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Prescription medicine

Inavolisib Brand names: Itovebi

Inavolisib (Itovebi) is a prescription medicine with an FDA approval on record since 2024. No generic is listed in FDA's NDC Directory.

  • No generic listed

Check it at the source: the inavolisib FDA label on DailyMed (effective April 21, 2026, Genentech, Inc.); the NDA 219249 record on Drugs@FDA; every inavolisib label on DailyMed.

Highlights of the record

FDA label of April 21, 2026; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026

Used for

From the label: indications and usage

ITOVEBI, in combination with palbociclib and fulvestrant, is indicated for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer, as detected by an FDA-approved test, following recurrence on or after completing adjuvant endocrine therapy [see Clinical Studies (14.1) ].

Forms and strengths

  • 3 mg
  • 9 mg

Film-coated tablet.

On the market

Earliest approval on file
October 10, 2024 Itovebi, Genentech Inc; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
No generic approved
Labelers listed (NDC)
1 of which 0 under generic applications, 1 under brand applications, repackagers included
Last listed patent
June 14, 2038 Itovebi tablets; not a generic launch date

Supply and safety

Pharmacy cost (NADAC)
Not in the survey
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
527 through July 30, 2026

What is inavolisib used for?

From the label: indications and usage

ITOVEBI, in combination with palbociclib and fulvestrant, is indicated for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer, as detected by an FDA-approved test, following recurrence on or after completing adjuvant endocrine therapy [see Clinical Studies (14.1) ]. […]

FDA pharmacologic class: Kinase Inhibitor.

Source: FDA drug label (Itovebi), Genentech, Inc., effective April 21, 2026 (SPL set 5de59f5b-e5db-410f-b692-658686ef4107), via openFDA; the full label on DailyMed

Is there a generic for inavolisib (Itovebi)?

No generic inavolisib is approved (Drugs@FDA, October 8, 2026).

The Orange Book lists 7 patents for Itovebi tablets: the compound patent runs to April 26, 2038, and the last listed entry to June 14, 2038. A patent or exclusivity date is not the date a generic goes on sale: court cases and settlements move it either way.

  • 2024 earliest approval on file
  • 2038 last listed patent

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What does the inavolisib label say about other medicines?

The inavolisib label names 3 other medicines in its interaction, contraindication or warning sections. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Medicine namedSectionWhat the label says
Fulvestrantwarnings and precautionsAdvise patients of potential risk to a fetus and to use effective non-hormonal contraception. ( 5.4 , 8.1 , 8.3 ) Refer to the Full Prescribing Information of palbociclib and fulvestrant for pregnancy and contraception information.
Loperamidewarnings and precautionsAdvise patients to start anti-diarrheal treatment, increase oral fluids, and notify their healthcare provider if severe diarrhea occurs.
Palbociclibwarnings and precautionsAdvise patients of potential risk to a fetus and to use effective non-hormonal contraception. ( 5.4 , 8.1 , 8.3 ) Refer to the Full Prescribing Information of palbociclib and fulvestrant for pregnancy and contraception information.

Check inavolisib against other medicines

Source: FDA drug label (Itovebi), Genentech, Inc., effective April 21, 2026 (SPL set 5de59f5b-e5db-410f-b692-658686ef4107), via openFDA; the full label on DailyMed

What do FAERS reports show for inavolisib?

The FDA Adverse Event Reporting System holds 527 reports that list inavolisib among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 25 are coded as a death and 177 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

Reports received each year

The most reported reactions

  • Hyperglycaemia (named in the label)133
  • Diarrhoea (named in the label)92
  • Blood Glucose Increased82
  • Fatigue (named in the label)54
  • Nausea (named in the label)54
  • Stomatitis (named in the label)39
  • Neutropenia (named in the label)37
  • White Blood Cell Count Decreased35

Side effects: the label's list and every FAERS reaction

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What next?

Other kinase inhibitors
the pharmacologic class, with prices and generics
Inavolisib side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other