New drug cocktail targets Hard-to-Treat breast cancer
NCT ID NCT07405801
First seen Jun 27, 2026 · Last updated Sep 09, 2026 · Updated 6 times
Summary
This phase 2 trial is testing whether adding a drug called inavolisib to two standard treatments (ribociclib and fulvestrant) can shrink tumors or slow cancer growth in people with advanced hormone-receptor-positive, HER2-negative breast cancer that has a specific genetic change (loss of chromosome 8p) but no PIK3CA mutation. About 80 participants will be randomly assigned to receive either the three-drug combo or a placebo plus the two standard drugs. The study is currently recruiting.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- inavolisib, ribociclib, and fulvestrant
- What this could lead to
- If successful, this could offer a new targeted treatment option for people with a specific type of advanced breast cancer that has stopped responding to hormone therapy.
- What could go wrong
- This is an early phase 2 trial with only 80 participants, so results may not apply to everyone. The combination may cause side effects or fail to improve outcomes compared to standard care.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 80 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2026
- Expected to finish
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Feb 2030
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 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) Exclusion Criteria: * 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
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
58 sites in 12 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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AMG Oncology and Hematology Avera Cancer Institute - Yankton
RECRUITINGYankton, South Dakota, 57078, United States
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Antiguo Hospital Civil de Guadalajara Fray Antonio Alcalde
RECRUITINGGuadalajara, 44280, Mexico
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Asst Papa Giovanni XXIII
RECRUITINGBergamo, Lombardy, 24127, Italy
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Avera Cancer Institute
RECRUITINGSioux Falls, South Dakota, 57105, United States
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Avera Cancer Institute - Aberdeen
RECRUITINGAberdeen, South Dakota, 57401, United States
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Avera Cancer Institute - Marshall
RECRUITINGMarshall, Minnesota, 56258, United States
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Avera Cancer Institute - Mitchell
RECRUITINGMitchell, South Dakota, 57301, United States
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Avera Cancer Institute - Pierre, SD
RECRUITINGPierre, South Dakota, 57501, United States
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Bialostockie Centrum Onkologii
RECRUITINGBialystok, 15-027, Poland
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CIUSSS du Saguenay Lac-Saint-Jean, Chicoutimi Hospital
RECRUITINGChicoutimi, Quebec, G7H 5H6, Canada
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COZL Oddzial Onkologii Klinicznej z pododdzialem Chemioterapii Dziennej
RECRUITINGLublin, 20-090, Poland
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Cancer Specialists of North Florida
RECRUITINGJacksonville, Florida, 32256, United States
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Centre Leon Berard
RECRUITINGLyon, 69008, France
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Centre Oscar Lambret
RECRUITINGLille, 59020, France
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Centro Médico Fleischer
RECRUITINGCapital Federal, C1414, Argentina
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Centro Oncologico Korben
RECRUITINGCaba, C1426AGE, Argentina
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Centro de Investigacion Clinica de Oaxaca
RECRUITINGOaxaca City, Oaxaca, 68020, Mexico
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Christie Hospital Nhs Trust
RECRUITINGManchester, M20 4GJ, United Kingdom
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Clinica de Pesquisa e Centro de Estudos em Oncologia Ginecologica e Mamaria Ltda
RECRUITINGSão Paulo, São Paulo, 01317-000, Brazil
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Dolno?l?skie Centrum Onkologii
RECRUITINGWroc?aw, 53-413, Poland
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Gachon University Gil Medical Center
RECRUITINGNamdong-Gu, 21565, South Korea
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Hospital Brasilia
RECRUITINGBrasília, Federal District, 71.635-610, Brazil
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Hospital Clinic Barcelona
RECRUITINGBarcelona, 08036, Spain
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Hospital Clinico Universitario de Valencia
RECRUITINGValencia, 46010, Spain
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Hospital Ramon y Cajal
RECRUITINGMadrid, 28034, Spain
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Hospital Santa Rita de Cassia Vitoria
RECRUITINGVitória, Espírito Santo, 29043-260, Brazil
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Hospital Universitario 12 de Octubre
RECRUITINGMadrid, 28041, Spain
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Hospital Universitario Clínico San Cecilio
RECRUITINGGranada, 18016, Spain
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ICO L'Hospitalet
RECRUITINGL'Hospitalet de Llobregat, Barcelona, 08908, Spain
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IRST Istituto Scientifico Romagnolo Per Lo Studio E Cura Dei Tumori, Sede Meldola
RECRUITINGMeldola, Emilia-Romagna, 47014, Italy
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Ictrials Pesquisa e Desenvolvimento
RECRUITINGCuritiba, Paraná, 80510-130, Brazil
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Inst. Alexander Fleming
RECRUITINGBuenos Aires, C1426ANZ, Argentina
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Institut Paoli Calmettes
RECRUITINGMarseille, 13273, France
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Institut Régional du Cancer de Montpellier
RECRUITINGMontpellier, 34298, France
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Institut Universitaire du Cancer - Oncopole Toulouse (IUCT-O)
RECRUITINGToulouse, 31059, France
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Instituto Nacional De Cancerologia
RECRUITINGDistrito Federal, Mexico CITY (federal District), 14000, Mexico
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Instytut "Centrum Zdrowia Matki Polki"
RECRUITING?ód?, 93-338, Poland
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Irccs Istituto Nazionale Dei Tumori (Int)
RECRUITINGMilan, Lombardy, 20133, Italy
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Istituto Nazionale Tumori Irccs Fondazione g. PASCALE
RECRUITINGNaples, Campania, 80131, Italy
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Leicester Royal Infirmary
RECRUITINGLeicester, LE1 5WWi, United Kingdom
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Los Angeles Cancer Network - Anaheim
RECRUITINGAnaheim, California, 92805, United States
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McGill University
RECRUITINGMontreal, Quebec, H4A 3J1, Canada
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Medical College of Wisconsin
RECRUITINGMilwaukee, Wisconsin, 53226, United States
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Nationales Centrum für Tumorerkrankungen (NCT)
RECRUITINGHeidelberg, 69120, Germany
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Ospedale San Raffaele
RECRUITINGMilan, Lombardy, 20132, Italy
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Ottawa General Hospital
RECRUITINGOttawa, Ontario, K1H 8L6, Canada
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Royal Free Hospital
RECRUITINGLondon, NW3 2QG, United Kingdom
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Sanatorio de la Mujer
RECRUITINGRosario, S2000ORE, Argentina
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Seoul National University Bundang Hospital
RECRUITINGSeongnam-si, 13605, South Korea
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Seoul National University Hospital
RECRUITINGSeoul, 03080, South Korea
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Soon Chun Hyang University Cheonan Hospital
RECRUITINGDongnam-gu, Cheonan-si, 31151, South Korea
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Stanford Cancer Institute
RECRUITINGPalo Alto, California, 94304, United States
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Städtisches Klinikum Dessau
RECRUITINGDessau, 06847, Germany
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Sunnybrook Health Science Centre
RECRUITINGToronto, Ontario, M4N 3M5, Canada
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Uniklinik RWTH Aachen Klinik für Gynäkologie und Geburtsmedizin
RECRUITINGAachen, 52074, Germany
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Università Campus Bio-Medico di Roma
RECRUITINGRome, Lazio, 128, Italy
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Universitätsklinik Tübingen
RECRUITINGTübingen, 72076, Germany
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Universitätsklinikum Essen
RECRUITINGEssen, 45122, Germany
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