Actively Recruiting

Phase 3
Age: 18Years +
All Genders
NCT06982521

Phase 3 Study of RLY-2608 + Fulvestrant vs Capivasertib + Fulvestrant as Treatment for Locally Advanced or Metastatic PIK3CA-mutant HR+/HER2- Breast Cancer

Led by Relay Therapeutics, Inc. · Updated on 2026-05-08

540

Participants Needed

158

Research Sites

331 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This is a global, multicenter, open-label, randomized Phase 3 study comparing the efficacy and safety of RLY-2608 + fulvestrant to capivasertib + fulvestrant for the treatment of patients with HR+/HER2- ABC with PIK3CA mutation following recurrence or progression on or after treatment with a CDK4/6 inhibitor.

CONDITIONS

Official Title

Phase 3 Study of RLY-2608 + Fulvestrant vs Capivasertib + Fulvestrant as Treatment for Locally Advanced or Metastatic PIK3CA-mutant HR+/HER2- Breast Cancer

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patient has ECOG performance status of 0-1
  • One or more known primary oncogenic PIK3CA mutation(s)
  • Adult females, pre- and/or post-menopausal, and adult males; pre-menopausal women must be treated with a GnRH agonist starting at least 4 weeks before randomization and continue during the study
  • Histologically or cytologically confirmed HR+/HER2- locally advanced or metastatic breast cancer with radiological or objective evidence of recurrence or progression; locally advanced disease not amenable to curative surgery
  • Measurable disease per RECIST v1.1 or evaluable bone-only disease
  • Radiological progression after previous treatment for HR+/HER2- advanced breast cancer with:
  1. At least 1 and no more than 2 lines of endocrine therapy in the (neo)adjuvant setting with recurrence on or within 12 months of completion, or in the advanced breast cancer setting
  2. One prior line of CDK4/6 inhibitor therapy in the advanced or adjuvant setting with progression during or within 12 months of completion
  • Patients who progressed during or within 12 months of completion of adjuvant CDK4/6 inhibitor and after advanced setting CDK4/6 therapy are not eligible
Not Eligible

You will not qualify if you...

  • Prior treatment with CDK2 or selective CDK4 inhibitors or investigational therapies targeting cyclin dependent kinases
  • Prior treatment with PIK3, AKT, or mTOR inhibitors or agents inhibiting the PIK3/AKT/mTOR pathway
  • Prior immunotherapy
  • Prior antibody drug conjugates
  • Type 1 diabetes, or type 2 diabetes requiring antihyperglycemic medication, or fasting plasma glucose ≥ 140 mg/dL, or HbA1c ≥ 7.0%
  • Clinically significant, uncontrolled cardiovascular disease
  • Factors increasing risk of QTc prolongation or arrhythmic events
  • Known active uncontrolled or symptomatic CNS metastases requiring ongoing corticosteroids or anticonvulsants
  • History of interstitial lung disease, drug-induced interstitial lung disease, or radiation pneumonitis requiring steroid treatment, or any active interstitial lung disease
  • Hypersensitivity to fulvestrant, RLY-2608, capivasertib, or their excipients
  • Known activating AKT mutations, loss-of-function PTEN mutations, or loss of PTEN expression causing oncogenic activation downstream of PI3K

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

1
2
3
+1

Trial Site Locations

Total: 158 locations

1

Banner MD Anderson Cancer Center

Gilbert, Arizona, United States, 85234

Actively Recruiting

2

Beverly Hills Cancer Center

Beverly Hills, California, United States, 90211

Actively Recruiting

3

City of Hope National Medical Center

Duarte, California, United States, 91010

Actively Recruiting

4

Cedars-Sinai Medical Center

Los Angeles, California, United States, 90048

Actively Recruiting

5

Stanford Women's Cancer Center

Palo Alto, California, United States, 94304

Actively Recruiting

6

University of California, Davis Comprehensive Cancer Center

Sacramento, California, United States, 95817

Actively Recruiting

7

University of California San Diego Moores Cancer Center

San Diego, California, United States, 92037

Actively Recruiting

8

University of California San Francisco (UCSF) Helen Diller Family Comprehensive Cancer Center

San Francisco, California, United States, 94158

Actively Recruiting

9

Kaiser Permanente Medical Center

Vallejo, California, United States, 94589

Actively Recruiting

10

Rocky Mountain Cancer Centers, LLP

Longmont, Colorado, United States, 80504

Actively Recruiting

11

Yale-New Haven Hospital-Yale Cancer Center

New Haven, Connecticut, United States, 06510

Actively Recruiting

12

Medical Oncology Hematology Consultants, P.A.

