ClinicalTrials.gg
RecruitingNCT03424005Morpheus-panBCUpdated Nov 6, 2026

A Study Evaluating the Efficacy and Safety of Multiple Treatment Combinations in Patients With Metastatic or Locally Advanced Breast Cancer

A Phase 1/2 interventional study of Capecitabine and Atezolizumab in Metastatic Breast Cancer, sponsored by Hoffmann-La Roche. Recruiting at 55 sites in 9 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Hoffmann-La Roche · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2018; still recruiting 8 years 7 months later.
Updated Oct 9, 20262 sites addedGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
1,132
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is an umbrella study evaluating the efficacy and safety of multiple treatment combinations in participants with metastatic or inoperable locally advanced breast cancer.

The study will be performed in two stages. During Stage 1, seven cohorts will be enrolled in parallel in this study:

Cohort 1 will consist of programmed death-ligand 1 (PD-L1)-positive participants who have received no prior systemic therapy for metastatic or inoperable locally advanced triple-negative breast cancer (TNBC) (first-line [1L] PD-L1+ cohort).

Cohort 2 will consist of participants who had disease progression during or following 1L treatment with chemotherapy for metastatic or inoperable locally-advanced TNBC and have not received cancer immunotherapy (CIT) (second-line [2L] CIT-naïve cohort).

Cohort 3, 5, 6 and 7 will consist of participants with locally advanced or metastatic hormone receptor-positive (HR+), human epidermal growth factor receptor 2 (HER2)-negative disease with one or more PIK3CA mutations.

Cohort 4 will consist of participants with locally advanced or metastatic HER2+ /HER2-low disease with one or more PIK3CA mutations who had disease progression on standard-of-care therapies (HER2+ /HER2-low cohort).

In each cohort, eligible participants will initially be assigned to one of several treatment arms (Stage 1). During Stage 2, participants in the 2L CIT-naïve cohort who experience disease progression, loss of clinical benefit, or unacceptable toxicity during Stage 1 may be eligible to continue treatment with a different treatment combination, provided Stage 2 is open for enrollment and all eligibility criteria are met.

02

Conditions studied

  • Metastatic Breast Cancer

Browse trials for

03

In context

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

This study's planned enrollment of 1,132 is above the median of 72 across 10,896 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Hoffmann-La Roche is the lead sponsor of 2,101 studies on the registry; 87 are open to participants now.

Of its 330 completed or terminated interventional studies of FDA-regulated products, 248 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria

Patients must meet all of the following criteria to qualify for Stage 1 (all cohorts) and to qualify for Stage 2 (2L CIT-naïve cohort):

  • Age >/= 18 years at the time of signing Form
  • (ECOG) performance status of 0 or 1
  • Able to comply with the study protocol, in the investigator's judgment
  • or inoperable locally advanced adenocarcinoma of the breast
  • (at least one target lesion) according to v1.1
  • >/= 3 months, as determined by the investigator
  • Tumor accessible for , unless archival tissue is available
  • Availability of a representative tumor specimen that is suitable for biomarker analysis via central testing
  • Adequate hematologic and end-organ function, defined by the following laboratory test results, obtained within 14 days prior to initiation of study treatment
  • For women of : agreement to remain abstinent (refrain from heterosexual intercourse) or use measures and agreement to refrain from breastfeeding and donating eggs, as outlined for each specific treatment arm
  • For men: agreement to remain abstinent (refrain from heterosexual intercourse) or use contraceptive measures, and agreement to refrain from donating sperm, as outlined for each specific treatment arm

