To Evaluate the Safety, Tolerability, and Pharmacokinetics of Inavolisib Single Agent in Participants With Solid Tumors and in Combination With Endocrine and Targeted Therapies in Participants With Breast Cancer
This early-stage study (Phase 1) is investigating a new drug called Inavolisib. Researchers want to understand its safety, any side effects, and how it's absorbed and used by the body. This is for people with solid tumours, including breast cancer, that have a specific genetic change (PIK3CA mutation). Inavolisib will be tested on its own and in combination with other established medicines for breast cancer. The study is open-label, meaning both patients and doctors know which treatment is being given. Participants will be enrolled in two stages: an initial stage to find the right dose, and then a larger stage to gather more information. This research aims to find better ways to treat these cancers.
At a glance
What is this study about?
This study is a Phase 1 clinical trial, which means it's one of the first steps in testing a new drug in humans. The main goal is to check the safety of a drug called Inavolisib, understand if it causes any side effects, and see how the body processes it. This drug is being investigated for people who have certain types of solid tumours, including breast cancer, where the cancer cells have a specific genetic alteration called a PIK3CA mutation.
In this trial, Inavolisib will be given in several ways. Some participants will receive Inavolisib on its own. Others will receive it alongside common breast cancer medicines you might already be familiar with, such as Fulvestrant, Letrozole, Palbociclib, Metformin, Trastuzumab, or Pertuzumab. The study is 'open-label', meaning everyone involved will know which treatment they are receiving. By combining Inavolisib with existing treatments, researchers hope to find more effective ways to fight these cancers.
The study is divided into two main parts. The first part, called the 'dose-escalation stage', involves a small group of patients to help find the most suitable and safest dose of Inavolisib. Once that's determined, a larger group of patients will join the 'expansion stage' to gather more detailed information about the drug's safety and how well it's tolerated over a longer period.
Key takeaways
- This is an early-stage study for a new cancer drug, Inavolisib.
- It focuses on safety and how the body handles the drug.
- It's for people with solid tumours or breast cancer with a specific genetic change.
- The drug may be given alone or with other standard cancer medicines.
- Participation involves close monitoring for safety and effectiveness.
Who may be eligible?
To be able to join this study, you would generally need to have a solid tumour, including breast cancer, that has spread locally or to other parts of the body, and your cancer cells must have a specific genetic change called a PIK3CA mutation. Your general health should be good enough to take part, measured by your ability to carry out daily activities, and you should be expected to live for at least 12 weeks. Important blood tests, and checks on your liver and kidney function, must also be within healthy ranges. For some parts of the study, you'll need to have had previous treatment, for example, with a CDK4/6 inhibitor for certain breast cancers, or have specific heart health. This study is for both men and women aged 18 or over.
However, there are reasons why you might not be able to join. For instance, if you have a rare type of breast cancer called metaplastic breast cancer, or if your cancer has spread to the fluid around your brain or spinal cord. Other reasons include having uncontrolled diabetes that needs medication, difficulty swallowing pills, or problems absorbing food, as these could affect how the study drug works. You also wouldn't be able to join if you have uncontrolled infections, a history of certain heart problems, or if you've had another type of cancer within the last five years (excluding some very early-stage cancers like certain skin or cervical cancers).
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Do you have a solid tumour or breast cancer that has spread?
- Has your cancer been tested for a PIK3CA mutation and found positive?
- Are you generally well enough for daily activities?
- Do you have suitable liver, kidney, and blood test results?
- Are you able to swallow pills easily?
- Are you aged 18 or over?
What does participation involve?
Taking part in this study would involve regular visits to the clinic for assessments. These will likely include physical examinations, blood tests, and scans to check on your overall health and how your cancer is responding. You'll be given the study drug, Inavolisib, usually as a pill you take by mouth, either on its own or in combination with other approved cancer medicines. You'll need to report any side effects or changes in your health to the study team. The total duration of your participation will depend on which part of the study you are in and how you respond to the treatment, with ongoing follow-up to monitor your health. More specific details about the number of visits and exact tests would be provided by the study team.
Potential risks and benefits
Locations (13)
- Massachusetts General Hospital.Verified postcodeBoston, United States
- Dana Farber Cancer InstituteVerified postcodeBoston, United States
- Memorial Sloan Kettering Cancer CenterVerified postcodeNew York, United States
- Columbia University Medical CenterVerified postcodeNew York, United States
- SCRI Oncology PartnersVerified postcodeNashville, United States
- Princess Margaret HospitalVerified postcodeToronto, Canada
- Institut BergonieVerified postcodeBordeaux, France
- Institut Gustave RoussyVerified postcodeVillejuif, France
- Hospital Universitari Vall d'HebronVerified postcodeBarcelona, Spain
- Hospital Clinico Universitario de ValenciaVerified postcodeValencia, Spain
- Royal Marsden Hospital - SurreyUnverifiedSurrey, United Kingdom
- St Bartholomew's HospitalVerified postcodeLondon, United Kingdom
Common questions
What is Inavolisib?
Inavolisib is a new experimental drug being tested to see if it can help treat certain cancers.
What is a 'Phase 1' study?
Phase 1 is an early stage of research to check the safety, side effects, and how a new drug works in the body.
What does 'PIK3CA mutation' mean?
This is a specific genetic change found in some cancer cells that the study drug aims to target.
Will I know which treatment I'm getting?
Yes, this is an 'open-label' study, meaning you and your doctor will know which treatment you are receiving.
Can I leave the study if I change my mind?
Yes, you can choose to stop participating in the study at any time without affecting your medical care.
How to find out more
Always speak to your GP or specialist before deciding to take part in a study.
Discussion
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