Evidence map›Paper›PMID 42856785›Full record

ArticleResearch square2026

CDKPredict: a clinicogenomic model for risk-adapted therapeutic intervention in breast cancer.

Luca Boscolo-Bielo, Francisco Sanchez-Vega, Subhiksha Nandakumar, Antonio Marra, Enrico Moiso, Emanuela Ferraro, Ino de Bruijn, Luc Cabel, Karl Pichotta, Bianca Malagutti and 26 more

Abstract readPreprint
In one paragraph

Article in Research square, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

36 authors.

Luca Boscolo-BieloDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, United States.ORCID 0000-0003-1026-3923
Francisco Sanchez-VegaDepartment of Epidemiology and Biostatistics, Computational Oncology Service, Memorial Sloan Kettering Cancer Center, New York, United States.ORCID 0000-0002-2990-4893
Subhiksha NandakumarDepartment of Epidemiology and Biostatistics, Computational Oncology Service, Memorial Sloan Kettering Cancer Center, New York, United States.
Antonio MarraDepartment of Oncology and Hematology-Oncology, University of Milan, Milan, Italy.ORCID 0000-0002-7310-7824
Enrico MoisoTranslational Oncology Partnership Program, Memorial Sloan Kettering Cancer Center, New York, United States.
Emanuela FerraroEuropean Institute of Oncology IRCCS, Milan, Italy.
Ino de BruijnDepartment of Epidemiology and Biostatistics, Computational Oncology Service, Memorial Sloan Kettering Cancer Center, New York, United States.ORCID 0000-0001-5427-4750
Luc CabelTranslational Oncology Partnership Program, Memorial Sloan Kettering Cancer Center, New York, United States.ORCID 0000-0001-5515-9180
Karl PichottaDepartment of Epidemiology and Biostatistics, Computational Oncology Service, Memorial Sloan Kettering Cancer Center, New York, United States.
Bianca MalaguttiDepartment of Oncology and Hematology-Oncology, University of Milan, Milan, Italy.
Anton SafonovDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, United States.
Michele WatersDepartment of Epidemiology and Biostatistics, Computational Oncology Service, Memorial Sloan Kettering Cancer Center, New York, United States.ORCID 0000-0002-5416-5172
Julia Ah-Reum AnTranslational Oncology Partnership Program, Memorial Sloan Kettering Cancer Center, New York, United States.
Mark DonoghueDepartment of Epidemiology and Biostatistics, Computational Oncology Service, Memorial Sloan Kettering Cancer Center, New York, United States.ORCID 0000-0003-4538-6069
Yixiao GongDepartment of Epidemiology and Biostatistics, Computational Oncology Service, Memorial Sloan Kettering Cancer Center, New York, United States.
Matthew ZatzmanDepartment of Epidemiology and Biostatistics, Computational Oncology Service, Memorial Sloan Kettering Cancer Center, New York, United States.ORCID 0000-0001-5235-4116
Maureen CareyTempus AI Inc., Chicago, IL, United States.
Sameet SreenivasanAstraZeneca, Gaithersburg, MD, United States.
Gráinne LongAstraZeneca, Cambridge, United Kingdom.
Sajan KhoslaAstraZeneca, Cambridge, United Kingdom.
Ingrid MayerAstraZeneca, Gaithersburg, MD, United States.
Maurizio ScaltritiAstraZeneca, Gaithersburg, MD, United States.ORCID 0000-0002-5522-1447
Nicola FuscoDepartment of Oncology and Hematology-Oncology, University of Milan, Milan, Italy.ORCID 0000-0002-9101-9131
Elisabetta MunzoneEuropean Institute of Oncology IRCCS, Milan, Italy.ORCID 0000-0003-3371-3878
Fresia ParejaDepartment of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, United States.ORCID 0000-0003-3748-8049
Dara S RossDepartment of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, United States.
Walid K ChatilaDepartment of Epidemiology and Biostatistics, Computational Oncology Service, Memorial Sloan Kettering Cancer Center, New York, United States.ORCID 0000-0001-5474-218X
Michael F BergerDepartment of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, United States.ORCID 0000-0003-3882-5000
David B SolitDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, United States.ORCID 0000-0002-6614-802X
Shanu ModiDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, United States.ORCID 0000-0001-6427-7373
Nikolaus SchultzDepartment of Epidemiology and Biostatistics, Computational Oncology Service, Memorial Sloan Kettering Cancer Center, New York, United States.ORCID 0000-0002-0131-4904
Giuseppe CuriglianoDepartment of Oncology and Hematology-Oncology, University of Milan, Milan, Italy.ORCID 0000-0003-1781-2518
Mark E RobsonDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, United States.ORCID 0000-0002-3109-1692
Sohrab ShahDepartment of Epidemiology and Biostatistics, Computational Oncology Service, Memorial Sloan Kettering Cancer Center, New York, United States.ORCID 0000-0001-6402-523X
Sarat ChandarlapatyDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, United States.ORCID 0000-0003-4532-8053
Pedram RazaviDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, United States.ORCID 0000-0003-4236-0576

Funding

Targeting Polθ to Overcome PARP Inhibitor Resistance in Homologous Recombination Deficient Breast CancerP50CA247749 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Sarat Chandarlapaty, Simon N. Powell · 2020 to 2026
$16.3M
Overcoming Resistance to Targeted Therapy in Breast CancerR35CA305347 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Sarat Chandarlapaty · 2025 to 2026
$2.1M
NCI NIH HHS P50 CA247749NCI NIH HHS R35 CA305347
6 · The paper itself

Abstract

Wide variation in outcomes is observed for patients with hormone-receptor-positive metastatic breast cancer (MBC) receiving first-line CDK4/6 inhibitors plus endocrine therapy (CDK4/6i+ET). Although front-line escalation strategies are beginning to enter clinical practice, assigning patients to intensified or de-intensified approaches remains challenging due to several mechanisms of resistance spanning tumor-intrinsic and host factors. To address this, we developed CDKPredict, an interpretable machine-learning model integrating baseline clinicopathologic and genomic features to predict outcomes from first-line CDK4/6i+ET. The model was trained on a densely annotated cohort of 1,264 patients and validated in a large multi-institutional external cohort (n=564, time-dependent AUC=0.74), stratifying patients into low-, intermediate-, and high-risk groups (median progression-free survival: 29.8, 14.7, and 8.0 months, respectively; hazard ratio [high vs low]=3.85,

Identifiers

PMID42856785
PMCPMC13648847

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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.