Inavolisib-based treatment for endocrine-resistant PIK3CA-mutated HR+/HER2- advanced breast cancer
Official title: A Non-interventional Study to Evaluate the Effectiveness and Safety of Inavolisib in Patients With Endocrine-resistant, PIK3CA-mutated, Hormone Receptor-positive, HER2-negative Locally Advanced or Metastatic Breast Cancer (reaINAVO)
Run by Hoffmann-La Roche · NCT07347600 · Data updated 2026-11-12
This trial tests an inavolisib-based regimen in people in China who have endocrine-resistant, PIK3CA-mutated, hormone receptor–positive, HER2‑negative locally advanced or metastatic breast cancer after finishing adjuvant endocrine therapy.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 500 (estimated) |
| Sponsor | Hoffmann-La Roche Industry-sponsored |
| Locations | 32 sites (Xiamen, Fujian and 31 other locations) |
| Status | Recruiting |
| Started | January 21, 2026 |
| Main results expected | December 31, 2028 |
| Study ends | December 31, 2029 |
| Registry record updated | November 5, 2026 |
| Trial ID | NCT07347600 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with hormone receptor–positive, HER2‑negative locally advanced or metastatic breast cancer who are endocrine‑resistant, have a documented PIK3CA mutation by an NMPA‑approved PCR or NGS test, and are starting inavolisib for the first time are the ideal candidates.
✕Probably not a fit
Patients without a confirmed PIK3CA mutation, with HER2‑positive or HR‑ disease, or with contraindications to inavolisib per prescribing information are unlikely to benefit from this regimen.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational, multicenter study will collect real-world data on patients starting inavolisib for endocrine-resistant, PIK3CA‑mutated HR+/HER2‑ advanced breast cancer following recurrence on or after adjuvant endocrine therapy. PIK3CA mutation status must be confirmed by an NMPA‑approved or validated PCR or NGS assay on blood or tumor tissue before inavolisib is started. Patients may receive inavolisib as part of regimens that include palbociclib and fulvestrant according to routine clinical practice, and treatments will be recorded but not randomized. The study will gather information on safety, clinical outcomes, and treatment patterns across participating Chinese hospitals.
Why it matters
Potential benefit: If successful, this regimen could provide a targeted option that delays progression and improves outcomes for patients with PIK3CA‑mutant, endocrine‑resistant HR+/HER2‑ advanced breast cancer.
How similar studies have gone: Other PI3Kα inhibitors such as alpelisib have shown clinical benefit in PIK3CA‑mutant HR+/HER2‑ metastatic breast cancer, while inavolisib is a newer agent being explored for similar use.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Participants must be diagnosed with endocrine-resistant, PIK3CA-mutated, HR+/HER2- LA/mBC, following recurrence on or after completing adjuvant endocrine therapy * Participants must receive the treatment of inavolisib for the first time * PIK3CA mutation status should be detected by a National Medical Products Administration (NMPA)-approved or validated assay \[Polymerase Chain Reaction (PCR) or Next Generation Sequencing (NGS)\] by testing of blood or tumor tissue prior to the initiation of inavolisib Exclusion Criteria: * Participants for which the treatment with inavolisib is not indicated per prescribing information. If the participant starts palbociclib and fulvestrant first, and starts inavolisib after getting a PIK3CA mutation-positive test result later, the palbociclib and fulvestrant will not be deemed as a different line of therapy. However, the medical order of PIK3CA mutation test must be made before or at the same time with the prescription of palbociclib and fulvestrant * Participants not receiving treatment for LA/mBC with inavolisib according to standard of care (SOC) and in line with the current summary of product characteristics (SPC)/local labeling * At the investigator's discretion, any reason that makes the participant hard to follow up or unsuitable to participate in the study
Where it's running
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The First Affiliated Hospital of Xiamen University
Xiamen, Fujian, China Recruiting -
