PIQRAY® (alpelisib) | PIK3CA-mutated advanced breast cancer

PIQRAY dosing and administration1

PIQRAY is a once-daily medication given in combination with fulvestrant1,2

PIQRAY + fulvestrant chart PIQRAY + fulvestrant chart
Continue treatment until disease progression or until unacceptable toxicity occurs.
*Tablets should not be chewed, crushed, or split prior to swallowing. No tablet should be ingested if it is broken, cracked, or otherwise not intact.

Certain adverse reactions may require dose modifications1,2

dose modification image dose modification image
Dose interruptions may be required prior to dose reductions

The PIQRAY dose may be reduced in increments of 50 mg

If further dose reduction below 200 mg/d is required, discontinue PIQRAY

Only one dose reduction is permitted for pancreatitis.

Please refer to the full Prescribing Information for dose interruption, reduction, or discontinuation of PIQRAY in specific adverse reactions. The management plan of each patient should be based on the individual benefit/risk assessment.



References: 1. Piqray® (alpelisib) EU Summary of Product Characteristics. Novartis; 2022. 2. André F, Ciruelos E, Rubovszky G, et al. Alpelisib for PIK3CA-mutated, hormone receptor-positive advanced breast cancer. N Engl J Med. 2019;380(20):1929-1940.