Summary
This study consists of two phases: induction therapy and maintenance therapy.
During Induction therapy, participants will receive Phesgo plus taxane-based chemotherapy. Phesgo is a combination treatment that consists of pertuzumab, trastuzumab and rHuPH20 and is administered as an injection into the skin every 3 weeks.
During Maintenance therapy, participants will be randomly allocated to receive either Inavolisib + Phesgo or Placebo + Phesgo. Inavolisib and the Placebo will both be given as an oral tablet once daily in three weekly cycles, and Phesgo will be given as an injection every 3 weeks.
Optional endocrine therapy (ET) is allowed at the discretion of the investigator, based on the standard of care. Allowed ETs are tamoxifen, or one of the specified third-generation aromatase inhibitor (anastrozole, letrozole, or exemestane) or fulvestrant. The investigator will determine and supply the appropraite luteinizing hormone-releasing hormone (LHRH) agonist locally approved for use in breast cancer. the LHRH agonist will be administered according to local prescribing information.