recruiting
Shantou Center Hospital
Shantou, 515031
- Recruiting
Tianjin Cancer Hospital
Tianjin, 300000
- Recruiting
Tianjin Cancer hospital Airport hospital
Tianjin, 300300
- Recruiting
Xinjiang Medical University Cancer Hospital
Ürümqi, 830011
- Recruiting
The Second Affiliated Hospital of Xi'an Jiao Tong University
Xi'an, 710004
- Recruiting
Shanxi Provincial People's Hospital
Xi'an, 710068
- Recruiting
Xiangyang Central Hospital
Xiangyang, Hubei, 441106
Italy17 sites, 17 recruiting
- Recruiting
Asst Papa Giovanni XXIII
Bergamo, Lombardy, 24127
- Recruiting
Policlinico S.Orsola-Malpighi
Bologna, Emilia-Romagna, 40138
- Recruiting
Azienda Sanitaria dell'Alto Adige;U.O.C. Oncologia Medic
Bolzano, Trentino-Alto Adige, 39100
- Recruiting
A.O. S. Anna e San Sebastiano
Caserta, Campania, 81100
- Recruiting
Ospedale Civile - Livorno
Livorno, Tuscany, 57124
- Recruiting
IRST Istituto Scientifico Romagnolo Per Lo Studio E Cura Dei Tumori, Sede Meldola
Meldola, Emilia-Romagna, 47014
- Recruiting
Ospedale San Raffaele
Milan, Lombardy, 20132
- Recruiting
Irccs Istituto Nazionale Dei Tumori (Int)
Milan, Lombardy, 20133
- Recruiting
Humanitas Centro Catanese Di Oncologia
Misterbianco (CT), Sicily, 95045
- Recruiting
A.O. Universitaria Policlinico Di Modena
Modena, Emilia-Romagna, 41100
- Recruiting
A.O. Universitaria Federico II Di Napoli
Naples, Campania, 80131
- Recruiting
U.O.C. Oncologia Medica Senologica
Naples, Campania, 80131
- Recruiting
University of Eastern Piedmont - Maggiore della Carità University Hospital
Novara, Umbria, 28100
- Recruiting
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Rome, Lazio, 00168
- Recruiting
Istituto Clinico Humanitas
Rozzano, Lombardy, 20089
- Recruiting
A.O. Santa Maria Terni
Terni, Umbria, 05100
- Recruiting
Az. Osp. G. Panico
Tricase (LE), Apulia, 73039
Germany15 sites, 14 recruiting
- Recruiting
St. Elisabeth Krankenhaus Köln GmbH
Cologne, 50935
- Recruiting
Universitätsklinikum "Carl Gustav Carus" der Technischen Universität Dresden
Dresden, 01307
- Recruiting
Universitätsklinikum Essen
Essen, 45122
- Recruiting
Klinikum Essen-Mitte Ev. Huyssens-Stiftung / Knappschafts GmbH
Essen, 45136
- Recruiting
Kooperatives Mammazentrum Hamburg Krankenhaus Jerusalem
Hamburg, 20357
- Recruiting
Medizinische Hochschule Zentrum Frauenheilkunde Abt.Gynäkologische Onkologie
Hanover, 30625
- Recruiting
Nationales Centrum für Tumorerkrankungen (NCT)
Heidelberg, 69120
- Recruiting
InVO - Institut für Versorgungsforschung in der Onkologie GbR
Koblenz, 56068
- Recruiting
Dres. Andreas Köhler und Roswitha Fuchs
Langen, 63225
- Recruiting
Universitätsklinikum Münster
Münster, 48149
- Recruiting
Klinikum Ernst von Bergmann
Potsdam, 14467
- Recruiting
Caritas-Krankenhaus St. Josef
Regensburg, 93053
- Withdrawn
Caritas Klinik St. Theresia -Frauenklinik Brustzentrum
Saarbrücken, 66113
- Recruiting
Universitätsklinik Tübingen
Tübingen, 72076
- Recruiting
Universitätsklinikum Ulm Am Michelsberg
Ulm, 89075
Spain15 sites, 15 recruiting
- Recruiting
Vall d'Hebron Institute of Oncology (VHIO), Barcelona
Barcelona, 08035
- Recruiting
Hospital de Basurto
Bilbao, Vizcaya, 48013
- Recruiting
Hospital General Universitario de Elche
Elche, Alicante, 03203
- Recruiting
ICO L'Hospitalet
