Evidence map›Paper›PMID 42263382›Full record

ReviewBreast (Edinburgh, Scotland)2026

New perspectives on endocrine therapy suitability for hormone receptor-positive metastatic breast cancer in clinical practice.

Hope S Rugo, Giuseppe Curigliano, David W Cescon, Frédérique Penault-Llorca, Nadia Harbeck, Seock-Ah Im, Yeon Hee Park, Carlos Barrios, Shanu Modi, Sara M Tolaney and 1 more

Abstract readReview
In one paragraph

Review in Breast (Edinburgh, Scotland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

11 authors.

Hope S RugoCity of Hope Comprehensive Cancer Center, Duarte, CA, USA. Electronic address: hrugo@coh.org.
Giuseppe CuriglianoEuropean Institute of Oncology, IRCCS, Milan, Italy; University of Milano, Milano, Italy.
David W CesconPrincess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Frédérique Penault-LlorcaCentre Jean Perrin, Université Clermont Auvergne, INSERM, France.
Nadia HarbeckBreast Center, Department of Obstetrics and Gynecology and Comprehensive Cancer Center Munich, Ludwig Maximilians University Munich University Hospital, Munich, Germany.
Seock-Ah ImCancer Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea.
Yeon Hee ParkDivision of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
Carlos BarriosLatin American Cooperative Oncology Group, Porto Alegre, Brazil.
Shanu ModiDepartment of Medicine, Memorial Sloan Kettering Cancer Center, Weill Cornell Medical College, New York, NY, USA.
Sara M TolaneyBrigham and Women's Hospital Dana-Farber Cancer Institute, Boston, MA, USA.
Mafalda OliveiraVall d'Hebron Hospital and Vall d'Hebron Institute of Oncology, Barcelona, Spain.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Hormone receptor-positive/HER2-negative advanced breast cancer (ABC) is a heterogeneous and dynamic disease. Endocrine therapy (ET) + cyclin-dependent kinase 4/6 inhibitors remain the standard-of-care first-line therapy for ABC. However, the treatment landscape is rapidly evolving as our understanding of the complex biology underlying this common subtype advances. Predicting how a patient's cancer might respond to ET across lines of therapy and understanding optimal sequencing in clinical practice are key unmet needs. A range of established and emerging clinical characteristics and biomarkers, including endocrine receptor expression, presence of specific mutations (e.g., ESR1, PIK3CA), and visceral disease, are currently used to guide treatment decisions. However, international guidelines have variable definitions of ET resistance and sensitivity, making delivery of individualized care in clinical practice challenging. Considering this unmet need and leveraging the existing evidence for both prognostic and predictive markers of therapeutic response, we propose that idea of ET suitability be used as a complement to ET resistance and sensitivity. We consider ET suitability to be the clinical assessment of whether a patient could benefit from ET, where benefit is defined not solely by tumor response but by a clinically relevant constellation of characteristics and markers possibly predicting the durability of disease response and symptom control. Several unresolved questions remain regarding issues such as disease heterogeneity, optimal treatment sequencing, and biomarker precision, but further work and ongoing studies will help to support the evolution of guidelines and provide clarity around the effective application of this quickly developing field to daily clinical practice.

Indexed as

Antineoplastic Agents, HormonalBreast NeoplasmsBiomarkers, TumorDrug Resistance, NeoplasmErb-b2 Receptor Tyrosine KinasesFemaleHumansNeoplasm MetastasisPrognosisReceptors, EstrogenReceptors, ProgesteroneAntineoplastic Agents, HormonalBiomarkers, TumorErb-b2 Receptor Tyrosine KinasesReceptors, EstrogenReceptors, ProgesteroneEndocrine resistanceEndocrine therapyExpert opinionMetastatic breast cancer

Identifiers

PMID42263382
PMCPMC13273583

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.