RLY-2608, a mutant-selective PI3Kα inhibitor, combined with fulvestrant achieved a 38.7% overall response rate and 10.3-month median progression-free survival in patients with PIK3CA-mutant HR+/HER2- advanced breast cancer.
The combination demonstrated superior tolerability compared to existing PI3K inhibitors, with predominantly low-grade hyperglycemia and significantly reduced rates of diarrhea, rash, and oral sores.
Based on these promising phase 1 results, RLY-2608 plus fulvestrant will advance to a pivotal phase 3 trial in 2025, comparing against the current standard of care capivasertib plus fulvestrant.
Patients with kinase domain PIK3CA mutations showed particularly impressive outcomes, achieving a 66.7% response rate and 18.4-month median progression-free survival.