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Inavolisib

Study design
RT–Drug Timing Window
Radiobiological rationale for RT–drug interaction
Radiosensitizing on the same axis as AKT inhibition (impaired DSB repair, ↓survival signaling), greatest in PI3K-dependent tumors (Petroni et al., Nature Reviews Clinical Oncology, 2022; Barker et al., Nature Reviews Cancer, 2015). Because repair inhibition is not tumor-selective, a theoretical increase in acute in-field mucocutaneous/GI adverse events is plausible, potentially compounded by the class effects of colitis (idelalisib/duvelisib) and pneumonitis.
Data on this page refer exclusively to patients treated with Inavolisib combined with SBRT, without concurrent use of drugs from other classes. Combination therapy data and pooled group-level evidence are available on the PI3K inhibitor group page.