Pharma Update
Inavolisib in PI3K-mutant breast cancer
H2H trial vs alpelisib initiated; Ph III (INAVO120) results in 1L expected Q4 2023
Potential best-in-class PI3Ka inh
Potency/selectivity (inavolisib vs. alpelisib)
Potential for differentiated safety, efficacy, and combinability
Ph I dose escalation and expansion cohort:
Clinical development program
58x
Inavolisib + palbociclib + letrozole
Pi3Ka potency
6x
PI3Ka selectivity vs. ẞ
1
26x
PI3Ka selectivity vs. 8
Best % change in SLD
-20-
-40-
-60-
1
-80
32x
-100
PI3Ka selectivity vs. V
GDC-0077 dose (mg) 996
93 99699699
9939
1
5L
0 10 20 30 40 50
Fold change (inavolisib vs. alpelisib)1
Inavolisib ■Alpelisib
60
70
Time
Best response PD PD PD SD SD SD SD SD SD SD PR CPR CPR CPR CPR CPR CPR CPR CPR CPR CPR CPR CPR PR CPR
Line of therapy (metastatic) 1L 2L
3L 4L 4L 3L 3L 4L 2L 5L 3L 2L 2L 4L 3L 3L 3L 4L 3L 2L 2L 1L 3L
treatment (days) 44 58 55 119 84 196 323 168 278 183 347 677 528 353 586 155 712 359 280 508 436 317 380 351 452
31
20%
-30%
Indication
regimen
1L HR+/HER2-PI3Km mBC
inavolisib + palbociclib + fulvestrant
Phl
Ph II
Ph III
INAVO120
Post CDK4/6i HR+/HER2-PI3Km MBC
inavolisib + fulvestrant
INAVO121
1L PI3Km and HER+ mBC
inavolisib + Phesgo
INAVO122
Roche
Differentiated from existing PI3K inhibitors:
•
More potent and selective for PI3Ka subunit
•
Better in vivo efficacy
•
Greater safety margins allow for combination
Strong efficacy and favorable safety as single agent or in combination with ET +/- CDK4/6i in patients
with PI3K-mutant HR+ breast cancer
•
Ph III INAVO120 in 1L HR+/PI3Km mBC data expected in Q4 2023
•
Ph III INAVO121 post-CDKi (head-to-head vs. alpelisib) achieved FPI in Q2
with ET and palbociclib at standard doses
.
Ph III INAVO122 in 1L HER2+/PI3Km BC (combination with Phesgo) achieved FPI in Q3
●
40% of HR+/HER2- patients with PI3K mutations
Kalinsky K. et al., AACR 2017; Jhaveri, K., et al, SABCS 2019; H2H-head-to-head; inh-inhibitor; ET-endocrine therapy; HR-hormone receptor; mBC=metastatic breast cancer; FPI-first patient in; PI3K-Phosphoinositide 3-
Kinase; ET-Endocrine therapy; HR-Hormone receptor; HER2-Human Epidermal growth factor Receptor 2; CDK4/6i-Cyclin-dependent kinase 4 and 6 inhibitors; BC-Breast cancer
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