🏛️ Verified NIH Record • Updated 2026-06-22

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 (NCT05646862)

A Phase III, Multicenter, Randomized, Open-Label Study Evaluating the Efficacy and Safety of Inavolisib Plus Fulvestrant Versus Alpelisib Plus Fulvestrant in Patients With Hormone Receptor-Positive, HER2-Negative, PIK3CA Mutated, Locally Advanced or Metastatic Breast Cancer Who Progressed During or After CDK4/6 Inhibitor and Endocrine Combination Therapy

🔵 Active, Not Recruiting Phase3 💊 Investigational Drug / Biologic Sponsor: Hoffmann-La Roche

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

This is a Phase III, multicenter, randomized, open-label, global study designed to evaluate the efficacy and safety of inavolisib plus fulvestrant compared with alpelisib plus fulvestrant in patients with hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2) -negative, PIK3CA-mutated, locally advanced (LA) or metastatic breast cancer (mBC), who progressed during or after cyclin dependent kinase 4/6i (CDK4/6i)-based therapy. Enrollment for the main study is now complete.

Who can join: Review the eligibility criteria below.

Location: Cancer Blood and Specialty Clinic — Los Alamitos, California

Age range: 18 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 (145 Sites)

Showing the first 25 of 145 sites.

  • Cancer Blood and Specialty Clinic — Los Alamitos, California
  • Los Angeles Cancer Network — Los Angeles, California
  • UC Davis Comprehensive Cancer Center — Sacramento, California
  • Rocky Mountain Cancer Centers — Denver, Colorado
  • Cleveland Clinic Florida — Weston, Florida
  • Grady Health System — Atlanta, Georgia
  • Midtown West Medical — Atlanta, Georgia
  • Emory University Hospital — Atlanta, Georgia
  • Winship Cancer Institute at Emory Saint Joseph's Hospital — Atlanta, Georgia
  • Massachusetts General Hospital — Boston, Massachusetts
  • Cancer & Hematology Centers of Western Michigan — Grand Rapids, Michigan
  • Minnesota Oncology Hematology — Saint Paul, Minnesota
  • Asante Rogue Regional Medical Center — Medford, Oregon
  • Texas Oncology - Dallas Presbyterian Hospital — Dallas, Texas
  • Centro de Investigaciones Médicas y Desarrollo LC S.R.L — Buenos Aires,
  • Centro Oncologico Korben — Ciudad Autonoma Buenos Aires,
  • Fundacion CORI para la Investigacion y Prevencion del Cancer — La Rioja,
  • Instituto de Oncología de Rosario — Rosario,
  • Hosp Provincial D. Centenarios — Rosario,
  • CER San Juan Centro Polivalente de Asistencia e Investigacion Clinica — San Juan,
  • Clinica Viedma S.A. — Viedma,
  • Coffs Harbour Health Campus — Coffs Harbour, New South Wales
  • Concord Repatriation General Hospital — Concord, New South Wales
  • Kinghorn Cancer Centre — Darlinghurst, New South Wales
  • Gosford Hospital — Gosford, New South Wales

💰 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 ↗