OncoMatch

OncoMatch/Clinical Trials/NCT07174336

A Study of Tersolisib (LY4064809/STX-478) With Other Anti-Cancer Treatments in Participants With Advanced Breast Cancer With a Genetic Change (PIK3CA)

Is NCT07174336 recruiting? Yes, currently enrolling (Sep 2026). This Phase 3 trial studies multiple treatments for breast neoplasms.

Phase 3RecruitingEli Lilly and CompanyNCT07174336Data as of Sep 2026Location: International · 18 countries

Treatment: LY4064809 · Ribociclib · Palbociclib · Abemaciclib · Anastrozole · Letrozole · Exemestane · FulvestrantThe 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.

Check if I qualify

Extracted eligibility criteria

Treatments studied

Targeted therapy

RibociclibPalbociclibAbemaciclib

Endocrine / hormonal

AnastrozoleLetrozoleExemestaneFulvestrant

Other

LY4064809

Cancer type

Breast Carcinoma

Biomarker criteria

Required: PIK3CA activating mutation

evidence of an activating PIK3CA mutation, detected in tumor or blood samples using an appropriate assay

Required: ESR1 expression (≥1% tumor cells stained positive)

Documented ER+ and/or progesterone receptor-positive (PR+) tumor according to ASCO/CAP Guidelines, defined as greater than or equal to (≥)1 percent (%) of tumor cells stained positive

Required: PR (PGR) expression (≥1% tumor cells stained positive)

Documented ER+ and/or progesterone receptor-positive (PR+) tumor according to ASCO/CAP Guidelines, defined as greater than or equal to (≥)1 percent (%) of tumor cells stained positive

Required: HER2 (ERBB2) wild-type

HER status: immunohistochemistry score of 1+ or score of 2+ with a negative Fluorescence In Situ Hybridization (FISH) based on local results as defined in the ASCO/CAP Guidelines

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Alaska Oncology and Hematology · Anchorage, Alaska
  • Ironwood Cancer & Research Centers · Chandler, Arizona
  • Mayo Clinic in Arizona - Phoenix · Phoenix, Arizona
  • The University of Arizona Cancer Center - North Campus · Tucson, Arizona
  • Genesis Cancer and Blood Institute · Hot Springs, Arkansas

Showing up to 5 US sites.

See all sites on ClinicalTrials.gov →

Frequently asked questions

Is NCT07174336 currently recruiting?

Yes, this trial is currently recruiting patients.

Does this trial require PIK3CA?

Yes, PIK3CA activating mutation is a required biomarker for enrollment.

Does this trial require ESR1?

Yes, ESR1 expression is a required biomarker for enrollment.

Does this trial require PGR?

Yes, PGR expression is a required biomarker for enrollment.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

Check if I qualify