L'Hospitalet de Llobregat, Barcelona, 08908
- Recruiting
Hospital Universitario de la Princesa
Madrid, 28006
- Recruiting
IOB Madrid Institute of Oncology Hospital Beata Maria Ana de Jesus;Unidad Central de Oncología Médica y de Investigación Oncológica
Madrid, 28007
- Recruiting
Hospital General Univ. Gregorio Maranon
Madrid, 28009
- Recruiting
Hospital Universitario Infanta Leonor
Madrid, 28031
- Recruiting
Hospital Universitario Clínico San Carlos
Madrid, 28040
- Recruiting
Hospital Universitario 12 De Octubre
Madrid, 28041
- Recruiting
Hospital Clinico Universitario Virgen de la Victoria;Servicio de Oncologia
Málaga, 29011
- Recruiting
Hospital de Navarra
Pamplona/iruña, Navarre, 31008
- Recruiting
Hospital Universitario Virgen del Rocio
Seville, 41013
- Recruiting
Fundacion Instituto Valenciano de Oncologia (IVO)
Valencia, 46009
- Recruiting
Hospital Clinico Universitario de Valencia
Valencia, 46010
Brazil13 sites, 13 recruiting
- Recruiting
Centro de Oncologia de Alfenas
Alfenas, Minas Gerais, 37130-087
- Recruiting
Hospital de Cancer de Barretos
Barretos, São Paulo, 14784-400
- Recruiting
Crio - Centro Regional Integrado de Oncologia
Fortaleza, Ceará, 60336-232
- Recruiting
Hospital Araujo Jorge
Goiânia, Goiás, 74605-070
- Recruiting
Hospital do Câncer de Londrina
Londrina, Paraná, 86015-520
- Recruiting
Santa Casa de Misericordia de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90020-090
- Recruiting
Hospital do Cancer de Pernambuco - HCP
Recife, Pernambuco, 50040-000
- Recruiting
Instituto Nacional de Cancer - INCa
Rio de Janeiro, 20560-120
- Recruiting
Obras Sociais Irma Dulce - Osid
Salvador, Estado de Bahia, 40415-006
- Recruiting
Instituto do Cancer do Estado de Sao Paulo - ICESP
São Paulo, São Paulo, 01246-000
- Recruiting
Clinica de Pesquisa e Centro de Estudos em Oncologia Ginecologica e Mamaria Ltda
São Paulo, São Paulo, 01317-001
- Recruiting
Vencer Oncoclínica - Centro de Pesquisa do Piauí
Teresina, Piauí, 64049-200
- Recruiting
Hospital Santa Rita de Cassia Vitoria
Vitória, Espírito Santo, 29043-260
Canada12 sites, 12 recruiting
- Recruiting
Arthur J.E. Child Comprehensive Cancer Center
Calgary, Alberta, T2N 4C2
- Recruiting
Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2
- Recruiting
The Moncton Hospital
Moncton, New Brunswick, E1C 6Z8
- Recruiting
Centre Hospitalier de l'Universite de Montreal (CHUM)
Montreal, Quebec, H2X 0C1
- Recruiting
Jewish General Hospital
Montreal, Quebec, H3T 1E2
- Recruiting
Hôpital du Sacré-Coeur de Montreal
Montreal, Quebec, H4J 1C5
- Recruiting
The Ottawa Hospital Cancer Center
Ottawa, Ontario, K1H 8L6
- Recruiting
Unité de Recherche Clinique du CISSS de Laurentides
Saint-Jérôme, Quebec, J7Z 2V4
- Recruiting
Sault Area Hospital
Sault Ste. Marie, Ontario, P6B 0A8
- Recruiting
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5
- Recruiting
St. Joseph's Health Centre
Toronto, Ontario, M6R 1B5
- Recruiting
CancerCare Manitoba
Winnipeg, Manitoba, R3E 0V9
France12 sites, 12 recruiting
- Recruiting
ICO Paul Papin
Angers, 49055
- Recruiting
Centre Oscar Lambret
Lille, 59020
- Recruiting
Centre Cancerologie Grand Montpellier
Montpellier, 34070
- Recruiting
INSTITUT CURIE_SITE PARIS - Service d'Oncologie Médicale.
