Drugs / Alpelisib
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Alpelisib

Small molecule targets PIK3CA via inhibition

Developed for
breast cancer · Her2-receptor negative breast cancer · estrogen-receptor positive breast cancer · female breast carcinoma · head and neck squamous cell carcinoma · cancer · PIK3CA-related overgrowth spectrum · breast neoplasm
+42 more · HER2 positive breast carcinoma · metastatic malignant neoplasm · triple-negative breast carcinoma · colorectal cancer · gastric cancer · hormone receptor-positive breast cancer · lymphatic malformation · neoplasm · non-small cell lung carcinoma · oropharynx squamous cell carcinoma · ovarian cancer · ovarian carcinoma · vascular malformation · acute myeloid leukemia · breast carcinoma · digestive system cancer · endometrial endometrioid adenocarcinoma · esophageal squamous cell carcinoma · gastrointestinal stromal tumor · human papillomavirus-related squamous cell carcinoma · invasive ductal breast carcinoma · kidney neoplasm · lung adenocarcinoma · lymphangioma · malignant pancreatic neoplasm · megalencephaly-capillary malformation-polymicrogyria syndrome · melanoma · meningioma · metastatic malignant neoplasm in the brain · metastatic neoplasm · myelodysplastic syndrome · pancreatic ductal adenocarcinoma · pancreatic large cell neuroendocrine carcinoma · pancreatic neuroendocrine tumor · progesterone-receptor positive breast cancer · prostate carcinoma · rectal cancer · refractory plasma cell neoplasm · salivary gland carcinoma · soft tissue sarcoma · squamous cell lung carcinoma · uveal melanoma
Investigated by
Novartis Pharmaceuticals · Novartis · National Cancer Institute (NCI) · Columbia University · M.D. Anderson Cancer Center · Memorial Sloan Kettering Cancer Center
+126 more · Peter MacCallum Cancer Centre, Australia · Pfizer · AstraZeneca · Eli Lilly and Company · Korean Cancer Study Group · National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) · Oregon Health and Science University · Pamela Munster · UNICANCER · Yonsei University · Amgen · Arkansas Children's Hospital Research Institute · Array BioPharma · Assistance Publique Hopitaux De Marseille · BOOG Study Center · Bayer · Baylor College of Medicine · Boehringer Ingelheim · Boston Children's Hospital · Breast Cancer Research Foundation · Breast International Group · Bristol-Myers Squibb · Brown University · CaNVAS (Consortium of Investigators of Vascular Anomalies) · Centre Hospitalier Universitaire Dijon · Children's Healthcare of Atlanta · Children's Hospital Colorado · Children's Hospital Medical Center, Cincinnati · Children's Hospital of Los Angeles (CHLA) · Children's Hospital of Orange County · Children's Hospital of Philadelphia · Children's Hospital of Pittsburg · Children's Wisconsin - Milwaukee · Chungnam National University Hospital · City of Hope Medical Center · Clovis Oncology - Pharma and · Criterium, Inc. · Dana-Farber Cancer Institute · Dartmouth-Hitchcock Medical Center · Dell Children's Medical Center of Central Texas · Dutch Breast Cancer Research Group · Dutch Cancer Society · ETOP IBCSG Partners Foundation · Effector Therapeutics · Eisai Inc. · Fondazione per la Medicina Personalizzata · GOG Foundation · Genentech, Inc. · Gilead Sciences · GlaxoSmithKline · H. Lee Moffitt Cancer Center and Research Institute · Haukeland University Hospital · Helen DeVos Children's Hospital · Helse Fonna · Helse Forde · Helse Møre og Romsdal HF · Helse Nord-Trøndelag HF · Helse Stavanger HF · Hospital of Southern Norway Trust · Howard Safran · Incyte Corporation · Innlandet Hospital Trust · Inova Health Care Services · Ipsen · Janssen, LP · Jennifer Lee Caswell-Jin · Julie E. Bauman, MD, MPH · Kura Oncology, Inc. · Lifespan · London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's · Lovisenberg Diakonale Hospital · Lucile Packard Children's Hospital Stanford · Marina N Sharifi · Merck Sharp & Dohme LLC · all 132 on the full record

Regulatory milestones approvals, filings & regulatory actions · 5 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansion US (FDA) VIJOICE — 2024-04-24 fda.gov ↗
Label expansions (2) US (FDA) PIQRAY — 2022-11-22 – 2024-01-18 fda.gov ↗
Approved EU (EMA) Piqray — 2020-07-27 europa.eu ↗
Approved US (FDA) PIQRAY — 2019-05-24 fda.gov ↗