Newark, Delaware, United States, 19713

Actively Recruiting

13

Georgetown University Medical Center

Washington D.C., District of Columbia, United States, 20007

Actively Recruiting

14

AdventHealth

Altamonte Springs, Florida, United States, 32701

Actively Recruiting

15

Florida Cancer Specialists-South

Fort Myers, Florida, United States, 33901

Actively Recruiting

16

Cancer Care Centers of Brevard, Inc

Palm Bay, Florida, United States, 32909

Actively Recruiting

17

Rush University Medical Center

Chicago, Illinois, United States, 60607

Actively Recruiting

18

Robert H. Lurie Comprehensive Cancer Center of Northwestern University

Chicago, Illinois, United States, 60611

Actively Recruiting

19

Community Health Network, Inc

Indianapolis, Indiana, United States, 46250

Actively Recruiting

20

University of Kansas Cancer Center

Westwood, Kansas, United States, 66205

Actively Recruiting

21

Cancer Center of Kansas

Wichita, Kansas, United States, 67214

Actively Recruiting

22

Sidney Kimmel Comprehensive Cancer Center (SKCCC) at Johns Hopkins

Baltimore, Maryland, United States, 21287

Actively Recruiting

23

Tufts Medical Center

Boston, Massachusetts, United States, 02111

Actively Recruiting

24

Dana Farber Cancer Institute

Boston, Massachusetts, United States, 02215

Actively Recruiting

25

University of Michigan

Ann Arbor, Michigan, United States, 48109

Actively Recruiting

26

Profound Research LLC

Royal Oak, Michigan, United States, 48073

Actively Recruiting

27

Minnesota Oncology Hematology, P.A.

Minneapolis, Minnesota, United States, 55404

Actively Recruiting

28

University of Mississippi Medical Center

Jackson, Mississippi, United States, 39213

Actively Recruiting

29

Washington University School of Medicine- Siteman Cancer Center

St Louis, Missouri, United States, 63108

Actively Recruiting

30

Nebraska Cancer Specialists

Omaha, Nebraska, United States, 68130

Actively Recruiting

31

Renown Health Medical Oncology

Reno, Nevada, United States, 89502

Actively Recruiting

32

John Theurer Cancer Center at Hackensack University Medical Center

Hackensack, New Jersey, United States, 07601

Actively Recruiting

33

Rutgers Cancer Institute

New Brunswick, New Jersey, United States, 08901

Actively Recruiting

34

Laura and Isaac Perlmutter Cancer Center at NYU Langone Health

New York, New York, United States, 10016

Actively Recruiting

35

Icahn School of Medicine at Mount Sinai

New York, New York, United States, 10029

Actively Recruiting

36

Columbia University Irving Medical Center

New York, New York, United States, 10032

Actively Recruiting

37

Memorial Sloan-Kettering Cancer Center

New York, New York, United States, 10065

Actively Recruiting

38

Oregon Health & Science University, Knight Cancer Institute

Portland, Oregon, United States, 97210

Actively Recruiting

39

Avera Cancer Institute

Sioux Falls, South Dakota, United States, 57105

Actively Recruiting

40

Tennessee Cancer Specialists

Knoxville, Tennessee, United States, 37909

Actively Recruiting

41

Tennessee Oncology, PLLC

Nashville, Tennessee, United States, 37203

Actively Recruiting

42

Texas Oncology Central/South

Austin, Texas, United States, 78731

Actively Recruiting

43

Texas Oncology DFW

Dallas, Texas, United States, 75246

Actively Recruiting

44

University of Texas Southwestern Medical Center

Dallas, Texas, United States, 75390

Actively Recruiting

45

Houston Methodist Hospital Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

46

The University of Texas M.D. Anderson Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