Paris, 75005
- Recruiting
Centre CARIO - HPCA
Plérin, 22190
- Recruiting
Chu La Miletrie
Poitiers, 86021
- Recruiting
Centre Eugene Marquis
Rennes, 35042
- Recruiting
Centre Henri Becquerel
Rouen, 76038
- Recruiting
HOPITAL RENE HUGUENIN- Institut Curie
Saint-Cloud, 92211
- Recruiting
Ico Rene Gauducheau
Saint-Herblain, 44805
- Recruiting
Institut Universitaire de Cancer de Toulouse Oncopole
Toulouse, 31100
- Recruiting
Gustave Roussy
Villejuif, 94805
Japan10 sites, 10 recruiting
- Recruiting
Aichi Cancer Center
Aichi, 464-8681
- Recruiting
Chiba Cancer Center
Chiba, 260-8717
- Recruiting
Fukushima Medical University Hospital
Fukushima, 960-1295
- Recruiting
Hiroshima University Hospital
Hiroshima, 734-8551
- Recruiting
Hokkaido University Hospital
Hokkaido, 060-8648
- Recruiting
Kanagawa Cancer Center
Kanagawa, 241-8515
- Recruiting
Tokai University Hospital
Kanagawa, 259-1193
- Recruiting
Okayama University Hospital
Okayama, 700-8558
- Recruiting
Saitama Medical University International Medical Center
Saitama, 350-1298
- Recruiting
The Cancer Inst. Hosp. of JFCR
Tokyo, 135-8550
Poland10 sites, 9 recruiting
- Recruiting
Instytut "Centrum Zdrowia Matki Polki"
?ód?, 93-338
- Recruiting
Bialostockie Centrum Onkologii
Bialystok, 15-027
- Recruiting
Przychodnia Lekarska KOMED, Roman Karaszewski
Konin, 62-500
- Recruiting
Szpital Wojewódzki im. Miko?aja Kopernika
Koszalin, 75-581
- Withdrawn
Szpital Miejski Specjalistyczny Narutowicza
Krakow, 31-202
- Recruiting
COZL Oddzial Onkologii Klinicznej z pododdzialem Chemioterapii Dziennej
Lublin, 20-090
- Recruiting
Wielkopolskie Centrum Onkologii im. Marii Sk?odowskiej-Curie
Późna, 61-866
- Recruiting
MRUKMED Lekarz Beata Madej-Mruk i Partner Spolka Partnerska Oddzial nr 1 w Rzeszowie
Rzeszów, 35-021
- Recruiting
Narodowy Inst.Onkologii im.Sklodowskiej-Curie Panstw.Inst.Bad
Warsaw, 02-781
- Recruiting
Dolno?l?skie Centrum Onkologii
Wroc?aw, 53-413
South Korea9 sites, 9 recruiting
- Recruiting
Kyungpook National University Chilgok Hospital
Daegu, 41404
- Recruiting
Soon Chun Hyang University Cheonan Hospital
Dongnam-gu, Cheonan-si, 31151
- Recruiting
National Cancer Center
Goyang-si, 10408
- Recruiting
Seoul National University Bundang Hospital
Seongnam-si, 463-707
- Recruiting
Seoul National University Hospital
Seoul, 03080
- Recruiting
Severance Hospital, Yonsei University Health System
Seoul, 03722
- Recruiting
Asan Medical Center
Seoul, 05505
- Recruiting
Gangnam Severance Hospital
Seoul, 06273
- Recruiting
Samsung Medical Center
Seoul, 06351
United Kingdom9 sites, 9 recruiting
- Recruiting
Blackpool Victoria Hospital
Blackpool, FY3 8NR
- Recruiting
Colchester General Hospital
Colchester, Essex, CO4 5JL
- Recruiting
Western General Hospital
Edinburgh, EH4 2XU
- Recruiting
Princess Alexandra Hospital
Harlow, CM20 1QX
- Recruiting
St Bartholomew's Hospital
London, EC1M 6BQ
- Recruiting
Royal Free Hospital
London, NW3 2QG
- Recruiting
Mount Vernon & Watford Hospital Trust
Northwood, HA6 2RN
- Recruiting
Churchill Hospital - Oxford Cancer & Haematology Centre
Oxford, OX3 7LE
- Recruiting
Weston Park Hospital
Sheffield, S10 2SJ
Mexico8 sites, 8 recruiting
- Recruiting
Centro Estatal de Cancerologia de Chihuahua
Chihuahua City, 31000
- Recruiting
Centro de Investigacion y Tratamiento Integral del Cancer: CITI Cancer Oaxaca S.A de C.V.
