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ESMO Breast 2025 | Bridging real-world data and clinical trials in leptomeningeal disease

Evangelia Razis, MD, PhD, Hygeia Hospital, Marousi, Greece, discusses the evolving strategies to translate insights from real-world registries into effective clinical trial design for leptomeningeal disease (LMD) in breast cancer. She highlights recent initiatives, including the development of standardized criteria such as the ESMO Guidance for Reporting Oncology real-World evidence (GROW) guidelines, and efforts to clarify research priorities to ensure meaningful, resource-efficient outcomes. These frameworks aim to enhance the reproducibility and impact of future trials in this underserved patient population. This interview took place at the 2025 European Society for Medical Oncology (ESMO) Breast Cancer Annual Congress in Munich, Germany.

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