47

Baylor Scott and White Medical Center

Temple, Texas, United States, 76508

Actively Recruiting

48

Huntsman Cancer Institute, University of Utah

Salt Lake City, Utah, United States, 84112

Actively Recruiting

49

Virginia Cancer Specialists, PC

Fairfax, Virginia, United States, 22031

Actively Recruiting

50

Virginia Oncology Associates

Norfolk, Virginia, United States, 23502

Actively Recruiting

51

University of Wisconsin Carbone Cancer Center- University Hospital

Madison, Wisconsin, United States, 53792

Actively Recruiting

52

Centro Medico Dr. Doreski- Fundacion Respirar

Buenos Aires, Argentina, 1426

Actively Recruiting

53

St. Vincent's Hospital Sydney

Darlinghurst, New South Wales, Australia, 2010

Actively Recruiting

54

Sydney Adventist Hospital

Wahroonga, New South Wales, Australia, 2076

Actively Recruiting

55

Barwon Health

Geelong, Victoria, Australia, 3220

Actively Recruiting

56

Peter MacCallum Cancer Center

Melbourne, Victoria, Australia, 3000

Actively Recruiting

57

Bayside Health (Alfred)

Melbourne, Victoria, Australia, 3004

Actively Recruiting

58

Sunshine Hospital

Saint Albans, Victoria, Australia, 3021

Actively Recruiting

59

Ballarat Oncology & Haematology Clinical Research Fund

Wendouree, Victoria, Australia, 3355

Actively Recruiting

60

Mater Hospital Sydney

North Sydney, Australia, 2060

Actively Recruiting

61

Medical University of Graz

Graz, Austria, 8036

Actively Recruiting

62

Ordensklinikum Linz GmbH

Linz, Austria, 4010

Actively Recruiting

63

LKH Feldkirch, Interne E am LKH Rankweil

Rankweil, Austria, 6830

Actively Recruiting

64

Institut Jules Bordet

Brussels, Belgium, 1070

Actively Recruiting

65

Universitair Ziekenhuis Leuven

Leuven, Belgium, 3000

Actively Recruiting

66

Centre Hospitalier de l'Ardenne

Libramont, Belgium, 6800

Actively Recruiting

67

CHU-UCL Namur, Site Sainte-Elisabeth

Namur, Belgium, 5000

Actively Recruiting

68

Vitaz

Sint-Niklaas, Belgium, 9100

Actively Recruiting

69

CHR de Verviers site Tourelle

Verviers, Belgium, 4800

Actively Recruiting

70

Centro de Oncologia do ABC- CEON+ Unidade Sao Caetano do Sul

São Caetano do Sul, São Paulo, Brazil, 09541-270

Actively Recruiting

71

Oncolinicas do Brasil Serviços Médicos S.A (Oncocentro)

Belo Horizonte, Brazil, 30360-680

Actively Recruiting

72

Instituto do Câncer do Ceará

Fortaleza, Brazil, 60430-235

Actively Recruiting

73

Oncoclinicas Natal- Centro de Pesquisa Oncology Natal

Natal, Brazil, 59020-505

Actively Recruiting

74

Irmandade da Santa Casa de Misericórdia de Porto Alegre

Porto Alegre, Brazil, 90020-090

Actively Recruiting

75

Centro Gaúcho Integrado - Hospital Mae de Deus

Porto Alegre, Brazil, 90110-270

Actively Recruiting

76

Associação Hospitalar Moinhos de Vento

Porto Alegre, Brazil, 90560-032

Actively Recruiting

77

Uniao Brasileira de Educacao e Assistencia/ Hospital Sao Lucas da PUCRS

Porto Alegre, Brazil, 90610-000

Actively Recruiting

78

Oncoclinicas Rio de Janeiro S.A.

Rio de Janeiro, Brazil, 22250-905

Actively Recruiting

79

Instituto de Educação Pesquisa e Gestão em Saúde

Rio de Janeiro, Brazil, 22775-001

Actively Recruiting

80

Nucleo de Oncologia da Bahia S.A.