Ciudad de Huajuapan de León, Oaxaca, 69007
- Recruiting
Iem-Fucam
D.F., 04980
- Recruiting
Instituto Nacional De Cancerologia
Distrito Federal, Mexico CITY (federal District), 14000
- Recruiting
Antiguo Hospital Civil de Guadalajara Fray Antonio Alcalde
Guadalajara, 44280
- Recruiting
Hospital General de Mexico
MexicoCiudad de México, Nuevo León, 6726
- Recruiting
Hospital Zambrano Hellion TecSalud
Monterrey, Nuevo León
- Recruiting
Centro de Investigacion Clinica de Oaxaca
Oaxaca City, Oaxaca, 68020
Taiwan6 sites, 6 recruiting
- Recruiting
Chia-Yi Christian Hospital
Chiayi City, 600566
- Recruiting
Taichung Veterans General Hospital
Taichung, 407219
- Recruiting
National Cheng Kung Uni Hospital
Tainan, 704
- Recruiting
National Taiwan Uni Hospital
Taipei, 100
- Recruiting
Koo Foundation Sun Yat-Sen Cancer Center
Taipei, 112019
- Recruiting
Taipei Veterans General Hospital
Taipei, 112201
Turkey (Türkiye)6 sites, 6 recruiting
- Recruiting
Abdurrahman Yurtarslan Onkoloji Training and Research Hospital
Ankara, 06200
- Recruiting
Ankara City Hospital
Ankara, 06800
- Recruiting
Bakirkoy Dr. Sadi Konuk Egitim ve Arastirma Hastanesi, Tibbi Onkoloji
Bakirkoy / Istanbul, 34147
- Recruiting
Ba?c?lar Medipol Mega Üniversite Hastanesi
Istanbul, 34214
- Recruiting
Izmir Ataturk Training and Research Hospital
Izmir, 35360
- Recruiting
Mersin City Education and Research Hospital
Mersin, 33240
Argentina5 sites, 5 recruiting
- Recruiting
Centro Oncologico Korben
Caba, C1426AGE
- Recruiting
Centro Médico Fleischer
Capital Federal, C1414
- Recruiting
Hospital Privado Centro Medico de Cordoba
Córdoba, 5016
- Recruiting
Instituto de Oncologia de Rosario
Rosario, S2013KZE
- Recruiting
Centro Oncológico de Excelencia
San Juan, J5400
Australia5 sites, 5 recruiting
- Recruiting
Blacktown Hospital
Blacktown, New South Wales, 2148
- Recruiting
Monash Health
Clayton, Victoria, 3168
- Recruiting
Lyell McEwin Hospital
Elizabeth Vale, South Australia, 5112
- Recruiting
Maroondah hospital;Oncology clinical trials
Ringwood, Victoria, 3135
- Recruiting
Royal North Shore Hospital
St Leonards, New South Wales, 2065
Switzerland4 sites, 4 recruiting
- Recruiting
Kantonsspital Baden Zentrum für Onkologie und Hämatologie
Baden, 5404
- Recruiting
Universitätsspital Basel
Basel, 4031
- Recruiting
CHUV
Lausanne, 1011
- Recruiting
Luzerner Kantonsspital
Lucerne, 6004
South Africa3 sites, 2 recruiting
- Withdrawn
Linksfield Oncology Inc.
Johannesburg, 2192
- Recruiting
Abraham Oncology
Richards Bay, 3900
- Recruiting
Wits Clinical Research
Soweto, 2013
Puerto Rico1 site, 1 recruiting
- Recruiting
PanOncology Trials
San Juan, 00935
About this study
Official title: 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
This study will evaluate the efficacy and safety of the combination of inavolisib plus a cyclin-dependent kinase 4 and 6 inhibitor (CDK4/6i) and letrozole versus placebo plus a CDK4/6i and letrozole in the first-line setting in participants with endocrine-sensitive PIK3CA-mutated hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-), advanced breast cancer (ABC).