Trials 98 · started per year

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US approved 2019
EU approved 2020
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PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT05238831 Jan 2023 → May 2026 female breast carcinoma, ovarian carcinoma, pancreatic ductal adenocarcinoma, pancreatic large cell neuroendocrine carcinoma +2 OHSU Knight Cancer Institute Withdrawn No outcome recorded
Phase 136 trials
Phase 1 NCT07778524 Sep 2026 → Aug 2028 expected obesity disorder, type 2 diabetes mellitus Columbia University Recruiting No outcome recorded
Phase 1 NCT06545682 Oct 2024 → Aug 2027 expected breast cancer, melanoma, metastatic malignant neoplasm in the brain M.D. Anderson Cancer Center Recruiting No outcome recorded
Phase 1 NCT06354088 Apr 2024 → Dec 2026 expected NAFLD1, prediabetes syndrome Columbia University Recruiting No outcome recorded
Phase 1 NCT05733455 May → Dec 2023 hyperinsulinism, hyperlipidemia Columbia University Completed No outcome recorded
Phase 1 NCT05472220 Nov 2022 → Apr 2028 human papillomavirus-related squamous cell carcinoma, metastatic malignant neoplasm Pamela Munster Withdrawn No outcome recorded Stop: Business
Phase 1 NCT05508906 Aug 2022 → Dec 2027 expected Her2-receptor negative breast cancer, estrogen-receptor positive breast cancer Olema Pharmaceuticals, Inc. Active not recruiting No outcome recorded
Phase 1 NCT05143229 Mar 2022 → Jan 2025 overdue breast cancer University of Kansas Medical Center Active not recruiting No outcome recorded
Phase 1 NCT04188548 Dec 2019 → Jun 2020 overdue breast cancer, endometrial cancer Eli Lilly and Company Active not recruiting No outcome recorded
Phase 1 NCT03631953 Sep 2019 → Jan 2026 overdue meningioma Assistance Publique Hopitaux De Marseille Recruiting No outcome recorded
Phase 1 NCT03207529 Jun 2019 → Dec 2023 triple-negative breast carcinoma M.D. Anderson Cancer Center Completed No outcome recorded
Phase 1/211 trials · 1 missed
Phase 1/2 NCT05563220 Jan 2023 → Dec 2026 expected breast cancer Stemline Therapeutics, Inc. Active not recruiting No outcome recorded
Phase 1/2 NCT05230810 Aug 2022 → Mar 2026 overdue HER2 positive breast carcinoma Criterium, Inc. Active not recruiting No outcome recorded
Phase 1/2 NCT04997902 Dec 2021 → Aug 2025 head and neck squamous cell carcinoma Kura Oncology, Inc. Completed No outcome recorded
Phase 1/2 NCT04753203 Feb 2021 → Feb 2024 colorectal cancer Korean Cancer Study Group Unknown No outcome recorded
Phase 1/2 NCT04526470 Sep 2020 → Jun 2023 gastric cancer Seoul National University Bundang Hospital Unknown No outcome recorded
Phase 1/2 NCT03284957 Sep 2017 → Nov 2024 breast cancer Sanofi Terminated No outcome recorded Stop: Business
Phase 1/2 NCT02298595 Aug 2016 → Aug 2019 oropharynx squamous cell carcinoma Julie E. Bauman, MD, MPH Withdrawn No outcome recorded
Phase 1/2 NCT02379247 Feb 2015 → Sep 2017 breast cancer Priyanka Sharma Completed No outcome recorded
Phase 1/2 NCT01872260 Oct 2013 → Feb 2027 expected breast cancer Novartis Pharmaceuticals Active not recruiting No outcome recorded
Phase 1/2 NCT01708161 Nov 2012 → Dec 2014 — Novartis Pharmaceuticals Terminated No outcome recorded
Phase 237 trials · 1 met primary · 1 missed
Phase 2 NCT07679269 Dec 2026 → Mar 2032 expected PIK3CA-related overgrowth spectrum, breast neoplasm Novartis Pharmaceuticals Not yet recruiting No outcome recorded
Phase 2 NCT07573696 Jun 2026 → Feb 2030 expected non-small cell lung carcinoma Wen-zhao ZHONG Not yet recruiting No outcome recorded
Phase 2 NCT06997588 Oct 2025 → Jan 2029 expected PIK3CA-related overgrowth spectrum Novartis Pharmaceuticals Recruiting No outcome recorded
