Celcuity’s Gedatolisib Combination Regimens Doubled the Likelihood of Survival without Disease Progression or Death Compared to Alpelisib plus Fulvestrant in the PIK3CA Mutant Cohort of the Pivotal Phase 3 VIKTORIA-1 Trial in Patients with HR+/HER2- Advanced Breast Cancer
Rhea-AI Summary
Celcuity (Nasdaq: CELC) reported detailed Phase 3 VIKTORIA-1 results in PIK3CA-mutant HR+/HER2- advanced breast cancer. Gedatolisib plus fulvestrant and palbociclib cut risk of progression or death by 50% vs alpelisib/fulvestrant (HR=0.50) with median PFS 11.1 vs 5.6 months and ORR 48.9% vs 26.0%.
The gedatolisib doublet showed HR=0.51 and median PFS 11.3 months. Safety was generally manageable with low discontinuation rates. Celcuity plans an sNDA for PIK3CA-mutant disease and already has Priority Review for PIK3CA wild-type, with a PDUFA date of July 17, 2026.
AI-generated analysis. Not financial advice.
Positive
- Gedatolisib-triplet halved progression or death risk vs alpelisib/fulvestrant (HR=0.50)
- Median PFS 11.1 vs 5.6 months for gedatolisib-triplet vs alpelisib/fulvestrant
- Gedatolisib-triplet ORR 48.9% vs 26.0% with alpelisib/fulvestrant
- Gedatolisib-doublet median PFS 11.3 vs 5.6 months (HR=0.51)
- Treatment discontinuation for TRAEs only 2.6% triplet, 3.8% doublet vs 7.1% comparator
- FDA Priority Review already granted for gedatolisib in PIK3CA wild-type ABC; PDUFA July 17, 2026
Negative
- Grade 3+ neutropenia reported in 58.8% of gedatolisib-triplet patients
- One Grade 5 treatment-related adverse event in gedatolisib-triplet group (related to palbociclib)
- Overall survival data remain immature, limiting conclusions on survival benefit
- Regulatory approvals for PIK3CA-mutant indication still pending planned sNDA submissions
Key Figures
Market Reality Check
Peers on Argus
CELC fell 7.47% while only one peer in the momentum list, CGON, moved and it gained 8.44%. Other close peers show mixed, smaller moves, pointing to a stock-specific reaction to the VIKTORIA-1 update rather than a sector-wide move.
Previous Clinical trial Reports
| Date | Event | Sentiment | Move | Catalyst |
|---|---|---|---|---|
| May 14 | Trial expansion update | Positive | +8.2% | Expanded VIKTORIA-2 to endocrine-sensitive and -resistant groups with Phase 1b support. |
| May 01 | Topline Phase 3 win | Positive | +15.4% | Announced VIKTORIA-1 PIK3CA mutant cohort met primary PFS endpoint with strong benefit. |
| Mar 09 | JCO publication | Positive | +3.2% | Published VIKTORIA-1 wild-type cohort data showing PFS and ORR benefits for triplet/doublet. |
| Jan 20 | NDA acceptance | Positive | -1.5% | FDA accepted NDA for gedatolisib with Priority Review and July 17, 2026 PDUFA date. |
| Dec 11 | SABCS data update | Positive | -1.0% | Presented updated VIKTORIA-1 wild-type PFS and QoL data at SABCS 2025. |
Clinical trial updates for gedatolisib have more often been followed by positive price moves, though several notably positive announcements saw short-term declines.
Over the past six months, Celcuity has repeatedly highlighted Phase 3 data for gedatolisib in HR+/HER2- advanced breast cancer. Prior clinical releases covered PIK3CA wild-type VIKTORIA-1 results, NDA acceptance with Priority Review and a July 17, 2026 PDUFA date, and expansion of the Phase 3 VIKTORIA-2 program. Earlier VIKTORIA-1 wild-type updates at JCO and SABCS showed substantial PFS gains versus fulvestrant. Today’s PIK3CA mutant cohort details extend that efficacy story from wild-type into the mutant population, reinforcing a consistent clinical profile.
Historical Comparison
Past gedatolisib clinical-trial headlines for VIKTORIA-1 and VIKTORIA-2 often coincided with upside moves, so today’s negative reaction to another positive dataset stands out versus that pattern.
