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AACR 2026 年会

2026 年 4 月 17–22 日 · San Diego · 共 2429 条

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#BREASTCANCER

9 人 · 10 条

本事件热度走势

当前热度 1·可比范围峰值 1(4月23日 00:00)·近 24 小时可比范围变化 –·当前参与者 2

参与者计数2
00.511.52
热度走势
00.511.54月22日05:004月22日11:004月22日18:004月23日00:00

zanidatamab 同时绑 HER2 的两个结构域(曲妥珠和帕妥珠各绑一个),不靠化疗的细胞毒。T-DXd 是另一极:用 ADC 的载荷把一线标准往上推,代价是间质性肺病。

三阴性这边,sacituzumab 耐药被写成「蛋白降解通路 + 抑制性微环境」,所以换一个 TROP2 ADC 可能只解决一半。MRD(NSABP-B-59)则给术后加减法提供了分子尺子。

记录
药 / 试验读数场景
T-DXd + pertuzumabtrastuzumabHER2#BREASTCANCERPFS HR 0.56;ILD 约 12%,含 2 例 5 级DESTINY-Breast09 · 1L HER2+
pumitamig#BREASTCANCERTNBC cORR 61.5%PD-L1×VEGF · 与双抗方向交叉
NSABP-B-59#BREASTCANCER#LIQUIDBIOPSYctDNA 预测非 pCR 与远处复发TNBC 新辅助后
其他对照
现场
  1. OncoAlert

    OncoAlert 4Sight 摘要将在 #ESMO26 上展示 GIM3 FATA 试验最终分析:治疗方案与三种芳香化酶抑制剂用于绝经后 HR+ 早期乳腺癌 @PietroDePlacido @antoniorusso_pa @delmastro_lucia @MicheleDelauren @fperrone62 🔬 随机试验 (n=3697):阿那曲唑、依西美坦或来曲唑 5 年,前置或在他莫昔芬 2 年后使用。共同主要终点:按方案和按 AI 的 DFS。 ➡️ 前置 vs 顺序:DFS HR 0.95 (0.82–1.09);OS HR 0.88 (0.74–1.06) ➡️ 10 年 DFS:阿那曲唑 79.1%,来曲唑 76.6%,依西美坦 74.2%(总体 p=0.028) ➡️ 依西美坦 vs 阿那曲唑:调整后 DFS HR 1.23 (1.04–1.46)。各 AI 10 年 OS 无统计学显著差异 (p=0.25) ✅ 无方案优势;依西美坦与较差 DFS 相关。选择应根据耐受性、合并症和成本个体化。#BreastCancer 🎙️ Pietro De Placido 👥 Laura Arenare · Erica Pietroluongo · Giancarlo Bisagni · Maria Sarobba · Antonio Russo · Ferdinando Riccardi · Lucia Del Mastro · Antonio Pazzola · Francesco Cognetti · Jennifer Foglietta · Stefania Gori · Francesco Nuzzo · Adriano Gravina · Michelino De Laurentiis · Roberto Bianco · Grazia Arpino · Sabino De Placido · Ciro Gallo · Francesco Perrone (4Sight 摘要源自 ESMO 网站公开的摘要) 通知 OncoAlert 乳腺癌专家组 @matteolambe @aftimosp @E_de_Azambuja @DrSGraff @ErikaHamilton9 @hoperugo @stolaney1 @BianchiniGP @aftimosp @kevinpunie @ElisaAgostinett @to_be_elizabeth @GaiaGriguolo @JankovicK @raalbany @JavierCortesMD @JaniceTNBCmets @Prof_Nadia_H @LoiSher @jamecancerdoc @Lucarecco @Dr_Oncologista

    同题 #BREASTCANCER · 13 人2410 浏览22 赞8 转发1 回复
  2. Gil Morgan, MD

    🔎 OncoAlert 4SIGHT | #ESMO26 evERA 生物标志物分析 🎙️ @stolaney1 🇺🇸 Giredestrant + everolimus 无论 ctDNA 肿瘤分数如何,均保持了 PFS 获益,覆盖 ESR1 变异(Y537 HR 0.35),以及 TP53m/PIK3CAm 亚组 👇 #BreastCancer

