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New Triple-Drug Regimen Boosts Survival in PIK3CA-Mutant HR+ HER2- Breast Cancer

INAVO120 final data show the regimen doubled the time before disease progression compared with standard therapy.

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Overview

  • The phase 3 INAVO120 trial enrolled 325 patients across 28 countries using liquid biopsy screening to identify PIK3CA-mutated HR+ HER2- breast cancer.
  • The inavolisib, palbociclib and fulvestrant combination extended median overall survival by seven months, from 27 to 34 months, versus palbociclib and fulvestrant alone.
  • The triple regimen delayed median disease progression by 17.2 months compared with 7.3 months in the control arm, allowing patients to postpone chemotherapy by nearly two years.
  • The therapy was generally well tolerated, with few patients discontinuing treatment due to adverse effects.
  • Results published in the New England Journal of Medicine and presented at ASCO support MHRA and NICE review ahead of potential UK approval.