Abstract

RIB and PAL are CDK4/6 inhibitors with efficacy and tolerability in pts with HR+/HER2- ABC when administered in combination with endocrine therapy (ET). RNA-based intrinsic subtyping has strong prognostic and predictive value in advanced HR+/HER2- tumors treated with ET. Non-Luminal subtypes, such as HER2-E and basal-like, are relatively endocrine-resistant and have poorer prognosis than luminal. tumors can switch subtypes over time to a more aggressive and less endocrine-responsive biology, which may also be reversed by effective treatment.

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