CDK4/6 inhibitor · small molecule
palbociclib
15 active trials across 11 of our biomarkers, targeting CDK4/6. 2 active approvals for a biomarker on marked.bio.
Also known as PD-0332991, Ibrance.
Counts only trials that select patients by one of the biomarkers on marked.bio, not every trial of this drug.
Approvals and pivotal results
Biomarker-selected approvals in the United States and the European Union, with the pivotal trial's results and side effects where we have them. Results from different trials are not directly comparable.
| Therapy | Biomarker | Tumour | United States | European Union |
|---|---|---|---|---|
inavolisib with palbociclib + fulvestrant
|
PIK3CA activating mutation | breast (ER+/HER2-) | Not approved | Approved 2025 |
INAVO120
vs placebo + palbociclib + fulvestrant, 325 randomised (1:1)
Trial details and side effects
|
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inavolisib with palbociclib + fulvestrant
|
PIK3CA activating mutation | breast (HR+/HER2-) | Approved 2024 | Not approved |
INAVO120
vs placebo + palbociclib + fulvestrant, 325 randomised (1:1)
Trial details and side effects
|
||||
Biomarkers
| Biomarker | Active trials | All trials | Furthest active phase |
|---|---|---|---|
| PIK3CA activating mutation | 9 | 13 | Phase 3 |
| BRCA1/2 mutation | 2 | 3 | Phase 3 |
| ESR1 mutation | 2 | 5 | Phase 3 |
| ALK fusion | 1 | 1 | Phase 2 |
| BRAF V600E | 1 | 5 | Phase 2 |
| EGFR exon 19 deletion / L858R | 1 | 3 | Phase 2 |
| KRAS G12C | 1 | 11 | Phase 1 |
| KRAS G12D | 1 | 10 | Phase 2 |
| ROS1 fusion | 1 | 1 | Phase 2 |
| FGFR2 fusion or rearrangement | 0 | 1 | – |
| FGFR3 alteration (mutation or fusion) | 0 | 1 | – |
Sponsors
Industry sponsors leading active biomarker-selected trials of palbociclib.
- Roche 2
- AstraZeneca 2
- Amgen 1
- Eli Lilly 1
- KymaThera 1
- Pikavation Therapeutics 1
- Stemline Therapeutics 1
- Totus Medicines 1
- Relay Therapeutics 1
Trials
15 of 36 trials shown
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A Study of Tersolisib (LY4064809/STX-478) With Other Anti-Cancer Treatments in Participants With Advanced Breast Cancer With a Genetic Change (PIK3CA)
STX-478ribociclibpalbociclib FDA EUabemaciclibanastrozoleletrozoleExemestanefulvestrant FDA EU
Have evidence of an activating PIK3CA mutation, detected in tumor or blood samples using an appropriate assay.
PIK3CA activating mutationBreast Neoplasms, Neoplasm Metastasis
-
Saruparib (AZD5305) Plus Camizestrant or Plus Endocrine Therapy, Compared With CDK4/6 Inhibitor Plus Endocrine Therapy or Plus Camizestrant in HR-Positive, HER2-Negative (IHC 0, 1+, 2+/ ISH Non-amplified), BRCA1, BRCA2, or PALB2m Advanced Breast Cancer
saruparibcamizestrantabemaciclibribociclibpalbociclibfulvestrantletrozoleanastrozoleExemestane
Documented germline tumour loss of function mutation in BRCA1, BRCA2, or PALB2
BRCA1/2 mutationAdvanced Breast Cancer
-
Phase III Study to Assess AZD9833+ CDK4/6 Inhibitor in HR+/HER2-MBC With Detectable ESR1m Before Progression (SERENA-6)
camizestrant FDAanastrozoleletrozolepalbociclibabemaciclib FDALuteinizing hormone-releasing hormone (LHRH) agonistribociclib
Have an ESR1 mutation in their cancer;
ESR1 mutationER-Positive HER2-Negative Breast Cancer
-
A Study Evaluating the Efficacy and Safety of Inavolisib + Palbociclib + Fulvestrant vs Placebo + Palbociclib + Fulvestrant in Participants With PIK3CA-Mutant, Hormone Receptor-Positive, HER2-Negative, Locally Advanced or Metastatic Breast Cancer
inavolisib FDA EUpalbociclib FDA EUfulvestrant FDA EU
…b + Palbociclib + Fulvestrant vs Placebo + Palbociclib + Fulvestrant in Participants With PIK3CA-Mutant, Hormone Receptor-Positive, HER2-Negative, Locally Advanced or Metastatic Breast Cancer
PIK3CA activating mutationBreast Cancer
-
A Phase 1/2a Study of K-1728 in Advanced Solid Tumors
K-1728fulvestrant FDA EUpalbociclib FDA EU
Documented activating PIK3CA mutation
PIK3CA activating mutationBreast Neoplasms, Solid Tumors, PIK3CA Gene Mutation
-
SNV4818 in Participants With Advanced Solid Tumors
SNV4818fulvestrant FDA EUpalbociclib FDA EU
Advanced or metastatic solid tumor with an activating PIK3CA mutation.