Exclusion Criteria

Exclusion Criteria for Stage 1

  • Prior treatment with T-cell co-stimulating or immune checkpoint blockade therapies, including , anti-PD-1, and anti-PD-L1 therapeutic antibodies, 0 agonists or interleukin-2 (IL-2) or IL-2-like compounds
  • Biologic treatment (e.g., bevacizumab) within 2 weeks prior to initiation of study treatment, or other systemic treatment for TNBC within 2 weeks or 5 half-lives of the drug (whichever is longer) prior to initiation of study treatment
  • Treatment with systemic medication (including, but not limited to, , cyclophosphamide, azathioprine, methotrexate, thalidomide, and anti-tumor necrosis factor alpha agents) within 2 weeks prior to initiation of study treatment, or anticipation of need for systemic immunosuppressive medication during the course of the study
  • Eligibility only for the control arm

Exclusion Criteria for Stage 1 (both cohorts) and Stage 2 (2L CIT-naïve cohort)

  • Adverse events from prior anti-cancer therapy that have not resolved to Grade \</= 1 or better with the exception of alopecia of any grade and Grade \</= 2 peripheral neuropathy
  • Treatment with therapy within 28 days prior to initiation of study treatment
  • Uncontrolled pleural effusion, pericardial effusion, or ascites requiring recurrent drainage procedures (once monthly or more frequently)
  • Uncontrolled tumor-related pain
  • Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases
  • History of
  • Active or history of disease or immune deficiency
  • History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonitis, or idiopathic pneumonitis, or evidence of active pneumonitis on screening chest computed tomography (CT) scan. History of radiation pneumonitis in the radiation field (fibrosis) is permitted.
  • Active tuberculosis
  • Severe infection within 4 weeks prior to initiation of study treatment
  • Treatment with therapeutic oral or IV antibiotics within 2 weeks prior to initiation of study treatment
  • Significant cardiovascular disease
  • Prior allogeneic stem cell or solid organ transplantation
  • History of other than breast cancer within 2 years prior to screening, with the exception of those with a negligible risk of metastasis or death
  • Pregnancy or breastfeeding, or intention of becoming pregnant during the study
Terms in these criteria, in plain language(17)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
1,132 participants (estimated)

Study arms

  • Active comparator
    Atezolizumab + Nab-Paclitaxel

    1L PD-L1-positive participants will receive doublet combination treatment with atezolizumab plus nab-paclitaxel until unacceptable toxicity or loss of clinical benefit as determined by the investigator. Enrollment is closed.

    Drug: Atezolizumab · Drug: Nab-Paclitaxel

  • Experimental
    Atezolizumab + Nab-Paclitaxel + Tocilizumab

    1L PD-L1-positive participants will receive combination treatment with atezolizumab plus nab-paclitaxel and tocilizumab until unacceptable toxicity or loss of clinical benefit as determined by the investigator. Enrollment is closed and participant follow-up is complete.

    Drug: Atezolizumab · Drug: Tocilizumab · Drug: Nab-Paclitaxel

  • Experimental
    Atezolizumab + Sacituzumab Govitecan

    1L PD-L1-positive participants will receive doublet combination treatment with atezolizumab plus sacituzumab govitecan until unacceptable toxicity or loss of clinical benefit as determined by the investigator. Enrollment is closed.

    Drug: Atezolizumab · Drug: Sacituzumab Govitecan

  • Active comparator
    Capecitabine

    2L CIT-naïve participants will receive capecitabine until unacceptable toxicity or disease progression per Response Evaluation Criteria in Solid Tumors v1.1 (RECIST v1.1). Participants who progressed on treatment may have the option of receiving atezolizumab along with chemotherapy (chemo) during stage 2, provided they meet the eligibility criteria. Enrollment is closed and participant follow-up is complete.

    Drug: Capecitabine

  • Experimental
    Atezolizumab + Ipatasertib

    2L CIT-naïve participants will receive doublet combination treatment with atezolizumab plus ipatasertib until unacceptable toxicity or loss of clinical benefit as determined by the investigator. Participants who progressed on treatment may have the option of receiving atezolizumab + chemo, provided they meet the eligibility criteria. Enrollment is closed and participant follow-up is complete.

