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In patients with advanced HR+, HER2- breast cancer who have progressed on first-line CDK 4/6i and ET and found to have ESR1 mutation, are you offering combination of abemaciclib and elacestrant in the 2nd line or SERD monotherapy?

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Do you offer SERDs as monotherapy or in combination with CDK4/6i for a patient with metastatic HR+, HER2-, ESR1 mutated breast cancer who has progressed on first-line ET + CDK4/6i?

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1 Answer
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Medical Oncology · Northwell Health-Lenox Hill Hospital
Answered on

In my practice, when treating patients with advanced hormone receptor-positive (HR+), HER2-negative breast cancer who have progressed on first-line CDK4/6 inhibitors and endocrine therapy, and who harbor ESR1 mutations, I typically consider elacestrant monotherapy as the preferred second-line treatm...

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