Clinical news has progressed from early VIKTORIA-1 wild-type data and conference updates to NDA acceptance, then to detailed Phase 3 results in both wild-type and now PIK3CA-mutant HR+/HER2- disease.
Regulatory & Risk Context
An effective S-3ASR shelf allows Celcuity to issue up to $400,000,000 of common stock through an at-the-market program with Jefferies, plus other securities, though no usage is reported yet.
Market Pulse Summary
This announcement details robust Phase 3 VIKTORIA-1 results for gedatolisib in PIK3CA-mutant HR+/HER2- advanced breast cancer, with median PFS around 11 months versus 5.6 months for alpelisib plus fulvestrant and improved ORR and DoR. It builds on earlier wild-type data, NDA acceptance, and a July 17, 2026 PDUFA date. Investors may monitor upcoming sNDA submissions, FDA decisions, and any use of the $400,000,000 shelf as the company prepares for a potential launch.
Key Terms
progression-free survival medical
objective response rate medical
duration of response medical
hazard ratio medical
pdufa regulatory
nda regulatory
snda regulatory
cdk4/6 inhibitor medical
AI-generated analysis. Not financial advice.
- Gedatolisib plus fulvestrant and palbociclib (the “gedatolisib-triplet”) reduced the risk of disease progression or death by
50% vs. alpelisib plus fulvestrant (HR=0.50;95% CI: 0.37–0.68; p<0.0001). Median progression-free survival (“PFS”) was 11.1 months with the gedatolisib triplet versus 5.6 months with alpelisib plus fulvestrant - Gedatolisib plus fulvestrant (the “gedatolisib-doublet”) reduced the risk of disease progression or death by
49% vs. alpelisib plus fulvestrant (HR=0.51;95% CI: 0.33–0.79; descriptive p=0.0013). Median PFS was 11.3 months with the gedatolisib-doublet versus 5.6 months with alpelisib plus fulvestrant - Gedatolisib regimens demonstrated robust and durable responses:
48.9% objective response rate (“ORR”) and median duration of response (“DoR”) of 15.7 months for the gedatolisib-triplet and35.7% ORR and median DoR of 24.2 months for the gedatolisib-doublet - The safety data and study treatment discontinuation rates for the gedatolisib-triplet and -doublet were consistent with previously reported data from the PIK3CA wild-type cohort of VIKTORIA-1
MINNEAPOLIS, June 02, 2026 (GLOBE NEWSWIRE) -- Celcuity Inc. (Nasdaq: CELC), a clinical-stage biotechnology company focused on the development of targeted therapies for the treatment of multiple solid tumor indications, today announced detailed efficacy and safety results from the PIK3CA mutant (“MT”) cohort of the Phase 3 VIKTORIA-1 clinical trial of gedatolisib, an investigational pan-PI3K/mTORC1/2 inhibitor, in adults with hormone receptor positive (“HR+”), human epidermal growth factor receptor 2 negative (“HER2-“), PIK3CA mutated, locally advanced or metastatic breast cancer (“ABC”), following progression on, or after, treatment with a CDK4/6 inhibitor and an aromatase inhibitor. VIKTORIA-1 is the first Phase 3 clinical trial to compare the efficacy of two PI3K/AKT/mTOR (“PAM”) inhibitors in this patient population.
The study results will be presented in a late-breaking abstract (“LBA”) oral session at the American Society of Clinical Oncology (“ASCO”) Annual Meeting today, Tuesday, June 2, 2026, 12:09 p.m. CDT.
The PAM pathway is a key oncogenic driver of HR+/HER2- breast cancer that requires inhibition of multiple molecular components to comprehensively blockade excessive PAM signaling in tumors with or without a PAM variant. Gedatolisib is the first multitarget PAM inhibitor to demonstrate superior efficacy relative to a single-target inhibitor of this pathway. In the PIK3CA MT cohort of the Phase 3 VIKTORIA-1 trial, the gedatolisib-triplet demonstrated a statistically significant and clinically meaningful improvement in median PFS among patients, increasing the likelihood of survival without disease progression or death by two times compared to alpelisib plus fulvestrant (based on a hazard ratio [HR] of 0.50;
For the gedatolisib-doublet, the median PFS was more than two-times longer, 11.3 months versus 5.6 months, compared to alpelisib plus fulvestrant (HR=0.51;
The topline gedatolisib-triplet efficacy data from the VIKTORIA-1 PIK3CA MT cohort established several new milestones in the history of drug development for HR+/HER2- ABC:
- First Phase 3 trial to demonstrate superiority of one PAM inhibitor versus another.
