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.