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. 2025 May 8;82:104488. doi: 10.1016/j.breast.2025.104488

Table 3.

Precision medicine in breast cancer.

Study Phase Patients enrolled, (%) breast cancer Intervention Major findings
SHIVA II 741 (20 %) Molecularly-informed therapy (n = 99) vs. Soc (n = 96) PFS 2.3 vs. 2.0 mos
(HR 0.88, p = 0.41)
SAFIR02-BREAST and SAFIR-PI3K II 1462 (100 %) Molecularly-informed therapy (n = 157) vs.
SoC (n = 81)
PFS
9.1 vs. 2.8 mos (HR 0.41, p < 0.001)
ROME trial II 1200 (5 %) Molecularly-informed therapy based on MTB (n = 200) vs. SoC (n = 200) ORR
17 % vs 9.5 %, p = 0.026
PFS
22.3 % vs 7.7 % mos (HR 0.64, p < 0.001)
AGATA SOLTI-1301 Real-world data 305 (100 %) N/A PIK3CA (34 %), TP53 (22 %), AKT1 mutations more frequent in metastatic tissue.
PFS≥ 6 months in 46.2 % of patients receiving molecularly-informed therapy

Abbreviations HR, hazard ratio; mos, months; MTB, molecular tumor board; NGS, next-generation sequencing; ORR, overall response rate; OS, overall survival; PFS, progression-free survival; SoC, standard of care; hTMB, high tumor mutational burden.