Inavolisib + Palbociclib-Fulvestrant Improves Survival in Advanced Breast Cancer
By Elana Gotkine HealthDay Reporter
THURSDAY, Oct. 31, 2024 -- Inavolisib plus palbociclib-fulvestrant yields significantly longer progression-free survival than placebo plus palbociclib-fulvestrant in patients with PIK3CA-mutated, hormone receptor-positive, human epidermal growth factor receptor 2 (HER2)-negative locally advanced or metastatic breast cancer, according to a study published in the Oct. 31 issue of the New England Journal of Medicine.
Nicholas C. Turner, M.D., Ph.D., from the Royal Marsden Hospital in London, and colleagues conducted a double-blind, randomized trial comparing first-line inavolisib plus palbociclib-fulvestrant (inavolisib group; 161 patients) to placebo plus palbociclib-fulvestrant (placebo group; 164 patients) in patients with PIK3CA-mutated, hormone receptor-positive, HER2-negative locally advanced or metastatic breast cancer who had had a relapse during or within 12 months of adjuvant endocrine therapy completion.
The researchers found that the median progression-free survival was 15.0 and 7.3 months in the inavolisib and placebo groups, respectively (hazard ratio for disease progression or death, 0.43). An objective response occurred in 58.4 and 25.0 percent of patients in the inavolisib and placebo groups, respectively. In the inavolisib and placebo groups, the incidence of grade 3 or 4 neutropenia was 80.2 and 78.4 percent, respectively. The corresponding incidence rates were 5.6 and 0 percent for grade 3 or 4 hyperglycemia; 5.6 and 0 percent for grade 3 or 4 stomatitis or mucosal inflammation; and 3.7 and 0 percent for grade 3 or 4 diarrhea. There was no grade 3 or 4 rash reported. Overall, 6.8 and 0.6 percent of patients in the inavolisib and placebo groups had discontinuation of any trial agent because of adverse events.
"Inavolisib plus palbociclib-fulvestrant may represent a new treatment option for these patients," the authors write.
The study was funded by F. Hoffmann-La Roche, a subsidiary of which manufactures inavolisib (Genentech).
Abstract/Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)
Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.
© 2025 HealthDay. All rights reserved.
Posted October 2024
Read this next
Odds of Advanced Cancer, Breast Cancer Death Lower in Screen-Detected Disease
THURSDAY, June 5, 2025 -- For patients aged 40 years or older, screen-detected breast cancer is associated with lower odds of advanced cancer, mastectomy, and breast...
Nodal Irradiation Does Not Reduce Recurrence, Death for ypN0 Breast Cancer
THURSDAY, June 5, 2025 -- For patients with node-positive breast cancer who become pathologically tumor-free with negative axillary nodes (ypN0) after neoadjuvant chemotherapy...
ASCO: Vepdegestrant Ups Survival in ER+, HER2− Advanced Breast Cancer With ESR1 Mutations
MONDAY, June 2, 2025 -- For patients with estrogen receptor (ER)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced breast cancer, the oral...
More news resources
- FDA Medwatch Drug Alerts
- Daily MedNews
- News for Health Professionals
- New Drug Approvals
- New Drug Applications
- Drug Shortages
- Clinical Trial Results
- Generic Drug Approvals
Subscribe to our newsletter
Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.