A Study Evaluating the Efficacy and Safety of Inavolisib Plus Fulvestrant Compared With Alpelisib Plus Fulvestrant in Participants With HR-Positive, HER2-Negative, PIK3CA Mutated, Locally Advanced or Metastatic Breast Cancer Post CDK4/6i and Endocrine Combination Therapy (INAVO121)
Breast Cancer
About this trial
This is an interventional treatment trial for Breast Cancer
Eligibility Criteria
Inclusion Criteria: If pre/perimenopausal women and men treatment with luteinizing hormone-releasing hormone (LHRH) agonist therapy beginning at least 2 weeks prior to Day 1 of Cycle 1 Histologically or cytologically confirmed adenocarcinoma of the breast that is locally advanced or metastatic and is not amenable to surgical or radiation therapy with curative intent Documented HR +/ HER2- tumor according to American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) guidelines Confirmation of biomarker eligibility: detection of specified mutation(s) of PIK3CA via specified test Disease progression after or during treatment with a combination of CDK4/6i and endocrine therapy: <= 2 prior lines of systemic therapy in mBC setting; CDK4/6i based therapy does not need to be the last one received prior study entry; one line of chemotherapy in mBC setting allowed Measurable or evaluable disease per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) Participants for whom endocrine-based therapy is recommended and treatment with cytotoxic chemotherapy is not indicated at time of entry into the study, as per national or local treatment guidelines Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2 Life expectancy of > 6 months Adequate hematologic and organ function prior to initiation of study treatment Exclusion Criteria: Metaplastic breast cancer Prior treatment in locally advanced or metastatic setting with any PI3K, AKT, or mTOR inhibitor or any agent whose mechanism of action is to inhibit the PI3K/-AKT/-mTOR pathway Participant who relapsed with documented evidence of progression > 12 months from completion of adjuvant CDK4/6i based therapy with no treatment for metastatic disease Pregnant, lactating, or breastfeeding, or intending to become pregnant during the study or at least 60 days after the final dose of study treatment Type 2 diabetes requiring ongoing systemic treatment at the time of study entry; or any history of Type 1 diabetes Inability or unwillingness to swallow pills Malabsorption syndrome or other condition that would interfere with enteral absorption Any history of leptomeningeal disease or carcinomatous meningitis Known and untreated, or active central nervous system (CNS) metastases. Participants with a history of treated CNS metastases are eligible if they meet specific certain criteria Known active, systemic infection at study enrollment, or any major episode of infection requiring treatment with intravenous antibiotics or hospitalization within 7 days prior to Day 1 of Cycle 1 Any concurrent ocular or intraocular condition that, in the opinion of the investigator, would require medical or surgical intervention during the study period to prevent or treat vision loss that might result from that condition Active inflammatory or infectious conditions in either eye or history of idiopathic or autoimmune-associated uveitis in either eye Requirement for daily supplemental oxygen Symptomatic active lung disease, including pneumonitis History of or active inflammatory bowel disease Any active bowel inflammation Clinically significant and active liver disease, including severe liver impairment, viral or other hepatitis, current alcohol abuse, or cirrhosis Participants with known human immunodeficiency virus infection that meet specific criteria Investigational drug(s) within 4 weeks before randomization or within 5 half-lives of the investigational drug(s), whichever is longer History of other malignancy within 5 years prior to screening, except for cancers with very low risk of recurrence Chronic therapy of >= 10 mg of prednisone per day or an equivalent dose of other anti-inflammatory corticosteroids or immunosuppressants for a chronic disease Allergy or hypersensitivity to components or excipients of the inavolisib, fulvestrant, or alpelisib formulations History of severe cutaneous reactions like Stevens-Johnson Syndrome, Erythema Multiforme, Toxic Epidermal Necrolysis, or Drug Reaction with Eosinphilia and Systemic Symptoms Active ongoing osteonecrosis of the jaw
Sites / Locations
- Cancer Blood and Specialty ClinicRecruiting
- Los Angeles Cancer NetworkRecruiting
- University of California, Irvine Medical CenterRecruiting
- Eastern CT Hematology and Oncology AssociatesRecruiting
- Cancer Care Centers of BrevardRecruiting
- Minnesota Oncology HematologyRecruiting
- Gabrail Cancer CenterRecruiting
- Asante Rogue Regional Medical CenterRecruiting
- Consultants in Medical Oncology and Hematology
- Abramson Cancer Center Chester County Hospital; Hematology, Medical OncologyRecruiting
- Texas Oncology WestRecruiting
- Texas Oncology - Dallas Presbyterian HospitalRecruiting
- Texas Tech University Health Sciences Center; Department of Internal MedicineRecruiting