    Drug: Atezolizumab · Drug: Ipatasertib

  • Experimental
    Atezolizumab + SGN-LIV1A

    2L CIT-naïve participants will receive doublet combination treatment with atezolizumab plus SGNLIV1A until unacceptable toxicity or loss of clinical benefit as determined by the investigator. Patients who experience loss of clinical benefit as determined by the investigator or unacceptable toxicity related to SGN-LIV1A will be given the option of receiving Atezolizumab + chemo during Stage 2, provided they meet the eligibility criteria. Enrollment is closed and participant follow-up is complete.

    Drug: Atezolizumab · Drug: SGN-LIV1A

  • Experimental
    Atezolizumab + Selicrelumab + Bevacizumab

    2L-CIT-naïve participants will receive doublet combination treatment with atezolizumab plus selicrelumab and bevacizumab until unacceptable toxicity or loss of clinical benefit as determined by the investigator. Participants who progressed on treatment may have the option of receiving atezolizumab + chemo, provided they meet the eligibility criteria. Enrollment is closed and participant follow-up is complete.

    Drug: Atezolizumab · Drug: Bevacizumab · Drug: Selicrelumab

  • Experimental
    Atezolizumab + Chemo (Gemcitabine + Carboplatin or Eribulin)

    2L CIT-naïve participants enrolled in the active comparator arm who experience disease progression per RECIST v1.1 and 2L CIT-naïve participants enrolled in an experimental arm who experience loss of clinical benefit as determined by the investigator may receive doublet combination treatment with atezolizumab plus chemo (gemcitabine + carboplatin or eribulin) until unacceptable toxicity or loss of clinical benefit as determined by the investigator. Enrollment is closed and participant follow-up is complete.

    Drug: Atezolizumab · Drug: Chemotherapy (Gemcitabine + Carboplatin or Eribulin)

  • Experimental
    Inavolisib (Dose #2) + Abemaciclib + Fulvestrant

    HR+ participants will receive treatment with inavolisib plus abemaciclib plus fulvestrant until unacceptable toxicity or disease progression determined by the investigator according to RECIST v1.1.

    Drug: Abemaciclib · Drug: Fulvestrant · Drug: Inavolisib (Dose #2)

  • Experimental
    Inavolisib (Dose #2) + Ribociclib (Dose #1) + Fulvestrant

    HR+ participants will receive treatment with inavolisib plus ribociclib plus fulvestrant until unacceptable toxicity or disease progression as determined by the investigator according to RECIST v1.1.

    Drug: Fulvestrant · Drug: Ribociclib (Dose #1) · Drug: Inavolisib (Dose #2)

  • Experimental
    Inavolisib (Dose #2) + Ribociclib (Dose #1) + Letrozole

    HR+ participants will receive treatment with inavolisib plus ribociclib plus letrozole until unacceptable toxicity or disease progression as determined by the investigator according to RECIST v1.1.

    Drug: Ribociclib (Dose #1) · Drug: Letrozole · Drug: Inavolisib (Dose #2)

  • Experimental
    Inavolisib (Dose #2) + Ribociclib (Dose #2) + Fulvestrant

    HR+ participants will receive treatment with inavolisib plus ribociclib plus fulvestrant until unacceptable toxicity or disease progression as determined by the investigator according to RECIST v1.1.

    Drug: Fulvestrant · Drug: Ribociclib (Dose #2) · Drug: Inavolisib (Dose #2)

  • Experimental
    Inavolisib (Dose #2) + Ribociclib (Dose #2) + Letrozole

    HR+ participants will receive treatment with inavolisib plus ribociclib plus letrozole until unacceptable toxicity or disease progression as determined by the investigator according to RECIST v1.1.

    Drug: Ribociclib (Dose #2) · Drug: Letrozole · Drug: Inavolisib (Dose #2)

  • Experimental
    Inavolisib (Dose #2) + Abemaciclib + Letrozole

    HR+ participants will receive treatment with inavolisib plus abemaciclib plus letrozole until unacceptable toxicity or disease progression as determined by the investigator according to RECIST v1.1.

