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Active, not recruiting Phase 1

To Evaluate the Safety, Tolerability, and Pharmacokinetics of Inavolisib Single Agent in Participants With Solid Tumors and in Combination With Endocrine and Targeted Therapies in Participants With Breast Cancer

NCT03006172 · tracked via the Priya Life Science USA tracker
Phase
Phase 1
Started
2016-12-13
Last updated
2026-09-08

Condition(s) studied

Breast CancerSolid Tumor

Investigational drug(s) / intervention(s)

Inavolisib →Fulvestrant →Letrozole →Palbociclib →Metformin →Trastuzumab →Pertuzumab →

Inavolisib: Participants will receive oral inavolisib once daily on Days 1-28 of each 28-day cycle (Arms A, B, C, D, E, F) or Days 1-21 of each 21-day cycle (Arm G).

Fulvestrant: Participants will receive fulvestrant 500 mg, administered intramuscularly on Days 1 and 15 of Cycle 1. For subsequent cycles, participants will receive fulvestrant intramuscularly on Day 1 of each cycle.

Letrozole: Participants will receive once daily oral doses of letrozole 2.5 mg on Days 1-28 of each cycle.

Palbociclib: Participants will receive once daily oral doses of palbociclib 125 mg on Days 1-21 of each cycle.

Metformin: Participants will receive oral metformin once daily, starting on Cycle 1, Day 1, as tolerated.

Trastuzumab: Participants will receive trastuzumab, administered by IV infusion on Day 1 of each 21-day cycle, at a loading dose of 8 mg/kg for Cycle 1 and a dose of 6 mg/kg for subsequent cycles, until disease progression or unacceptable toxicity.

Pertuzumab: Participants will receive pertuzumab, administered by IV infusion on Day 1 of each 21-day cycle, at a loading dose of 840 mg for Cycle 1 and a dose of 420 mg for subsequent cycles, until disease progression or unacceptable toxicity.

Study summary

This is an open-label, multicenter, Phase I study designed to evaluate the safety, tolerability, and pharmacokinetics of inavolisib administered orally as a single agent in patients with locally advanced or metastatic PIK3CA-mutant solid tumors, including breast cancer, and in combination with standard-of-care endocrine and/or targeted therapies for the treatment of locally advanced or metastatic PIK3CA-mutant breast cancer. Participants will be enrolled in two stages: a dose-escalation stage (Stage I) and an expansion stage (Stage II). Participants will be assigned to one of seven regimens: inavolisib as a single agent (Arm A), inavolisib in combination with palbociclib and letrozole (Arm B), inavolisib in combination with letrozole (Arm C), inavolisib in combination with fulvestrant (Arm D), inavolisib in combination with palbociclib and fulvestrant (Arm E), inavolisib in combination with palbociclib, fulvestrant, and metformin (Arm F), and inavolisib in combination with trastuzumab and pertuzumab (and letrozole or fulvestrant, if applicable (Arm G)).

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Evaluable or measurable disease per RECIST, Version 1.1 (measurable disease only for Arm D) * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 * Life expectancy of greater than or equal to (\>=) 12 weeks * Adequate hematologic and organ function, including blood counts, liver and kidney function Stage I Arm A (Inavolisib): \- Locally advanced, recurrent, or metastatic, PIK3CA mutant, incurable solid tumor malignancy, including breast cancer Stages I and II, Arms B and C: \- Postmenopausal female participants with locally advanced or metastatic PIK3CA-mutant HR+/HER2- breast cancer Stage II, Arms D, E, or F: \- Female participants with locally advanced or metastatic PIK3CA-mutant HR+/HER2- breast cancer Stage II Arm D: \- Prior treatment with CDK4/6 inhibitor Stage II Arm G: * Female participants with locally advanced or metastatic PIK3CA-mutant HER2+ breast cancer * Left ventricular ejection fraction 50% or greater Stages I and II: \- All participants must provide tumor tissue from the primary or metastatic tumor site obtained from a prior or new biopsy or surgical procedure for detection of PIK3CA mutation by central laboratory test. Exclusion Criteria: * Metaplastic breast cancer * History of leptomeningeal disease * Type 1 or 2 diabetes requiring anti-hyperglycemic medication * Inability or unwillingness to swallow pills * Malabsorption syndrome or other condition that would interfere with enteral absorption * Known and untreated, or active central nervous system metastases * Uncontrolled pleural effusion or ascites * Any active infection that could impact patient safety or serious infection requiring intravenous antibiotics * History of other malignancy within 5 years, except for treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, or Stage I uterine cancer * History of or active ventricular dysrhythmias or congestive heart failure requiring medication or symptomatic coronary heart disease * Congenital long QT syndrome, prolonged QT interval, or family history of sudden unexplained death or long QT syndrome Stage II Arms B, C, D, and E only: * Prior treatment with \>1 chemotherapy regimen for metastatic disease * Prior treatment with PI3K inhibitor * History of significant toxicity related to mTOR inhibitor requiring treatment discontinuation Stage II Arms B and E only: \- Prior CDK4/6 inhibitor treatment Stage II Arm G only: * Current uncontrolled hypertension or unstable angina * History of congestive heart failure, serious cardiac arrhythmia, or recent myocardial infarction * Prior ejection fraction decrease on trastuzumab * Prior cumulative doxorubicin greater than 360 mg/m2 * Symptomatic active lung disease * History of significant toxicity related to trastuzumab and/or pertuzumab requiring discontinuation of treatment

Primary outcome measure(s)

  • Stage 1: Percentage of Participants With Dose Limiting Toxicities — Day 1 up to Day 28 (for Stage 1 Arm A: Day 1 up to Day 35)
  • Recommended Phase II Dose of Inavolisib — Day 1 up to Day 28 (for Stage 1 Arm A: Day 1 up to Day 35)
  • Percentage of Participants With Adverse Events and Serious Adverse Events — Day 1 up to 6 years

Trial sites (12)

FacilityCityRegionStatus
Massachusetts General Hospital. Boston Massachusetts
Dana Farber Cancer Institute Boston Massachusetts
Memorial Sloan Kettering Cancer Center New York New York
Columbia University Medical Center New York New York
SCRI Oncology Partners Nashville Tennessee
Princess Margaret Hospital Toronto Ontario
Institut Bergonie Bordeaux France
Institut Gustave Roussy Villejuif France
Hospital Universitari Vall d'Hebron Barcelona Spain
Hospital Clinico Universitario de Valencia Valencia Spain
Royal Marsden Hospital - Surrey Surrey Sutton
St Bartholomew's Hospital London United Kingdom
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT03006172 on ClinicalTrials.gov ↗ ← All trials in the USA