- Texas Oncology (Flower Mound) - USORRecruiting
- The Center for Cancer and Blood Disorders - Fort WorthRecruiting
- Lumi ResearchRecruiting
- Texas Oncology McKinneyRecruiting
- Kadlec Clinic Hematology and OncologyRecruiting
- Fundación CENIT para la Investigación en Neurociencias
- Centro Oncologico Korben; OncologyRecruiting
- Fundacion CORI para la Investigacion y Prevencion del CancerRecruiting
- Instituto de Oncología de RosarioRecruiting
- Sanatorio Parque S.A.Recruiting
- Clinica Viedma S.A.Recruiting
- Coffs Harbour Health CampusRecruiting
- Concord Repatriation General Hospital; Concord Cancer CentreRecruiting
- Kinghorn Cancer Centre; St Vincents HospitalRecruiting
- Gosford Hospital; Cancer Care ServicesRecruiting
- Icon Cancer Care WesleyRecruiting
- University of the Sunshine CoastRecruiting
- Bendigo Cancer CentreRecruiting
- Sir Charles Gairdner Hospital; Medical OncologyRecruiting
- Santa Casa de Misericordia de Porto AlegreRecruiting
- Hospital de Base de Sao Jose do Rio PretoRecruiting
- BC Cancer ? VancouverRecruiting
- The Moncton HospitalRecruiting
- Juravinski HospitalRecruiting
- The Ottawa Hospital - General CampusRecruiting
- CIUSSS de l'Est-de-l'Ile-de-Montréal - Hôpital Maisonneuve-RosemontRecruiting
- Centre Hospitalier de l'Universite de Montreal (CHUM)Recruiting
- Jewish General HospitalRecruiting
- Hôpital du Sacré-Coeur de MontrealRecruiting
- The First Hospital of Jilin UniversityRecruiting
- Sichuan Provincial Cancer HospitalRecruiting
- Guangdong Provincial People's Hospital; BreastRecruiting
- Sun yat-sen University Cancer Center; Internal Medicine of OncologyRecruiting
- The Second Affiliated Hospital of Zhejiang University School of MedicineRecruiting
- Sir Run Run Shaw Hospital Zhejiang UniversityRecruiting
- Harbin Medical University Tumor Hospital; Department of Surgery; PharmacyRecruiting
- Shandong Cancer HospitalRecruiting
- The Second Affiliated Hospital to Nanchang UniversityRecruiting
- Jiangsu Cancer HospitalRecruiting
- Tianjin Cancer Hospital; Department of Breast OncologyRecruiting
- Union Hospital Tongji Medical College Huazhong University of Science and TechnologyRecruiting
- Hubei Cancer HospitalRecruiting
- First Affiliated Hospital of Medical College of Xi'an Jiaotong UniversityRecruiting
- Zhejiang Cancer HospitalRecruiting
- Kyungpook National University Chilgok HospitalRecruiting
- National Cancer CenterRecruiting
- CHA Bundang Medical CenterRecruiting
- Catholic Univ. of Incheon St.Mary's HospitalRecruiting
- Inha University HospitalRecruiting
- Korea University Anam HospitalRecruiting
- Seoul National University HospitalRecruiting
- Severance Hospital, Yonsei University Health SystemRecruiting
- Asan Medical CenterRecruiting
- Gangnam Severance HospitalRecruiting
- Samsung Medical CenterRecruiting
- Seoul St Mary's HospitalRecruiting
- Antiguo Hospital Civil de Guadalajara Fray Antonio AlcaldeRecruiting
- Health Pharma Professional ResearchRecruiting
- COI Centro Oncologico Internacional Santa FeRecruiting
- OncoMed; Supportive CareRecruiting
- ARKE Estudios Clínicos S.A. de C.V.Recruiting
- Instituto Nacional de Cancerologia; OncologyRecruiting
- ICO L'Hospitalet; Servicio de oncologia medicaRecruiting
- Hospital Ramon y Cajal; Servicio de OncologiaRecruiting
- Hospital Universitario 12 de Octubre; Servicio de OncologiaRecruiting
- Hospital Universitario Virgen de Arrixaca; Servicio de OncologiaRecruiting
- Hospital Universitario Virgen Macarena; Servicio de OncologiaRecruiting
- National Cheng Kung University HospitalRecruiting
- Taipei Veterans General HospitalRecruiting
- Chang Gung Memorial Hosipital at LinkouRecruiting
- Veterans General Hospital - TaichungRecruiting
- National Taiwan University Hospital; OncologyRecruiting
- Gulhane Training and Applicaton HospitalRecruiting
- Memorial Ankara HastanesiRecruiting
- Dicle University Faculty of MedicineRecruiting
- Trakya University Medical FacultyRecruiting
- Medipol Mega Üniversite Hastanesi GöztepeRecruiting
- Marmara Uni Faculty of Medicine; Medical OncologyRecruiting
- Ege Uni Medical Faculty Hospital; Oncology DeptRecruiting
- Katip Celebi University Ataturk Training and Research Hospital; OncologyRecruiting
- Goztepe Prof.Dr. Suleyman Yalcin City Hospital; Clinical OncologyRecruiting
- Hacettepe Uni Medical Faculty Hospital; Oncology DeptRecruiting
- Basingstoke and North Hampshire HospitalRecruiting
- Blackpool Victoria HospitalRecruiting
- Western General Hospital; Clinical OncologyRecruiting
- Princess Alexandra HospitalRecruiting
- Maidstone & Tonbridge Wells Hospital; Kent Oncology CenterRecruiting
- Mount Vernon & Watford Trust Hospital; Dept. of Clinical OncologyRecruiting
- Churchill Hospital; Department of OncologyRecruiting
- ROYAL HAMPSHIRE COUNTY HOSPITAL; R&D OfficeRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Inavolisib + Fulvestrant
Alpelisib + Fulvestrant
Participants will be administered the treatments as outlined in the interventions section.
Participants will be administered the treatments as outlined in the interventions section.