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ESMO 2026 | Risk-stratified approaches to triplet vs duplet regimens in HR+ breast cancer

Yeon Hee Park, MD, Samsung Medical Center, Seoul, South Korea, discusses a risk-stratified approach to selecting between duplet and triplet regimens for HR-positive breast cancer, emphasizing that treatment choice depends on individual patient factors rather than a one-size-fits-all strategy. Triplet regimens are preferred for patients with aggressive disease features, including short disease-free survival, high tumor burden, and aggressive clinical characteristics. However, triplet therapy is avoided in patients with significant comorbidities, advanced age, or indolent tumors, even when tumor burden is substantial. This interview took place at the European Society for Medical Oncology (ESMO) 2026 Congress in Madrid, Spain.

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Transcript

Usually, the triplet regimen are more adopted for hormonal positive breast cancer, but it’s exactly risk-based, risk-stratified approach for the patient. So, if the patient has a really aggressive disease, such as short disease-free survival, and then also the higher tumor burden, and then highly aggressive clinical feature, and then we PREFER to incorporate the triplet than duplet...
Usually, the triplet regimen are more adopted for hormonal positive breast cancer, but it’s exactly risk-based, risk-stratified approach for the patient. So, if the patient has a really aggressive disease, such as short disease-free survival, and then also the higher tumor burden, and then highly aggressive clinical feature, and then we PREFER to incorporate the triplet than duplet. But if the patient, even in the higher tumour burden, but patient with major core morbidity and also old age, and then tumor is a kind of an indolent tumor, we prefer not to use the triplets.
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