    Drug: Abemaciclib · Drug: Letrozole · Drug: Inavolisib (Dose #2)

  • Experimental
    Inavolisib (Dose #1) + Trastuzumab Deruxtecan

    HER2+/HER2-low participants will receive inavolisib + trastuzumab deruxtecan until unacceptable toxicity or disease progression as determined by the investigator according to RECIST v1.1. Enrollment is closed.

    Drug: Inavolisib (Dose #1) · Drug: Trastuzumab Deruxtecan

  • Experimental
    Inavolisib (Dose #2) + Trastuzumab Deruxtecan

    HER2+/HER2-low participants will receive inavolisib + trastuzumab deruxtecan until unacceptable toxicity or disease progression as determined by the investigator according to RECIST v1.1. Enrollment is closed.

    Drug: Trastuzumab Deruxtecan · Drug: Inavolisib (Dose #2)

  • Experimental
    Empagliflozin + Inavolisib (Dose #2) + Fulvestrant ± Palbociclib

    Participants with locally advanced or metastatic, HR+, HER2- participants will receive empagliflozin plus inavolisib plus fulvestrant with or without palbociclib until unacceptable toxicity or disease progression as determined by the investigator according to RECIST v1.1.

    Drug: Fulvestrant · Drug: Inavolisib (Dose #2) · Drug: Empagliflozin · Drug: Palbociclib

  • Experimental
    Metformin + Inavolisib (Dose #2) + Fulvestrant ± Palbociclib

    Participants with locally advanced or metastatic, HR+, HER2- participants will receive metformin plus inavolisib plus fulvestrant with or without palbociclib until unacceptable toxicity or disease progression as determined by the investigator according to RECIST v1.1.

    Drug: Fulvestrant · Drug: Inavolisib (Dose #2) · Drug: Palbociclib · Drug: Metformin

  • Experimental
    Inavolisib (Dose #2) + Atirmociclib (Atirmo) + Fulvestrant

    Participants will receive inavolisib plus atirmociclib plus fulvestrant until unacceptable toxicity or disease progression as determined by the investigator according to RECIST v1.1.

    Drug: Fulvestrant · Drug: Inavolisib (Dose #2) · Drug: Atirmociclib

  • Experimental
    Inavolisib (Dose #1) + Abemaciclib + Letrozole

    HR+ participants will receive treatment with inavolisib plus abemaciclib plus letrozole until unacceptable toxicity or disease progression as determined by the investigator according to RECIST v1.1.

    Drug: Abemaciclib · Drug: Inavolisib (Dose #1) · Drug: Letrozole

  • Experimental
    Inavolisib (Dose #1) + Abemaciclib + Giredestrant

    HR+ participants will receive treatment with inavolisib plus abemaciclib plus giredestrant until unacceptable toxicity or disease progression as determined by the investigator according to RECIST v1.1.

    Drug: Abemaciclib · Drug: Inavolisib (Dose #1) · Drug: Giredestrant

  • Experimental
    Inavolisib (Dose #2) + Abemaciclib + Giredestrant

    HR+ participants will receive treatment with inavolisib plus abemaciclib plus giredestrant until unacceptable toxicity or disease progression as determined by the investigator according to RECIST v1.1.

    Drug: Abemaciclib · Drug: Inavolisib (Dose #2) · Drug: Giredestrant

  • Experimental
    Inavolisib (Dose #2) + Ribociclib (Dose #1) + Giredestrant

    HR+ participants will receive treatment with inavolisib plus ribociclib plus giredestrant until unacceptable toxicity or disease progression as determined by the investigator according to RECIST v1.1.

    Drug: Ribociclib (Dose #1) · Drug: Inavolisib (Dose #2) · Drug: Giredestrant

Interventions

  • Capecitabine will be administered 1250 milligrams per square meter (mg/m\^2) orally twice daily on Days 1-14 of each 21-day cycle.