- Conditions
- Breast Cancer
- Being tested
- Inavolisib, Placebo, CDK4/6i, Letrozole
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
InavolisibDrug
Also called GDC-0077, Itovebi
Participants will receive oral inavolisib once daily (QD).
PlaceboDrug
Participants will receive oral placebo QD.
CDK4/6iDrug
Participants will receive CDK4/6i on either Days 1-21 or Days 1-28 of each 28-day cycle.
LetrozoleDrug
Participants will receive oral letrozole QD.
| Study group | Role | What they receive |
|---|---|---|
| Inavolisib + Letrozole + CDK4/6i | Experimental | Participants will receive inavolisib, letrozole and CDK4/6i. Receives: Drug: Inavolisib; Drug: CDK4/6i; Drug: Letrozole |
| Placebo + Letrozole + CDK4/6i | Placebo comparator | Participants will receive placebo, letrozole and CDK4/6i. Receives: Drug: Placebo; Drug: CDK4/6i; Drug: Letrozole |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival (PFS)
Measured: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first (up to 7 years)
Secondary outcomes (13)
Overall Survival (OS)
Measured: From randomization to death from any cause (up to 7 years)
Investigator-assessed Objective Response Rate (ORR)
Measured: Up to 7 years
Investigator-assessed Duration of Response (DOR)
Measured: From the first occurrence of a confirmed objective response to the first occurrence of disease progression or death from any cause, whichever occurs first (up to 7 years)
Investigator-assessed Clinical Benefit Rate (CBR)
Measured: Up to 7 years
Time to Confirmed Deterioration (TTCD) in Pain
Measured: From baseline until end of follow-up (up to 7 years)
TTCD in Physical Function
Measured: From baseline until end of follow-up (up to 7 years)
TTCD in Role Function
Measured: From baseline until end of follow-up (up to 7 years)
TTCD in Global Health Status
Measured: From baseline until end of follow-up (up to 7 years)
Percentage of Participants with Adverse Events
Measured: From baseline until end of follow-up (up to 7 years)
Number of Participants Reporting Presence, Frequency, Severity, and/or Degree of Interference with Daily Function of Symptomatic Treatment Toxicities Assessed by NCI Patient-Reported Outcomes Common Terminology Criteria for Adverse Events (PRO-CTCAE)
Measured: Up to 7 years
Number of Participants Reporting Each Response Option for Treatment Side-effect Bother Single-item General Population, Question 5 (GP5) from the Functional Assessment of Cancer Therapy-General Questionnaire; (FACT-G)
Measured: Up to 7 years
Change from Baseline in Symptomatic Treatment Toxicities as Assessed Through use of the PRO-CTCAE
Measured: Baseline up to 7 years
Change from Baseline in Treatment Side-effect Bother as Assessed Through use of the FACT-G GP5 Item
Measured: Baseline up to 7 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Jan 2025
- Study start9 Apr 2025
- Primary completion31 Jan 2032 (estimated)
- Study completion1 Feb 2032 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Breast CancerStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 450 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06790693
- Sponsor's protocol ID
- WO45654
- Other IDs
- 2024-516162-11-00
- Acronym
- INAVO123
- Status last verified
- Nov 2026
- First submitted
- 14 Jan 2025
- Last updated
- 4 Nov 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data\_sharing
Study at a glance
From the registry record, last updated by the sponsor on 4 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- 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
- ClinicalTrials.gov ID
- NCT06790693
- Acronym / sponsor ID
- INAVO123 / WO45654
- Conditions
- Breast Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 450 participants (estimated)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 9 Apr 2025 (actual)
- Primary completion
- 31 Jan 2032 (estimated)
- Study completion
- 1 Feb 2032 (estimated)
- First posted
- 24 Jan 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the efficacy and safety of the combination of inavolisib plus a cyclin-dependent kinase 4 and 6 inhibitor (CDK4/6i) and letrozole versus placebo plus a CDK4/6i and letrozole in the first-line setting in participants with endocrine-sensitive PIK3CA-mutated hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-), advanced breast cancer (ABC).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Inavolisib + Letrozole + CDK4/6i | Experimental | Drug: Inavolisib, Drug: CDK4/6i, Drug: LetrozoleParticipants will receive inavolisib, letrozole and CDK4/6i. |
| Placebo + Letrozole + CDK4/6i | Placebo comparator | Drug: Placebo, Drug: CDK4/6i, Drug: LetrozoleParticipants will receive placebo, letrozole and CDK4/6i. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Women or men with histologically or cytologically confirmed carcinoma of the breast
