Clinical trial Recruiting at 32 sites Observational Ages 18 and up

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 typeObservational
Ages18 Years and up
SexAll
Enrollment500 (estimated)
SponsorHoffmann-La Roche
Industry-sponsored
Locations32 sites (Xiamen, Fujian and 31 other locations)
StatusRecruiting
StartedJanuary 21, 2026
Main results expectedDecember 31, 2028
Study endsDecember 31, 2029
Registry record updatedNovember 5, 2026
Trial IDNCT07347600 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • 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.

    Recruiting Phase 1 Prelude Therapeutics Incorporated · Maumee, Ohio · NCT07905001

  • 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.

    Recruiting at 198 sites Phase 3 Olema Pharmaceuticals, Inc. · Hot Springs, Arkansas and 199 other locations · NCT07085767

  • 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.

    Recruiting at 2 sites Phase 3 Shandong Suncadia Medicine Co., Ltd. · Guangzhou, Guangdong and 1 other locations · NCT07024173

  • Finding the best dose of BNT323 and BNT327 for advanced breast cancer

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    Recruiting at 84 sites Phase 1/2 BioNTech SE · Beverly Hills, California and 83 other locations · NCT06827236

  • Combining pembrolizumab with cryoablation for metastatic breast cancer

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    Recruiting at 7 sites Phase 1 Memorial Sloan Kettering Cancer Center · Basking Ridge, New Jersey and 6 other locations · NCT06246968

  • 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.

    Recruiting at 20 sites Phase 1/2 Forward Pharmaceuticals Co., Ltd. · Hefei, Anhui and 21 other locations · NCT06064812

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.