    引用@

    OncoAlert 4Sight Abstracts to be Presented at #ESMO26 Retrospective Exploratory Biomarker Analyses From evERA Breast Cancer: A Phase III Trial of Giredestrant + Everolimus in Patients With Oestrogen Receptor-Positive, HER2-Negative Advanced Breast Cancer in the Post-CDK4/6 Inhibitor Setting 🎙️ Sara Tolaney @stolaney1 🔬 Exploratory biomarker analysis of phase III evERA (365 ctDNA-evaluable): giredestrant + everolimus vs SOC endocrine therapy + everolimus in post-CDK4/6i ER+, HER2– aBC. ➡️ PFS HR 0.52 (0.39–0.70) with cTF ≥1%; 0.61 (0.40–0.94) with cTF <1% ➡️ ESR1m: PFS HR 0.58 (D538) and 0.35 (Y537) ➡️ TP53m PFS HR 0.65 (0.45–0.93); PIK3CAm 0.55 (0.36–0.83) ✅ Giredestrant + everolimus maintained greater PFS benefit regardless of cTF status, with benefit across all ESR1 variants and poor prognostic subgroups. #BreastCancer (4Sight Made from Abstracts publicly available at the ESMO website) Pinging OncoAlert Breast Cancer Faculty @matteolambe @aftimosp @E_de_Azambuja @DrSGraff @ErikaHamilton9 @hoperugo @stolaney1 @BianchiniGP @aftimosp @kevinpunie @ElisaAgostinett @to_be_elizabeth @GaiaGriguolo @JankovicK @raalbany @JavierCortesMD @JaniceTNBCmets @Prof_Nadia_H @LoiSher @jamecancerdoc @Lucarecco @Dr_Oncologista @guiandri76

    同题 #BREASTCANCER · 13 人586 浏览8 赞6 转发0 回复
  3. Mirrors of Medicine

    我们每天都在使用 AIs,但我们有多少长期的直接对比数据?GIM3-FATA 在 #ESMO26:前线治疗 vs 换药没有差异,而 exemestane 在 DFS 上落后于 anastrozole(HR 1.23),OS 相似。迫不及待想看讨论 🔥 #BreastCancer 敬请期待 @mirrorsmedicine ESMO 的报道!

    引用@

    OncoAlert 4Sight Abstracts to be Presented at #ESMO26 Final Analysis of the GIM3 FATA Trial: Treatment Schedule and Three Aromatase Inhibitors in Postmenopausal HR+ Early Breast Cancer @PietroDePlacido @antoniorusso_pa @delmastro_lucia @MicheleDelauren @fperrone62 🔬 Randomized trial (n=3697): 5 years of anastrozole, exemestane or letrozole, upfront or after 2 years of tamoxifen. Co-primary: DFS by schedule and by AI. ➡️ Upfront vs switch: DFS HR 0.95 (0.82–1.09); OS HR 0.88 (0.74–1.06) ➡️ 10-year DFS 79.1% anastrozole, 76.6% letrozole, 74.2% exemestane (global p=0.028) ➡️ Exemestane vs anastrozole: adjusted DFS HR 1.23 (1.04–1.46). 10-year OS across AIs: no statistically significant difference (p=0.25) ✅ No schedule superior; exemestane associated with worse DFS. Choice should be individualized by tolerability, comorbidities and cost. #BreastCancer 🎙️ Pietro De Placido 👥 Laura Arenare · Erica Pietroluongo · Giancarlo Bisagni · Maria Sarobba · Antonio Russo · Ferdinando Riccardi · Lucia Del Mastro · Antonio Pazzola · Francesco Cognetti · Jennifer Foglietta · Stefania Gori · Francesco Nuzzo · Adriano Gravina · Michelino De Laurentiis · Roberto Bianco · Grazia Arpino · Sabino De Placido · Ciro Gallo · Francesco Perrone (4Sight Made from Abstracts publicly available at the ESMO website) Pinging OncoAlert Breast Cancer Faculty @matteolambe @aftimosp @E_de_Azambuja @DrSGraff @ErikaHamilton9 @hoperugo @stolaney1 @BianchiniGP @aftimosp @kevinpunie @ElisaAgostinett @to_be_elizabeth @GaiaGriguolo @JankovicK @raalbany @JavierCortesMD @JaniceTNBCmets @Prof_Nadia_H @LoiSher @jamecancerdoc @Lucarecco @Dr_Oncologista

    同题 #BREASTCANCER · 13 人444 浏览7 赞4 转发0 回复
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