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A Phase II, Randomized, Open-Label Dose Optimization and Phase III, Randomized, Double-Blind, Placebo-Controlled Study of Tersolisib (LY4064809) Combined with a CDK4/6 Inhibitor and Endocrine Therapy in Adults with HR+, HER2- Advanced Breast Cancer with a PIK3CA Mutation Who Received No Prior Treatment for Advanced Breast Cancer (PIKALO-2)

Cancer
Ritesh Parajuli
Breast

Study Description

The purpose of the study is to assess the efficacy and safety of the addition of Tersolisib (LY4064809/STX-478) to other anti-cancer drugs as first treatment for advanced hormone receptor-positive (HR+)/human epidermal growth factor receptor 2-negative (HER2-) breast cancer. Participants can remain in the study as long as the drug is helping the cancer without unbearable side effects.

Eligibility

  • Participant or their legally authorized representative is capable of giving signed informed consent
  • Are able to swallow capsules or tablets
  • Have histologically or cytologically confirmed breast cancer
  • locally advanced breast cancer not amenable to curative therapy (for example,

surgery) or metastatic disease, and

  • HR+/HER2- or HR+/HER low
  • Have evidence of an activating PIK3CA mutation
  • Has an established diagnosis of Type 1 diabetes mellitus or Type 2 diabetes mellitus
  • Have inflammatory or metaplastic breast cancer.
  • History of leptomeningeal disease or carcinomatous meningitis.
  • Have known and untreated or active central nervous system (CNS) metastases.
  • Have a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy
  • Are pregnant, breastfeeding, or intend to become pregnant
  • Have active bacterial or fungal infection that is not recovered at randomization.
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