In this randomised, open-label, multi-centre, parallel-controlled phase 2 FRIEND study, 145 postmenopausal ER+/HER2- ABC patients were assigned into fulvestrant...the mutations of c-MYC and BRCA2 were significant factors for the fulvestrant superiority over exemestane and showed that c-MYC and BRCA2 mutations led to a longer PFS time in the fulvestrant treated group of patients compared to the exemestane group (p = 0.049, p = 0.039)....Fulvestrant significantly increased overall PFS for ER+/HER2- ABC patients and was well tolerated.