- Documented ER-positive and/or progesterone receptor-positive tumor according to American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) guidelines
- Documented HER2-negative tumor according to ASCO/CAP guidelines
- 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
- Participants who have bilateral breast cancers which are both HR-positive and HER2-negative
Key exclusion criteria (12 listed)
- Pregnant or breastfeeding, or intention of becoming pregnant during the study or within the time frame in which contraception is required
- Metaplastic breast cancer
- Any prior systemic therapy for locally advanced unresectable or metastatic breast cancer
- Type 2 diabetes requiring ongoing systemic treatment at the time of study entry; or any history of Type 1 diabetes
- Any history of leptomeningeal disease or carcinomatous meningitis
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| InavolisibAlso: GDC-0077, ItovebiParticipants will receive oral inavolisib once daily (QD). | Drug | Inavolisib + Letrozole + CDK4/6i |
| PlaceboParticipants will receive oral placebo QD. | Drug | Placebo + Letrozole + CDK4/6i |
| CDK4/6iParticipants will receive CDK4/6i on either Days 1-21 or Days 1-28 of each 28-day cycle. | Drug | Inavolisib + Letrozole + CDK4/6i, Placebo + Letrozole + CDK4/6i |
| LetrozoleParticipants will receive oral letrozole QD. | Drug | Inavolisib + Letrozole + CDK4/6i, Placebo + Letrozole + CDK4/6i |
Primary outcome
Progression-Free Survival (PFS)
Time frame: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first (up to 7 years)
13 secondary outcomes
Overall Survival (OS)
Time frame: From randomization to death from any cause (up to 7 years)
Investigator-assessed Objective Response Rate (ORR)
Time frame: Up to 7 years
Investigator-assessed Duration of Response (DOR)
Time frame: From the first occurrence of a confirmed objective response to the first occurrence of disease progression or death from any cause, whichever occurs first (up to 7 years)
Investigator-assessed Clinical Benefit Rate (CBR)
Time frame: Up to 7 years
Time to Confirmed Deterioration (TTCD) in Pain
Time frame: From baseline until end of follow-up (up to 7 years)
TTCD in Physical Function
Time frame: From baseline until end of follow-up (up to 7 years)
TTCD in Role Function
Time frame: From baseline until end of follow-up (up to 7 years)
TTCD in Global Health Status
Time frame: From baseline until end of follow-up (up to 7 years)
Percentage of Participants with Adverse Events
Time frame: From baseline until end of follow-up (up to 7 years)
Number of Participants Reporting Presence, Frequency, Severity, and/or Degree of Interference with Daily Function of Symptomatic Treatment Toxicities Assessed by NCI Patient-Reported Outcomes Common Terminology Criteria for Adverse Events (PRO-CTCAE)
Time frame: Up to 7 years
Number of Participants Reporting Each Response Option for Treatment Side-effect Bother Single-item General Population, Question 5 (GP5) from the Functional Assessment of Cancer Therapy-General Questionnaire; (FACT-G)
Time frame: Up to 7 years
Change from Baseline in Symptomatic Treatment Toxicities as Assessed Through use of the PRO-CTCAE
Time frame: Baseline up to 7 years
Change from Baseline in Treatment Side-effect Bother as Assessed Through use of the FACT-G GP5 Item
Time frame: Baseline up to 7 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Nov 2026.
- Please use this form to submit your questions for a faster response: https://www.gene.com/contact-us/submit-medical-inquiry. Do not include or attach any medical records when emailing or completing the form. A nurse will respond within 24 business hours.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Reference Study ID Number: WO45654 https://forpatients.roche.com/ No attachments to email below. contact
Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry contact
Clinical Trials study director
Hoffmann-La Roche
242 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Inavolisib, CDK4/6i and Letrozole in people with Breast Cancer, run by Hoffmann-La Roche at 242 sites in 20 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 4 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 242 sites in United States, China, Italy, Germany, Spain and 15 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Reference Study ID Number: WO45654 https://forpatients.roche.com/ No attachments to email below. (888-662-6728 (U.S. Only), global-roche-genentech-trials@gene.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-Free Survival (PFS) (time frame: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first (up to 7 years)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Nov 2026.