ClinicalTrials.gg
Not yet recruitingNCT07935317PIKALO-3Updated Nov 13, 2026

A Study of Tersolisib (LY4064809) and Abemaciclib With Hormone Therapies in Participants With PIK3CA-Mutated Early Breast Cancer

A Phase 2 interventional study of Abemaciclib and Tersolisib in Breast Neoplasms, sponsored by Eli Lilly and Company. Not yet recruiting at 9 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-13.

Sponsored by Eli Lilly and Company · Phase 2, Interventional, and Treatment

Updated Nov 13, 2026Newly registeredGo to Updates ↓

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Phase
Phase 2
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 56 studies testing abemaciclib in Breast Neoplasms — 23 open to participants now, 35 under way, 10 of them phase 3. abemaciclib · Breast Neoplasms.

Planned enrollment
28th of 56
120 · median 120
Started
2026
with 7 others
Phase 2
28 of 56
13 open now
Primary completion
2027-12
later than 18 of 34 live
Registered
56th of 56
by date
Lead sponsor
18 of 56
Eli Lilly and Company

Among the 56 studies testing abemaciclib in Breast Neoplasms, this one is the 28th largest by planned enrollment, is one of 8 that started in 2026, is one of 28 in phase 2, reaches primary completion later than 18 of the 34 other live ones, and was the 56th registered.

Breast Neoplasms

14,832 studies on the registry are indexed under Breast Neoplasms; 3,318 are open to participants now.

Browse Breast Neoplasms studies →

Open to participants now

23 of the 56 studies testing abemaciclib in Breast Neoplasms are open now, in 6 countries. Recruiting first, the newest first:

17 more — sign in →

By country, each count listing its studies:

All 23 open studies →

About abemaciclib

abemaciclib: first FDA approval 2017 (VERZENIO), first EMA approval 2018. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 2,398 Breast Neoplasms studies recruiting now, 1,569 (65%) set no upper age limit and 592 (25%) stop at 75 or younger; 103 take children under 18; 215 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 56 studies testing abemaciclib in Breast Neoplasms, or all of them as a file.
02

Study summary

The main purpose of this study is to compare two ways of giving the anti-cancer medicines abemaciclib and hormone therapy with tersolisib in participants with early breast cancer that has a genetic mutation (PIK3CA mutation).

For each participant, the study will last up to 56 weeks and include 12 visits.

03

Conditions studied

  • Breast Neoplasms

Browse trials for

Keywords

  • HR+, HER2-
  • PIK3CA Mutation
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Have or cytologically confirmed breast cancer, defined as individuals with:

    • early stage, resected, invasive breast cancer without evidence of distant , and
    • have confirmed hormone receptor positive (HR+), human epidermal growth factor receptor 2 negative (-) status defined by

      • Hormone Receptor (HR) status: documented estrogen receptor positive (ER+) and/or progesterone receptor+ tumor, defined as greater than or equal to (≥) 1% of tumor cells stained positive, assessed locally on primary disease specimen, as defined by American Society of Clinical Oncology College of American Pathologists (ASCO/CAP) Guidelines
      • HER status: fulfill the requirement of HER2- disease by local testing on primary disease specimen; tumor must be HER2- according to ASCO/CAP guidelines for HER2 testing
  • Have evidence of an activating phosphatidylinositol-3-kinase catalytic subunit alpha (PIK3CA) mutation in tumor tissue.
  • Must have undergone definitive locoregional therapy, defined as surgery of the primary breast tumor(s), with or without radiation therapy, and/or systemic therapy (neo/ chemotherapy and or Endocrine Therapy (ET)) per standard guidelines.
  • Individuals with bilateral breast cancer (diagnosis of invasive tumors in both breasts simultaneously or within 6 months of each other) may be eligible if all lesions tested on both sides are HR+ HER2- and adequate surgery has been performed for both breasts.
  • Tumor involvement in at least 1 axillary lymph node (ALN).

    • ≥ ipsilateral positive ALN, OR
    • 1 to 3 ipsilateral positive ALN and either:

      • tumor size ≥5cm, or
      • histologic Grade 3 tumor (as defined by a combined score of at least 8 points per the modified Bloom-Richardson grading system or equivalent
  • Individuals must be randomized within 16 months from the time of definitive breast cancer surgery.
  • May have received up to 12 weeks of ET with AIs or tamoxifen until randomization following the last non-ET (surgery, chemotherapy, or radiation), whichever is last.
  • Are willing to follow requirements.

Exclusion criteria

Exclusion Criteria:

  • Have evidence of

    • disease
    • inflammatory breast cancer at primary breast cancer diagnosis
    • breast cancer recurrence (local, regional, or distant), or
    • a history of previous invasive breast cancer
  • Has an established diagnosis of type 1 diabetes mellitus or type 2 diabetes mellitus with (HbA1c) ≥8 percent (%), fasting plasma glucose ≥140 mg/dL (7.7 mmol/L), or requiring insulin.
  • Has a history of other than breast cancer
  • Have active Virus (HBV)
  • Have active Virus (HCV)
  • Have untreated (HIV) infection
  • Have any other active systemic infection requiring system therapy
  • Have a history of Kaposi sarcoma or multicentric Castleman disease
  • Have a serious cardiac condition
Terms in these criteria, in plain language(10)

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

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

HER2

HER2 is a protein, made from the ERBB2 gene, that drives the growth of some cancers. A study may look for a level of the protein, extra copies of the gene, or a particular change in it.