PIK3CA activating mutationAdvanced Solid Tumors
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Palbociclib and Binimetinib in RAS-Mutant Cancers, A ComboMATCH Treatment Trial
Patients must have KRAS/NRAS/HRAS or RAF mutations or rare RAF fusions as determined by the ComboMATCH screening assessment
KRAS G12DExocrine Pancreas Carcinoma, Malignant Solid Neoplasm, Ovarian Low Grade Serous Adenocarcinoma, Stage IV Ovarian Cancer AJCC v8
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Open-Label Umbrella Study To Evaluate Safety And Efficacy Of Elacestrant In Various Combination In Participants With Metastatic Breast Cancer
elacestrantalpelisib FDA EUeverolimusribociclibpalbociclib FDA EUcapivasertib FDA EUabemaciclib
Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha (PIK3CA) mutation by local laboratory assessment.
PIK3CA activating mutationBreast Cancer, Metastatic Breast Cancer
-
Elacestrant vs Elacestrant Plus a CDK4/6 Inhibitor in Patients With ERpositive/HER2-negative Advanced or Metastatic Breast Cancer
elacestrant FDA EUpalbociclibabemaciclib FDAribociclib
Patients must have a confirmed ESR1 mutation.
ESR1 mutationEstrogen-receptor-positive Breast Cancer, HER2/Neu-Negative Breast Cancer, Advanced Breast Cancerv, Metastatic Breast Cancer
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PLATFORM Study of Precision Medicine for Rare Tumors
aumolertinibdacomitinib FDA EUalectinibcrizotinibpyrotinibimatinibniraparibpalbociclibvemurafenibsintilimabatezolizumab
when obtaining EGFR mutation, ALK fusion, ROS-1 fusion, C-MET amplification, C-MET mutation, BRAF mutation, BRCA1/2 mu…
EGFR exon 19 deletion / L858RBRAF V600EBRCA1/2 mutationALK fusionROS1 fusionRare Tumor
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PD 0332991 and Anastrozole for Stage 2 or 3 Estrogen Receptor Positive and HER2 Negative Breast Cancer
palbociclib FDA EUanastrozoleGoserelin
Pre-registration PIK3CA Mutant Inclusion
PIK3CA activating mutationBreast Neoplasms
-
A Study to Evaluate the Safety and Tolerability of TOS-358 in Women With HR+ HER2- Breast Cancer
TOS-358fulvestrant FDA EUpalbociclib FDA EUribociclib
Known PIK3CA mutations or amplifications as determined at a CAP/CLIA-certified or equivalently accredited diagno…
PIK3CA activating mutationHR+/HER2-negative Breast Cancer
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First-in-Human Study of Mutant-selective PI3Kα Inhibitor, RLY-2608, as a Single Agent in Patients With Advanced Solid Tumors and in Combination With Endocrine Therapy +/- a CDK4/6 or CDK4 Inhibitor in Patients With Advanced Solid Tumors or Advanced Breast Cancer
RLY-2608fulvestrant FDA EUpalbociclib FDA EUribociclibPF-07220060 100mgPF-07220060 300 mg
One or more documented primary oncogenic PIK3CA mutation(s) in blood and/or tumor per local assessment
PIK3CA activating mutationPIK3CA Mutation, Solid Tumor, Adult, HER2-negative Breast Cancer, Breast Cancer
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Sotorasib Activity in Subjects With Advanced Solid Tumors With KRAS p.G12C Mutation (CodeBreak 101)
sotorasib FDA EUtrametinibvociprotafibafatinibpembrolizumabpanitumumab FDAcarboplatinpemetrexeddocetaxelpaclitaxelatezolizumabpalbociclib
Pathologically documented, locally-advanced or metastatic malignancy with, KRAS p.G12C mutation identified through molecular testing performed according to in-country requireme…
KRAS G12CAdvanced Solid Tumors, Kirsten Rat Sarcoma (KRAS) pG12C Mutation
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To Evaluate the Safety, Tolerability, and Pharmacokinetics of Inavolisib Single Agent in Participants With Solid Tumors and in Combination With Endocrine and Targeted Therapies in Participants With Breast Cancer
inavolisib FDA EUfulvestrant FDA EUletrozolepalbociclib FDA EUmetformintrastuzumabpertuzumab
Locally advanced, recurrent, or metastatic, PIK3CA mutant, incurable solid tumor malignancy, including breast cancer
PIK3CA activating mutationBreast Cancer, Solid Tumor
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A Study of ERAS-007 in Patients With Advanced Gastrointestinal Malignancies
ERAS-007encorafenibcetuximabpalbociclib
KRAS or NRAS mutations) or metastatic PDAC harboring KRAS mutation based on an analytically validated assay performed on tumor tissue in a certified testing…
KRAS G12CKRAS G12DBRAF V600EMetastatic Colorectal Cancer, Metastatic Pancreatic Ductal Adenocarcinoma
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Encorafenib, Binimetinib and Palbociclib in BRAF-mutant Metastatic Melanoma CELEBRATE
binimetinib FDA EUencorafenib FDA EUpalbociclib
Documented evidence of BRAF V600 mutation.
