A church was initially planned when Donna Costanza Piccolomini d'Aragona, duchess of Amalfi and descendant of the family of Pope Pius II, bequeathed her palace and the adjacent church of San Sebastiano in central Rome to the Theatine order for construction of a new church. Since Amalfi's patron was Saint Andrew, the church was planned in his honor. Work initially started around 1590 under the designs of Giacomo della Porta and Pier Paolo Olivieri, and under the patronage of Cardinal Gesualdo. With the previous patron's death, direction of the church passed to Cardinal Alessandro Peretti di Montalto, nephew of Pope Sixtus V.
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