Phase 2 NCT07543822 Aug 2025 → Aug 2029 expected vascular malformation Children's Hospital of Philadelphia Active not recruiting No outcome recorded
Phase 2 NCT06739395 Nov 2024 → Dec 2026 expected cancer Tianjin Medical University Second Hospital Recruiting No outcome recorded
Phase 2 NCT05933395 Sep 2024 → Oct 2030 expected breast cancer Dartmouth-Hitchcock Medical Center Recruiting No outcome recorded
Phase 2 NCT05983159 Sep 2024 → Jan 2027 expected PIK3CA-related overgrowth spectrum, arteriovenous hemangioma/malformation, cystic hygroma, lymphatic malformation +1 Murdoch Childrens Research Institute Recruiting No outcome recorded
Phase 2 NCT05154487 Sep 2024 → May 2028 expected endometrial endometrioid adenocarcinoma GOG Foundation Active not recruiting No outcome recorded
Phase 2 NCT05967286 Oct 2023 → Apr 2025 Her2-receptor negative breast cancer, female breast carcinoma National Cancer Institute (NCI) Withdrawn No outcome recorded
Phase 2 NCT05625087 Oct 2023 → Jul 2028 expected breast cancer UNICANCER Active not recruiting No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT05948943 Nov 2023 → May 2028 expected lymphatic malformation Novartis Pharmaceuticals Recruiting No outcome recorded
Phase 37 trials · 1 met primary · 2 missed
Phase 3 NCT05038735 Dec 2021 → Jan 2027 expected female breast carcinoma Novartis Pharmaceuticals Active not recruiting No outcome recorded
Phase 3 NCT05063786 Sep 2021 → Jun 2026 overdue breast cancer Spanish Breast Cancer Research Group Active not recruiting No outcome recorded
Phase 3 NCT04729387 Jul 2021 → Apr 2023 ovarian cancer Novartis Pharmaceuticals Terminated Missed primary Stop: Business
Phase 3 NCT04208178 Jul 2020 → Feb 2027 expected HER2 positive breast carcinoma Novartis Pharmaceuticals Active not recruiting No outcome recorded
Phase 3 NCT04251533 Jun 2020 → May 2023 triple-negative breast carcinoma Novartis Pharmaceuticals Terminated Missed primary Stop: Enrollment
Phase 3 NCT03439046 Feb 2018 → Dec 2023 breast cancer Novartis Pharmaceuticals Terminated No outcome recorded
Phase 3 NCT02437318 Jul 2015 → Jun 2018 breast cancer Novartis Pharmaceuticals Completed Met primary
Phase 41 trial
Phase 4 NCT05631795 Aug 2022 → Jun 2025 breast cancer Novartis Pharmaceuticals Completed No outcome recorded
Phase not applicable2 trials
— NCT04801966 Sep 2021 → Dec 2022 cancer Peter MacCallum Cancer Centre, Australia Terminated No outcome recorded Stop: Enrollment
— NCT03138070 Oct 2017 → Sep 2021 head and neck squamous cell carcinoma London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's Completed No outcome recorded
Phase not stated2 trials
— NCT03941782 — lymphangioma New Mexico Cancer Research Alliance No longer available No outcome recorded
— NCT03706573 — hormone receptor-positive breast cancer Novartis Pharmaceuticals No longer available No outcome recorded
Comparator or background therapy7 trials
Phase 2 NCT05966584 Background Jul 2023 → Aug 2024 breast cancer Memorial Sloan Kettering Cancer Center Terminated No outcome recorded
Phase 2 NCT04899349 Background Apr 2022 → May 2023 breast cancer Novartis Pharmaceuticals Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT05090358 Background Oct 2021 → Oct 2026 expected breast cancer Memorial Sloan Kettering Cancer Center Active not recruiting No outcome recorded
Phase 2 NCT04300790 Background Oct 2020 → Jun 2022 breast cancer MedSIR Completed No outcome recorded
Phase 3 NCT05646862 Comparator Jun 2023 → Nov 2026 expected breast cancer Hoffmann-La Roche Recruiting No outcome recorded

