CClinicalTrials.gg
RecruitingNCT06790693INAVO123Updated Oct 6, 2026

A Study Evaluating the Efficacy and Safety of Inavolisib Plus CDK4/6 Inhibitor and Letrozole vs Placebo + CDK4/6i and Letrozole in Participants With Endocrine-Sensitive PIK3CA-Mutated, Hormone Receptor-Positive, HER2-Negative Advanced Breast Cancer

A Phase 3 interventional study of Inavolisib and Placebo in Breast Cancer, sponsored by Hoffmann-La Roche. Recruiting at 242 sites in 20 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-06.

Sponsored by Hoffmann-La Roche · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2025; still recruiting 1 year 5 months later.
Updated Oct 6, 20261 site addedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
450
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will evaluate the efficacy and safety of the combination of inavolisib plus a cyclin-dependent kinase 4 and 6 inhibitor (CDK4/6i) and letrozole versus placebo plus a CDK4/6i and letrozole in the first-line setting in participants with endocrine-sensitive PIK3CA-mutated hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2-), advanced breast cancer (ABC).

02

Conditions studied

  • Breast Cancer

Browse trials for

03

In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's planned enrollment of 450 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Hoffmann-La Roche is the lead sponsor of 2,061 studies on the registry; 85 are open to participants now.

Of its 319 completed or terminated interventional studies of FDA-regulated products, 239 (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

Inclusion criteria

  • Women or men with histologically or cytologically confirmed carcinoma of the breast
  • Documented ER-positive and/or progesterone receptor-positive tumor according to American Society of Clinical Oncology/College of American Pathologists (ASCO/CAP) guidelines
  • Documented HER2-negative tumor according to ASCO/CAP guidelines
  • De-novo HR+ , HER2- ABC, or, alternatively, relapsed HR+ , HER2- ABC after at least 2 years of standard neoadjuvant/adjuvant endocrine therapy without disease progression during that treatment and disease-free interval of at least 1 year since the completion of that treatment
  • Participants who have bilateral breast cancers which are both HR-positive and HER2-negative
  • Confirmation of biomarker eligibility
  • Consent to provide fresh or archival tumor tissue specimen
  • Measurable disease per Response Evaluation Criteria in Solid Tumors, Version 1.1 (RECIST v1.1)
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
  • Adequate hematologic and organ function within 14 days prior to initiation of study treatment

Exclusion criteria

Exclusion Criteria:

  • Pregnant or breastfeeding, or intention of becoming pregnant during the study or within the time frame in which contraception is required
  • Metaplastic breast cancer
  • Any prior systemic therapy for locally advanced unresectable or metastatic breast cancer
  • Type 2 diabetes requiring ongoing systemic treatment at the time of study entry; or any history of Type 1 diabetes
  • Any history of leptomeningeal disease or carcinomatous meningitis
  • Known and untreated, or active CNS metastases. Participants with a history of treated CNS metastases are eligible
  • Active inflammatory or infectious conditions in either eye or history of idiopathic or autoimmune-associated uveitis in either eye
  • Symptomatic active lung disease
  • History of or active inflammatory bowel disease
  • Any active bowel inflammation
  • Prior hematopoietic stem cell or bone marrow transplantation
  • Treatment with strong cytochrome P450 (CYP) 3A4 inhibitors or strong CYP3A4 inducers within 4 weeks or 5 drug-elimination half-lives, prior to initiation of study treatment
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
450 participants (estimated)

Study arms

  • Experimental
    Inavolisib + Letrozole + CDK4/6i

    Participants will receive inavolisib, letrozole and CDK4/6i.

    Drug: Inavolisib · Drug: CDK4/6i · Drug: Letrozole

  • Placebo comparator
    Placebo + Letrozole + CDK4/6i

    Participants will receive placebo, letrozole and CDK4/6i.

    Drug: Placebo · Drug: CDK4/6i · Drug: Letrozole

Interventions

  • DrugInavolisib

    Participants will receive oral inavolisib once daily (QD).

    Also known as: GDC-0077, Itovebi

  • DrugPlacebo

    Participants will receive oral placebo QD.

  • DrugCDK4/6i

    Participants will receive CDK4/6i on either Days 1-21 or Days 1-28 of each 28-day cycle.

  • DrugLetrozole

    Participants will receive oral letrozole QD.