- The median PFS of 11.1 months for the gedatolisib-triplet is the highest reported by any Phase 3 trial for patients with HR+/HER2- ABC receiving a regimen including endocrine therapy as second-line treatment.
- The objective response rate of
48.9% for the gedatolisib-triplet is the highest reported by any Phase 3 clinical trial for a regimen including endocrine therapy in second-line HR+/HER2- ABC.
“Therapies that target only PI3Kα or AKT typically offer modest benefit for patients with PIK3CA mutant HR+/HER2- advanced breast cancer whose disease has progressed while on or after treatment with a CDK4/6 inhibitor,” said Sara Hurvitz, MD, Senior Vice President, Clinical Research Division, Fred Hutchinson Cancer Center, Smith Family Endowed Chair in Women’s Health and Professor and Head, Division of Hematology and Oncology, University of Washington, Department of Medicine and co-principal investigator for the trial. “By comprehensively blocking the PI3K/AKT/mTOR, or PAM, pathway, gedatolisib combined with fulvestrant, with or without palbociclib, showed it can offer these patients two times the likelihood of survival without disease progression or death relative to a single-target inhibitor of the PAM pathway. With these results, the gedatolisib regimens, if approved, represent a new potential standard of care for patients with HR+, HER2-negative, PIK3CA mutant advanced breast cancer whose disease progressed on or after treatment with a CDK4/6 inhibitor.”
The gedatolisib-triplet and -doublet were generally well tolerated in the trial with mostly low-grade treatment-related adverse events (“TRAEs”). The most common Grade 3+ TRAEs for the gedatolisib-triplet, the gedatolisib-doublet, and alpelisib plus fulvestrant groups included neutropenia (
“Both gedatolisib regimens were well-tolerated with few VIKTORIA-1 patients discontinuing treatment due to an adverse event,” said Igor Gorbatchevsky, MD, Chief Medical Officer of Celcuity. “These safety results compare very favorably to those from the patient group treated with alpelisib and fulvestrant, which we believe reflects the benefit of gedatolisib’s multi-target mechanism of action, pharmacokinetic profile, and intravenous administration.”
Overall survival, a key secondary endpoint in VIKTORIA-1, while immature at the time of the analysis, showed promising trends for both the gedatolisib-triplet and -doublet.
Celcuity intends to submit these data to the U.S. Food and Drug Administration (“FDA”) as a supplemental New Drug Application (“sNDA”) and to submit VIKTORIA-1 data to other regulatory authorities following the sNDA submission.
“It is rare in oncology for a targeted therapy to offer both improved efficacy and better safety results relative to another drug in its class,” said Brian Sullivan, CEO and co-founder of Celcuity. “This second positive Phase 3 data readout further underscores the broad potential of multi-target PAM inhibition and increases our excitement about our two Phase 3 trials in the first-line setting for HR+/HER2- advanced breast cancer. We are on track to launch gedatolisib commercially, in anticipation of its potential FDA approval in the third quarter of 2026, and we look forward to the possibility of bringing this important therapy to physicians treating patients with advanced breast cancer.”
The FDA has granted Priority Review of Celcuity’s New Drug Application (“NDA”) for gedatolisib in patients with HR+/HER2-/PIK3CA wild-type (“WT”) ABC and assigned a Prescription Drug User Fee Act (“PDUFA”) goal date of July 17, 2026.
About HR+/HER2- Breast Cancer
Breast cancer is the second most common cancer and one of the leading causes of cancer-related deaths worldwide.1 More than two million breast cancer cases were diagnosed globally in 2022.1 While survival rates are high for those diagnosed with early breast cancer, only approximately
Three interconnected signaling pathways, estrogen, cyclin D1-CDK4/6, and the PAM pathway , are primary oncogenic drivers of HR+/HER2- ABC.3 Therapies inhibiting these pathways are approved and used in various combinations for ABC. Currently approved inhibitors of the PAM pathway for breast cancer target a single PAM pathway component, such as PI3Kα, AKT, or mTORC1.4,5,6,7 However, resistance to CDK4/6 inhibitors and current endocrine therapies develops in many patients with advanced disease.8 Optimizing the inhibition of the PAM pathway is an active area of focus for breast cancer research.