In breast cancer, protein tests are read as HER2-positive, HER2-low or HER2-negative; other cancers use their own rules. Check which test result the study requires.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

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.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

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

Study arms

  • Experimental
    Arm A: Abemaciclib and Endocrine Therapy (ET) + Tersolisib - Staggered

    Abemaciclib in combination with physician's choice of endocrine therapy (ET). Tersolisib will be added in a staggered approach after 2 cycles of abemaciclib and ET. All drugs will be administered orally.

    Drug: Abemaciclib · Drug: Tersolisib · Drug: Letrozole · Drug: Anastrozole · Drug: Exemestane

  • Experimental
    Arm B: Abemaciclib and Endocrine Therapy (ET) + Tersolisib - Concurrent

    Abemaciclib and tersolisib will be administered concurrently in combination with physician's choice of ET. All drugs will be administered orally.

    Drug: Abemaciclib · Drug: Tersolisib · Drug: Letrozole · Drug: Anastrozole · Drug: Exemestane

Interventions

06

What researchers measure

Primary outcomes

  1. Rate of Participants who Discontinue Tersolisib Due to Treatment Emergent Adverse Events (TEAEs).

    Time frame: Cycle 1 through study completion (estimated as 56 weeks)

Secondary outcomes

  1. Duration of Exposure to Study Intervention

    Study intervention start is defined as Cycle -1 for Arm A and Cycle 1 for Arm B. Arm A includes an additional 8 weeks.

    Time frame: Start of study intervention through study completion (estimated as 56 weeks)

  2. Number of Study Intervention Dose Adjustments

    Study intervention start is defined as Cycle -1 for Arm A and Cycle 1 for Arm B. Arm A includes an additional 8 weeks.

    Time frame: Start of study intervention through study completion (estimated as 56 weeks)

  3. Pharmacokinetics (PK): Predose Plasma Concentrations (Cmax) of Tersolisib

    Time frame: Day 15 through study completion (estimated as 56 weeks)

  4. Change from Baseline in Side-Effect Burden as Measured by Functional Assessment of Cancer Therapy - General Item GP5 (FACT-GP5)

    Time frame: Baseline to end of study completion (estimated as 56 weeks)

07

Study locations

9 sites
  • Cancer and Blood Specialty Clinic
    Los Alamitos, California 90720, United States
    • Sassan Farjami · Principal investigator
  • USO - Rocky Mountain Cancer Centers
    Lakewood, Colorado 80228, United States
    • Sara Robinson · Principal investigator
  • Winship Cancer Institute, Emory University
    Atlanta, Georgia 30308, United States
    • Manali Bhave · Principal investigator
  • Dana-Farber Cancer Institute
    Boston, Massachusetts 02215, United States
    • Erica Mayer · Principal investigator
  • Stefanie Spielman Comprehensive Breast Center
    Columbus, Ohio 43212, United States
    • Robert Wesolowski · Principal investigator
  • Texas Oncology - West Texas
    Amarillo, Texas 79106, United States
    • Ines Sanchez-Rivera · Principal investigator
  • Texas Oncology - Balcones
    Austin, Texas 78731, United States
    • Kathryn Hudson · Principal investigator
  • South Texas Accelerated Research Therapeutics (START)
    San Antonio, Texas 78229-3307, United States
    • Amita Patnaik · Principal investigator
  • USO - Virginia Cancer Specialists
    Reston, Virginia 20190, United States
    • Isabelle Le · Principal investigator
08

References and documents

Individual participant data

Plan to share: Yes — Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Supporting information: Study protocol, Statistical analysis plan, Clinical study report

Time frame: Data are available 6 months after the primary publication or approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.

Access criteria: A research proposal should be approved by an independent review panel and researchers should sign a data sharing agreement.

Data sharing details ↗ · vivli.org

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Start is estimated for Dec 2026; primary completion for Dec 2027, 12 months later.

Of 232 industry-sponsored phase 2 interventional studies under Breast Neoplasms, half reached primary completion within 34 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 53. This study's planned 12 months is below that.

Counting every sponsor, half of 1,302 studies reached it within 51 months; a quarter within 30 and three quarters within 82.

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

Registered
Nov 9, 2026
First posted
Nov 13, 2026
StartEst.
Dec 2026
Primary completionEst.
Dec 2027
CompletionEst.
Jan 2028
Last update
Nov 13, 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.
Registered
First appeared on the registry. No changes since
Nov 13, 2026
Show all 1 update
  1. Nov 13, 2026
    First appeared on the registry

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
NCT07935317
Responsible party
Sponsor
First posted
Nov 13, 2026
Start date
Dec 2026 (estimated)
Primary completion
Dec 2027 (estimated)
Completion
Jan 2028 (estimated)
Last update
Nov 13, 2026

Study contacts

Trial questions or participation questions: 1-877-CTLILLY (1-877-285-4559) or
Contact
LillyTrials@Lilly.com
1-317-615-4559
Physicians interested in becoming principal investigators please contact
Contact
clinical_inquiry_hub@lilly.com
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 8 AM - 8 PM Eastern time (UTC/GMT - 5 hours, EST)
study director · Eli Lilly and Company

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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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.

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Studies of the drugs tested here: Abemaciclib · STX-478

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