Piqray (alpelisib) [product monograph]. HC.

Regulatory approval published by the Health Canada.

Citation

Novartis Pharmaceuticals Canada Inc. Piqray (alpelisib) [product monograph]. Health Canada website. https://pdf.hres.ca/dpd_pm/00082186.PDF. Revised October 2025. Accessed April 2026.

Regulatory approvals

Approved indications from this document for cancer drugs containing at least one biomarker.

Indication Statements
PIQRAY (alpelisib), in combination with fulvestrant, is indicated for the treatment of postmenopausal women, and men, with hormone receptor-positive, HER2-negative, PIK3CA-mutated advanced or metastatic breast cancer after disease progression following an endocrine-based regimen. 3
PIQRAY (alpelisib), in combination with fulvestrant, is indicated for the treatment of postmenopausal women, and men, with hormone receptor-positive, HER2-negative, PIK3CA- mutated advanced or metastatic breast cancer after disease progression following an endocrine-based regimen. 0

Therapeutic response

Precision oncology relationships for therapeutic response derived from this document.

Organizations Biomarkers Cancer types Therapies
HC (1) ER positive, HER2-negative, PIK3CA Somatic variants Invasive Breast Carcinoma Alpelisib, Fulvestrant
HC (1) HER2-negative, PIK3CA Somatic variants, PR positive Invasive Breast Carcinoma Alpelisib, Fulvestrant
HC (1) ER positive, HER2-negative, PIK3CA Somatic variants, PR positive Invasive Breast Carcinoma Alpelisib, Fulvestrant