🏛️ Verified NIH Record • Updated 2026-08-20

Study to Assess the Efficacy and Safety of Alpelisib Plus Fulvestrant in Participants With HR-positive (HR+), HER2-negative, Advanced Breast Cancer After Treatment With a CDK4/6 Inhibitor and an Aromatase Inhibitor. (NCT05038735)

EPIK-B5: A Phase III, Randomized, Double-blind, Placebo-controlled Study of Alpelisib in Combination With Fulvestrant for Men and Postmenopausal Women With HR-positive, HER2-negative Advanced Breast Cancer With a PIK3CA Mutation, Who Progressed on or After Aromatase Inhibitor and a CDK4/6 Inhibitor

🔵 Active, Not Recruiting Phase3 💊 Investigational Drug / Biologic Sponsor: Novartis Pharmaceuticals

🩺 Plain-English Summary (8th-Grade Level)

The purpose of this study is to complement Study CBYL719C2301 (SOLAR-1) and obtain more comprehensive data on the efficacy and safety of alpelisib (BYL719) in combination with fulvestrant compared with placebo plus fulvestrant in men or postmenopausal women with HR-positive, HER2-negative advanced breast cancer with a PIK3CA mutation who progressed or relapsed on or after treatment with an AI plus a CDK4/6 inhibitor.

Who can join: Review the eligibility criteria below.

Location: Novartis Investigative Site — Sint-Niklaas, Oost Vlaanderen

Age range: 18 Years to 100 Years

📋 "Do I Qualify?" — 1-Minute Self Screener

Instant Checklist

Full eligibility criteria are available on the official NIH protocol. View the criteria ↗

📍 All Participating Trial Locations (69 Sites)

Showing the first 25 of 69 sites.

  • Novartis Investigative Site — Sint-Niklaas, Oost Vlaanderen
  • Novartis Investigative Site — Brussels,
  • Novartis Investigative Site — Brussels,
  • Novartis Investigative Site — Ghent,
  • Novartis Investigative Site — Leuven,
  • Novartis Investigative Site — Liège,
  • Novartis Investigative Site — Plovdiv,
  • Novartis Investigative Site — Sofia,
  • Novartis Investigative Site — Calgary, Alberta
  • Novartis Investigative Site — Ottawa, Ontario
  • Novartis Investigative Site — Brno,
  • Novartis Investigative Site — Nový Jičín,
  • Novartis Investigative Site — Prague,
  • Novartis Investigative Site — Prague,
  • Novartis Investigative Site — Prague,
  • Novartis Investigative Site — Aalborg,
  • Novartis Investigative Site — Helsinki,
  • Novartis Investigative Site — Tampere,
  • Novartis Investigative Site — Besançon,
  • Novartis Investigative Site — Clermont-Ferrand,
  • Novartis Investigative Site — La Roche-sur-Yon,
  • Novartis Investigative Site — Lyon,
  • Novartis Investigative Site — Marseille,
  • Novartis Investigative Site — Montpellier,
  • Novartis Investigative Site — Paris,

💰 Cost, Insurance & Patient Rights

  • 100% Free Items: The investigational treatment and protocol-required procedures are supplied at zero cost by the sponsor.
  • Routine Patient Care: Under federal law (ACA § 2709) and many state statutes, routine care costs are covered during participation.
  • Voluntary Participation: You may withdraw at any time without affecting your standard medical care.

Explore by condition: All Breast Cancer clinical trials

💡 How to Participate

  1. Check the checklist above to see if you may qualify.
  2. Review the official NIH record below to find the coordinating site.
  3. Ask about the visit schedule, what is covered at no cost, and any travel support.
  4. Confirm with your own doctor before making a decision.
🏛️ View Official NIH Record ↗