06

What researchers measure

Primary outcomes

  1. Progression-Free Survival (PFS)

    Time frame: From randomization to the first occurrence of disease progression or death from any cause, whichever occurs first (up to 7 years)

Secondary outcomes

  1. Overall Survival (OS)

    Time frame: From randomization to death from any cause (up to 7 years)

  2. Investigator-assessed Objective Response Rate (ORR)

    Time frame: Up to 7 years

  3. Investigator-assessed Duration of Response (DOR)

    Time frame: From the first occurrence of a confirmed objective response to the first occurrence of disease progression or death from any cause, whichever occurs first (up to 7 years)

  4. Investigator-assessed Clinical Benefit Rate (CBR)

    Time frame: Up to 7 years

  5. Time to Confirmed Deterioration (TTCD) in Pain

    Time frame: From baseline until end of follow-up (up to 7 years)

  6. TTCD in Physical Function

    Time frame: From baseline until end of follow-up (up to 7 years)

  7. TTCD in Role Function

    Time frame: From baseline until end of follow-up (up to 7 years)

  8. TTCD in Global Health Status

    Time frame: From baseline until end of follow-up (up to 7 years)

  9. Percentage of Participants with Adverse Events

    Time frame: From baseline until end of follow-up (up to 7 years)

  10. Number of Participants Reporting Presence, Frequency, Severity, and/or Degree of Interference with Daily Function of Symptomatic Treatment Toxicities Assessed by NCI Patient-Reported Outcomes Common Terminology Criteria for Adverse Events (PRO-CTCAE)

    Time frame: Up to 7 years

  11. Number of Participants Reporting Each Response Option for Treatment Side-effect Bother Single-item General Population, Question 5 (GP5) from the Functional Assessment of Cancer Therapy-General Questionnaire; (FACT-G)