Salvador, Brazil, 40170-110

Actively Recruiting

81

MHAT "Dr. Tota Venkova", AD

Gabrovo, Bulgaria, 5300

Actively Recruiting

82

William Osler Health System- Brampton Civic Hospital

Brampton, Ontario, Canada, L6R 3J7

Actively Recruiting

83

The Ottawa Hospital Cancer Centre

Ottawa, Ontario, Canada, K1H8L6

Actively Recruiting

84

Sunnybrook Research Institute

Toronto, Ontario, Canada, M4N 3M5

Actively Recruiting

85

Jewish General Hospital

Montreal, Quebec, Canada, H3T 1E2

Actively Recruiting

86

Masarykuv onkologicky ustav

Brno, Czechia, 656 53

Actively Recruiting

87

University Hospital Hradec Kralove

Hradec Králové, Czechia, 500 05

Actively Recruiting

88

Aalborg University Hospital

Aalborg, Denmark, 9000

Actively Recruiting

89

Zealand University Hospital

Næstved, Denmark, 4700

Actively Recruiting

90

Sønderborg Sygehus

Sønderborg, Denmark, 6400

Actively Recruiting

91

L'Institut de Cancérologie de l'Ouest (ICO) - Angers

Angers, France, 49055

Actively Recruiting

92

CHU Besancon

Besançon, France, 25030

Actively Recruiting

93

Centre François Baclesse

Caen, France, 14000

Actively Recruiting

94

Centre Leon Berard

Lyon, France, 69008

Actively Recruiting

95

Hôpital Privé Jean Mermoz

Lyon, France, 69008

Actively Recruiting

96

Centre de Cancérologie du Grand Montpellier

Montpellier, France, 34070

Actively Recruiting

97

Hopital du Leman

Thonon-les-Bains, France, 74200

Actively Recruiting

98

Institut Claudius Regaud

Toulouse, France, 31300

Actively Recruiting

99

Marienhospital Bottrop gGmbH

Bottrop, Germany, 46236

Actively Recruiting

100

Studienzentrale für das MVZ Eggenfelden GbR

Eggenfelden, Germany, 84307

Actively Recruiting

101

Praxis fuer Interdisziplinaere Onkologie und Haematologie

Freiburg im Breisgau, Germany, 79110

Actively Recruiting

102

Universitaetsmedizin Mannheim

Mannheim, Germany, 68167

Actively Recruiting

103

University General Hospital of Athens "Attikon"

Athens, Greece, 124 62

Actively Recruiting

104

Iaso Hospital

Athens, Greece, 151 21

Actively Recruiting

105

General University Hospital of Crete

Heraklion, Greece, 715 00

Actively Recruiting

106

University Hospital of Larissa

Larissa, Greece, 41110

Actively Recruiting

107

Interbalkan Hospital of Thessaloniki

Thessaloniki, Greece, 570 01

Actively Recruiting

108

Hong Kong United Oncology Centre

Hong Kong, Hong Kong, HGK

Actively Recruiting

109

Queen Mary Hospital

Hong Kong, Hong Kong, HGK

Actively Recruiting

110

Azienda Ospedaliero Universitaria delle Marche

Ancona, Italy, 60126

Actively Recruiting

111

Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (Presidio Spedali Civili)

Brescia, Italy, 25123

Actively Recruiting

112

IRCCS Candiolo

Candiolo, Italy, 10060

Actively Recruiting

113

AOU Ferrara, Arcispedale Sant'Anna

Cona, Italy, 44124

Actively Recruiting

114

Azienda Ospedaliera Universitaria Careggi

Florence, Italy, 50134

Actively Recruiting

115

Azienda USl Toscana Nord Ovest SC Oncologia Medica Ospedale Civile Livorno

Livorno, Italy, 57124

Actively Recruiting

116

IRCCS Istituto Romagnolo per lo Studio Dei Tumori (IRST) "Dino Amadori"

