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Survival Win With Inavolisib-Based Triplet in PIK3CA-Mutated Breast Cancer

  • The phase 3 INAVO120 study showed that adding inavolisib to palbociclib and fulvestrant significantly improved overall survival in PIK3CA-mutated HR-positive, HER2-negative advanced breast cancer patients.
  • This result expanded on previously observed improvements in progression-free survival and stems from a randomized trial that enrolled a total of 325 patients with endocrine-resistant disease over the period from early 2020 through late 2023.
  • The median overall survival reached 34 months with inavolisib versus 27 months in the placebo group, and chemotherapy initiation was delayed from 12.6 to 35.6 months with the triplet regimen.
  • Dr. Nicholas C. Turner highlighted that this study marks a breakthrough by demonstrating improved overall survival using a drug targeting the PI3K pathway, alongside nearly a two-year extension in delaying the initiation of chemotherapy, underscoring its clinical significance.
  • These results, presented ahead of the 2025 ASCO Annual Meeting, support genomic testing for PIK3CA mutations and suggest that inavolisib could change standard care for this breast cancer subset despite manageable side effects.
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Pharmacy Times broke the news in on Wednesday, May 21, 2025.
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