    Time frame: Up to 7 years

  12. Change from Baseline in Symptomatic Treatment Toxicities as Assessed Through use of the PRO-CTCAE

    Time frame: Baseline up to 7 years

  13. Change from Baseline in Treatment Side-effect Bother as Assessed Through use of the FACT-G GP5 Item

    Time frame: Baseline up to 7 years

07

Study locations

240 of 242 sites recruiting
  • City of Hope - Phoenix
    Goodyear, Arizona 85338, United States
    Recruiting
  • The Dignity Health Cancer Institute
    Phoenix, Arizona 85004, United States
    Recruiting
  • Disney Family Cancer Center
    Burbank, California 91505, United States
    Recruiting
  • City of Hope - Lennar Foundation Cancer Center
    Irvine, California 92618, United States
    Recruiting
  • Scripps Health
    La Jolla, California 92040, United States
    Recruiting
  • City Of Hope
    Long Beach, California 90813, United States
    Recruiting
  • Cancer and Blood Specialty Clinic
    Los Alamitos, California 90720, United States
    Recruiting
  • Ellison Medical Institute
    Los Angeles, California 90064, United States
    Recruiting
  • Palo Alto Medical Foundation Research Center
    Palo Alto, California 94301, United States
    Recruiting
  • Kaiser Permanente - San Marcos
    San Marcos, California 92069, United States
    Recruiting
  • Palo Alto Medical Foundation Research Center
    San Mateo, California 94401, United States
    Recruiting
  • Palo Alto Medical Foundation Research Center
    Sunnyvale, California 94086, United States
    Recruiting
  • Cancer Specialists of North Florida - Jacksonville
    Jacksonville, Florida 32207, United States
    Recruiting
  • Tallahassee Memorial HealthCare
    Tallahassee, Florida 32308, United States
    Recruiting
  • Moffitt Cancer Center-McKinley Campus
    Tampa, Florida 33612, United States
    Recruiting
  • Cleveland Clinic Florida
    Weston, Florida 33331, United States
    Recruiting
  • Northwest Georgia Oncology Centers PC - Marietta
    Marietta, Georgia 30060, United States
    Recruiting
  • Cancer Care Specialists of Central Illinois
    O'Fallon, Illinois 62269, United States
    Recruiting
  • Springfield Clinic
    Springfield, Illinois 62702, United States
    Recruiting
  • Carle Cancer Center
    Urbana, Illinois 61801, United States
    Recruiting
  • City of Hope® Cancer Center Chicago
    Zion, Illinois 60099, United States
    Recruiting
  • Baptist Health Lexington
    Lexington, Kentucky 40503, United States
    Recruiting
  • Baptist Health Hamburg
    Lexington, Kentucky 40509, United States
    Recruiting
  • University of Kentucky - Markey Cancer Center
    Lexington, Kentucky 40536, United States
    Recruiting
  • University of Louisville Hospital
    Louisville, Kentucky 40202, United States
    Recruiting
  • Baptist Health Louisville
    Louisville, Kentucky 40207, United States
    Recruiting
  • Velocity Clinical Research
    Annapolis, Maryland 21401, United States
    Recruiting
  • University of Maryland
    Baltimore, Maryland 21201, United States
    Recruiting
  • Henry Ford Health System
    Detroit, Michigan 48202, United States
    Recruiting
  • Cancer & Hematology Centers of Western Michigan
    Grand Rapids, Michigan 49503, United States
    Recruiting
  • University of Minnesota Medical Center
    Minneapolis, Minnesota 55455, United States
    Recruiting
  • HCA Midwest Health
    Kansas City, Missouri 64132, United States
    Recruiting
  • Nebraska Cancer Specialists
    Grand Island, Nebraska 68803, United States
    Recruiting
  • Nebraska Cancer Specialists
    Omaha, Nebraska 68130-2042, United States
    Recruiting
  • Astera Cancer Care East Brunswick
    East Brunswick, New Jersey 08816, United States
    Recruiting
  • Summit Medical Group
    Florham Park, New Jersey 07932, United States
    Recruiting
  • The Blavatnik Family ? Chelsea Medical Center at Mount Sinai
    New York, New York 10011, United States
    Recruiting
  • Mount Sinai West
    New York, New York 10019, United States
    Recruiting
  • Icahn School of Medicine at Mount Sinai
    New York, New York 10029, United States
    Recruiting
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
    Recruiting
  • New York Cancer & Blood Specialists
    Shirley, New York 11967, United States
    Recruiting
  • Montefiore Medical Center
    The Bronx, New York 10467, United States
    Recruiting
  • Novant Health Cancer Institute
    Charlotte, North Carolina 28204, United States
    Recruiting
  • Duke Cancer Institute
    Durham, North Carolina 27710, United States
    Recruiting
  • Novant Health Cancer Institute
    Winston-Salem, North Carolina 27103, United States
    Recruiting
  • Fairview Hospital
    Cleveland, Ohio 44111, United States
    Recruiting
  • Cleveland Clinic Foundation
    Cleveland, Ohio 44915, United States
    Recruiting
  • Hillcrest Hospital
    Mayfield Heights, Ohio 44124, United States
    Recruiting
  • Providence Portland Medical Center
    Portland, Oregon 97213, United States
    Recruiting
  • Providence Oncology and Hematology Cancer Clinic - Westside;Investigation Drug Services Pharmacy
    Portland, Oregon 97225, United States
    Recruiting
  • UPMC Hillman Cancer Center - Magee-Women?s Hospital
    Pittsburgh, Pennsylvania 15213, United States
    Recruiting
  • Bon Secours - St. Francis Hospital
    Greenville, South Carolina 29607, United States
    Recruiting
  • West Cancer Center