News releases announcing trial results or a regulatory action · 17

DateIssuerRelease
2025-10-18 Kura Oncology, Inc. Results Kura Oncology Announces Preliminary Data from Its Farnesyl Transferase Inhibitor (FTI) Programs at the 2025 European Society for Medical Oncology (ESMO) Congress kuraoncology.com ↗
Robust antitumor activity was observed in heavily pretreated patients with relapsed or metastatic HNSCC with PIK3CA alterations
2024-05-24 Menarini Group Results Menarini Group Presents Updated Data from ELECTRA and ELEVATE Combination Studies of Elacestrant (ORSERDU®) in Patients with ER+, HER2- Metastatic Breast Cancer (mBC) at the ASCO 2024 Annual Meeting menarini.com ↗
Updated analysis from the ELEVATE study demonstrates that all evaluable elacestrant plus targeted therapy combination arms are consistent with the known safety profiles of everolimus, alpelisib, ribociclib and palbociclib plus standard of care endocrine therapy.
2023-12-11 Menarini Group Results Menarini Group Presented Initial Safety and Efficacy Data from Phase 1b/2 ELEVATE and ELECTRA Combination Studies of ORSERDU® (Elacestrant) in Patients with ER+, HER2- Metastatic Breast Cancer (mBC) at the 2023 San Antonio Breast Cancer Symposium menarini.com ↗
A preliminary analysis of data in the phase 1b part of the ELEVATE trial demonstrates antitumor activity of the combination evaluating ORSERDU with inhibitors of the PI3K/AKT/mTOR pathway and CDK 4/6 inhibitors.
2023-10-20 Eli Lilly and Company Results Landmark 5-Year monarchE Outcome Data Demonstrate Verzenio® (abemaciclib)'s Long-Term Impact on Cancer Recurrence in High-Risk Early Breast Cancer lilly.com ↗
Results demonstrated that single agent imlunestrant had a clinical benefit rate of 42% and this increased to 62% when given in combination with everolimus or alpelisib (both approved agents in the second-line setting).
2022-10-26 Kura Oncology, Inc. Results Kura Oncology Reports Preliminary Proof of Mechanism in Phase 1/2 Clinical Trial of Tipifarnib Plus Alpelisib in Head and Neck Squamous Cell Carcinoma kuraoncology.com ↗
Kura Oncology, Inc. (Nasdaq: KURA), a clinical-stage biopharmaceutical company committed to realizing the promise of precision medicines for the treatment of cancer, today reported proof of mechanism in KURRENT-HN, the Company’s Phase 1/2 clinical trial of tipifarnib in combination with alpelisib in patients with HRAS- and/or PIK3CA-dependent head and neck squamous cell carcinoma (HNSCC).
2022-08-30 Novartis Pharmaceuticals Results Novartis presents new data in breast and prostate cancer at ESMO novartis.com ↗
Clinical benefit of alpelisib in pediatric patients with PIK3CA-related overgrowth spectrum (PROS): an EPIK-P1 analysis
2022-06-03 Novartis Pharmaceuticals Results New Novartis data show Piqray® effectiveness across key biomarkers in patients with HR+/HER2- metastatic breast cancer novartis.com ↗
2022-04-06 Novartis Pharmaceuticals Regulatory FDA approves Novartis Vijoice® (alpelisib) as first and only treatment for select patients with PIK3CA-Related Overgrowth Spectrum (PROS) novartis.com ↗
Novartis today announced that the U.S. Food and Drug Administration (FDA) granted accelerated approval to Vijoice ® (alpelisib) for the treatment of adult and pediatric patients 2 years of age and older with severe manifestations of PIK3CA-Related Overgrowth Spectrum (PROS) who require systemic therapy.
2021-12-10 Novartis Pharmaceuticals Results Novartis data highlight efficacy of Piqray® in HR+/HER2- metastatic breast cancer with a PIK3CA driver mutation immediately post-CDK4/6i novartis.com ↗
2021-09-17 Novartis Pharmaceuticals Results Novartis announces findings from a real-world study of alpelisib demonstrating clinical benefit in people with PIK3CA-Related Overgrowth Spectrum (PROS) novartis.com ↗
Results from EPIK-P1 showed alpelisib effectively reduced volume of clinically significant PROS-related lesions and improved signs and symptoms in pediatric and adult patients.
2020-09-19 Novartis Pharmaceuticals Results Novartis Piqray® data show survival benefit for patients with HR+/HER2- advanced breast cancer with a PIK3CA mutation novartis.com ↗
In SOLAR-1 final analysis, Piqray (alpelisib) plus fulvestrant demonstrated 8 months clinically relevant improvement in overall survival (OS) in HR+/HER2- advanced breast cancer (aBC) patients with a PIK3CA mutation compared to fulvestrant alone
2020-07-29 Novartis Pharmaceuticals Regulatory Novartis receives Piqray® approval in Europe – the first and only targeted medicine for HR+/HER2- advanced breast cancer with a PIK3CA mutation novartis.com ↗

All press releases naming this drug 23 releases

DateIssuerRelease

Evidence & citations 12 cited values

Every value below carries the sentence it was read from. 108 sources stand behind the page.