About the VIKTORIA-1 Phase 3 Trial
VIKTORIA-1 is a Phase 3 open-label, randomized clinical trial to evaluate the efficacy and safety of gedatolisib in combination with fulvestrant, with or without palbociclib, in adults with HR+/HER2- ABC whose disease progressed on or after prior CDK4/6 therapy in combination with an aromatase inhibitor. The trial enrolled 701 subjects regardless of PIK3CA status while enabling separate evaluation of subjects according to their PIK3CA status. Detailed results from the PIK3CA WT cohort of VIKTORIA-1 have been previously reported. For the PIK3CA MT cohort, 350 subjects who met eligibility criteria and had confirmed PIK3CA mutations were randomly assigned (3:3:1) to receive a regimen of either the gedatolisib-triplet, alpelisib and fulvestrant, or the gedatolisib-doublet.
About Gedatolisib
Gedatolisib is an investigational, multi-target PAM inhibitor that potently targets all four class I PI3K isoforms, mTORC1, and mTORC2 to induce comprehensive blockade of the PAM pathway.9,10,11 As a multi-target PAM inhibitor, gedatolisib’s mechanism of action is highly differentiated from currently approved single-target inhibitors of the PAM pathway.11 Inhibition of only a single PAM component gives tumors an escape mechanism through cross-activation of the uninhibited targets. Gedatolisib’s comprehensive PAM pathway inhibition ensures full suppression of PAM activity by eliminating adaptive resistance cross-activation that occurs with single-target inhibitors. Unlike single-target inhibitors of the PAM pathway, gedatolisib has demonstrated equal potency and comparable cytotoxicity in PIK3CA-mutant and -wild-type breast tumor cells in nonclinical studies and early clinical data.11,12
About Celcuity
Celcuity is a clinical-stage biotechnology company focused on the development of targeted therapies for the treatment of multiple solid tumor indications. The company’s lead therapeutic candidate is gedatolisib, a kinase inhibitor of the PI3K/AKT/mTOR (“PAM”) pathway that binds to all class I PI3K isoforms and the mTOR complexes, mTORC1 and mTORC2. By targeting all class I PI3K isoforms and mTORC1/2, gedatolisib induces comprehensive inhibition of the PAM pathway. Its mechanism of action and pharmacokinetic properties are differentiated from other currently approved and investigational therapies that target PI3Kα, AKT, or mTORC1 alone or together. The company’s Phase 3 clinical trial, VIKTORIA-1, evaluating gedatolisib in combination with fulvestrant with or without palbociclib in patients with HR+/HER2- ABC, has reported detailed results for Study 1, which evaluated patients with PIK3CA WT tumors, and for Study 2, which evaluated patients with PIK3CA MT tumors. Our Phase 3 clinical trial, VIKTORIA-2, is ongoing and incorporates two independent studies, Study 1 and Study 2, evaluating two separate cohorts of patients with ABC who are treatment-naive in the advanced setting. Study 1 is evaluating gedatolisib combined with palbociclib and fulvestrant as first-line treatment for patients with endocrine-resistant HR+/HER2- ABC. Study 2 is evaluating gedatolisib combined with palbociclib and letrozole as first-line treatment for patients with endocrine-sensitive HR+/HER2- ABC. A Phase 1b/2 clinical trial, CELC-G-201, evaluating gedatolisib in combination with darolutamide in patients with metastatic castration resistant prostate cancer, is ongoing. More detailed information about Celcuity’s active clinical trials can be found at ClinicalTrials.gov. Celcuity is headquartered in Minneapolis. Further information about Celcuity can be found at www.celcuity.com. Follow us on LinkedIn and X.
