
ASCO 2026 Updates in Metastatic Breast Cancer
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About this episode
In this podcast episode, Hope S. Rugo, MD, FASCO, and Nerea Lopetegui-Lia, MD, discuss practice-informing data presented at ASCO 2026 for patients with metastatic breast cancer, including:
- Findings from SERENA-6 on ctDNA-guided treatment switching for emergent ESR1 mutations before radiographic progression, including updated PFS2 and downstream treatment outcomes
- Emerging precision strategies in HR-positive/HER2-negative advanced breast cancer from ELEVATE and PIKALO-1, including elacestrant plus capivasertib and mutant-selective PI3Kα inhibition with tersolisib
- First-line TROP2-directed ADC data from ASCENT-04, ASCENT-03, and TROPION-Breast02, with discussion of PFS2, subsequent therapy, immunotherapy eligibility, and treatment sequencing
Presenters:
Hope S. Rugo, MD, FASCO
Director, Women’s Cancer Program
Division Chief, Breast Medical Oncology
Professor, Department of Medical Oncology & Therapeutics Research
City of Hope Comprehensive Cancer Center
Professor Emeritus and Emeritus Winterhof Family Distinguished Professor of Breast Oncology
University of California, San Francisco
San Francisco, California
Nerea Lopetegui-Lia, MD
Assistant Professor
Division of Medical Oncology, Breast Section
Department of Internal Medicine
The Ohio State University
Columbus, Ohio
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