Gansu Provincial Maternal and Child Health Hospital (Gansu Provincial Hospital of Traditional Chinese Medicine)
Lanzhou, Gansu, China Recruiting -
The Fourth Hospital of Hebei Medical University
Shijiazhuang, Hebei, China Recruiting -
The First Hospital of Jilin University
Changchun, Jilin, China Recruiting -
Wenzhou Medical University Affiliated Second Hospital
Wenzhou, Zhejiang, China Recruiting -
Peking University First Hospital
Beijing, China Recruiting
Show 26 more locations
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Peking University Third Hospital
Beijing, China Recruiting -
Sichuan Academy of Medical Sciences and Sichuan Provincial Peoples Hospital
Chengdu, China Recruiting -
The First Affiliated Hospital, Chongqing Medical University
Chongqing, China Recruiting -
Chongqing Cancer Hospital
Chongqing, China Recruiting -
Sun Yat-sen Memorial Hospital
Guangzhou, China Recruiting -
Zhujiang Hospital, Southern Medical University
Guangzhou, China Recruiting -
Guangdong Provincial Traditional Chinese Medicine Hospital
Guangzhou, China Recruiting -
Guizhou Provincial People's Hospital
Guiyang, China Recruiting -
Hainan Provincial Peoples Hospital
Haikou, China Recruiting -
Harbin Medical University Cancer Hospital
Harbin, China Recruiting -
The First Affiliated Hospital of Anhui Medical University
Hefei, China Recruiting -
Shandong Provincial Hospital
Jinan, China Recruiting -
Luoyang Central Hospital
Luoyang, China Recruiting -
Jiangxi Cancer Hospital
Nanchang, China Recruiting -
Jiangsu Province Hospital
Nanjing, China Recruiting -
Fudan University Shanghai Cancer Center
Shanghai, China Recruiting -
Zhongshan Hospital Fudan University
Shanghai, China Recruiting -
Liaoning cancer Hospital & Institute
Shenyang, China Recruiting -
Shanxi Provincial Cancer Hospital
Taiyuan, China Recruiting -
Taizhou Hospital of Zhejiang Province
Taizhou, China Recruiting -
Weifang People's Hospital
Weifang, China Recruiting -
Hubei Cancer Hospital
Wuhan, China Recruiting -
The First Affiliated Hospital of Xian Jiao Tong University
Xi'an, China Recruiting -
Subei People's Hospital of Jiangsu province
Yangzhou, China Recruiting -
Henan Cancer Hospital
Zhengzhou, China Recruiting -
Zhongshan City People's Hospital
Zhongshan, China Recruiting
Study contacts
- Study coordinator: Reference Study ID Number: ML46361 https://forpatients.roche.com/ No attachments to email below.
- Email: global-roche-genentech-trials@gene.com
- Phone: 888-662-6728
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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PRT13722 in advanced HR+/HER2- breast cancer
This early study tests PRT13722, by itself and with standard therapies, to see if it is safe and has any signs of activity in adults with HR+/HER2- breast cancer who have progressed on prior treatments.
-
Palazestrant plus ribociclib as first-line treatment for ER+/HER2- advanced breast cancer
This trial will test whether using palazestrant instead of letrozole, both given with ribociclib, helps adults with ER+/HER2- advanced breast cancer who have not had prior systemic treatment for their advanced disease.
-
HRS-8080 versus doctor‑chosen treatments for locally advanced or metastatic breast cancer
This trial will test whether the oral drug HRS-8080 works better than treatments chosen by doctors for women with locally advanced or metastatic breast cancer whose disease progressed after prior endocrine therapy.
-
Finding the best dose of BNT323 and BNT327 for advanced breast cancer
This study is testing the best dose of a new combination treatment for advanced breast cancer to see how well it works and if it's safe for patients.
-
Combining pembrolizumab with cryoablation for metastatic breast cancer
This study is testing if combining a drug called pembrolizumab with a freezing treatment can help people with advanced triple negative breast cancer feel better compared to just using the drug alone.
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Testing FWD1802 for ER+/HER2- breast cancer
This study is testing a new treatment called FWD1802, alone and with another drug, to see if it can help people with advanced ER+/HER2- breast cancer feel better and improve their outcomes.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.