    Germantown, Tennessee 38138, United States
    Recruiting
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37204, United States
    Recruiting
  • JPS Health Network
    Fort Worth, Texas 76104, United States
    Recruiting
  • Community Clinical Trials
    Spring, Texas 77389, United States
    Recruiting
  • Huntsman Cancer Hospital at the University of Utah
    Salt Lake City, Utah 84113, United States
    Recruiting
  • Swedish Cancer Institute - Edmonds Campus
    Edmonds, Washington 98026, United States
    Recruiting
  • Providence Regional Cancer Partnership
    Everett, Washington 98201-1621, United States
    Recruiting
  • Swedish Cancer Institute - Issaquah
    Seattle, Washington 98104, United States
    Recruiting
  • Swedish Cancer Institute
    Seattle, Washington 98104, United States
    Recruiting
  • Northwest Medical Specialties
    Tacoma, Washington 98405, United States
    Recruiting
  • Centro Oncologico Korben
    Caba, C1426AGE, Argentina
    Recruiting
  • Centro Médico Fleischer
    Capital Federal, C1414, Argentina
    Recruiting
  • Hospital Privado Centro Medico de Cordoba
    Córdoba, 5016, Argentina
    Recruiting
  • Instituto de Oncologia de Rosario
    Rosario, S2013KZE, Argentina
    Recruiting
  • Centro Oncológico de Excelencia
    San Juan, J5400, Argentina
    Recruiting
  • Blacktown Hospital
    Blacktown, New South Wales 2148, Australia
    Recruiting
  • Royal North Shore Hospital
    St Leonards, New South Wales 2065, Australia
    Recruiting
  • Lyell McEwin Hospital
    Elizabeth Vale, South Australia 5112, Australia
    Recruiting
  • Monash Health
    Clayton, Victoria 3168, Australia
    Recruiting
  • Maroondah hospital;Oncology clinical trials
    Ringwood, Victoria 3135, Australia
    Recruiting
  • Crio - Centro Regional Integrado de Oncologia
    Fortaleza, Ceará 60336-232, Brazil
    Recruiting
  • Hospital Santa Rita de Cassia Vitoria
    Vitória, Espírito Santo 29043-260, Brazil
    Recruiting
  • Obras Sociais Irma Dulce - Osid
    Salvador, Estado de Bahia 40415-006, Brazil
    Recruiting
  • Hospital Araujo Jorge
    Goiânia, Goiás 74605-070, Brazil
    Recruiting
  • Centro de Oncologia de Alfenas
    Alfenas, Minas Gerais 37130-087, Brazil
    Recruiting
  • Hospital do Câncer de Londrina
    Londrina, Paraná 86015-520, Brazil
    Recruiting
  • Hospital do Cancer de Pernambuco - HCP
    Recife, Pernambuco 50040-000, Brazil
    Recruiting
  • Vencer Oncoclínica - Centro de Pesquisa do Piauí
    Teresina, Piauí 64049-200, Brazil
    Recruiting
  • Santa Casa de Misericordia de Porto Alegre
    Porto Alegre, Rio Grande do Sul 90020-090, Brazil
    Recruiting
  • Hospital de Cancer de Barretos
    Barretos, São Paulo 14784-400, Brazil
    Recruiting
  • Instituto do Cancer do Estado de Sao Paulo - ICESP
    São Paulo, São Paulo 01246-000, Brazil
    Recruiting
  • Clinica de Pesquisa e Centro de Estudos em Oncologia Ginecologica e Mamaria Ltda
    São Paulo, São Paulo 01317-001, Brazil
    Recruiting
  • Instituto Nacional de Cancer - INCa
    Rio de Janeiro, 20560-120, Brazil
    Recruiting
  • Arthur J.E. Child Comprehensive Cancer Center
    Calgary, Alberta T2N 4C2, Canada
    Recruiting
  • Cross Cancer Institute
    Edmonton, Alberta T6G 1Z2, Canada
    Recruiting
  • CancerCare Manitoba
    Winnipeg, Manitoba R3E 0V9, Canada
    Recruiting
  • The Moncton Hospital
    Moncton, New Brunswick E1C 6Z8, Canada
    Recruiting
  • The Ottawa Hospital Cancer Center
    Ottawa, Ontario K1H 8L6, Canada
    Recruiting
  • Sault Area Hospital
    Sault Ste. Marie, Ontario P6B 0A8, Canada
    Recruiting
  • Sunnybrook Health Sciences Centre
    Toronto, Ontario M4N 3M5, Canada
    Recruiting
  • St. Joseph's Health Centre
    Toronto, Ontario M6R 1B5, Canada
    Recruiting
  • Centre Hospitalier de l'Universite de Montreal (CHUM)
    Montreal, Quebec H2X 0C1, Canada
    Recruiting
  • Jewish General Hospital
    Montreal, Quebec H3T 1E2, Canada
    Recruiting
  • Hôpital du Sacré-Coeur de Montreal
    Montreal, Quebec H4J 1C5, Canada
    Recruiting
  • Unité de Recherche Clinique du CISSS de Laurentides
    Saint-Jérôme, Quebec J7Z 2V4, Canada
    Recruiting
  • Xiangyang Central Hospital
    Xiangyang, Hubei 441106, China
    Recruiting
  • Peking Union Medical College Hospital
    Beijing, 100032, China
    Recruiting
  • Hunan Cancer Hospital
    Changsha, 410013, China
    Recruiting

Showing the first 100 of 242 sites across 20 countries.

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

Updates

1 registry update since Sep 25, 2026
Sites
1 site added
Show site
  • New York Cancer & Blood Specialists · Shirley, United States
Oct 6, 2026
Show all 1 update
  1. Oct 6, 2026
    1 site added
    Show site
    • New York Cancer & Blood Specialists · Shirley, 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
NCT06790693
Lead sponsor
Hoffmann-La Roche
Responsible party
Sponsor
First posted
Jan 24, 2025
Start date
Apr 9, 2025
Primary completion
Jan 31, 2032 (estimated)
Completion
Feb 1, 2032 (estimated)
Last update
Oct 6, 2026

Study contacts

Reference Study ID Number: WO45654 https://forpatients.roche.com/ No attachments to email below.
Contact
global-roche-genentech-trials@gene.com
888-662-6728 (U.S. Only)
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
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

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

Start the discussion