    Also known as: RO0091978

  • For Atezolizumab + SGN-LIV1A, Atezolizumab + Sacituzumab Govitecan, or Atezolizumab + Chemo arms: atezolizumab will be administered intravenously (IV), 1200 mg, on Day 1 of each 21-day cycle. For Atezolizumab + Nab-Paclitaxel, Atezolizumab + Selicrelumab + Bevacizumab, Atezolizumab + Ipatasertib, or Atezolizumab + Nab-Paclitaxel + Tocilizumab arms: atezolizumab will be administered IV, 840 mg on Days 1 and 15 of each 28-day cycle.

    Also known as: RO5541267

  • Ipatasertib will be administered by mouth 400 mg once a day, on Days 1-21 of each 28-day cycle.

  • SGN-LIV1A will be administered IV, 2.5 milligrams per kilogram (mg/kg) (maximum calculated dose 250 mg), on Day 1 of each 21-day cycle.

    Also known as: RO7235441, Ladiratuzumab vedotin

  • Bevacizumab will be administered IV, 10 mg/kg, on Days 1 and 15 of each 28-day cycle.

  • DrugChemotherapy (Gemcitabine + Carboplatin or Eribulin)

    Gemcitabine will be administered by IV, 1000 mg/m\^2, along with carboplatin, by IV, on Days 1 and 8 of each 21-day cycle. Or Eribulin will be administered IV, 1.4 mg/m\^2 on Days 1 and 8 of each 21-day cycle.

  • Selicrelumab will be administered by subcutaneous (SC) injection, at a fixed dose of 16 mg on Day 1 of Cycles 1 to 4 and every third cycle thereafter (Cycle = 28 days).

  • Tocilizumab will be administered IV, 8 mg/kg on Day 1 of each 28-day cycle.

    Also known as: RO4877533

  • Nab-Paclitaxel will be administered IV, 100 mg/m\^2, on Days 1, 8, and 15 of each 28-day cycle.

    Also known as: RO0247506

  • Sacituzumab govitecan will be administered by IV infusion, 10 mg/kg, on Days 1 and 8 of each 21-day cycle.

    Also known as: RO7445735

  • Abemaciclib tablets will be administered at a dose of 150 mg twice daily by mouth on Days 1-28 of each 28-day cycle.

    Also known as: RO7071651

  • For Inavolisib + Abemaciclib + Fulvestrant, Inavolisib + Ribociclib (Dose #1) + Fulvestrant, Inavolisib + Ribociclib (Dose #2) + Fulvestrant, or Inavolisib + Atirmociclib + Fulvestrant arms: Fulvestrant 500 mg, administered as an IM injection on Days 1 and 15 of Cycle 1, followed by Day 1 of each 28-day cycle thereafter. For Empa + Inavolisib + Fulvestrant ± Palbociclib, or Metformin + Inavolisib + Fulvestrant ± Palbociclib arms: Fulvestrant 500 mg, administered as an IM injection on Day 1 and as per local prescribing guidelines thereafter.

  • Ribociclib tablets will be administered by mouth once daily.

    Also known as: RO7072612

  • Inavolisib tablets will be administered by mouth once daily.

    Also known as: GDC-0077, RO7113755

  • Trastuzumab Deruxtecan will be administered IV, 5.4 mg/kg on Day 1 of each 21-day cycle.

  • Ribociclib tablets will be administered by mouth once daily.

    Also known as: RO7072612

  • Letrozole tablets will be administered at a dose of 2.5 mg once a day by mouth on Days 1-28 of each 28-day cycle.

  • Inavolisib tablets will be administered by mouth OD.

