Aleix Prat
Aleix Prat/LinkedIn

Aleix Prat: Preoperative Endocrine Therapy as an Approach to Assess Endocrine Sensitivity in ER+/HER2− Breast Cancer

Aleix Prat, Director of the Clínic Barcelona Comprehensive Cancer Center at Clinical Hospital Clinical of Barcelona, shared a post on LinkedIn about a recent article he and his colleagues co-authored, adding:

“New Research Published!

I’m excited to share our latest work:

‘Ki67 dynamics predict endocrine sensitivity in estrogen receptor-positive/HER2-negative breast cancer patients undergoing preoperative endocrine therapy’

In this study conducted at the Breast Cancer Functional Unit of the Clínic Barcelona Comprehensive Cancer Center, we show that a short 2–12 week preoperative course of endocrine therapy (tamoxifen or aromatase inhibitor) can provide meaningful biological information about endocrine sensitivity.

Key findings:

  • Ki67 suppression after short-course endocrine therapy is common (85%) and easily measurable in daily practice.
  • Achieving complete cell cycle arrest (CCCA, Ki67 ≤2.7%) identifies patients with excellent outcomes (HR = 0.19; p = 0.012).
  • Tumors with Luminal A subtype, high ER expression, and low ROR score show the strongest endocrine response.

These results support short preoperative endocrine therapy as a simple, feasible, and informative approach to assess endocrine sensitivity and potentially guide treatment de-escalation in ER+/HER2− early breast cancer.

Congratulations to Raquel Gómez Bravo and Benjamin Walbaum, and all co-authors for this excellent collaborative work, now published open access in ESMO Open!”

Title: Ki67 dynamic predicts endocrine sensitivity in estrogen receptor-positive/HER2-negative breast cancer patients undergoing preoperative endocrine therapy

Authors: R. Gómez-Bravo, B. Walbaum, M. Bergamino, O. Martínez-Sáez, F. Schettini, E. Seguí, I. García-Fructuoso, T. Pascual, N. Chic, M. González, A. Rodríguez, M. Rey, P. Giménez-Xavier, P. Blasco, O. Castillo, P. Galván, E. Sanfeliu, B. González-Farré, M. Vidal, B. Adamo, F. Brasó-Maristany, A. Prat, M. Muñoz

Read the Full Article on ESMO Open

Aleix Prat: Preoperative Endocrine Therapy as an Approach to Assess Endocrine Sensitivity in ER+/HER2− Breast Cancer

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