Meldola, Italy, 47014

Actively Recruiting

117

IRCCS Ospedale San Raffaele

Milan, Italy, 20132

Actively Recruiting

118

Hospital San Giuseppe

Milan, Italy, 50053

Actively Recruiting

119

Azienda Ospedaliero Universitaria Policlinico Paolo Giaccone

Palermo, Italy, 90127

Actively Recruiting

120

Maastricht University Medical Center

Maastricht, Netherlands, 6229

Actively Recruiting

121

Radboud UMC

Nijmegen, Netherlands, 6525

Actively Recruiting

122

Zuyderland Medisch Centrum - Heerlen

Sittard, Netherlands, 6419

Actively Recruiting

123

Haga Ziekenhuis

The Hague, Netherlands, 2545

Actively Recruiting

124

Pratia MCM Krakow

Krakow, Poland, 30-727

Actively Recruiting

125

Mruk-Med Sp. z o.o

Rzeszów, Poland, 35-234

Actively Recruiting

126

Hospital da Luz

Lisbon, Portugal, 1500-650

Actively Recruiting

127

Unidade Local de Saude de Loures Odivelas E.P.E. Hospital Beatriz Angelo

Loures, Portugal, 2674-514

Actively Recruiting

128

Raffles Hospital

Singapore, Singapore, 188770

Actively Recruiting

129

Curie Oncology (Farrer)

Singapore, Singapore, 217562

Actively Recruiting

130

CHA Bundang Medical Center, CHA University

Seongnam-si, South Korea, 13496

Actively Recruiting

131

Seoul National University Hospital

Seoul, South Korea, 03080

Actively Recruiting

132

Severance Hospital, Yonsei University Health System

Seoul, South Korea, 03722

Actively Recruiting

133

Asan Medical Center

Seoul, South Korea, 05505

Actively Recruiting

134

Gangnam Severance Hospital, Yonsei University Health System

Seoul, South Korea, 06273

Actively Recruiting

135

Samsung Medical Center

Seoul, South Korea, 06351

Actively Recruiting

136

The Catholic University of Korea, Seoul St. Mary's Hospital

Seoul, South Korea, 06591

Actively Recruiting

137

Korea University Guro Hospital

Seoul, South Korea, 08308

Actively Recruiting

138

Seoul National University Bundang Hospital

Seoul, South Korea, 13620

Actively Recruiting

139

Hospital Universitario de Badajoz

Badajoz, Spain, 06006

Actively Recruiting

140

Hospital Universitari Vall d'Hebron

Barcelona, Spain, 08035

Actively Recruiting

141

Hospital Clinic de Barcelona

Barcelona, Spain, 08036

Actively Recruiting

142

Hospital San Pedro de Alcantara

Cáceres, Spain, 10003

Actively Recruiting

143

Hospital Universitario Virgen de la Arrixaca

El Palmar, Spain, 30120

Actively Recruiting

144

ICO Girona - Hospital Universitari de Girona Dr Josep Trueta

Girona, Spain, 17007

Actively Recruiting

145

Hospital Universitario Juan Ramon Jimenez

Huelva, Spain, 21005

Actively Recruiting

146

Hospital Universitari Arnau de Vilanova

Lleida, Spain, 25198

Actively Recruiting

147

Hospital Beata Maria Ana/IOB Madrid

Madrid, Spain, 28007

Actively Recruiting

148

Clinica Universidad de Navarra

Madrid, Spain, 28027

Actively Recruiting

149

Hospital Universitario 12 de Octubre

Madrid, Spain, 28041

Actively Recruiting

150

Hospital General Universitario Morales Meseguer

Murcia, Spain, 30008

Actively Recruiting

151

Hospital Universitario de Canarias

San Cristóbal de La Laguna, Spain, 38320

Actively Recruiting

152

Instituto Valenciano de Oncologia (IVO)

Valencia, Spain, 46009

Actively Recruiting

153

Kaohsiung Chang Gung Memorial Hospital

Kaohsiung City, Taiwan, 833

Actively Recruiting

154

Shuang Ho Hospital, Ministry of Health and Welfare

New Taipei City, Taiwan, 23561

Actively Recruiting

155

Taichung Veterans General Hospital

Taichung, Taiwan, 407219

Actively Recruiting

156

National Taiwan University Hospital

Taipei, Taiwan, 100225

Actively Recruiting

157

Taipei Veterans General Hospital

Taipei, Taiwan, 11217

Actively Recruiting

158

Chang Gung Memorial Hospital, Linkou

Taoyuan, Taiwan, 333

Actively Recruiting

Loading map...

Research Team

R

Relay Therapeutics, Inc

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

Not the Right Trial for You?

Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.

Already have an account? Log in here