    Also known as: GDC-0077, RO7113755

  • Empagliflozin, administered orally, once daily (QD)

  • For Empagliflozin + Inavolisib + Fulvestrant ± Palbociclib arm: Palbociclib 125 mg administered orally, QD in Cycle 1 followed by 125 mg on Days 1-21 of each cycle. For Metformin + Inavolisib + Fulvestrant ± Palbociclib arm: Palbociclib 125 mg administered orally, QD in Cycle 1, followed by 125 mg on Days 1-21 of each cycle (Cycle=28 days).

  • Metf 1000 mg administered orally QD.

  • Atirmociclib administered orally, BID on Days 1-28 for each 28-day cycle.

  • Giredestrant 30 mg will be administered by mouth once daily, on Days 1-28 of each 28-day cycle.

06

What researchers measure

Primary outcomes

  1. Objective Response Rate (ORR)

    Time frame: Baseline until disease progression or loss of clinical benefit (up to approximately 12 years)

Secondary outcomes

  1. Progression Free Survival (PFS)

    Time frame: Randomization until the first occurrence of disease progression or death from any cause, which ever occurs first, through the end of study (up to approximately 12 years) as determined by the investigator according to RECIST v1.1

  2. Disease Control Rate (DCR)

    Time frame: Baseline through end of study (up to approximately 12 years)

  3. Overall Survival (OS)

    Time frame: Randomization to death from any cause, through the end of study (up to approximately 12 years)

  4. Overall Survival (at specific time-points)

    Time frame: 12 and 18 months

  5. Duration of Response (DOR)

    Time frame: Randomization until first occurrence of a documented objective response to the first recorded occurrence of disease progression or death from any cause (whichever occurs first), through end of study (up to approximately 12 years)

  6. Percentage of Participants with Adverse Events

    Time frame: Baseline to end of study (up to approximately 12 years)

07

Study locations

39 of 55 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2018 (actual). Primary completion is estimated for Sep 2030, 150 months after the start.

Of 161 industry-sponsored phase 1/2 interventional studies under Breast Neoplasms, half reached primary completion within 59 months of starting (the median), counting those still running; a quarter within 44 and three quarters within 75. This study's planned 150 months is above that.

Counting every sponsor, half of 327 studies reached it within 61 months; a quarter within 45 and three quarters within 88.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 30, 2018
First posted
Feb 6, 2018
StartActual
Mar 30, 2018
Primary completionEst.
Sep 30, 2030
CompletionEst.
Sep 30, 2030
Last update
Nov 6, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
2 sites added
Show 2 added (2 United States)
  • Nebraska Cancer Specialists - Midwest Cancer Center - Legacy · Omaha, United States
  • The Ohio State University Comprehensive Cancer Center · Columbus, United States
Oct 9, 2026
Show all 2 updates
  1. Nov 6, 2026
    Minor edits only
    + 2 other changes: verification date and site details
  2. Oct 9, 2026
    2 sites added
    Show 2 added (2 United States)
    • Nebraska Cancer Specialists - Midwest Cancer Center - Legacy · Omaha, United States
    • The Ohio State University Comprehensive Cancer Center · Columbus, United States
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT03424005
Lead sponsor
Hoffmann-La Roche
Collaborators
Gilead Sciences, Pfizer
Responsible party
Sponsor
First posted
Feb 6, 2018
Start date
Mar 30, 2018
Primary completion
Sep 30, 2030 (estimated)
Completion
Sep 30, 2030 (estimated)
Last update
Nov 6, 2026

Study contacts

Reference Study ID Number: CO40115 https://forpatients.roche.com/ No attachments to email below.
Contact
global-roche-genentech-trials@gene.com
888-662-6728 (U.S. and Canada)
Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry
Contact
Clinical Trials
study director · Hoffmann-La Roche

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drugs tested here: Ipatasertib · SGN-LIV1A · Bevacizumab · Selicrelumab · Tocilizumab · Albumin-Bound Paclitaxel · Sacituzumab govitecan · Inavolisib · Letrozole · Atirmociclib

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