FieldValueCited text
Known as alpelisib “Participants will receive standard of care one PI3K inhibitor therapy (Alpelisib), in combination with SERD therapy (Fulvestrant) in Step 2 Arm 2 and Step 3.” NCT05826964 ↗
75

“Phosphatidylinositol 3-Kinase α-Selective Inhibition With Alpelisib (BYL719) in PIK3CA-Altered Solid Tumors: Results From the First-in-Human Study.” PMID 29401002 ↗ Feb 2018

“A Phase 1b/2 Study of Alpelisib in Combination with Cetuximab in Patients with Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma.” PMID 37875771 ↗ Oct 2023

“2. Fulvestrant (administered same as above) + alpelisib 300mg oral administration every day” NCT06837792 ↗

“PI3K inhibitor + anti-estrogen therapy ( alpelisib + fulvestrant)” NCT04965688 ↗

“Alpelisib used outside of indication, based on biomarker” NCT04817956 ↗

“ribociclib plus alpelisib plus fulvestrant” PMID 32887722 ↗ Sep 2020

“Drug: Alpelisib” NCT05646862 ↗

NCT06145308 ↗

NCT05143229 ↗

NCT03706573 ↗

Show 65 more sources

Known as ALPELISIB (BYL719) ChEMBL registry synonym — accepted as the source's own label CHEMBL2396661 ↗
Known as BYL-719A-1214(S)-N1-(4-METHYL-5-(2-(1,1,1-TRIFLUORO-2-METHYLPROPAN-2-YL)PYRIDIN-4-YL)THIAZOL-2-YL)PYRROLIDINE-1,2-DICARBOXAMIDE ChEMBL registry synonym — accepted as the source's own label CHEMBL2396661 ↗
Known as BYL719 “The purpose of this study is to complement Study CBYL719C2301 (SOLAR-1) and obtain more comprehensive data on the efficacy and safety of alpelisib (BYL719) in combination with...” NCT05038735 ↗
37

“Alpelisib (BYL719): starting dose at 300 mg/QD.; 2 tablets once a day, oral administration, continuously during 28-day cycles until disease progression or unacceptable toxicity.” NCT04300790 ↗

“A Phase Ib, Open-label Study of Alpelisib (BYL719) in Combination With Cisplatin in Patients With HPV+ Solid Tumor Malignancies” NCT02620839 ↗

“BYL719 200mg PO BID for 21 days (3 weeks) in combination with capecitabine 1000 mg/m2 PO BID for 2 weeks” NCT01300962 ↗

“treatment with alpelisib (BYL719) in combination with fulvestrant” NCT04899349 ↗

“Alpelisib (BYL719) is a PIK3CA-specific inhibitor” NCT04526470 ↗

“BYL-719 (alpelisib)” NCT02379247 ↗

“alpelisib (BYL719)” NCT02058381 ↗

“Drug: BYl719” NCT02506556 ↗

NCT02298595 ↗

NCT02734615 ↗

Show 27 more sources

Known as BYL719 (IND 107078) “BYL719 (IND 107078)” NCT01623349 ↗
Known as NVP-BYL719 ChEMBL registry synonym — accepted as the source's own label CHEMBL2396661 ↗
Known as PIQRAY ChEMBL registry synonym — accepted as the source's own label CHEMBL2396661 ↗
Known as Vijoice “Alpelisib (Vijoice) is a recently FDA-approved PI3Kα-specific inhibitor for patients with PIK3CA-related overgrowth spectrum (PROS).” PMID 39806603 ↗ Dec 2024
Action Inhibit “BYL719 is an oral α-specific phosphatidylinositol-3-kinase (PI3K) inhibitor.” NCT01219699 ↗
Modality Small molecule — CHEMBL2396661 ↗
Route Oral “BYL719 is an oral α-specific phosphatidylinositol-3-kinase (PI3K) inhibitor.” NCT01219699 ↗
Target PIK3CA “Study treatments, BYL719, INC280, LDK378 and MEK162, which target PIK3CA, c-MET, ALK/ROS1 and MEK respectively, have shown promising data in either preclinical or clinical lung...” NCT02276027 ↗