Evidence map›Paper›PMID 38867388›Full record

ReviewMolecular oncology2025

Clinical applications of next-generation sequencing-based ctDNA analyses in breast cancer: defining treatment targets and dynamic changes during disease progression.

Eva Valentina Klocker, Samantha Hasenleithner, Rupert Bartsch, Simon P Gampenrieder, Daniel Egle, Christian F Singer, Gabriel Rinnerthaler, Michael Hubalek, Katja Schmitz, Zsuzsanna Bago-Horvath and 5 more

Abstract readReview
In one paragraph

Review in Molecular oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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  14. Wiener klinische Wochenschrift · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Eva Valentina KlockerDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Austria.
Samantha HasenleithnerInstitute of Human Genetics, Diagnostic and Research Center for Molecular BioMedicine, Medical University of Graz, Austria.
Rupert BartschDivision of Oncology, Department of Medicine I, Medical University of Vienna, Austria.
Simon P GampenriederThird Medical Department with Hematology and Medical Oncology, Hemostaseology, Rheumatology and Infectious Diseases, Oncologic Center, Paracelsus Medical University Salzburg, Austria.
Daniel EgleDepartment of Gynecology, Breast Cancer Center Tirol, Medical University of Innsbruck, Austria.
Christian F SingerDepartment of Gynecology, Breast Cancer Center Vienna, Medical University of Vienna, Austria.
Gabriel RinnerthalerDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Austria.
Michael HubalekDepartment of Gynecology, Breast Health Center Schwaz, Austria.
Katja SchmitzInstitute of Pathology, University Medical Center Göttingen, Germany.
Zsuzsanna Bago-HorvathDepartment of Pathology, Medical University Vienna, Austria.
Andreas PetzerDepartment of Internal Medicine I for Hematology with Stem Cell Transplantation, Hemostaseology and Medical Oncology, Barmherzige Schwestern, Elisabethinen, Ordensklinikum Linz GmbH, Austria.
Sonja HeiblDepartment of Internal Medicine IV, Klinikum Wels-Grieskirchen GmbH, Austria.
Ellen HeitzerInstitute of Human Genetics, Diagnostic and Research Center for Molecular BioMedicine, Christian Doppler Laboratory for Liquid Biopsies for early Detection of Cancer, Medical University of Graz, Austria.ORCID https://orcid.org/0000-0002-8815-7859
Marija BalicDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Austria.ORCID https://orcid.org/0000-0001-9482-9191
Michael GnantComprehensive Cancer Center, Medical University of Vienna, Austria.

Funding

Astra ZenecaMenarini Silicon BiosystemsNovartis
6 · The paper itself

Abstract

The advancements in the detection and characterization of circulating tumor DNA (ctDNA) have revolutionized precision medicine and are likely to transform standard clinical practice. The non-invasive nature of this approach allows for molecular profiling of the entire tumor entity, while also enabling real-time monitoring of the effectiveness of cancer therapies as well as the identification of resistance mechanisms to guide targeted therapy. Although the field of ctDNA studies offers a wide range of applications, including in early disease, in this review we mainly focus on the role of ctDNA in the dynamic molecular characterization of unresectable locally advanced and metastatic BC (mBC). Here, we provide clinical practice guidance for the rapidly evolving field of molecular profiling of mBC, outlining the current landscape of liquid biopsy applications and how to choose the right ctDNA assay. Additionally, we underline the importance of exploring the clinical relevance of novel molecular alterations that potentially represent therapeutic targets in mBC, along with mutations where targeted therapy is already approved. Finally, we present a potential roadmap for integrating ctDNA analysis into clinical practice.

Indexed as

Breast NeoplasmsCirculating Tumor DNAHigh-Throughput Nucleotide SequencingBiomarkers, TumorDisease ProgressionFemaleHumansMolecular Targeted TherapyPrecision MedicineBiomarkers, TumorCirculating Tumor DNAbreast cancercirculating tumor DNAliquid biopsyprecision medicinetargeted therapiestherapeutic targets

Identifiers

PMID38867388
PMCPMC12234384

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.