BRAF V600EMelanoma, Metastasis
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A Study of Telaglenastat (CB-839) in Combination With Palbociclib in Patients With Solid Tumors
Telaglenestat (CB-839)palbociclib
Part 2, Cohort 1: Incurable/locally advanced or metastatic KRAS-mutant CRC previously treated with systemic therapy (examples include: oxaliplatin-, irinotecan-…
KRAS G12CKRAS G12DSolid Tumors, NSCLC, CRC, KRAS Gene Mutation
-
Binimetinib and Palbociclib or TAS-102 in Treating Patients With KRAS and NRAS Mutant Metastatic or Unresectable Colorectal Cancer
binimetinibpalbociclibtrifluridine/tipiracil
Documented mutation in KRAS or NRAS (codon 12, 13, 59, 61, 117, or 146) in tumor tissue from primary or metastatic si…
KRAS G12CKRAS G12DMetastatic Colorectal Carcinoma, Stage IV Colorectal Cancer AJCC v8, Stage IVA Colorectal Cancer AJCC v8, Stage IVB Colorectal Cancer AJCC v8
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Aromatase Inhibitor Therapy With or Without Fulvestrant for the Treatment of HR Positive Metastatic Breast Cancer With an ERS1 Activating Mutation, the INTERACT Study
abemaciclib FDAanastrozolefulvestrantletrozolepalbociclibribociclib
Activating ESR1 mutation (e.g.
ESR1 mutationAnatomic Stage IV Breast Cancer AJCC v8, Metastatic Breast Carcinoma, Prognostic Stage IV Breast Cancer AJCC v8
-
Study For Patients With NSCLC EGFR Mutations (Del 19 or L858R +/- T790M)
PF-06747775palbociclibavelumab
…tologically or cytologically confirmed diagnosis of locally advanced or metastatic EGFRm (del 19 or L858R) NSCLC:
EGFR exon 19 deletion / L858RNon-Small Cell Lung Cancer
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Phase I-II Study With Tumor Molecular Pharmacodynamic (MPD) Evaluation and Pharmacokinetics of PD-0332991 in Patients Suffering Metastatic Melanoma
Presence of BRAF V600E/K mutation and CDNKN2A loss and expression of Rb using immunohistochemistry in a recent met…
BRAF V600EMelanoma BRAF V600E/K Mutated, CDNKN2A Loss Defined
-
A Study of GDC-0810 Single Agent or in Combination With Palbociclib and/or a Luteinizing Hormone-Releasing Hormone (LHRH) Agonist in Women With Locally Advanced or Metastatic Estrogen Receptor Positive Breast Cancer
GDC-0810LHRH Agonistpalbociclib
Cohort A only: confirmed estrogen receptor alpha (ESR1) mutation and presence of measurable disease as per RECIST v1.1 or evaluable bone disease
ESR1 mutationBreast Cancer
-
Phase II Trial of the Cyclin-Dependent Kinase Inhibitor PD 0332991 in Patients With Cancer
Metastatic colorectal cancer that harbors the Kras or BRAF mutation (15-30 enrollment slots) C.
KRAS G12CKRAS G12DBRAF V600EAdult Solid Tumor, Adenocarcinoma of the Colon, Adenocarcinoma of the Rectum, Adult Central Nervous System Germ Cell Tumor
-
First-in-Human Study of RLY-5836 in Advanced Breast Cancer and Other Solid Tumors
RLY-5836fulvestrant FDA EUpalbociclib FDA EUribociclibabemaciclib
One or more documented primary oncogenic PIK3CA mutation(s) in blood and/or tumor per local assessment
PIK3CA activating mutationPIK3CA Mutation, Solid Tumor, Adult, HER2-negative Breast Cancer, Breast Cancer
-
Adagrasib in Combination With Palbociclib in Patients With Advanced Solid Tumors (KRYSTAL-16)
adagrasib FDA EUpalbociclib
Histologically confirmed diagnosis of a solid tumor malignancy with KRAS G12C mutation
KRAS G12CAdvanced Solid Tumor
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Study of CYH33 in Combination With Endocrine Therapy With or Without Palbociclib in Patients With HR+, HER2- Advanced Breast Cancer
CYH33fulvestrant FDA EUletrozolepalbociclib FDA EU
For Stage 2 dose expansion phase, patients with PIK3CA mutations are required.
