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ASCO 2025 | Emerging molecular biomarkers in breast cancer from the NATALEE trial

Kevin Kalinsky, MD, MS, Emory University Hospital, Atlanta, GA, discusses emerging molecular biomarkers from NATALEE (NCT03701334) that could identify which patients with breast cancer would derive the greatest benefit from CDK4/6 inhibition. Although current therapy regimes are determined by clinical characteristics and no predictive biomarkers in the blood or tumour tissue have been found, there are ongoing efforts to look at plasma through techniques such as exome sequencing tumour tissue, which will progress the field towards more precise oncology. This interview took place during the 2025 American Society of Clinical Oncology (ASCO) Meeting in Chicago, IL.

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Transcript

One of the things that we really are facing in the field is determining who most benefits from CDK4/6 inhibition. We face this in the metastatic setting also. What are the markers of response that really can further individualize who should be getting a CDK4/6 inhibitor? Because right now, we’re really basing this decision upon clinical characteristics like stage and other high-risk features...

One of the things that we really are facing in the field is determining who most benefits from CDK4/6 inhibition. We face this in the metastatic setting also. What are the markers of response that really can further individualize who should be getting a CDK4/6 inhibitor? Because right now, we’re really basing this decision upon clinical characteristics like stage and other high-risk features. Ultimately, there’s not a predictive marker either in the blood or in the tumor tissue, but there are translational medicine efforts that are going on that are looking at plasma. Plasma was collected longitudinally. Also work that’s being done on tumor tissue like exome sequencing, etc. So hopefully those will further yield who most benefits from this approach beyond what we’re utilizing now in clinic.

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Disclosures

Employment – EQRx (I)
Stock and Other Ownership Interests – EQRx (I)
Consulting or Advisory Role – AstraZeneca; bioTheranostics; Cullinan Oncology; Daiichi Sankyo/Astra Zeneca; eFFECTOR Therapeutics; Genentech/Roche; Gilead Sciences; Lilly; Menarini Silicon Biosystems; Merck; mersana; Mersana; Myovant Sciences; Novartis; Pfizer; Prelude Therapeutics; ProteinQure; Puma Biotechnology; RayzeBio; Regor; Relay Therapeutics; Takeda
Research Funding – Ascentage Pharma (Inst); AstraZeneca (Inst); Daichi Sankyo (Inst); Genentech/Roche (Inst); Lilly (Inst); Novartis (Inst); Seagen (Inst)