Forward Looking Statements
This press release contains statements that constitute "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995 including statements relating to the potential therapeutic benefits of gedatolisib; the size, design and timing of our clinical trials; our interpretation of clinical trial data; the status and timing of the FDA’s review of our NDA for gedatolisib, including the PDUFA goal date assigned by the FDA; the ability of our data to support the filing of an sNDA with the FDA and comparable filings with other regulatory authorities; the market opportunity for gedatolisib; our expectations regarding the timing of and our ability to obtain FDA approval to commercialize gedatolisib; our strategy, marketing and commercialization plans, including the benefits of strategic decisions regarding studies and trials; and other expectations with respect to gedatolisib including future subcutaneous formulations of gedatolisib. Words such as, but not limited to, “look forward to,” “believe,” “expect,” “anticipate,” “estimate,” “intend,” "confidence," "encouraged," “potential,” “plan,” “targets,” “likely,” “may,” “will,” “would,” “should” and “could,” and similar expressions or words identify forward-looking statements. The forward-looking statements included in this press release are based on management's current expectations and beliefs which are subject to a number of risks, uncertainties and factors, including that our clinical results are based on an ongoing analysis of key efficacy and safety data, and such data may change following a more comprehensive review of the data related to the clinical trial; unforeseen delays in our clinical trials or the FDA’s review of our NDA for gedatolisib; our ability to obtain and maintain regulatory approvals to commercialize gedatolisib, and the market acceptance of gedatolisib; the development of therapies and tools competitive with gedatolisib; and our ability to access capital upon favorable terms. In addition, all forward-looking statements are subject to other risks detailed in our Annual Report on Form 10-K for the year ended December 31, 2025, as such risks may be updated in our subsequent filings with the Securities and Exchange Commission. You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. All forward-looking statements are qualified in their entirety by these cautionary statements, and we undertake no obligation to revise or update this press release to reflect events or circumstances after the date hereof.
References:
- Sung H, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;10.3322/caac.21660.
- National Cancer Institute. Surveillance, Epidemiology and End Results Program (accessed July 2025).
https://seer.cancer.gov/statfacts/html/breast-subtypes.html - Alves, C. L., & Ditzel, H. J. Drugging the PI3K/AKT/mTOR Pathway in ER+ Breast Cancer. Int J Mol Sci, 2023;24(5),4522. https://doi.org/10.3390/ijms24054522
- United States Package Insert, US FDA, ITOVEBI
- United States Package Insert, US FDA, PIQRAY
- United States Package Insert, US FDA, TRUCAP
- United States Package Insert, US FDA, AFINITOR
- Lloyd M R, et al. Mechanisms of Resistance to CDK4/6 Blockade in Advanced Hormone Receptor-positive, HER2-negative Breast Cancer and Emerging Therapeutic Opportunities. Clin Cancer Res. 2022;28(5):821-30
- Venkatesan, A. M., et al. Bis(morpholino-1,3,5-triazine) derivatives: potent adenosine 5'-triphosphate competitive phosphatidylinositol-3-kinase/mammalian target of rapamycin inhibitors: discovery of compound 26 (PKI-587), a highly efficacious dual inhibitor. J Med Chem, 2010;53(6), 2636-2645. https://doi.org/10.1021/jm901830p
- Mallon, R., et al. Antitumor efficacy of PKI-587, a highly potent dual PI3K/mTOR kinase inhibitor. Clin Cancer Res, 2011;17(10), 3193-3203. https://doi.org/10.1158/1078-0432.CCR-10-1694
- Rossetti, S., et al. Gedatolisib shows superior potency and efficacy versus single-node PI3K/AKT/mTOR inhibitors in breast cancer models. NPJ Breast Cancer, 2024;10(1), 40. https://doi.org/10.1038/s41523-024-00648-0
- Layman, R., et al. Gedatolisib in combination with palbociclib and endocrine therapy in women with hormone receptor-positive, HER2-negative advanced breast cancer: results from the dose expansion groups of an open-label, phase 1b study. Lancet Oncol, 2024;25(4), 474-487. https://doi.org/10.1016/S1470-2045(24)00034-2
Contacts:
For Investors:
Brian Sullivan, bsullivan@celcuity.com
Vicky Hahne, vhahne@celcuity.com
(763) 392-0123
Jodi Sievers, jsievers@celcuity.com
(415) 494-9924
For Media:
Sam Brown LLC
Laura Morgan, lauramorgan@sambrown.com
(951) 333-9110
