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Relay Therapeutics Advances RLY-2608 to Phase 3 Trial with Promising Breast Cancer Data

9 days ago3 min read

Key Insights

  • Relay Therapeutics initiated the Phase 3 ReDiscover-2 trial for RLY-2608, a pan-mutant selective PI3Kα inhibitor targeting breast cancer patients with high unmet medical needs.

  • Updated ASCO 2025 data showed RLY-2608 achieved a median progression-free survival of 10.3 months and 39% objective response rate in PI3Kα-mutated, HR+/HER2- metastatic breast cancer patients.

  • The company reduced R&D expenses by 30.5% year-over-year while maintaining $656.8 million in cash reserves, projected to fund operations into 2029.

Relay Therapeutics reported significant clinical progress for its lead drug candidate RLY-2608, a pan-mutant selective PI3Kα inhibitor, as the company initiated a pivotal Phase 3 trial and presented encouraging efficacy data at the American Society of Clinical Oncology (ASCO) 2025 meeting.

Phase 3 Trial Launch Marks Critical Milestone

The company launched the Phase 3 ReDiscover-2 trial, evaluating RLY-2608 combined with fulvestrant against capivasertib plus fulvestrant in a priority patient population. This represents a major advancement for the computational drug discovery company's lead asset, which targets PI3Kα, a protein linked to cancer cell growth.
The trial initiation follows positive interim data from the Phase 1b study of RLY-2608 plus fulvestrant presented at ASCO 2025. Among patients with PI3Kα-mutated, HR+/HER2- metastatic breast cancer, the combination demonstrated a median progression-free survival of 10.3 months and achieved a 39% objective response rate.

Subgroup Analysis Reveals Enhanced Efficacy

Particularly notable results emerged from a key subgroup analysis in second-line settings. Patients with kinase mutations achieved a median progression-free survival of 18.4 months, compared to 8.5 months for those with non-kinase mutations. Safety data remained favorable, with mostly low-grade adverse events reported, supporting the asset's continued development.

Computational Platform Drives Drug Design

Relay Therapeutics employs its proprietary Dynamo® platform, which combines computer simulations with experimental methods to design highly selective small-molecule drugs. This approach aims to target protein movements within cells, enabling the creation of precise therapies for cancer and rare genetic diseases.
Beyond RLY-2608, the company continues development programs in vascular malformations, NRAS-driven solid tumors, and Fabry disease, demonstrating the breadth of its research pipeline.

Financial Performance Shows Operational Efficiency

The company reported improved financial metrics in Q2 2025, with GAAP earnings per share of $(0.41), beating analyst expectations of $(0.49). Research and development expenses decreased by 30.5%, or $28.1 million, year-over-year, primarily due to streamlined business operations and out-licensing expenses for lirafugratinib following a licensing agreement with Elevar Therapeutics.
General and administrative expenses also declined by $6.5 million, or 32.3%, compared to Q2 2024, mainly due to reduced stock compensation and lower employee costs. These cost management efforts contributed to a 41% reduction in net loss compared to the prior year.

Strong Cash Position Supports Development Strategy

As of June 30, 2025, Relay Therapeutics maintained $656.8 million in cash, cash equivalents, and investments. Management projects this amount will fund operations and planned capital expenses into 2029, providing substantial runway for the company's development programs.
The company's immediate focus remains on patient enrollment and execution of the pivotal Phase 3 clinical trial for RLY-2608, with the goal of bringing a new therapy to market for breast cancer patients with high unmet medical needs. Additional studies are exploring "triplet" combinations that incorporate other cancer medicines, aiming to expand potential treatment pathways in advanced breast cancer.
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