PIK3CA activating mutationAdvanced Breast Cancer
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HOPE: Olaparib, Palbociclib and Fulvestrant in Patients With BRCA Mutation-associated, HR+, HER2-metastatic Breast Cancer
palbociclibolaparib FDA EUfulvestrant
Germline or somatic deleterious or suspected deleterious mutation in BRCA1 or BRCA2
BRCA1/2 mutationMetastatic Breast Cancer, Locally Advanced Breast Cancer, Advanced Breast Cancer, BRCA2 Mutation
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Rogaratinib, Palbociclib y Fulvestrant in Patients With Breast Cancer.
rogaratinibpalbociclibfulvestrant
Rogaratinib, Palbociclib and Fulvestrant in Advanced Hormone Receptor Positive, FGFR1/2/3-positive Breast Cancer: Phase I Clinical Trial Plus an Expansion Cohort
FGFR3 alteration (mutation or fusion)FGFR2 fusion or rearrangementBreast Cancer Metastatic, Hormone Receptor Positive Malignant Neoplasm of Breast
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Neratinib and Everolimus, Palbociclib, or Trametinib in Treating Participants With Refractory and Advanced or Metastatic Solid Tumors With EGFR Mutation/Amplification, HER2 Mutation/Amplification, or HER3/4 Mutation or KRAS Mutation
everolimusneratinibpalbociclibtrametinib
…nib in Treating Participants With Refractory and Advanced or Metastatic Solid Tumors With EGFR Mutation/Amplification, HER2 Mutation/Amplification, or HER3/4 Mutation or KRAS Mutation
EGFR exon 19 deletion / L858RKRAS G12CKRAS G12DAdvanced Malignant Solid Neoplasm, EGFR Gene Amplification, EGFR Gene Mutation, ERBB2 Gene Amplification
-
Study of Palbociclib in Combination With Binimetinib for Patients With Advanced KRAS Mutant Non-Small Cell Lung Cancer
Participants must have histologically confirmed advanced NSCLC (with a confirmed KRAS mutation via any CLIA-certified method) for which curable treatment modalities are not an option
KRAS G12CKRAS G12DLung Cancer
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Study of the CDK4/6 Inhibitor Palbociclib (PD-0332991) in Combination With the PI3K/mTOR Inhibitor Gedatolisib (PF-05212384) for Patients With Advanced Squamous Cell Lung, Pancreatic, Head & Neck and Other Solid Tumors
palbociclib FDA EUgedatolisib
PI3K dependence includes the presence of a PIK3CA-mutant hotspot mutation, PIK3CA copy number gain, or PTEN loss in the archival or fresh tumor ti…
PIK3CA activating mutationLung Cancer Squamous Cell, Solid Tumors, Head & Neck Cancer, Pancreatic Cancer
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PIPA: Combination of PI3 Kinase Inhibitors and PAlbociclib
KRAS mutations) may be considered, depending on emerging preclinical and clinical data on these novel an…
KRAS G12CKRAS G12DPIK3CA activating mutationAdvanced Solid Tumours, Breast Cancer
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PALBOCICLIB + PD-0325901 for NSCLC & Solid Tumors
…escalation/MTD cohorts, participants must have histologically confirmed malignancy with a RAS mutation that is metastatic or unresectable and for which standard curative or palliative measures…
KRAS G12CKRAS G12DKRAS Mutant Non-Small Cell Lung Cancer, Solid Tumors
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Binimetinib and Palbociclib Before Surgery for the Treatment of Operable KRAS-Positive Lung, Colorectal, or Pancreatic Cancer
Patients with verified and operable KRAS-positive mutant lung adenocarcinoma, colorectal, or pancreatic cancer
KRAS G12CKRAS G12DColorectal Carcinoma, Lung Adenocarcinoma, Malignant Solid Neoplasm, Pancreatic Carcinoma
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Treatment of Metastatic Breast Cancer With Fulvestrant Plus Palbociclib or Tamoxifen Plus Palbociclib
fulvestrantTamoxifenpalbociclib
…Fulvestrant Plus Palbociclib or Tamoxifen Plus Palbociclib: A Randomized Pilot Trial With ESR1 Mutation Tested in Circulating Tumor DNA.
ESR1 mutationMetastatic Breast Cancer
No trials match these filters.